Standard 8

Multiple Choice

Poor oral hygiene can cause a lot of oral problem, EXCEPT

• Tooth decay

• Gum disease

• Bad breath

• Fluorosis

Multiple Choice

What are the characteristics of good oral health versus poor oral health?

• Healthy teeth are clean and intact

• Healthy lips are pink, moist, and intact

• Soft parts inside the mouth are healthy when pink, moist, and free of bleeding

• All of the above

Multiple Choice

Find which are the complete set of oral care?

• Brushing, flossing, tongue scraping, rinsing

• Brushing and flossing only

• Brushing and reduce sugary foods intake

• Brushing, flossing, rinsing

Multiple Choice

What are the general practices for proper oral hygiene that nurse aides should be trained in?

• Toothbrushing

• Interproximal cleaning

• Dentures care

• All of the above

Multiple Choice

What should you do if a denture does not fit well?

• Report signs of discomfort

• Keep it in water

• Ignore the issue

• Try to adjust it yourself

Multiple Choice

What are the steps involved in proper interproximal cleaning?

• Clean between teeth at least once per day

• Stretch floss against surface of tooth

• Follow plan of care for cleaning between teeth

• All of the above

Multiple Choice

How frequently we must change our toothbrush?

• Every half a year

• Every 3 months

• Use until it is worn and torn

• Every year

Multiple Choice

How can caregivers assist residents with cognitive impairments in maintaining oral hygiene?

• Assist with oral care every morning

• Provide care after each meal

• Follow best practices for cooperation

• All of the above

Multiple Choice

What should be done for stroke patients who have trouble swallowing?

• Keep them upright while eating

• Encourage them to lean forward

• Prevent choking on toothpaste

• All of the above

Multiple Choice

What are the recommended methods for providing mouth care for residents with dry mouth?

• Report dry mouth to the nurse

• Provide frequent sips of water

• Use mouth rinses or gels

• All of the above

Multiple Choice

What are the steps to provide oral care for unconscious residents?

• Provide oral care every two hours

• Use lemon swabs to clean inside of mouth

• Turn resident to their back while providing care

• Use toothpaste to rinse mouth

Open Ended

List the factors that affect a resident's hygiene needs and practices.

Multiple Choice

What are the purposes of bathing a resident?

• Cleans the skin

• Eliminates odors

• Stimulates circulation

• None of the above

Multiple Choice

What are the steps to ensure safety while giving a tub or whirlpool bath?

• Check the water temperature carefully

• Never leave the resident unattended

• Assist the resident as necessary

• Use clean area of washcloth with each stroke

Multiple Choice

What factors should be considered related to perineal care?

• Provided during the bath or as needed

• Use terms the resident understands

• Work from the cleanest to dirtiest area

• Maintain dignity if transferring to shower area

Open Ended

What is the purpose of using a new wash cloth for each body part during a bag bath?

Multiple Choice

What are the key steps to ensure safety when giving a shower to a resident?

• Check water temperature

• Leave the resident unattended

• Use a bath mat

• Dry the resident's skin before moving

Open Ended

List some examples of assistive devices that can be used in dressing/undressing a resident.

Multiple Choice

What should residents do when dressing themselves?

• Dress in pajamas

• Dress in their own street clothes

• Wear hospital gowns

• Dress without assistance

Multiple Choice

What is the purpose of a back rub?

• To stimulate circulation

• To make the resident uncomfortable

• To distract the resident

• To promote sleep

Multiple Choice

What are the key considerations for grooming hair according to the resident's preferences?

• Daily grooming as per plan

• Only when requested

• Weekly grooming

• No specific plan needed

Multiple Choice

What should be reported to the charge nurse regarding residents' toenails?

• If the resident needs help with shaving

• If the resident has diabetes or circulatory problems

• If the resident is receiving oxygen

• If the resident can shave themselves

Multiple Choice

What are the signs and symptoms of skin problems that residents may experience?

• Redness and discoloration

• Healthy skin appearance

• No pain or discomfort

• Normal temperature

Fill in the Blank

List the locations on the body that are prone to skin breakdown.

Multiple Choice

What are the risk factors for residents in LTCFs that predispose them to skin problems?

• Need help in moving

• Have good nutrition

• Are physically active

• Have no mental awareness

Multiple Choice

What are some ways to prevent skin breakdown?

• Positioning every two hours

• Removing bedpan promptly

• Using pressure-relieving devices

• All of the above

Multiple Choice

What are the main causes of skin tears?

• Friction

• Shearing

• Pressure

• All of the above

Multiple Select

Identify ways in which urinary function may change with aging.

