question

Omnibus Budget Reconciliation Act (OBRA)

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-states the requirements for certification -minimum of 75 hours for CNA (AZ requires 120)

question

Competency Evaluation

answer

-exam at end of training includes written and skills -3 tries and score needed depends on state

question

Reciprocity

answer

-the ability to work in other states as long as you have met their minimum training requirements -state recognizes validity of license granted by other state

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Registry

answer

OBRA requires every state to maintain a registry that contains: -full name, address, SS #, DOB, date competency eval was passed, reported incidents of resident abuse or neglect or theft of resident property

question

Continuing Education

answer

-regular in-service education mandated by OBRA -long term care centers must provide minimum of 12 hours/ year -new skills taught and existing reviewed

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The Nursing Team Includes

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-director of nursing -head nurse -charge nurse -LPN, LVN, or RN -nursing assistant

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Primary nursing

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one nurse is assigned to several pt and is responsible for all the care of those ppl

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Functional (modular) nursing

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each member of the team carries out the same task for all pt

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team nursing

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RN determines all pt needs and assigns tasks based on skills and level of responsibility

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Nursing care plan

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-developed by the nursing care team -specific plan of care for each pt -involves: assessment, diagnosis, planning, implementation, evaluation

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assessment

answer

-nurse gets info from pt from observations or questions

question

diagnosis

answer

-made using info from assessment

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planning

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-develops interventions and goals

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implementation

answer

interventions carried out

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evaluation

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nurse checks the effectiveness of the care plan

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nursing diagnosis

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statement that describes problem pt is having an the cause

question

delegation

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-RN or LPN has authority to delegate selected tasks to a nursing assistant

question

The 5 rights of delegation

answer

1. Right task 2. The right circumstance (is pt stable) 3. the right person 4. the right direction (clear instructions) 5. the right supervision

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Scope of practice

answer

the range of tasks that a nursing assistant is legally permitted to do

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Tasks beyond NA Scope of Practice

answer

-giving medications (including O2) (you can apply) -recieving verbal orders from drs -diagnosing illness and prescribing meds -supervising other NA -performing procedures that require sterile technique -insertin gor removing tubes from a persons body

question

Valid reasons to refuse a CNA task

answer

-outside your scope of practice -task is illegal or unethical or could cause harm -nurse isn't available to supervise -dont have proper equipment -directions aren't clear -havent received training about equipment or task

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Patients Bill of Rights

answer

-created by the American Hospital Association (AHA) -dictates how a resident is to be treated while in a hospital

question

Resident Rights

answer

-Part of OBRA -dictates how a resident is to be treated while living in a facility

question

Which resident rights doesn't allow you to gossip about residents in your care to your friends or family

answer

residents right to privacy and confidentiality

question

Advance Directive

answer

-a document that allows a person to make their wishes regarding health care known to family members and health care workers, in case the time comes when the person is no longer able to make those wishes -EX: living will: writing wishes for health care (CPR, feeding tube) -EX: durable power of attorney for health care (assign a person to speak for you)

question

Laws

answer

government makes and enforces laws to protect its citizens basic human rights

question

If Civil law is broken

answer

-pay a fine or make settlement

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If criminal law is broken

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-prison

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Civil law

answer

laws concerning relationships between individuals

question

Criminal Law

answer

laws concerned with relationship between person and society

question

Unintentional tort

answer

-violation of civil law -whens one one causes harm or injury to another person or persons property by accident -considered negligent

question

Negligence committed by people who hold licenses is considered

answer

malpractice

question

intentional tort

answer

committed by a person with intent to do harm

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intentional tort examples

answer

-defamation -assault -battery -fraud -false imprisonment -invasion of privacy -larceny

question

defamation

answer

making untrue statements that hurt another persons reputation

question

assault

answer

threatening or attempting to touch a person without his or her consent, causing that person to fear bodily harm

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battery

answer

touching a person with out her consent

question

fraud

answer

deception that could cause harm to another person

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false imprisonment

answer

confining another person against his or her will

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invasion of privacy

answer

violating the persons right to confidentiality

question

larceny

answer

theft

question

abuse is a violation of

answer

criminal law

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physical abuse

answer

-results in injury to the body -also failing to provide proper care (neglect)

question

psychological (emotional) abuse

answer

teasing someone, making threats, or isolating a person

question

sexual abuse

answer

forcing another person to engage in sexual activity or making sexual comments

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who is at risk for abuse

answer

anyone, especially the very young, disabled, and elderly -more dependent person is for care the more at risk

question

report abuse to

answer

supervisor or if necessary the police

question

Health Insurance Portability and Accountability Act (HIPAA)

answer

-designed to keep health information private -protected health info: name, address, number, SS, email, medical records -only those caring for the resident must have this information

