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WorksheetsCNA 15-22
Total questions: 72
Worksheet time: 56mins
bony prominence
area od the body where the skin is in close proximity to the bone
area of the body where the bone is in close proximity to the skin
when skins stays in one position, but underlying bone and tissue roll in the opposite direction
when the skin repeatedly rubs another surface
(a) is the inner layer of the skin
(a) is the outer layer of the skin
the integumenary system is
(a)
a pressure/bed sore or (Decubitus ulcer) is
assisting a resident to stand up to completely remove the pressure from the area
skin repeatedly rubbing another surface
a localized injury to the skin/ and or underlying tissue
the lowest layer of the skin; fatty tissue
(a)
changes with age
skin dries/becomes more fragile
hair grays and becomes thin
joints stiffen
subcutaneous tissue thickens
nails thicken
which of the following is a function of the integumentary system?
regulates hormone levels in the body
provides an environment for the development of a fetus
allows the body to move
prevents the loss of too much water
a burn that affects the epidermis and causes redness and pain is a
first degree (superficial) burn
second-degree (partial thickness) burn
third-degree (full thickness) burn
scald
risk factors for skin breakdown
sensory perception
moisture
activity/mobility
nutrition
friction/shear
(a) can be painful, cause infection, damage to the muscle and bone, and cause death
which of the following is a condition that increases the risk of pressure injuries
resident flexibility
cold air
health circulation
restricted mobility
any drug that is used for discipline or convenience and not required to treat medical symptoms
(a)
any manual method or physical/mechanical device, material, or equipment attached or adjacent to the residents body
(a)
care of the skin
provide frequent care for residents who are incontinent
change linens/clothing
check resident atleast every 2 hours for needed care and encourage to reposition
walking
moving a body part
contracture
(a)
exercises which put a joint through its full range of motion
(a)
exercises are done by the resident himself
(a)
caregivers support and move residents joints through the range of motion when the resident cannot move on their own
(a)
communication strategies
always identify yourself
speak slowly, calmly in a low tone
avoid loud, noisy enviornments
avoid startling/scary approach from the front. remain vsisible
allow the resident to determine how close you should be
rehabilitation
services managed by professionals to restore a resident to his/her highest practicable level of functioning
formal therapy which assists residents with speech and swallowing problems
turning a joint
formal therapy
flexion - bending a body part
physical - uses heat, cold, massage, ultrasound, electricity, and exercise to residents with muscle, bone, and joint problems
extension - straightening a body part
occupational - assists the resident to learn to compensate for their disabilities and assist them with activities of daily living
speech - assists residents with speech and swallowing problems
restraints may be used
only with a doctors note
when a resident is being uncooperative
whenever it is convenient for facility staff
when there are not enough staff members to watch all residents
restraint free care means that
restraints are only used if a resident is in danger of hurting himself or others
restraints are only used with a doctors order
restraints are only used when restraint alternatives fail
restraints are not kept or used at the facility for any reason
which of these drugs could be classified as a chemical restraint
tylenol
hadol
aspirin
mucinex
complications of immobility for the nervous system include
pneumonia
weight gain
depression or insomnia
constipation
a cane is used
to provide stability when a person is unsteady or has some weakness
to help a person with balance
when a resident cannot get out of bed
for residents who cannot bear weight on one leg
when a resident has one weaker leg,
the cane should be held on the weaker side
the cane should be held on the stronger side
the resident should use a wheelchair
the resident should not get out of bed
your resident that uses oxygen asks you to help him shave. what method do you use?
keep nasal cannula in place and use a safety razor
keep his nasal cannula in place and use an electric razor
remove his nasal cannula and use an electric razor
remove his nasal cannula and use whichever razor the resident chooses
it is permissible for nursing assistants to adjust the level of oxygen administration
true
false
the resident who uses oxygen tells you they need something for their dry lips. which do you offer?
