NA Chapter 2: The Nursing Assistant – Flashcards
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Job description
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a document that describes what the agency expects you to do
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Until the 1980s, nursing assistants
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received on-the-job training from nurses
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Efforts to reduce health care costs include
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hospital closings and mergers
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When staff members are given training to perform basic skills that are provided by other health team members, it is called
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cross-training
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An example of cross-training would be
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a member of the nursing team draws blood when the order is given
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Nurse practice acts
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define RNs and LPNs/LVNs, and sometimes also define nursing assistants
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___________ decides what nursing assistants can do
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the nurse practice act
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If you do something beyond the legal limits of your role, you could be
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practicing nursing without a license
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Nursing assistants can have their certification, license, or registration denied, revoked, or suspended for
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violating the privacy of a patient or resident, failing to maintain the confidentiality of patient or resident information, abusing a patient or resident
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OBRA requires that the nursing assistant training and competency evaluation program have at least ____ hours of instruction
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75
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Which areas of studies are included in a training program for nursing assistants?
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communication, elimination procedures, resident rights
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The competency evaluation for nursing assistants has two parts. They are a
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written test and a skills test
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If you fail the competency evaluation the first time it is taken, you
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can retest two more times for a total of three times
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What information is contained in the nursing assistant registry?
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information about findings of abuse or neglect and of dishonest use of property, date of birth, date the competency test was passed (does NOT include number of dependents)
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OBRA requires that retraining and a new competency evaluation test must be taken if you have not worked as a certified nursing assistant for
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24 months
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If you want to work in another state, the state agency will require all of these.
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proof of successfully completing a NATCEP, written registry verification from the state in which you are currently certified, fingerprints (DOES NOT REQUIRE proof of full time employment within the last month)
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Your work as a nursing assistant is supervised by
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a licensed nurse
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As a nursing assistant, you never give medications unless
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you have completed a state-approved medication assistant training program
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You are alone in the nurses' station and you answer the phone. Dr. Smith begins to give verbal orders to you. You should
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politely give your name and title, and ask her to wait while you get the nurse
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The nurse asks you to assist him as he changes sterile dressings. You should
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assist him as needed
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Who can tell the person or family a diagnosis or prescribe treatments?
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doctor
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The nurse asks you carry out a task that you do not know how to do. You should
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promptly explain to the nurse why you cannot carry out the task
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The nurse knows you are an EMT in addition to being a CNA. She is very busy and asks if you will start an IV on a patient. You should
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politely tell her you cannot start an IV as a CNA
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If you are giving care in a home, you may be expected to
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provide personal care and prepare meals
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When you read a job description, you should not take a job if it requires you to
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function beyond your training limits
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Which of the following is not acceptable? - An RN delegates tasks to an LPN/LVN - An LPN/LVN delegates tasks to a nursing assistant - An RN delegates tasks to a nursing assistant - A nursing assistant delegates tasks to another nursing assistant
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A nursing assistant delegates tasks to another nursing assistant
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When a nurse decides how to delegate tasks, the decision depends on
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what is best for the person at the time
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You have been caring for Mr. Watson for several weeks. The nurse tells that she will give his care today. Her delegation decision is based on
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changes in Mr. Watson's condition today
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At which step of the delegation process would you tell the nurse you have not performed a task before or often?
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Communication
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Which of the following is not a right of delegation? - The right task - The right time - The right supervision - The right person
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the right time
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You may refuse to carry out a task for all of these reasons except - The task is not in your job description - You do not know how to use the supplies or equipment - You are too busy - The task could harm the person
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you are too busy
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CNA
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certified nursing assistant
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EMT
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emergency medical technician
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IV
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intravenous infusion; intravenous
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LNA
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licensed nursing assistant
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LPN
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licensed practical nurse
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LVN
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licensed vocational nurse
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MLT
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medical laboratory technician
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OBRA
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omnibus budget reconciliation act of 1987
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NATCEP
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nursing assistant training and competency evaluation program
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NCSBN
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national council of state boards of nursing
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RN
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registered nurse
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RNA
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registered nurse aide
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_____ function with little supervision when the person's care is simple and the person's condition is stable.
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LPN
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The tasks you perform and the amount of supervision you need depend on
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experience, complexity of the task, persons circumstances
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Never perform a task a function that
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is not in your job description
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When deciding what to delegate, the nurse must protect the person's ________ and _________ and can only delegate tasks that are
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health and safety; best for the person, meet their needs, fit the nursing task, and have a fit staff member
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To ensure that tasks are delegated correctly and safely, nurses use
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the person's needs, the nursing task, and the staff member doing the task
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"The right task" means
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Can the task be delegated?
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"The right circumstance" means
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What are the person's needs at the time?
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"The right person" means
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Can the person complete the task?
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"The right directions and communication" means
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The nurse guides, directs, and evaluates care you give
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After you finish a task, you must communicate with the nurse by reporting
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what went well, and what were the problems
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OBRA requires ____ hours of instruction. _____ hours must be supervised practical training.
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75; 16
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Where can the practical training take place?
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laboratory or clinical setting
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You make a bed
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basic nursing skill
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You close Mr. Smith's door to give him privacy
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residents rights
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You tell Mrs. Forbes the time of day and the day of the week frequently.
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How to care for cognitively impaired persons
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You apply lotion to a resident's skin
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skin care
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You assist a person to put on his shirt
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dressing
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When assigned to a new unit, you check the location of the fire alarm.
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safety & emergency procedures
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You practice hand hygiene before and after giving care.
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infection control
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You get help to move a person from his bed to the chair.
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transferring, positioning, and turning methods
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When speaking to Mr. Jackson, you maintain good eye contact
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communication
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The nurse tells you to exercise a person's extremities (limbs)
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range-of-motion exercises
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You shave Mr. Stewart
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personal care skills
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You position a urinal for a resident in bed
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elimination procedures
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You assist Mrs. Young to walk in the hall
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helping the person walk
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You notice that Mrs. Peck has an elevated temperature and her skin is warm
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signs & symptoms of a common disease
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You cut up the meat on Mr. Sanyo's plate before helping him to eat
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feeding methods
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The NNAAP written test has _____ questions
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70
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The nursing assistant assists with assessing when he recognizes abnormal _______ _______ and reports them to _______________________________.
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vital signs; the nurse in charge immediately
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When the nursing assistant consistently strives to use time effectively, he or she is assisting with
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planning/organizing
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When a nursing assistant reviews basic care provided to patients and reports when changes are needed, this assists with
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evaluating
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The nursing assistant assists with teaching and learning information when he or she serves as a resource person for
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new employees during orientation
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When a nursing assistant practices hand hygiene before and after each patient contact, this meets the job description criterion that maintains
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safety/infection control/patient rights
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Nursing assistants are expected to attend and participate actively in unit meetings ______% of the time
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75
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