Nokea
A resident who is disoriented might not be able to correctly identify the following
- A. The linen company the facility utilizes
- B. The current season of the year
- C. The car the administrator drives
- D. The location of the emergency cart on the unit
Correct Answer: B
Rationale: The correct answer is B because a disoriented resident may struggle to accurately perceive the current season due to cognitive impairment. This could lead to confusion or incorrect identification. Choices A, C, and D involve more concrete and stable information that is less likely to be affected by disorientation. Residents may still recognize the linen company, administrator's car, and emergency cart locations even if disoriented.
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What is one nursing assistant responsibility during the admission of a new resident?
- A. The NA should make sure the resident unpacks all of his personal items right away.
- B. The NA should give the resident a physical exam to help with care plan formulation.
- C. The NA should explain how the bed controls and the call light work.
- D. The NA should discuss the resident's advance directive choices with the resident and his family.
Correct Answer: C
Rationale: The correct answer is C because explaining how the bed controls and call light work is essential for the resident's safety and comfort. This information empowers the resident to communicate needs effectively. Unpacking personal items (A) is not a priority during admission. Giving a physical exam (B) is beyond the scope of a nursing assistant's role. Discussing advance directives (D) should be done by a nurse or physician, not a nursing assistant.
A young woman has been in an automobile crash that resulted in an amputation of her left lower leg. She verbalizes grief and loss. What knowledge by the nurse is used to provide interventions to help the patient cope?
- A. The patient should be grateful to be alive.
- B. This is a normal, appropriate response.
- C. This is an abnormal, inappropriate response.
- D. Tissue healing will help the patient adapt.
Correct Answer: B
Rationale: Grief after amputation is a normal emotional response; the nurse should support coping.
Which of the following is one way that a bariatric bed may differ from a regular bed?
- A. The bed may be lower to the floor.
- B. The bed may be narrower.
- C. The bed may not be able to be used.
- D. The bed is made for people who weigh less than average.
Correct Answer: A
Rationale: The correct answer is A: The bed may be lower to the floor. Bariatric beds are designed to support heavier individuals, so they are often lower to the ground for easier access and stability. This feature helps prevent falls and injuries.
Explanation:
1. Bariatric beds are specifically designed for individuals who are obese or have a higher weight capacity.
2. Lower height reduces the risk of falls when getting in and out of bed, making it safer for patients.
3. Regular beds may not have the same weight capacity or stability features as bariatric beds.
4. Narrower beds (choice B) would not be suitable for bariatric patients who require more space and support.
5. Choice C does not provide a specific difference between a bariatric bed and a regular bed.
6. Choice D is incorrect as bariatric beds are designed for individuals who weigh more than average, not less.
What is an opportunistic infection?
- A. A disease in which abnormal cells grow quickly
- B. A disease in which symptoms of cancer disappear
- C. A disorder that causes inflammation of the bladder
- D. An illness caused by microorganisms that causes disease in people with weakened immune systems
Correct Answer: D
Rationale: The correct answer is D because an opportunistic infection is an illness caused by microorganisms that typically do not cause disease in individuals with healthy immune systems but can lead to infections in people with weakened immune systems. This occurs because the weakened immune system is unable to effectively defend against these microorganisms.
Choice A is incorrect because it describes abnormal cell growth, which is not the definition of an opportunistic infection. Choice B is incorrect as it refers to the temporary disappearance of cancer symptoms, not related to opportunistic infections. Choice C is also incorrect as it describes a specific disorder related to bladder inflammation, not opportunistic infections.
The chain of command is
- A. A legal term meaning a person can be held responsible for harming someone else
- B. The person in charge of the department for each shift
- C. The line of authority in a facility
- D. The department that a nursing assistant goes to if he wants to report a problem
Correct Answer: C
Rationale: The correct answer is C because the chain of command refers to the hierarchical structure within an organization that outlines the line of authority and communication. This ensures that decisions and information flow efficiently from top management to frontline employees. Option A is incorrect as it describes legal responsibility. Option B is incorrect as it refers to a shift supervisor, not the entire chain of command. Option D is incorrect as it describes a specific department, not the overall structure of authority. Ultimately, understanding the chain of command is crucial for effective communication and decision-making within an organization.