Illinois CNA study guide for state test – Flashcards
134 test answers
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director of nursing
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DON (______) manages the nursing team.
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Medicare
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__ is a federal health insurance program for people 65 years or older.
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case mix group
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CMG
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license
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An agency must have a __ to operate and provide care.
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American Hospital Association
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AHA
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Omnibus Budget Reconciliation Act of 1987
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OBRA
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licensed nursing assistant
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LNA
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Nursing Assistant Training and Competency Evaluation Program
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NATCEP
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laws, job descriptions, person's condition, help
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Some limits for CNAs are __, __ __, the __ __, and the amount of __ you need.
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Nurse Practice Acts
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__ __ __ protects patients from people practicing nursing without a license.
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75
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OBRA requires at least __ hours of instruction for CNAs. (training for nursing assistants working in nursing centers)
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task, circumstances, person, directions, communication, supervision
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The Five Rights of Delegation are the right __, __, __, __ & __, and __.
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responsible
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When you agree to do a task, you are __ for you own actions. If a delegated task is beyond your legal limits, politely refuse and explain why.
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medication, tubes, orders, diagnoses
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A CNA can't give __, insert __, take __ from doctors, or discuss the person's __ with the family.
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wills
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CNAs are not allowed to prepare __ for people.
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neglect; verbal abuse
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If a call light is on, not answering it is __. Shouting is __ __.
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domestic, intimate partner, partner, spousal
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Domestic abuse is also called __ violence, __ __ abuse, __ abuse, and __ abuse.
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gossiping
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Remove yourself from a group or setting where people are __.
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information
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A patient's __ is shared only with the staff involved in his/her care.
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stress
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__ is normal and affects the whole person, it can happen in your sleep, and it can cause life threatening conditions.
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care
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Only report __ that you gave and you can only report it after you have provided it.
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suffix
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When translating medical terms, begin with the __.
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protected health information
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PHI
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Dementia
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People with __ may be upset with noises because they do not know what it means.
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locked
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Bed wheels are __ except when moving the bed.
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Trendelenburg's
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A doctor's order is needed for __ or Reverse __ position.
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urinate
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void=
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measuring
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When __ a person in bed, have a coworker help you.
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agency
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A doctor must give the order before a Patient can leave the __. Tell the nurse at once if the person wants to leave the -- without the doctor's permission.
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assessment, diagnosis, planning, implementation, evaluation
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The Five steps of the nursing process are __, nursing __, __, __, and __.
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nursing care; process
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If done properly, __ __ is organized and has purpose. the Nursing __ provides organized and consistant care.
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Observations
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__ use the senses (sight, hearing, smell, and touch) to collect information about the person.
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Objective
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__ are symptoms that are seen, heard, felt or smelt.
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Subjective
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__ are symptoms you can't observe, but the person (the subject) tells you about.
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Assessment
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__ never stops in the nursing process.
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implementation
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During the __ step, care is given.
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assignment sheet
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The nurse uses an __ __ to communicate delegated tasks to you.
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Evaluation
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__ involves measuring if the goals in the planning step were met.
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physical, social, psychological, spiritual
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The whole person has __, __, __, and __ parts that are woven together and cannot be separated.
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Disability; illness
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__ and __ affect the whole person.
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Physical
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__ needs have/need to be met first.
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Oxygen, food, water, elimination, rest, shelter
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__, __, __, __, __ and __ are needed for life and to survive.
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procedure, sensations
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Explain the __, how it will be done, and what __ to expect for safety.
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Anger
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__ is a common response to illness and disability.
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Subacute; Rehabilitation
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__ care or __ are for people who need more time than hospital care allows.
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verbal; nonverbal
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Listening means to focus on __ and __ communication.
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Focusing
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__ is useful when people ramble in thought.
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Silence
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__ gives time to think and is good to use when someone is angry.
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Paraphrasing
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__ shows that you are listening and you understand the message.
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pat
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Avoid __ answers like, "Everything will be okay", "Don't worry about it", and "I know how you feel".
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Withdrawn
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__ people like to be alone, do not attend social events, and may display inappropriate sexual behavior.
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integumentary
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The __ system prevents microorganisms and other substances from entering the body, prevents excess amounts of water from leaving the body, protects organs from injury, and regulates body temperature.
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musculo skeletal
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The __-__ system provides the framework for the body, lets the body move, protects internal organs, and gives the body shape.
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posture; muscle tone, body parts, body heat
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The three functions of muscles are the maintenance of __ or ___, movement of the ____, , and the production of __ __.
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central nervous system
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CNS
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medulla
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The __ controls heart rate, breathing, and blood vessel size.
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cerebral cortex
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The __ __ controls reasoning and memory, speech and vision, and hearing and sensation.
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cranial nerves; spinal nerves
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The peripheral nervous system has __ __ and __ __.
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bright light
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__ __ causes the pupil size to decrease.
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hearing; balance
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The ear functions in __ and __.
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food, hormones, substances
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Blood carries __, __, and other __ to the cells.
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Blood
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__ removes waste products from cells. It produces and carries cells that defend the body from microbes that cause disease.
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temperature
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Blood and blood vessels help regulate the body's __.
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circulatory system
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The __ __ does not bring oxygen into the body and does not remove waste from the body.
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Hemoglobin
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__ in the RBCs give blood its red color.
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WBC
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__ protect the body against infections.
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atrium
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The right __ receives blood from body tissues.
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ventricle
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The right __ pumps blood to the lungs for oxygen.
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aorta
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The __ is our largest artery.
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Respiration
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__ is the process of supplying the cells with oxygen and removes carbon dioxide.
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urinary
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The __ system removes waste from the blood.
