Chapter 1: The Nursing Assistant In Long-Term Care

Another name for a long-term care (LTC) facility is a(n) A) Nursing home B) Home health facility C) Assisted living facility D) Adult day services apartment

A person who lives in a long-term care facility is called a resident because A) The facility is her home B) She is picked up at the end of each day to go home C) She does not have any living family members D) She does not need skilled care

Assisted living facilities are usually for A) Residents who need around-the-clock intensive care B) Residents who are generally independent and do not need skilled care C) Residents who will die within six months D) Residents who require acute care

How does home health aide care differ from nursing assistant care? A) Home health aides do not assist with personal care. B) Home health aides may clean the home and do laundry. C) Home health aides do not have supervisors. D) Home health care takes place in a hospital, rather than in a long-term care facility.

A program of care given by a specialist or a team of specialists to restore or improve function after an illness or injury is called A) Acute care B) Subacute care C) Rehabilitation D) Hospice care

Inter-generational care is A) People of the same generation spending time together B) Pets brought into a long-term care facility to help brighten a resident's day C) Adult and child care merged so that young and old can spend time together D) The generation caring for children and aging parents at the same time

True or False? Medicare is a health insurance program for people who are 65 years of age or older.

True or False? No one younger than 65 is covered by Medicare.

True or False? Medicare will pay for any services requested by the resident.

True or False? A person with limited income might qualify for Medicaid.

True or False? Medicare and Medicaid pay a fixed amount of services based on residents' needs.

True or False? It is important for nursing assistants to know each resident individually than to know general facts about most residents.

True or False? Most residents living in long-term care facilities are male.

True or False? Residents with the longest average stay in a healthcare facility are residents admitted for terminal care.

True or False? Dementia is not a common cause of admission to a long-term care facility.

True or False? Poor health is not the only reason residents are admitted to long-term care facilities. Often they are admitted due to lack of a support system.

True or False? Lack of outside support is one reason to care for the whole person instead of only the illness or disease.

What are activities of daily living (ADLs)?

Think of one task that might be assigned to a nursing assistant that is not mention in the book.

Look at the tasks commonly performed by nursing assistants. Which task do you think you will enjoy the most? Which do you think will be the most difficult for you?

Which of the following best shows professionalism by a nursing assistant? A) A nursing assistant arrives late for her shift, knowing her coworkers can cover for her. B) A nursing assistant takes a while to document carefully. C) A nursing assistant uses profanity sometimes, but only if a resident does it first. D) A nursing assistant accepts a tip from a resident's son for taking care of his mother.

Katie is a new nursing assistant at Parkwood Skilled Nursing Care and wants to make a positive first impression. Which of the following would be the best way for Katie to demonstrate professionalism at her new job? A) She can avoid asking questions so as not to bother her supervisors. B) She can tell a residents about another resident's condition in order to gain the resident's trust. C) She can avoid unnecessary work absences. D) She can address residents by using affectionate nicknames like "Sweetie."

Nursing assistant Samantha Stevens is late for five shifts in a row. On the fifth day, her supervisor asks her about this. Samantha replies, "It's not my fault. Traffic has been horrible, and I have to drive a long time to get to work." How could Samantha have been more humble and open to growth?

Nurse Frederico Gonzalez tells nursing assistant Mary Lupko about a resident's diagnosis of a sexually-transmitted infection. He gives specific instructions about the resident's care. Mary sees a fellow nursing assistant across the hall, and says, "How did Joann Timbly get an STI? Her husband hasn't visited in months." How could Mary have been more trustworthy?

Nursing assistant Rob Brown is tidying Ms. Lee's room. He notices a Buddha statue and asks, "I'm a Christian. Why don't you believe in Christ?" How could Rob have acted in a courteous and respectful manner?

Resident Hannah Stein is dying. She tells nursing assistant Jennifer Wells that she always wanted to be nicer to her son and to have a better relationship. Jennifer replies, "Well my son won't even talk to me because I wouldn't tel him go to a basketball game on a school night." Then Jennifer proceeds to tell Mrs. Stein about her divorce and how her son's father never helps out. How could Jennifer have been more empathetic?

Nursing assistant Doug Albin is helping resident Sam Perkins to the bathroom. Sam walks slowly and has to rely on his walker for help. Doug notices that his shift is over in five minutes and says, "Can you walk a little faster? I'm leaving in five minutes!" How could Doug have been more patient and understanding?

Nursing assistant Wayne Leach just found out his facility is short-staffed tonight, and he will have to help five additional residents get ready for bed. "Oh great," he says. "Now I'll never get this done!" How could Wayne have been more enthusiastic?

Nurse Cathy Connell verbally gives nursing assistant Sandra Levy a list of things she wants done. Sandra says she will do them, but when she turns the corner, she forgets what Nurse Connell wanted her to do first. "Oh well," she shrugs. "I'm sure it's not the end of the world." How could Sandra have been more dependable?

Nursing assistant Tracy Fleming is assigned to help Mr. Ming, a Chinese resident, eat his dinner. Even though she has never met Mr. Ming, she complains, "I can never understand anything these kinds of residents are saying." How could Tracy have been more tolerant and unprejudiced?

How often should a nursing assistance bathe? A) Several times per week B) Every day C) Every other day D) Twice per week

Which of the following should a nursing assistant wear to work? A) A watch B) Bangle bracelets C) A nose ring D) Perfume

Which of the following should a nursing assistant wear to work? A) Hoop earrings B) An identification badge C) Acrylic nails D) After-shave lotion

Which of the following is part of proper grooming for a nursing assistant? A) Long hair that is tied back B) Long beards that are combed C) Long, clean nails D) Dramatic eye makeup

Which of the following is true of fingernails? A) Gel nails are the best kind of nails for nursing assistants to wear to work. B) Acrylic nails are the best kind of nails for nursing assistants to wear to work. C) Short, smooth natural nails are the best kind of nails for nursing assistants to wear to work. D) Long, polished nails are the best kind of nails for nursing assistants to wear to work.

Activities director

Medical social worker

Nurse

Nursing assistant (NA)

Occupational therapist (OT)

Physical therapist (PT or DPT)

Physician or Doctor (MD or DO)

Registered dietitian (RDT)

Resident

Speech-language pathologist (SLP)

The chain of command describes the line of _______________ in a facility.

The _______________ will usually be the nursing assistant's immediate supervisor.

When a nursing assistant has a problem with another department, it should be reported to an immediate supervisor or the _______________ nurse.

Following the chain of command helps protect staff from _______________, which is a legal term for being help responsible for harming someone else.

What are three questions nurses consider before delegating a task?

What are three questions nursing assistants should ask themselves before accepting a delegation?

If a nursing assistant is unsure about a task that is delegated to him, what should he do?

Functional nursing

Person-centered care

Primary nursing

Team nursing

A _______________ is a course of action to be taken every time a certain situation occurs.

A complete list of every facility policy is found in the _______________.

A _______________ is a specific way of doing something.

The exact way to complete every resident procedure is found in the _______________.