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1. After the body has been viewed by the family, the body is wrapped in a:
Consider the material commonly used in various cultural practices for wrapping a deceased body, often reflecting respect and tradition.
2. What is dyspnea?
Think about the physical experience of breathing – particularly when it feels difficult or uncomfortable. Consider the various causes, both respiratory and non-respiratory, that can lead to this sensation.
3. People at the end of life have many special needs; one of their physical needs is the relief of A) fevers B) distress C) chills D) fear.
Consider the physical sensations that might arise as the body approaches its final stages, particularly those that can be alleviated through comfort measures. Think about the importance of warmth in providing relief.
4. At the end of life, many people have a fear of A) insects B) rejection C) acceptance D) being alone
Consider the emotional aspect of solitude as life concludes, where feelings of abandonment and the need for connection become prominent.
5. You are caring for Judy. She is at the end of life. A lot of visitors are seeing her. You notice that she is giving things like her jewelry to her visitors. What should you do?
Consider the emotional significance of her actions and prioritize her comfort and sense of agency during this sensitive time.
6. Mr. Flores’ visual change is referred to as:
Think about the changes in vision that occur naturally with aging, particularly the difficulty in seeing objects up close.
7. Many elders are affected with lowered metabolism and the loss of subcutaneous tissue. These physiological changes can lead to which of the following?
Consider how reduced heat production and insulation in the body might affect temperature regulation in older individuals.
8. Mr. Roberts, a 68-year-old man, notices a gradual loss of hearing. This sensory change is called A) presbycusis B) cerumen C) myopia D) presbyopia
Consider the natural hearing changes that accompany aging, especially the difficulties with higher frequency sounds and understanding speech in noisy settings.
9. Changes such as retirement, grandparenting, and increased dependence on others are examples of what kind of changes?
Think about transitions in life that affect personal relationships and identity as people age, highlighting the interplay between social roles and emotional well-being.
10. Which is a physical integumentary risk among the elderly population?
Consider the fragility of the skin in older adults and how minor incidents can lead to significant injuries.
11. Medicare is a
Think about a federal program that supports healthcare primarily for older adults and some individuals with disabilities.
12. A CNA cannot perform which of the following tasks?
Think about the scope of practice for CNAs and focus on the distinction between basic care tasks and those involving medication administration.
13. The RN has assigned you to empty urinary drainage bags for a group of patients. You should take which of the following actions?
Ensure you follow proper hygiene practices and communicate with the nursing staff about the completion of your tasks.
14. Tasks that can be legally done by a CNA are found in:
Look for the legal framework defined by both federal standards and state-specific regulations that pertain to the responsibilities of certified nursing assistants.
15. Which of the following tasks can the CNA legally perform?
Consider the basic patient care tasks that CNAs are trained for. Focus on routine measurements and simple assistance, while remembering that more complex, sterile procedures are beyond their legal scope.
16. CNAs can legally document:
Consider what tasks and observations you directly perform in your role. Focus on documenting your own care activities and interactions with patients.
17. Teresa H put her call light on you enter her room and she states that she has a headache you are speaking with her and suddenly she is no longer able to speak it is most likely that she is
Consider the possibility of a sudden neurological issue, especially if speech loss follows a recent headache; look for other stroke symptoms.
18. Alzheimer’s disease is definitively diagnosed:
Think about the distinction between clinical assessments during life and the need for physical evidence of disease characteristics after death.
19. Identify the stage of Alzheimer’s disease with the correct symptom.
Consider how memory loss evolves with each stage of Alzheimer’s—early stages focus on short-term memory, while later stages involve more extensive memory impairment, including long-term memories. Reflect on which stage corresponds with the specific symptom presented.
20. You are caring for an Alzheimer’s patient who is confused. What can you do to decrease the level of the confusion?
Focus on creating a calm and predictable environment while minimizing distractions to help the patient feel secure and understand their surroundings better.
21. Your patient’s face is grimacing. What do you think your non-verbal patient is communicating to you?
Consider what physical sensations might lead to a grimacing expression, focusing on pain or discomfort.