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birth; 1 year; walk
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During infancy (__ to __) is when a child learns to __.
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6
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At __ months a child can bear weight in a standing position.
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toddler
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Developmental tasks of a __ includes gaining control of bowel and bladder function, using words to communicate, and becoming less dependent of the primary caregiver.
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9: 16
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Girls reach puberty between the ages of __ and __ years.
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Young adulthood
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__ __ is between 18 and 40 years of age.
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young adulthood
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Developmental tasks of a person in __ __ include choosing an education and a career, selecting a partner, and developing a satisfactory sex life.
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middle adulthood
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Needing eyeglasses is common in __ __.
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85
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Old-old is __ years of age and older.
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aging
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With __ body processes slow down, blood supply to the skin decreases, the skin thins and sags, folds, lines & wrinkles appear, the skin is easily injured, nails become thick and tough, and the feet usually have poor circulation.
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mild; infection
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The older person has dry skin so a __ soap is best. A nick or a cut can lead to a serious __.
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shorter; slower; injuries; diseases; calories
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An older persons memory is __ and their responses are __. They may not notice painful __ or __. Fewer __ are needed.
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high pitched
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An older person may have a difficult time hearing __ __ sounds.
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kidney; atrophy; bladder; bladder
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During aging blood flow to the __ is reduced and they __, __ muscles weaken, and the __ size decreases.
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Elder cottage housing opportunities
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ECHO
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ombudsman
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An __ provides services to assist residents, moniter nursing center care, and provide information on long-term care services.
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Otitis media
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__ __ is most common between 4 months and 4 years old.
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pain, earache, hearing loss, fever, tinnitus
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Symptoms of Otitis media include __, __, __ __, __ and __.
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vertigo, tinnitus, hearing loss, pain, pressure
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Symptoms of Meniere's disease are __ (dizziness), __, __ __, and __ or __ in the affected ear.
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hearing loss
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A person giving wrong answers to questions or hearing only parts of a conversation, working hard to hear, or controlling the conversation are signs of __ __.
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hearing aids
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Follow the manufacturers instructions when dealing with __ __.
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apraxia
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The person with __ of speech cannot use the speech muscles for understandable speech.
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dysarthria
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__ means difficult or poor speech.
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optic nerve
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Glaucoma causes damage to the __ __.
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diabetic retinopathy
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Everyone with diabetes is at risk for __ __. Those with diabetes are at risk for low vision.
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age related macular degeneration
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__-__ __ __ (AMD) blurs central vision. Not smoking reduces the risk of AMD.
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lighting; see; blinds; helping
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When caring for visually impaired or blind people provide __ as the person prefers. Ask how much they can __, adjust __ to prevent glare. Ask before __ them.
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face clock
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Describe the food on a plate using the __ of a __ when feeding a blind person. Open their cartons and cut their meat
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water; saline
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If a person has an artificial eye you can wash the eye socket with warm __ or __.
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topside; bedside
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Store eyeglasses in the __ drawer of the __ stand.
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rescue, alarm, confine; extinguish; evacuate
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RACE (all possibilities for E)
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pull, aim, squeeze, sweep
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PASS
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carbon monoxide
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__ __ is a colorless, odorless, and tasteless gas that is produced by the burning of fuel.
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feet
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If a person is on a stretcher move them __ first.
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ease him to the floor; injuries
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If a person starts to fall, _______. Do not let them move or get up before the nurse checks for __. You cannot interfere with personal choice to prevent falls.
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call light
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You are never allowed to take a __ __ away, even if they push it over and over.
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Restraints
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__ may be used only to treat a medical symptom or for immediate physical safety of the person or others. A doctor's order is necessary and permission.
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restraint
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According to OBRA all patients and residents have the right to be free from __. -- alternatives are part of the care plan.
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restraint
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If sheets are tucked in to tight, or if anything is used to limit freedom of movement it can be considered a __.
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false imprisonment
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Restraints must protect a person and a doctor's order is required, unnecessary restraint is __ __. You do not obtain consent for restraints.
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15; 2
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Observe persons with restraints at least every __ min or as often as noted in the care plan. Remove or release the restraint, reposition the person, and meet basic needs every __ hours or as often as noted in the care plan.
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pulse
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Chart the __ felt in the restrained part.
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CNAs
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__ are at high risk for work related musculo-skeletal disorders.
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ulcers; contractures
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Regular position changes and good alignment help prevent __ and __.
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head, abdomen, lower legs
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For the prone position, pillows are placed under the __, __, and _____.
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Sim's
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__ position is not usually comfortable for older people.
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4
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You need __ pillows for the lateral position.
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logrolling
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__ a person to turn them prevents friction and shearing.
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Fowler's
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__ position causes shearing.
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waist; incontinence
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When moving a person up in bed--raise the bed to your __ level and lock the bed wheels. If you use an __ product to move them, it has to be able to hold the weight of the person.
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assist
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Use an __ device to move a person to the side of the bed if they had spinal sugery.
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Logrolling
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__ keeps the spine straight.
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strong
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In transferring, the person's __ side moves first. Position the wheelchair near the bed on this side.
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2
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For mechanical lift, there must be at least __ staff members.
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lateral sliding; friction reducing; 2
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If a person weighs 1-200 lbs. use a __ __ aid or a __-__ device and __ staff members to move.
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Safety straps
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__ __ are used when the person is on a stretcher. Never leave the person alone on a stretcher.
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hour of sleep; bed time
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Hs
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multi drug resistant
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__-__ __ organisms (MDROs) are microbes that resist the effects of antibiotics.
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pulse, respirations, redness, swelling
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Signs of infection are increased __ and __, __, and __.
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nosocomial infection
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Healthcare-assisted infection (HAI) = a __ __
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