vaseline
rubbing alcohol
vegetable oil
water based lubricant
delivery of oxygen from a long tubing from source to cannula with prongs in each nostril and tubing tucked behind the ears
(a)
a device that sits on the floor and plugs into the wall which changes air in the room into air with more oxygen
(a)
continuous positive airway pressure
(a)
Bi-level positive airway pressure
(a)
__ or __ are devices that help residents inhale more air into the lungs
(a)
a machine mainly used in hospitals that supports breathing
(a)
the process of burning
flammable
fire
combustion
oxygen
easily ignited and capable of burning quickly
flammable
fire
combustion
oxygen
the removal of some or all of a body part, usually as a result of a disease or injury
(a)
elastic/compression stockings
helping with eyesight
stockings that decrease blood pooling in the lower extremities. helping with circulation and decreasing risk of blood clots
what you put on the resident if shoes are not available/wanted
lingerie
feeling the limb is still there after amputation due to remaining nerve endings
(a)
a device(s) that replaces a body part that is missing or deformed due to accident, illness or birth defect
(a)
types of prosthetic devices
hearing aids
artificial eyes/limbs
eyeglasses
dentures
socks
observations on a stump that should be reported to the nurse
redness
warmth
tenderness/pressure
bite marks
open area
peripherally inserted central catheter (PICC)
the supply and retention of adequate water to keep one from dehydrating
a soft, flexible catheter (tube) that is inserted by a specifically trained nurse or physician into a vein for administration of medicine
compound or substance that kills or slows down the growth of bacteria
refers to a soft flexible catheter (tube) that is inserted by a nurse or physician into a vein
PICCs are used for
hallucinations/delusions
Aphasia, expressive and receptive
total parental nutrition (TPN), chemotherapy, blood products
pain
Intravenous (IV)
refers to a soft, flexible catheter (tube) that is inserted by a nurse or physician into a vein
device that regulates the flow of fluid into the vein
no food is given by other routes, only intravenously
blood vessels that carry blood through the heart
device to regulate the flow of the fluid into the vein and will alarm if there is a problem with flow that must be managed by the licensed nurse
(a)
infection control. observe signs and what should be reported to the nurse
redness
temperature
swelling
blanching
pain
the whiteness or discoloration that shows in skin once pressure has been applied
(a)
no whiteness or coloration in the skin after pressure has been applied
(a)
barriers for residents regarding pain
fear of addiction to medication
feeling caregivers are too busy to deal with pain
fear medication will cause other problems. drowsiness, sleepiness, constipation
fear of death or other risk factors
a progressive, degenerative and irreversible disease caused by the formation of tangled nerve fibers and protein in the brain
(a)
Aphasia
(a)
the 2 types of aphasia
Expressive - may be slow to respond to communication due to delay in processing the communication and the response
Expressive - may be slow to speak or to formulate sentences
Receptive - may be slow to respond to communication due to delay in processing the communication and the response
Receptive - may be slow to speak or to formulate sentences
believing things that are untrue. fixed false beliefs
(a)
seeing/hearing things not there. False sensory perceptions
(a)
delirium
inability related to thinking, remembering, reasoning, and communication
state of sudden severe confusion that is usually temporary
inability to think clearly, trouble focusing, difficulty making decisions, feelings of disorientation
state of low mood and lack of interest in activity
confusion
serious loss of mental abilities (thinking, remembering, reasoning, and communication)
state of sudden severe confusion that is usually temporary
overreacting to stimuli in a unreasonable way
inability to think clearly, trouble focusing, difficulty making decisions, feelings of disorientation
serious loss of mental abilities (thinking, remembering, reasoning, and communication)
depression
dementia
deliriuim
hallucinations
Alzheimer's disease
behavioral changed that occur in the evening with improvement and disappearance during the day
(a)
causes of mental illnesses
stress
heredity
immune system
physical/environmental factors
depression
projection and displacement
Projection - seeing feelings in others that are really ones own
Projection - transferring a strong negative feeling to something or someone else
Displacement - seeing feelings in others that are really ones own
Displacement - transferring a strong negative feeling to something or someone else
match with correct definition
Uneasiness or fear about a situation or condition that cannot be controlled or relived
OCD
Intense fear of certain things or situations
Anxiety
Anxiety related to a traumatic experience
PTSD
Uncontrollable need to repeat or perform actions in a repetitive or sequential manner
Panic Disorder
Mental Retardation is different from Mental Illness in that, MI can be temporary, and MR is permanent
true
false
level of cognitive or emotional well-being or an absence of a mental disorder
(a)
Disruption in a persons ability to functions at a normal level in a family , home or community , often producing inappropriate behaviors
(a)
Phobias
(a)
A complex mental disorder that makes it difficult to tell the difference between real and unreal experiences, to think logically, and to behave normally in social situations
Schizophrenia
Panic Disorder
Bipolar Disorder
Paranoid Schizophrenia
Use of defense mechanisms
Denial - rejection of a thought or feeling
Projection - seeing feelings in others that are really one’s own
Displacement - transferring a strong negative feeling to something or someone else
Rationalization - blocking painful thoughts or feelings from the mind
Regression - going back to an old immature behavior
A persistent feeling of sadness and loss of interest
(a)