22. You are holding a Class C fire extinguisher in your hand and you are ready to use it. What is the next step?
Remember to unlock the extinguisher before aiming it at the fire.
23. Your resident’s clothing catches fire; you must:
Remember to prioritize the “Stop, Drop, and Roll” technique to effectively extinguish flames and keep the person safe. Also, seek immediate assistance from staff.
24. A cyclone is an example of a(n) __________ disaster.
Consider the type of disasters that originate from natural events and processes, such as weather patterns and geological activity, rather than those caused by human actions.
25. The primary purpose of emergency planning is to do which of the following?
Focus on the central goal of protecting lives and property during unforeseen events. Consider how effective procedures and protocols play a key role in achieving this safety.
26. Standard precautions are used to prevent the spread of infections that can be spread with bodily fluids. Which is an example of a bodily fluid?
Think about fluids that are produced by the body and can carry germs; consider those that are most commonly regulated in health protocols.
27. You must wear gloves when you are:
Consider situations where hygiene and contamination prevention are critical, particularly when handling substances that could carry pathogens.
28. You are caring for Terry P and James T. You have dawned gloves and emptied Terry P’s urinary drainage bag. Next, you will empty James T’s urinary drainage bag. You carefully examine your gloves after you empty Terry P’s bag and they remain dry and as good as new. You:
Consider the guidelines on the use of gloves in healthcare settings, especially regarding cross-contamination between patients.
29. You are taking care of a patient who has active TB. The patient has been put on airborne precautions. The patient is in a special room. You must wear a HEPA mask when you enter the room. Now the patient has to leave the room and go to the radiology department. How can you transport this patient to the radiology department without spreading the TB throughout the hospital?
Ensure the patient wears a HEPA mask during transport to minimize the risk of airborne transmission.
30. The nurse has discontinued the patient Foley catheter. You will dispose of this patient equipment by doing which of the following?
Remember to follow infection control protocols by wearing gloves, and always dispose of the used catheter and its components in a designated biohazard container to ensure safety and prevent contamination.
31. Mary M has been a resident in your nursing home for about 5 years she is alert and oriented today Mary has decided that she does not want to eat and she does not want a feeding tube you do not think that this is a good decision you should
Consider the importance of respecting a patient’s autonomy and ensuring her decisions are honored, even if they differ from your perspective on her health. Seeking further discussion with the healthcare team may be beneficial if there are health concerns.
32. Your nursing home’s Ethics Committee meets on a monthly basis. You attend one of these meetings and you hear committee members discussing beneficence. At the beginning of the meeting, they are discussing which of the following?
Focus on the ethical responsibilities of healthcare providers to promote patient welfare and well-being, considering the balance between potential benefits and harms in care decisions.
33. During an Ethics Committee meeting, the members are trying to resolve an ethical dilemma using the principle of nonmaleficence. This ethical principle states that we should:
Consider the foundational idea that prioritizing patient safety means actively avoiding actions that could cause harm.
34. A CNA answers a patient’s call light. The patient asks for a snack. The CNA tells the patient that she will bring the snack to the patient in 5 minutes. Over a half hour elapses before the CNA takes the snack to the patient. The CNA has violated which ethical principle?
Consider the importance of keeping promises in caregiving, especially regarding timely assistance and the trust that forms the basis of patient-caregiver relationships.
35. Which ethical term and definition is correct?
Consider the significance of honesty in communication, especially in healthcare, and how it influences trust between professionals and patients.
36. You notice a posted resident Bill of Rights near the elevator as you are walking through your nursing home. This document can be best described as containing a:
Consider how this document serves to empower and inform residents about their entitlements and the ethical standards they should expect in their care.
37. You are beginning a new career as a CNA which of the following senses will you not use throughout your new career?
Consider which senses are actively engaged in patient care tasks, such as communication and observation, while noting that one sense is not relevant to these duties.
38. You are caring for a group of patients and you hear a loud crash at the end of the floor. Which of your senses allowed you to hear this loud crash?
Consider which sense is specifically designed to perceive sound vibrations in the environment.
39. A loud crash at the end of the hall is coming from a room that you are not assigned to. What should you do first?
Consider the urgency of the situation and prioritize ensuring everyone’s safety immediately.