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Ethics

answer

-moral principles or standards that govern conduct -help us determine right or wrong when there is no clear rule -treat pt with respect and respect their right to choose, maintain confidentiality, provide competent care

question

NA who work in the long-term care setting must complete a course of training and undergo a competency evaluation. These requirements are set by the

answer

OBRA Omnibus Budget Reconciliation Act

question

As a NA it is your responsibility to

answer

perform the tasks you supervisor assigns to you

question

If you do not know how to do an assigned task you should

answer

decline to do the task

question

Nursing assistants work under the supervision of

answer

A RN or LPN

question

Which step of the nursing process involves gathering info about a pt

answer

Assessment

question

To "delegate" means to

answer

Give another person permission to perform a task on your behalf

question

What info is included in the registry

answer

all of the above -the NA full name -NA SS # -any reported incidents of abuse or theft

question

All of the following are legal terms that relate to making false statements that injure another persons reputation except

answer

-Assault (defamation, slander, libel ARE)

question

If a RN fails to raise the side rails on the bed of a confused pt and the pt falls out of the bed and is injured the nurse may be charged with

answer

malpractice

question

Resident Rights are a part of which legislation

answer

OBRA Omnibus Budget Reconciliation Act

question

Which of the following is a basic right of residents

answer

-all of the above -right to choice -right to privacy and confidentiality -right to be free from verbal abuse, or any other abuse

question

confidentiality means

answer

respecting a pt right to privacy

question

you are a NA working in a home health care setting. you suspect that one of your clients is being emotionally and physically abused by her husband. what do you do first

answer

Immediately report your suspicions to the case manager

question

one of your co-workers has been having a very hard time with one of her residents. The resident is confused and uncooperative. In a moment of frustration your co-worker says to the resident "if you don't shut up I am going to slap you" what kind of intentional tort is this

answer

assault

question

A NA answers the phone at a nursing station. The Dr calling wants to give a verbal order and the NA says she is a nurse and can take the order. what intentional tort is this

answer

fraud

question

what does Health Insurance Portability and Accountability Act (HIPAA) protect

answer

the pt right to privacy

question

an exam consisting of a written portion and a skills portion that must be passed at the end of the nursing assistant training course to obtain certification

answer

competency evaluation

question

the principle by which one state recognizes the validity of a license or certification granted by another state

answer

reciprocity

question

an official record maintained by the state of the people who have successfully completed the NA training program

answer

registry

question

a specific plan of care for each pt developed by the nursing team

answer

nursing care plan

question

a process that allows members of the nursing team to communicate with each other regarding the pt specific needs, what steps will be taken to meet those needs, if the steps were effective, and is made of 5 parts

answer

nursing process

question

to authorize another person to perform a task on you behalf

answer

delegate

question

the range of tasks that a NA is legally permitted to do

answer

scope of practice

question

rules that are made by a governing authority (state or federal) with intent of preserving basic human rights

answer

laws

question

laws concerned with relationships between individuals

answer

civil laws

question

laws concerned with the relationship between the individual and society

answer

criminal laws

question

word used to describe a person who fails to do what a "careful and reasonable" person would do in any given situation

answer

negligent

question

spoken statements that injure someones reputation, a form of defamation

answer

slander

question

written statements that injure someones reputation, a form of defamation

answer

libel

question

keeping personal info that someone shares with you to yourself

answer

confidentiality

question

a federal privacy regulation that helps to keep personal info about pt private

answer

Health Insurance Portability and Accountability Act (HIPAA)

question

the repetitive and deliberate infliction of injury on another person

answer

abuse

question

moral principles or standards that govern conduct

answer

ethics

question

a cherished belief or principle

answer

value

question

which of the following organizations or acts provides guidelines protecting residents rights

answer

Omnibus Budget Reconciliation Act (OBRA)

question

which of the following represents OBRA's minimum requirements for a NA to work in a long-term care facility

answer

-minimum 75 hours initial training -sucessful completion of competency eval -12 hours or more of continuing education per year

question

which right is protected by HIPAA

answer

the right to privacy

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