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Certified Nursing Assistant _Final Exam study cards
Study guide
77
Other
Not Applicable
02/07/2018

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Term
Bed lines that are clean and tight can aide in what prevention
Definition
Skin irritation and pressure ulcers
Term
Prothesis
Definition
Replaces a missing body part
Term
Range of Motion
Definition
Puts joint through full arch of motion
Term
Scope of Practice
Definition
What a NA is allowed to perform
Term
What is an advanced directive
Definition
A LEGAL document that tells what a person wants done before they get to needing it done-
Term
Phanton Sensation is
Definition
Real to the person. Feeling sensation after the limb is removed
Term
HIV is transmitted by
Definition
blood and body fluids- not sweat.
Term
HOw often are sheets changed?
Definition
Whenever they are dirty
Term
Occupational therapist do what:
Definition
Work with the fine muscle groups: they order/suggest adaptive equipment
Term
Out of NA scope of practice
Definition
Medication
Changing sterile dressing
Inserting tubes into the body
Removing tubes from the body
Diagnosing
Term
Fluid Balance
Definition
taking in and eliminating equal amounts of fluid
Term
Dehydration
Definition
A lack of enough fluids in the system- can be life threatening
Term
In an emergency what is the first thing you should do
Definition
Assess the situation and REMOVE The Resident form harm
Term
Where can temperatures be taken and which is most accurate
Definition
Oral
Rectal- most accurate
tympanic- ear
underarm- least accurate
Term
Most effective way to prevent infection
Definition
Proper hand hygiene
Term
When do you remove gloves
Definition
As soon as you finish a task
Term
when caring for feet of diabetic resident you should
Definition
Observe and report any issues
NEVER cut toenails
Make sure they have proper footwear
Term
What is the best way to assist a resident that is falling
Definition
Widen stance and assist to floor. Bring resident close to you
Term
Empathy
Definition
Being able to identify with the feelings of others
Term
what do you usually measure at the brachial artery
Definition
Pulse- heart rate to find where to put stethoscope for measuring BP
Term
Signs of a pressure ulcer forming
Definition
Discoloration of skin
Term
What do you do before entering a room and once you get into the room
Definition
1ST: knock
2. Introduce yourself, let the people know that you are coming in and who is coming in
Term
What are two different types of Power of Attorney?
Definition
POA- for financial
Durable POA for health care- for healthcare decisions.
Term
Dysphagia
Definition
Difficulty swallowing
Term
Cyanotic
Definition
Bluish or gray skin color- MUST be reported
Term
If someone has malignant tumors what is USUALLY the first treatment
Definition
Surgery
Term
Type 2 diabetes
Definition
Usually occurs as an adult and is the most common type of diabetes
Term
Barriers to communication
Definition
Cliché
Slang
Using medical terminology
Different language
Term
Examples of restraints:
Definition
Geri Chair with tray on
FUll siderails up on both sides
Wrist ties
Term
It is important for a diabetic resident to follow recommended diet?
Definition
YES!!!! It should be consistent and at regular times throughout the day.
They also benefit from regular exercise.

If they do not the blood glucose levels may go down (insulin reaction) or up (DKA)
Term
What are some airborne diseases?
Definition
Measles
Tuberculosis
Mumps
Term
Health information should be keep
Definition
PRIVATE!!! only discuss with who needs to know and store according to facility confidentially policy
Term
What are surveys
Definition
Inspection performed of the facility by surveyors that work for the state and approved by the federal government
Term
What is a survey citation?
Definition
When a regulation is not met- it is similar to a traffic citation but for healthcare facilities
Term
Federal (OBRA) require how many hours of training to be a CNA
Definition
75 (federal)
MD requires more
Term
Complaints and poor conditions in skilled nursing home )facilities) lead to what act?
Definition
OBRA -The omnibus Budget Reconciliation Act
Term
In MD you are required to renew your certification how often?
Definition
Every two years by the 28th day of your birthday month. THIS IS NOT ALWAYS 2 years with the first renewal. Depends on whether you were born in an odd year or an even year. Ask your instructor if you need clarification
Term
When it is time to renew your certification what must you have completed?
Definition
12 hours of in-service training per year. (OBRA)
Term
What are some of the training requires per OBRA for CNAs
Definition
Infection COntrol
Dementia and Mental Illness
Resident Right
Promoting Resident Independence
Privacy
Fire Safety
Term
Who is the legal advocate for the Resident
Definition
Ombudsman
Term
What od this have in common:
A fall
A medication error
giving the wrong food to a resident
Staff getting a needle stick
Definition
An incident report is required to be filled out
Term
Angina Pectoris
Definition
Chest pain, discomfort pressure. Can be a precursor to a MI. REPORT IT TO THE NURSE
Term
Nonverbal communication
Definition
Gestures
Facial expressions
Pointing
Term
Who updates the Care Plan
Definition
The RN
Term
Rehabilitation
Definition
restores or improves function after an injury, illness, or surgery