40. At the end of your shift, Sophie T starts crying when you walk into her room. Sophie is usually very cheerful. You speak to Sophie and she tells you that she is very sad because she has not seen her family in weeks. What should you do?
Focus on providing emotional support by actively listening to Sophie, validating her feelings, and showing empathy. It’s essential to create a safe space for her to express herself.
41. Which of the senses allowed you to know that Sophie was crying?
Think about what you can hear and see when someone expresses strong emotions like crying.
42. Should you report Sophie’s crying to the nurse?
Consider the implications of emotional well-being in patient care and the importance of communicating changes in a patient’s emotional state to the healthcare team.
43. Mr. Taylor is a blind person you are passing out resident meals in the Resident dining room. Mr. Taylor is able to eat on his own, so you should:
Use verbal cues to help Mr. Taylor locate his food, like referencing clock positions for items on his plate, to promote his independence while dining.
44. You are getting the patient ready to eat. The patient is on complete bed rest. You will put the head of the bed up at underscore degrees or more.
Remember to elevate the head of the bed to at least 30 degrees to ensure safety and comfort for the patient during meals.
45. When you are feeding a patient who has paralysis on the left side of the face, you should place the food:
Consider where the patient’s functioning side is and place the food accordingly to promote safe eating.
46. Cheryl M has a serious swallowing disorder she has asked you for a glass of water the doctor has ordered honey thickness fluids for her water is not a honey thickness fluid it is much thinner what should you do
Consider modifying the liquid to meet the specified consistency for safe ingestion, ensuring it aligns with medical guidelines for her swallowing disorder.
47. You must __________ before and after feeding every patient in the dining room.
Consider the essential practice that ensures cleanliness and safety in caregiving, especially when handling food.
48. You have been asked to record the amount of food that the person has eaten during each meal. What kinds of words or numbers would you use to record this food intake?
Consider using specific measurement units that quantify the food intake in a clear and standardized manner, like percentages of the total served.
49. The abbreviation AC is defined as:
Think about the timing of medication or treatments in relation to food consumption. What Latin phrase indicates the period before meals?
50. The abbreviation PC is defined as A) before the meal B) with the meal C) after the meal D) post corpy
Remember that “PC” relates to meal timing and is derived from a Latin term commonly used in healthcare to indicate what happens after eating.
51. Which patient care problem is your second priority?
Consider the immediate physical needs of the patient that directly relate to safety and the risk of falls. Prioritize care that prevents potential harm while maintaining the patient’s dignity.
52. Which patient care problem is the lowest in terms of priority?
Consider which needs are most critical to a patient’s immediate health and safety. Physical issues typically take precedence over emotional concerns.
53. The resident who is asking for water is expressing a ______ need according to Maslow.
Think about the most basic requirements for human survival that must be fulfilled before other needs can be addressed.
54. The resident who is asking for help to walk to the bathroom is expressing a __ need according to Maslow.
Consider the basic requirements essential for human survival and functionality.
55. Verbal bullying among school-aged children threatens which of Maslow’s needs?
Consider the impact of negative social interactions on emotional well-being and the need for social connections and acceptance among peers.
56. Which of these devices is considered a protective device rather than a restraint?
Consider the primary purpose of the device: if it is meant to prevent harm without restricting movement, it is likely a protective device.
57. Mr. Freeman has difficulty getting out of bed. The CNA should encourage Mr. Freeman to:
Consider emphasizing the importance of safety and the need for assistance when transitioning from bed to standing.
58. Restraints are sometimes used for what patient conditions or situations?
Consider situations where patient safety is at risk, particularly regarding the prevention of harm to themselves or the disruption of essential medical devices.
59. The primary reason that people act out with disturbed behavior in a healthcare facility like a nursing home is because the person has a __________ problem.
Consider how mental function influences behavior, especially in relation to common conditions seen in elderly patients.
60. The best way for CNAs and Health Care Facilities to control the effects of poor and disruptive patient behavior is to
Focus on creating a supportive and positive environment to proactively address patient needs and minimize triggers for disruptive behavior.