CNA Critical Thinking 8

Which of the following statements is true of ROM exercises?

• The NA should begin at the resident's feet and work upward, finishing at the head.

• Done properly, ROM exercises will help prevent high blood pressure.

• Each exercise should be performed two times before moving on to another part of the body.

• A goal of range of motion exercises is to help prevent contractures.

A resident is recovering from a period of immobility and is performing ROM exercises on her own. Which of the following acronyms best describes this type of range of motion exercise?

• AAROM (active assisted ROM)

• PROM (passive ROM)

• AROM (active ROM)

• RROM (repetitive ROM)

A resident in rehabilitation is learning how to use a cane for the first time. Which of the following would be the best guideline for a nursing assistant to follow when helping this resident?

• The NA should have the resident hold the cane on the resident's stronger side.

• The NA should have the resident hold the cane on the resident's weaker side.

• The NA should have the resident place the cane about 12 inches in front of her weaker side when ambulating.

• The NA should stay on the resident's stronger side when ambulating.

A resident in subacute care is lying in bed and suddenly becomes short of breath. Which of the following is the best response by the NA?

• The NA should place the resident in semi-Fowler's position.

• The NA should place a pad or towel under the resident's chin.

• The NA should begin deep breathing exercises.

• The NA should notify the nurse immediately.

In which of the following ways will a NA be expected to assist a comatose resident with tube feedings?

• The NA will clean the feeding tube after each feeding.

• The NA will administer the resident's tube feedings.

• The NA will observe the tube site for signs of infection.

• The NA will insert the tuve each time before feeding.

A resident who is in the advanced stages of ovarian cancer is expected to die within the week. Which of the following should the resident's care focus on?

• Providing for comfort and pain relief.

• Helping the resident maintain her normal routine.

• Giving the resident plenty of time alone.

• Helping the resident find access to experimental treatment for late-stage cancer patients

A resident has been given a diagnosis of terminal cancer and a prognosis of one month to live. The resident tells a nursing assistant that the testing laboratory made a mistake and he needs to have his results re-tested. Which of the following would be the best response from the nursing assistant?

• The nursing assistant should explain to the resident that healthcare professionals do not make mistakes.

• The nursing assistant should explain alternative medicine choices to the resident.

• The nursing assistant should understand that denial is a normal part of the grief process.

• The nursing assistant should reassure the resident that death is nothing to fear.

A resident who is in the final stages of AIDS is receiving hospice care. Which of the following could a nursing assistant expect to see as death approaches?

• Talkativeness

• Cheyne-Stokes breathing

• Increased flow of saliva within the mouth

• Extreme thirst

A NA is receiving her first employee evaluation from her supervisor covers many of the NA's strengths, but also mentions that the NA needs to improve her communication skills. What would be the NA's best response?

• The nursing assistant should ask her supervisor for tips for better communication.

• The nursing assistant should explain to her supervisor that communication was not fully covered in her training.

• The nursing assistant should begin look for another job.

• The nursing assistant should point out other NAs who need help in the same area.

Which of the following is a normal age-related change for the body?

• Constipation

• Alsheimer's disease

• Myocardial infarction

• COPD