Performed by a skill professional
Term
If a resident has a fracture in the lower extremities or can not lift their hip for some reason what type of bedpan to we use and how is it positioned
Definition
Fracture pan
The handle of the fx pan needs to be facing the foot of the bed
Term
When using a regular bedpan which part goes under the top of the buttock>
Definition
The wider side- CRITICAL ELEMENT
Term
When MUST you have gloves on:
Definition
Cleaning incontinences
Shaving a resident
Bathing a resident
Whenever there is ANY possibility of coming into contact with blood or body fluids.
Term
What must an employer do concerning Hepatitis B
Definition
Offer the series of three vaccines at no cost to the employee who is at risk for coming into contact with blood or body fluids.
Term
Gain or transfer belt
Definition
A safety device, not a restraint. It must be removed after the transfer or ambulation is completed.
Term
Know how to convert standard time to military time and military to standard
Definition
Term
Know how to convert ounc4es to milliliter
Definition
30 ml equal 1 oz
1 oz equals 30 ml
Term
Standard Precautions
Definition
Used when caring for ALL residents no matter what the illness or disease. We may have to add other precaution in addition to standard precausitons
Term
Psychological abuse
Definition
Look it up
Term
Physical Abuse
Definition
Look it up
Term
What are physical needs
Definition
The lowest level of Maslow's hierarchy:
Oxygen, water, air, food, elimination
Term
What is an example of a psychosocial needs:
Definition
Love and belonging
Term
TRUE or FALSE

Mental Illness and Physical illness are both disorders with real signs and symptoms
Definition
TRUE
Term
TRUE or FALS
Stress can cause you to not be able to function at your highest. You should speak to the resident about your stress?
Definition
False; Speak to your supervisor
Term
What should you do if you have a resident with a hearing impairment?
Definition
face them and speak in a calm low tone of voice.
Term
What are activities of daily living
Definition
ADL- dressing, bathing, toileting, ambulating, eating
Term
What are whole grain foods
Definition
The germ and endosperm are still intact:
Whole grain bread
Whole grain pasta
Brown rice

NOT WHITE bread, pasta or rices.
Term
True of False

Fruit flavored drinks have the same nutional value as whole fruits.
Definition
False: fruit flavor drinks are not considered a fruit serving.

Whole fruit is the best, then frozen or canned in its own juice. Fruit juice and smoothies are NOT usually good choices as they have added sugar.
Term
Objective information
Definition
Factual: Can be measured, seen, felt, smelled ....
Term
Subjective
Definition
what someone has told you but you can NOT see it m measure it, feel it or smell it.
Term
What is the pulse:
and Where is the most common place to measure
Definition
The heart rate.
RADIAL is most common place to check
Term
What are the critical elements for handwashing?
Definition
Look it up in your skills book.
Term
Contracture
Definition
Permanent shortening of the muscle or tendon Painful
Term
If someone is NPO what does that mean
Definition
Nothing by mouth. Do not give them food or drink or ice, or candy, or anything
Term
Your resident just drank a hot cup of coffee how long do we wait before taking an oral tempaerature
Definition
10-20 minutes to allow he inside of the mouth to cool down
Term
Microorganisms gown in what type of conditions.
Definition
Warm, dark moist- such as between the toes- that is why we do not put lotion between the toes.

Arm pits-- AXILLARY
Peri area
skin folds
Term
If we are instructed to do ROM of ms Smith's should, hips, knees and feet where do we start and how many times to me do each repletion?
Definition
Start at shoulder and work downward- clean to dirty.

Do at least 3-5 times unless ordered differently or there is pain
Term
HTN is what?
Definition
Hypertension AKA high blood pressure.
Term
Plant based proteins come from what source
Definition
PLANTS; soy, tofu, nuts, legumes, etc.\

NOT FROM ANY TYPE OF ANIMAL
Term
Who is the most important pare of the care plan team?
Definition
The resident therefore we must encourage the resident to participate in care planning.
Term
If you use Aunt Susie's money to pay your electric bill what type of abuse might that be?
Definition
Financial
Term
True of False:

A way to show caring if you have no words is to softly pat the resident's shoulder
Definition
Yes. this is true
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