Health Occupations C.N.A Study Guide Students Name: ___________________________ TEXT: Nurse Assistant in Long Term Care Manual To prepare for your C.N.A Exam you MUST review all worksheet in NA LTC packet, complete this study guide, review 1st Semester Final, Safety and Infection Control and Vital Sign Exam. DEFINE TERMS Apprehension Validation Therapy Hallucination Delusion Paranoia Continence Voiding Halitosis Nonblanchable skin Eversion Inversion ABBREVIATIONS G/C, W/C BID, TID, QID Ac et pc Math Conversion 1cc = 1 ml 1 oz= to _____ cc or ______oz ANATOMY AND PHYSIOLOGY Review each body system, organs involved, function and age related changes. 1.) Cardiovascular System- Unit 1, Lesson Plan a.) Elderly females are at risk for cardiovascular disease due to a decreased amount of _________________. 2.) Respiratory System- Unit 1, Lesson Plan 8 3.) Musculoskeletal System- Unit 7, Lesson Plan 1 4.) Nervous System- Unit 2, Lesson Plan 2 5.) Sensory System- Unit 1, Lesson Plan 2 6.) Digestive System- Unit 4, Lesson Plan1 and Unit 6, Lesson Plan 2 7.) Urinary System- Unit 6, Lesson Plan1 a.) What causes urinary incontinence? b.) What is the purpose of bladder retraining and how is it accomplished? 8.) Reproductive- Unit 5, Lesson Plan 5 9.) Endocrine System- Unit 4, Lesson Plan 1 a.) Females in menopause is at risk for ____________ due to the decreased amount of estrogen. 10.) Integumentary System- Unit 1, Lesson Plan 11 and Unit 5, Lesson Plan a.) Pressure Ulcers- What is the appearance of Stage 1,2,3,4 Pressure Ulcers b.) Why are elderly more prone to developing pressure ulcers? 11.) Lymphatic System- Unit 3, Lesson Plan 3 SAFETY UNIT 3 1.) How can a C.N.A prevent fires in a LTC facility? 2.) What does RACE and PASS stand for? 3.) What is the difference between Tornado Watch and Tornado Warning? INFECTION CONTROL- Unit 3, Lesson Plan 3 1.) What is the purpose of transmission based precautions? 2.) Which conditions do microorganisms grow best? 3.) How are microorganisms (examples- bacteria and viruses) spread? 4.) Airborne precautions are used for what type of bacterial infection? a.) How is TB spread? b.) Should a TB Patient be admitted to a private or shared room? c.) What does PPE stand for, what are examples of PPE? d.) What type of PPE should a hcp wear when caring for a TB patient? 5.) Droplet precautions are used for which type of viruses? 6.) Contact precautions are used for which type of illnesses? 7.) Review the Chain of Infection 8.) What ways can microorganisms leave the body? (Clue Portal of exit) 9.) What ways can microorganisms enter the body? (Clue Portal of Entry) 10.) What can the C.N.A do to prevent the spread of infection with the resident’s personal equipment (ex. Oral hygiene supplies, razor etc.)? Dressing and Undressing/ Bathing/Shower/Hair Care/Nail Care/Oral Hygiene, Bed Linen Change 1.) What is the difference between a partial bath and complete bath? 2.) How often should a resident receive a bath if they are continent and free from odors? Answer- twice a week 3.) A bed bath provides a resident with _______, _______ and _______? Answer- Comfort, cleanliness and relaxation 4.) How often should the bathtub or shower chair be cleaned with disinfectant? Answer- Before and after use 5.) How often should younger residents have their hair washed? Answer- daily 6.) What is the purpose of Hair care? 7.) What is the purpose of providing Nail Care? 8.) The C.N.A should soak the resident’s feet for ____ minutes prior to performing nail, care? Answer- 5-10 minutes 9.) When you are dressing a resident with a nonfunctioning weak arm, which arm should the shirt be applied to first? 10.) How often should the resident’s linen be changed? Answer- After bathing the resident and as needed to ensure cleanliness 11.) When is an occupied bed usually done? Answer- After the C.N.A provides a partial or bed bath to a resident 12.) What is the purpose of providing Oral Hygiene to a resident? 13.) What is the purpose of giving a backrub? 14.) Where should you shave a resident? 