• Kidneys become more efficient

• Bladder becomes more elastic

• Bladder may not completely empty

• Muscles weaken

Multiple Choice

What are the nursing measures to provide skin care for the incontinent resident?

• Check incontinent residents at least every two hours

• Provide incontinence care immediately

• Wash and rinse skin thoroughly

• Apply lotion or protective skin barrier if indicated

Multiple Select

Identify possible causes of urinary incontinence.

• Medications

• Disease processes

• Interference in the nerve message from brain to bladder

• Weakening of the bladder muscles

Multiple Select

What are the signs and symptoms of urinary tract infections?

• Frequency

• Burning

• Urgency

• Strong odor

Open Ended

Explain the term 'void' in relation to urinary function.

Fill in the Blank

Fill in the blank: Urine is a yellowish clear liquid waste product, stored in the ___.

Multiple Choice

What actions can a nursing assistant take to prevent complications from an indwelling urinary catheter?

• Observe every few hours to see that the urine is flowing into the catheter bag

• Change the catheter every week

• Use a larger catheter for better flow

• Do not report any issues to the supervisor

Multiple Choice

What are the measures to prevent urinary incontinence?

• Be alert to resident cues

• Establish a regular schedule for toileting

• Toileting resident promptly when requested

• All of the above

Multiple Choice

What are the functions of the kidneys, ureters, bladder, and urethra?

• Filters waste from blood

• Carries waste to the bladder

• Stores urine

• Transports urine out of the body

Multiple Choice

What observations should a nursing assistant report about a catheterized resident?

• The amount of urine draining

• Characteristics of urine: odor, color and cloudiness

• Complaints of pain or discomfort

• All of the above

Multiple Choice

List the actions the NA may take to decrease the incidence of urinary tract infections.

• Provide adequate hydration

• Wash and dry perineal area from front to back

• Clean stool from perineal area immediately

• Toilet according to resident's plan of care

Multiple Choice

What is the correct procedure for assisting a resident with a bedpan or fracture pan?

• Close the door and curtains to provide privacy

• Follow standard precautions

• Provide assistance to resident for proper hand hygiene

• Follow skills checklists from current NA textbook regarding bedpan, fracture pan, urinal, bedside commode and toilet

• All of the above

Fill in the Blank

Fill in the blank: Fluid balance is the body's ability to equalize the amount of fluid taken in with the amount of fluid excreted via ___.

Multiple Choice

What are the effects of aging on fluid balance?

• Swallowing difficulties may cause inadequate intake of fluids

• Elderly do not need to monitor fluid intake

• Fluid intake is the same for all ages

• Aging has no effect on fluid balance

Multiple Choice

What is fluid balance and why is it important to measure fluid intake and output?

• It helps in maintaining hydration levels

• It is not important

• It only affects young people

• It is only relevant for athletes

Multiple Choice

What precautions should be taken when measuring output?

• Use standard precautions

• Only measure urine

• Do not record emesis

• Measure only once a day

Multiple Choice

What is the procedure for measuring and recording fluid intake?

• Measure in liters

• Record only at the end of the day

• Use a graduated container

• Only measure solid foods

Multiple Choice

What are the reasons for measuring fluid intake and output?

• To monitor the resident's diagnosis and treatment

• To ensure all fluids are consumed

• To track the resident's weight

• To measure the resident's blood pressure

Multiple Choice

List the terms used for bowel elimination.

• Stool

• Feces

• Bowel movement

• All of the above

Open Ended

What is the function of the large intestine?

Multiple Choice

What are the characteristics of normal and abnormal bowel eliminations?

• Color of stool

• Frequency of bowel movements

• Consistency of stool

• All of the above

Multiple Choice

What are the symptoms that may indicate a resident has a fecal impaction?

• Change in baseline pattern

• Liquid fecal seepage from the anus

• Constant feeling of need to have bowel movement

• All of the above

Open Ended

What is meant by fecal impaction?

Multiple Choice

What measures can be taken to relieve constipation?

• Increased oral fluids

• Diet containing bulk and fiber

• Exercise

• All of the above

Multiple Choice

What are the signs of constipation?

• No record of a recent bowel movement

• Abdominal distension, flatus

• Abdominal discomfort, agitation and/or irritability

• All of the above

Open Ended

Describe the care for a resident who is incontinent of feces.

Multiple Choice

What is the role of a Nursing Assistant (NA) in promoting normal bowel function?

• Observation

• Reporting

• Assisting with toileting

• All of the above

Multiple Choice

What are the causes of fecal impaction in the elderly?

• Decreased muscle tone or enervation in the lower bowel

• Inadequate activity

• Inadequate fluid intake

• Insufficient bulk in the diet