Chapter 11 Admitting, Transferring, & Discharging

A resident should always be provided with_________

unless he is on a fluid restriction.

• Fresh juice of his choice

• Gelatin in his favorite flavor

• Fresh water

• Coffee or tea

Jade is giving Mrs. Brown, a new resident,

a tour of the facility where she works as a

nurs- ing assistant. Mrs. Brown is not

paying very close attention to Jade and is

periodically wip- ing tears away. Which of

the following would be the best thing for

Jade to say?

• “Mrs. Brown, please be sure to pay

  close attention to the tour. This is your

  new home.”

• “I’m just going to take you back to your

  room. You don’t seem to want to do

  this.”

• “It must be really hard to make a

  change like this, Mrs. Brown. We’re

  going to do our best to make you feel

  at home here.”

• “Please don’t cry, Mrs. Brown.

  Everything will be OK.”

What should a nursing assistant keep in

mind when a resident asks her questions

during a physical exam?

• That she should be referring all

  questions to the doctor

• That she should answer all of the

  resident’s questions to set her at

  ease

• That she should look up answers

  before answering complicated

  questions

• That she should only answer

  questions that are within her scope

  of practice

Which of the following may be measured

by a nursing assistant during the admission

of a new resident?

• Blood pressure

• Girth (distance around the stomach)

• Accuracy of vision

• Accuracy of hearing

Why might a nursing assistant’s presence

be reassuring for a resident during a

physical exam?

• Because residents realize NAs have

  thorough medical training

• Because residents can ask NAs

  medical questions

• Because NAs are likely to be familiar

  and comforting figures for residents

• Because doctors are generally unkind

  to residents

Soliana is a new nursing assistant doing

her first new resident admission. The

resident, Mrs. Sinnis, cannot get out of

bed. When it comes time to measure Mrs.

Sinnis’ weight, what should Soliana do?

• She should ask Mrs. Sinnis what she

  weighs and use that weight as the

  measurement.

• She should look to see if there is paper-

  work from previous doctor’s

  appointments in Mrs. Sinnis’ chart and

  use a weight from that paperwork as the

  measurement.

• She should guess at Mrs. Sinnis’

  weight based on appearance.

• She should use a bed scale, asking her

  supervisor for help if she is not yet

  trained in its use.

During physical exams nursing assistants

are often responsible for for

the nurse or doctor.

• Explaining procedures

• Translating

• Gathering equipment

• Answering questions

What is the goal of introducing a resident

who is being transferred within a facility to

all staff members she sees?

• To make the resident feel welcome,

  settled, and comfortable

• To make sure the staff members will

  recognize the resident later

• To distract the resident from the fact

  that she is being transferred

• To make it clear to the resident that

  the transferring NA will no longer be

  caring for her

Which of the following is true about

residents’ feelings on the day of discharge

from a facility?

• Residents will always be happy to leave.

• Residents will always be sad to leave.

• Residents are unlikely to have strong

  feelings one way or another about

  leaving.

• Residents may have mixed feelings

  about leaving.

When residents are admitted to a facility,

OBRA requires that they receive a written

copy of

• Their legal rights

• The facility’s meal schedule and menus

• The facility’s activities schedule

• Their room assignment and

  information about roommates