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1. Mrs. Love is a rehabilitation patient in your facility. Physical therapy is concerned about foot drop as a complication of her not being out of bed, so they have ordered that she wears sneakers when awake, especially when she is in bed. You find that her son removes the sneakers every time he visits because he has indicated that she thinks the staff is just too lazy to take them off when she lays down. As the CNA, what can you do to make this situation better?
Consider how effective communication with both Mrs. Love and her son can foster understanding of her care needs. Focus on educating them about the importance of wearing sneakers for her rehabilitation, and address any misconceptions about staff responsibilities. Building a rapport and ensuring they feel heard may encourage cooperation with the treatment plan.
2. Mr. Williams tells you he is experiencing pain. When you leave to notify the nurse, you hear him laughing while talking on the phone. You should:
Remember that communication about pain is serious, and people may respond differently based on their coping strategies. Always prioritize the person’s report and ensure they receive proper care.
3. Identify the age group with the correct range of years.
Think about the years that bridge childhood and adulthood, typically associated with significant growth and change.
4. What is the difference between an EMT and a paramedic?
Consider their levels of training and the specific medical procedures each is authorized to perform. EMTs handle basic life support, while paramedics manage advanced care.
5. A patient expresses sexual interest in you. What should be your response?
Remember to maintain professionalism and set clear boundaries while focusing on the patient’s care. Address the situation calmly and respectfully to ensure the therapeutic relationship remains intact.
6. Many elders are affected with lowered metabolism and the loss of subcutaneous tissue. These physiology changes can lead to which of the following?
Consider how changes in body composition and metabolism can impact temperature regulation and the potential health risks associated with these changes in older adults.
7. You work in a pediatrician’s office which of the following interventions shows you are providing age-appropriate care?
Consider how your interventions align with the developmental understanding of children, and focus on promoting clear communication that respects their autonomy and fosters a comfortable atmosphere.
8. When providing care for elderly residents, what should you do?
Consider the impact of small daily tasks on the overall well-being and safety of elderly residents, especially regarding their ability to see and interact effectively with their surroundings.
9. You have admitted a 19-year-old motorcycle accident survivor to your rehabilitation facility. He is paralyzed but alert and oriented. You are assigned as his CNA to his AM care. How can you best approach his daily morning care?
Consider how to empower him during morning care by promoting independence and involving him in decision-making, while also being mindful of his emotional needs during this significant transition in his life.
10. What is a stool sample for ova and parasites, and what special treatment does it receive?
Consider the importance of temperature in preserving the viability of organisms in the analysis of a stool sample.
11. Mr. Nick has a neck brace that he is supposed to wear when he is out of bed. He often takes it off or does not put it on when he gets up. He says it smells. How can you help in this situation?
Consider addressing hygiene by regularly cleaning the neck brace to eliminate odors, which may encourage Mr. Nick to wear it as needed.
12. The most basic human needs found in the bottom level of Maslow’s hierarchy of needs include:
Consider the fundamental elements that sustain life and human survival, which must be met before anything else in Maslow’s theory can be addressed. Think about what a person literally needs to stay alive.
13. Elderly patients are more prone to dehydration than younger people because the elderly:
Consider the impact of aging on the body’s thirst regulation and physiological changes that affect fluid balance.
14. You have many microbes normally residing in or on your body. Where would microbes be found?
Consider areas of the body that come into contact with external environments or participate in digestion. Think about where microbial populations help with processes like breaking down food and protecting against harmful pathogens.
15. You are working on the pediatric unit. A young child suddenly starts violently jerking; the child also appears to be having difficulty breathing. This child is most likely having a:
Consider a condition characterized by sudden, uncontrolled muscle movements and potential airway involvement.
16. Mr. Flores is a 47-year-old man who notices that he has recently started to have difficulty reading and seeing clearly objects that are close to his face. For example, he is not able to clearly read a newspaper. Mr. Flores’ visual change is referred to as:
Consider a common age-related condition that affects near vision, often resulting in difficulty reading or focusing on close objects. This change usually becomes noticeable in the mid-40s.
17. This decrease in vision is a:
Consider a common age-related condition that affects near vision, often requiring reading glasses, starting around age 40.
18. Mrs. Downes is a bedfast resident who is in your facility for rehabilitation. You are aware that foot drop is a serious complication of being bedfast and can slow return to an ambulatory status. Which of the following can be done to assist in preventing this complication from developing?
Consider interventions that keep the foot in a neutral position to support muscle function and prevent complications associated with immobility.
19. Based on Maslow’s hierarchy of needs, which of the following is the most important thing you as a CNA should do for a resident?
Focus on the foundational needs that are essential for survival and well-being. Consider what must be prioritized before addressing emotional or social needs.
20. The mother of a three-month-old infant is concerned that her daughter has not begun crawling and asks your advice. What should you tell her?
At three months, it’s typical for infants to focus on earlier milestones rather than crawling. Remind the mother that each child develops at their own pace and encourage her to keep an eye on her daughter’s progress.
21. Your two-year-old pediatric patient is always saying no to your requests. What should you do?
Consider strategies that promote autonomy and choice for the child, while maintaining a calm and supportive approach to encourage cooperation.
22. Mrs. Malloy says she is celibate. This means that she:
Consider the implications of a personal commitment to abstain from intimate relationships, regardless of external factors or circumstances.
23. Mr. Gray tells you he is transgender. This means he:
Consider how gender identity and assigned sex at birth can differ, and think about what it means for someone to align their external appearance with their true self.
24. The study of pediatric growth and development enables CNAs to understand:
Consider the key phases of childhood development and the importance of recognizing milestones to provide appropriate care and support.
25. You are caring for Mrs. K. She has fragile skin and she has had skin tears in the past. You are ready to assist her in order to transfer her from the bed to the chair. What should you do to prevent skin tears?
Ensure to use a gentle, supportive technique, and consider enlisting another caregiver to assist with the transfer.
26. Which is a physical integumentary risk among the elderly population?
Consider the impact of aging on skin integrity and how physical traumas can lead to significant injuries in vulnerable populations.
27. Johnny Tate, a two-year-old boy, is hospitalized with pneumonia. This child will most likely:
Consider the emotional and social behaviors typical of two-year-olds, especially in stressful situations like hospitalization. How might their attachment to caregivers and limitations in verbal communication influence their reactions in this setting?
28. Your resident this morning asks you if she may rest for 15 minutes prior to her bath. You should:
Consider the importance of resident comfort and well-being in your approach. Valuing their preferences enhances their sense of autonomy and promotes a positive care experience.
29. Mrs. Garrison has chronic pain. This means her pain:
Consider how long the pain lasts and its variability in intensity.
30. Complications from immobility and inactivity may include which of the following?
Consider the effects of reduced movement on both the musculoskeletal and cardiovascular systems. Think about how long periods of immobility can affect circulation and muscle function.
31. Your pediatric patient wishes to sleep with her special baby blanket. You should:
Consider the importance of emotional security and comfort for pediatric patients, especially during stressful times. Supporting their attachment to comforting items can aid in their overall well-being and recovery.
32. Which age group requires the most sleep?
Consider the developmental needs during the teenage years, when significant physical and mental growth occurs.