Question 1

A co-worker is always out of post during duty hours and spends more time in the nurses' lounge. To resolve this conflict you may do any of the following except:

Accepted Answer

When resolving a conflict, never discuss the matter with the nursing team. Approach the person with whom you have a conflict. Ask to talk privately. Be polite and professional, and talk in a private setting.

Question 2

Which of the following is a correct documentation made by the nurse assistant?

Accepted Answer

This option is the correct answer because it follows all the rules for recording:
§Record only what you observed and did yourself.
§Never chart a procedure or treatment until after it is completed.
§Be accurate, concise, and factual; do not record judgments or interpretations.
§Record in a logical and sequential manner.
§Be descriptive. Avoid terms with more than one meaning.
§Record any changes from normal or changes in the client's condition. Also record that you informed the nurse (include the nurse's name), what you told the nurse, and the time you made the report.

Question 3

Hyacinth is beginning to practice as a nurse assistant. She has to remember always that when relating to clients:

Accepted Answer

Although each client is different, certain basic guidelines must be followed:
§Reporting and recording objective observations is important to protect the client and enable the health care team to deliver the best care possible.
§Reporting and recording objective observations protects the nurse assistant from being held responsible for a possible mistake.
§Do not allow personal feelings to get in the way of providing care to clients.

Question 4

You are assisting the nurse in the admission of Mrs. Anderson in the nursing home. While you are arranging her clothes and other personal belongings in the closet, she instantly grabs a teddy bear from you and angrily shouts, "Nobody touches my Teddy! Go away!" Which of the following is the best response?

Accepted Answer

The client has the right to keep and use personal items. Some items provide comfort and security. The client may not know why or even always recognize the item. Still, it is important to keep personal items safe from loss or damage.

Question 5

Which of the following statements is true about implementing an advanced directive?

Accepted Answer

Advanced directives are legal documents that describe the wishes of a person regarding health care to be used when they can no longer make choices for themselves. Advanced directives are not similar to do not resuscitate (DNR) orders. As long as the client can understand and make choices, the advanced directive is not effective. In addition, an advanced directive becomes effective only after these three steps:
1.A physician determines that the patient has lost decision-making capacity.
2.A physician determines the patient's diagnosis and prognosis.
3.A physician has evaluated the wishes as expressed in the document to determine what the client may want or not want.

Question 6

Sunisa is applying for the position of nurse assistant in a long-term facility. After the interview, she wants to ask the employer some questions. Which is not a good question for Sunisa to ask?

Accepted Answer

Avoid asking for the day off schedule on the day of the interview. This does not make you look serious or professional. Ask questions about pay rate, work hours, and uniform requirements. Also ask about the employee orientation program, and remember to ask about benefits, including health and disability insurance, vacation, and continuing education.

Question 7

Sunisa is now completing her two-week preceptor program in the long-term facility, yet she is still not comfortable with some of her job duties. What should Sunisa's next step be?

Accepted Answer

The purpose of employee orientation programs is to make sure that new employees can perform necessary procedures safely and correctly and use the institution's supplies and equipment before they begin work. These programs usually lasts two to four weeks. When the program ends, you should feel comfortable with the setting and your role. If not, ask for more orientation time.

Question 8

Nurse assistants should know their own feelings, strengths, and weaknesses. This quality is called:

Accepted Answer

Self-awareness is knowing your own feelings, strengths, and weaknesses. The nurse assistant needs to understand herself before she can understand clients and residents.

Question 9

Which statement about resident care conferences is correct?

Accepted Answer

Clients have the right to take part in their care planning, and they may refuse suggestions made by the health team The Omnibus Budget Reconciliation Act of 1987 (OBRA) requires two types of resident care conferences:
§The interdisciplinary care planning (IDCP) conference is held regularly to develop, review, and update care plans. The RN, doctor, and other health team members attend. The client and family members also attend.
§Problem-focused conferences are held when a specific problem affects a person's care. Only staff members directly involved in the problem attend. The client and family may be asked to attend.

Question 10

Which of the following tasks is performed by a nurse assistant?

Accepted Answer

The nurse assistant can perform wound care and apply non-sterile dressings as delegated by the nurse. The other options are all performed by the licensed nurse.

Question 11

Direct questions focus on specific pieces of information that the nurse assistant needs from the client. Which of the following is an example of a direct question?

