WorksheetsNursing Care Models and Responsibilities
Total questions: 49
Worksheet time: 4hrs 21mins
A nursing pattern that brings services from the departments to the bedside is:
primary nursing
team nursing
patient-focused care
case management
An RN is responsible for the person's total care. This is:
team nursing
primary nursing
functional nursing
patient-focused care
What is the goal of the health care team?
provide quality care
provide sources of income for residents
decide which procedures will be paid for
train nursing assistants and other students
Who is responsible for the entire nursing staff?
nurse manager
charge nurse
staff nurse
director of nursing
These individuals give basic nursing care under the supervision of a licensed nurse:
nurse practicioner
social workers
nursing assistants
medical technologists
Which member of the health team assists persons to learn skills needed for daily living?
occupational therapist
pharmacist
radiographer
homemaker
which requires nursing assistant training and competency evaluation?
medicare and medicaid
health maintenance organizations
omnibus budget reconciliation act of 1987
the older americans act
You are going to give a resident a bath. Which will protect the person's privacy?
open window shades so that the person can see outside
open the door to the person's room
close the privacy curtain
avoid draping the person to prevent chilling
the omnibus budget reconciliation act of 1987 is a:
state law
nurse practitioner
federal law
criminal law
before entering a person's room, you should:
get the person's attention
knock on the door and wait to be asked in
check to see if the person has visitors
check to see if the person is in the bathroom
OBRA requires training and a competency evaluation program for nursing assistants working in:
out-patient clinic
nursing centers
hospices
doctors offices
how many hours of instruction does OBRA require at a minimum?
16
32
48
75
the competency evaluation required by OBRA involves a:
written test only
skills test only
both written and a skills test
licensing examination
OBRA requires re-training and/or new competency evaluation for persons who:
have not worked as a nursing assistant for 24 consecutive months
were found guilty of abuse or neglect
were convicted of a crime
did not have good performance evaluations
as a nursing assistant, you can:
report changes in the person's condition to the nurse
give drugs and insert tubes into body openings
take verbal or phone orders from doctors
discuss the person's diagnosis with the family
As a nursing assistant, you are responsible for:
giving drugs
performing sterile procedures
meeting the person's hygiene needs
telephoning the doctor
A nurse asks you to do a urinary catheterization. This involves sterile technique and inserting a tube into the person's bladder. The nurse gives you very clear instructions. What should you do?
Perform the task. The nurse's directions were Clear
Perform the task if the nurse is available to answer questions
Refuse the task. It is beyond the legal limits of your role
Perform the task it another nursing assistant can help you
A nursing assistant is also an EMT who works for the fire department.
In her EMT role, she is allowed to start IVs. On the weekend, she works as a nursing assistant at a nursing center. The RN asks her to start an IV on a resident. What should the nursing assistant do?
Perform the task that was delegated to her
Politely refuse to do the task and explain why
Tell another nurse to do the task
Report the RN to the doctor
Which nursing team members can delegate?
Physicians
Therapists
LVNs
Nursing assistants
You can refuse to perform a delegated task if:
you are too busy
you do not like the task
it is the end of your shift and you are ready to go home
the task is not in your job description
Which of the following is an example of a task that can be delegated to you?
Perform a sterile dressing change
Insert an intravenous catheter
Develop a care plan for a new resident
Re-position a person in bed
Verbal communication uses:
written or spoken words
body language
needs
culture
Messages sent through facial expressions, gestures, posture, and body movements is:
body language
paraphrasing
focusing
holism
Which is correct?
Calling a resident by his or her first name shows respect
Calling a resident "sweetheart" promotes the person's dignity
Calling patients and residents by their titles (Mr., Mrs., Ms., or Dr.) promotes dignity and shows respect
Calling a male resident "grandpa" shows respect and caring
A nursing center resident wants to attend religious services in the center's chapel. What should you do?
Assist the person to the chapel
Report the request to the nurse
Check the person's care plan
Ask why the person wants to attend
A lost, absent, or impaired physical or mental function is:
an illness
a physical need
a medical problem
a disability
Which will improve a person's quality of life?
Encouraging the sick role
Changing the person's cultural beliefs and practices
Promoting the person's optimal level of functioning
Focusing on the person's disabilities
You want to make sure that a patient understands what you said. You should:
assume the person understands
assume the person is confused and disoriented
respect the person's culture and religion
ask questions to see if the person understands
A resident cannot hear and has poor vision. You need to write messages to the person. You should:
use your notepad.
use a black felt pen and white paper
write small so that others nearby cannot read the messages
use a computer
A resident's bowel movement has a strong odor. You should:
tell the person that the bowel movement smells
ask what the person ate
control your body language
avoid eyes contact with the person
Which shows that you are listening to a person?
Having good eye contact with the person
Leaning away from the person
Sitting with your arms crossed
Changing the subject
Which statement about body language is correct?
It is difficult to know what someone means by observing her body language
Patients and residents send messages through body language
Body language is only expressed by the patient or resident
Body language involves speech
Listening involves:
focusing on the person's verbal and nonverbal communication
using communication boards
leaning back with your arms crossed
using communication barriers
When should you report changes in the person's condition?
At once
At the end of your shift
Before you take your lunch break
During the end-of-shift report
Anyone who reads your charting should know which of the following?
When you took your lunch break?
What you did?
What your co-workers did?
How long it took you to get the trays delivered?
The abbreviation ADL means:
abdomen
before meals
activities of daily living
as desired
Patient and resident safety involves:
decreasing the risk of accidents and injuries
preventing all injuries
limited mobility
limiting independence
To protect the person from harm, you need to:
follow the person's care plan
check on the person every hour
explain all safety routes to the person
keep the bed in the low position with bed rails raised
To make sure you give the right care to the right person, you need to:
follow the person's care plan
identify the person before giving care
check the label on the person's clothing
check the MSDS
A patient is choking. The person is conscious and can cough. Which action is needed?
CPR
Abdominal thrusts
Encourage the person to continue coughing
Leave the person to try and find help
To prevent a person from falling, the person:
has long shoelaces
wears slip-resistant footwear
wears bedroom slippers
wears loose clothing
A resident wants a bath in the evening, not in the morning. The person has the right to make this choice.
True
False
What is the purpose of grab bars?
They prevent a person from falling out of bed
They provide support when walking
They provide support when sitting down or getting up from the toilet
They are used to propel a wheelchair
What is the most common cause of obstructed airway?
Loose dentures
The tongue falling to the back of the throat
A large, poorly chewed piece of meat
Drinking alcohol
You are reporting to the nurse. Which is correct?
Be short and vague in your report
Give the person's name, room, and bed number and the time you gave care or made observations
Report what coworkers did
Refrain from use your notes
These statements are about a safe setting. Which is correct?
Accidents and injuries never occur
The person has more risk of illness or injury
The person is afraid
The person feels safe and secure
Abdominals thrusts can be performed in which of the following positions?
Squatting
Trendelenburg
Prone
Supine
The following increases a person's risk for falls:
weakness
awareness of surroundings
regular elimination
Shoes that fit property
Which conveys comfort, caring, and reassurance?
Body language
Gestures
Posture
Touch