15.) What is the purpose of applying powder or lotion to a residents body? 16.) How should a C.N.A apply powder to the residents body? 17.) If a C.N.A shakes powder over the resident what body system would this irritate? 18.) What should the C.N.A do if the resident refuses their bath? 19.) Why do we provide a resident with a bath blanket? 20.) Why is the R.N., or podiatrist required to cut diabetic toenails? NUTRITION Unit 4 1.) How many packets of thickener does it take to make 8 oz of water honey consistency and pudding consistency? Answer- Honey- 2 packets, Pudding -3 packets 2.) How many cc is in 1 ounce? How many cc are in 8 ounces of soup? 3.) According to the USDA Food Pyramid how many servings of vegetables are required daily? 4.) What type of diet is a diabetic resident on? 5.) Compared to the nutritional needs of the middle-aged adult, the elderly residents need a smaller amount of _____________. 6.) Please list 3 different food products that are considered a source of fat? 7.) What are the nutrients? 8.) What is the function of protein? 9.) What are signs of hyperglycemia or high blood sugar? 10.) What diet is needed for a resident who has frequent stools? PROFESSIONALISM 1.) How can the C.N.A. demonstrate professional behavior? Answer- Treating resident and visitors with respect, remembering the Long Term care Facility is the resident’s home 2.) If the C.N.A has completed her duties for the day, what should the C.N.A do during her spare time? Answer- Spend time with the resident (with their permission) read the residents letters to them, write a letter for them. 3.) The C.N.A should be familiar with each residents care plan, because the care plan includes what type of information? C.N.A Responsibilities 1.) What are the C.N.A responsibilities in the admission, transfer and discharge procedure? What is the C.N.A responsibilities regarding activities? 2.) The C.N.A can effectively communicate with the resident if him or her? Answer- Introduces themselves frequently, explains procedures and listens to residents concerns 3.) The C.N.A should remember when they are providing personal care for the resident they are____________? Answer- Invading the resident’s personal space 4.) The C.N.A can help maintain the residents self esteem by __________? Answer- Treating the resident with dignity and respect, calling the resident by their preferred name, listening, and giving them a hug or holding their hand occasionally, praises the resident for their accomplishments 5.) How can the C.N.A achieve good character? Answer- The C.N.A should be compassionate, caring and have a deep regard for others. 6.) The C.N.A can prevent legal issues from arising if him or her _________? Answer- respects and honors the residents rights RESTORATIVE NURSING Unit 7 1.) What is restorative nursing? 2.) What type of residents would benefit most from restorative nursing? 3.) How can contractures be prevented 4.) 4.) How many C.N.A are required to assist a resident who has slid down in their chair? 5.) If you are ambulating a resident who is weak on the right side, where should the C.N.A stand? 6.) Ambulating with a cane- What side should the cane be on? What side should the C.N.A stand? How are the canes measured to ensure correct height? 7.) What is active and passive ROM 8.) What are the complications to immobility? 9.) What does ROM stand for and how is it preformed? SPECIAL PROCEURES Unit 8 1.) What different ways can Oxygen be administered? CHARTING Unit 1 LP 7 1.) How would you correct an error written in the patients’ chart? 2.) How would you document in chart if you found a patient lying on the floor next to puddle that appears to be urine? CAREPLAN Unit 1 LP 10 1.) What is the goal of the residents care plan? VITAL SIGNS Unit 1 LP 8,9,10 1.) What does the Systolic and Diastolic Blood Pressures represent? 2.) What is the difference between an oral glass thermometer and a rectal glass thermometer? 3.) What are the normal vital sign ranges and what vital sign results would you report to nurse?