Accepted Answer

"Do you feel better now?" is an example of a direct question. Direct questions have "yes" or "no" answers. Direct questions are especially appropriate if you need an immediate response or if the client has limited ways of communicating.

Question 12

Mr. Fleer is being visited by his golf club friends. After an hour, you observed that Mr. Fleer appears tired and sleepy. What should you do?

Accepted Answer

The role of the nurse assistant in this particular case is to refer his/her observations to the nurse. The nurse will speak with the visitors about the client's needs. The other options are incorrect approaches.

Question 13

In caring for American Indian clients, the nurse assistant should:

Accepted Answer

For some American Indian and Asian cultures, eye contact is impolite. It is an invasion of privacy. In certain Indian cultures, eye contact is avoided with persons of different socioeconomic class. It is also given a special sexual meaning.

Question 14

The nurse assistant needs to eliminate barriers that impede communication. Which of the following is an example of a communication barrier?

Accepted Answer

Communication in the dealing with clients and members of the health care team is necessary to provide adequate and efficient care. Cultural differences between clients and nursing staff may be barriers to communication because clients may attach different meanings to verbal and nonverbal communication. An interpreter can help the staff in dealing with this problem. Use of accepted medical abbreviations facilitates understanding. Silence is a therapeutic approach in communication. Just being with the client shows that you care.

Question 15

In communicating with a blind person, which of the following should you not do?

Accepted Answer

Devices such as paper and pen are only appropriate for clients who cannot speak or hear well. Instead provide a radio, compact disks or audiotapes, audio books, TV, and Braille books. The other options are correct approaches in communicating with a blind person.

Question 16

Anita overheard a co-worker saying that the nurse assigned to their floor is having an illicit affair with a physician. Anita then informs the supervisor of this information. Which of the following statements best describe the situation?

Accepted Answer

To gossip means to spread rumors or talk about the private matters of others. It is unprofessional and hurtful. To avoid being a part of gossip:
§Remove yourself from a group or situation where gossip is occurring.
§Do not make or repeat any comment that can hurt a person, family member, co-worker, or your employer.
§Do not make or repeat any comment that you do not know to be true.
§Do not talk about patients, residents, visitors, families, co-workers, or your employer at home or in social settings.

Question 17

Which of the following statements made by a nurse assistant signals a bad attitude?

Accepted Answer

This statement demonstrates that the nurse assistant is complaining about her job obligations. Conflicts at work should be dealt with through proper channels, not by complaining in front of co-workers. The other options are appropriate statements. Be honest in doing a procedure for the first time and clarify matters if you do not understand the instructions. By informing another co-worker during your break time, you are ensuring continuity of care and client safety. Asking for help in performing a procedure is also encouraged. Do not assume that you can carry it out all by yourself. You may place the client in a compromised situation.

Question 18

Tina informed the staff nurse that she'll take her 30-minute break. After a short snack in the cafeteria, she then went into the nurses' lounge and talked with her sister who came in to visit her. Which of the following statements best describe the situation?

Accepted Answer

Personal matters cannot interfere with the job. Otherwise care is neglected. You could lose your job for tending to personal matters at work. Even if the nurse assistant is on break time, family and friends are not allowed to visit the unit while you are working.

Question 19

Every client has certain rights and expectations of the people caring for him or her. Each of the following actions demonstrates a client's right - as stated in the Resident's Bill of Rights - except?

Accepted Answer

Every client has the right to civil and religious liberties. The nurse assistant should not limit the praying time of a Muslim client. Choice A is an example of the client's right to privacy. Choice B is an example of the client's right to have an active part in establishing an individualized, appropriate care plan. Choice D is the client's right to voice complaints without fear.

Question 20

If the agency wishes to do a background check on the newly hired nurse assistant, who is the correct authority to provide such information?

Accepted Answer

The Nursing Assistant Registry is the official record or listing of persons who have successfully completed a nursing assistant training and competency evaluation program (NATCEP). The registry has information about each nursing assistant, including:
§Full name, including maiden name and any married names
§Last known home address
§Registration number and its expiration date.
§Date of birth
§Last known employer, date hired, and date employment ended
§Date the competency evaluation was passed
§Information about findings of abuse, neglect, or dishonest use of property. It includes the nature of the offense and supporting evidence. All information stays in the registry for at least 5 years.

Quiz 3: Role of the Aide