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1. At what age does a child begin to accept the fact that death is permanent?
Consider the developmental milestones typically reached in early childhood, particularly around the transition from magical thinking to a more realistic understanding of life events.
2. Two patients in the hospital: A) will usually sleep well, B) will have increased REM sleep, C) will have elevated vital signs during sleep, D) will usually sleep for briefer periods and feel less well rested.
Consider how hospitalization impacts sleep duration and quality, especially regarding interruptions and environmental factors that could lead to feelings of unrest and fatigue.
3. Mr. Dale has insomnia; you can assist him in managing this condition by:
Focus on creating a relaxing bedtime environment by minimizing distractions and stimulating activities in the evening.
4. Identify the developmental task with the correct age group.
Consider the age range where children start to engage in cooperative activities, take pride in their accomplishments, and develop their skills in a more structured environment, typically associated with formal education.
5. Your 47-year-old patient is concerned about guiding the Next Generation. What developmental task is this 47-year-old patient addressing?
Think about the role of nurturing and contributing to the future in this stage of life.
6. Excessive noise in health care facilities:
Consider the impact of environment on patient outcomes; think about how sound levels might influence stress and recovery in a healthcare setting.
7. You are caring for a resident who has severe hemorrhoids. How can you arrange your care to accommodate this problem?
Consider approaches that minimize discomfort and promote healing, such as soothing baths and gentle hygiene practices.
8. You have admitted a new Resident who has had a recent CVA stroke and residual left-sided hemiplegia. What can you do to help prevent left-hand contracture from developing?
Consider using supports or devices to maintain the hand in a functional position and prevent stiffness. Regular monitoring and collaboration with therapy staff are also crucial.
9. Which age group has passive natural immunity?
Consider the youngest demographic that benefits from maternal antibodies during gestation and breastfeeding.
10. Which of the following statements about pain is false?
Consider how pain is defined and understood in both physical and psychological contexts, especially regarding conditions like phantom pain.
11. You are turning your patient in bed and you see that this confused and lethargic patient had loose car keys and lipstick in the bed and had been lying on them. What is this person at risk for because of all three of these factors: the confusion, lethargy, and items in the bed?
Consider the implications of prolonged immobility combined with sensory deficits and environmental hazards.
12. When you take a resident to the activity room for Bingo, which of Maslow’s hierarchy of needs are you addressing?
Consider how social interactions and opportunities for achievement in group activities can impact an individual’s sense of worth and belonging.
13. You are caring for an overweight 18-year-old who has broken her hip and is on bed rest during your shift. She complains that her buttocks are burning and she is uncomfortable. How can you assist her?
Consider implementing frequent position changes and utilizing pressure-relieving techniques to alleviate discomfort and prevent skin breakdown.
14. The term used to describe the study of aging in older adults is:
Think of the field that focuses on the complexities of aging and enhances the well-being of older adults.
15. Changes such as retirement, grandparenting, and increased dependence on others are examples of what kind of changes?
Consider how life stages impact relationships and identity as individuals navigate new roles and interactions with others.
16. Why are the elderly more susceptible to infection?
Consider how aging affects the body’s defenses against illness, including the role of chronic health conditions and lifestyle factors.
17. Which of the following is a mental illness?
Consider conditions that primarily affect thoughts, emotions, and behaviors, leading to significant impairment in daily life.
18. Your resident has had a stroke and has residual paralysis hemiplegia on her left side what type of range of motion exercises can you as a CNA working with Rehabilitation be asked to perform on her?
Focus on performing passive range of motion exercises for the affected side to maintain flexibility and prevent stiffness.
19. Which of the following is not a normal age-related change in the cardiovascular system?
Consider whether the option pertains to a condition that results from underlying health issues rather than a typical consequence of aging in the cardiovascular system.
20. What term is used to describe the sexual response changes among middle-aged men?
Think about the term that parallels the female menopause and refers to the gradual changes in sexual health and arousal that occur in men as they age.
21. Select the age group that is coupled with an infectious disease that is most common in this age group.
Consider the age group known for high engagement in activities that increase the risk of sexually transmitted infections, influenced by social dynamics and behaviors typical of this life stage.
22. What is restorative care?
Think about the support and services provided to individuals to help them maintain their functional abilities and independence after recovering from a significant health event.
23. Mr. Roberts, a 68-year-old man, notices a gradual loss of hearing. This sensory change is called:
Consider the natural decline in sensory function that occurs with aging, especially related to the auditory system.
24. Your new Resident Mrs. Charles has episodes of somnambulism. This means she:
Consider the automatic actions that occur during sleep, usually without awareness, and think about how they relate to safety concerns at night.
25. Fiber is the indigestible part of the plant. Which of the following is untrue about fiber in a diet?
Consider how fiber interacts with other substances in the digestive system and its overall impact on digestive health when evaluating the truthfulness of assertions about it.