Who should the nursing assistant report to when the resident is threatening to leave the facility without physician permission?
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Solution
C. The nurse needs to be notified immediately when a resident is threatening to leave the facility against medical advice (AMA). The nurse, not the nursing assistant, notifies the physician, supervisor, and dietician (A, B, and D).
Which of the following best defines restorative nursing?
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Solution
D. Restorative nursing is helping the resident regain strength, promoting well-being, and increasing his or her ability to care for himself or herself.
Which of the following is the first stage of grief as presented by Elizabeth Kübler-Ross?
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Solution
A. According to the stages of grief by Elizabeth Kübler-Ross, denial is the first stage. Choices B, C, and D are each a stage that a resident might go through, but they are not the first stage.
Which of the following is true regarding the resident’s phone rights?
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Solution
B. The resident has a right to access phones and privacy to make phone calls as requested. Although the resident has a right to phone access, having a phone for each resident is not part of the resident’s rights (A). Telephone use under supervision only (C) and phone access during daytime hours only (D) restrict the resident’s right to phone use.
Who is responsible to ask visitors to leave the resident’s room before giving the resident a bath?
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Solution
C. One of the nursing assistant’s duties is to ensure client privacy at all times. Asking the family to leave the room is intended to provide adequate privacy. The charge nurse (A), someone in housekeeping (B), and the nurse assigned to the resident (C) are not responsible.
Which of the following is the correct definition for NPO?
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Solution
A. NPO is the medical term for nothing by mouth, the withholding all food and fluids. The resident might be NPO for a procedure or surgery in the morning. Only liquids by mouth, ice chips, and thickened liquids (answers B, C, and D) are incorrect.
Which of the following is the last action taken by the nursing assistant when making a resident’s bed?
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Solution
A. Handwashing is the last action of nursing assistants. Removing all wrinkles from the bed (B), repositioning the bed into a low position (C), and fastening the call light near the resident (D) are all a part of the procedure, but are performed before the final act of handwashing.
As a nursing assistant, you can refuse to do a delegated task when which of the following occurs?
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Solution
B. The nursing assistant should only refuse to complete a delegated task when it is not part of the nursing assistant’s duties, such as giving a medication for the nurse. Answers A, C, and D do not describe scenarios where the nursing assistant has a legal obligation or should refuse to complete a delegated task.
Which of the following is not part of the procedure when documenting in the medical record?
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Solution
A. The chart is a legal document. Entries into the chart are written with pen (B) and are not erased. If a factual or typographical error is made (D), a single line is made through the error and then it is initialed (C).
A resident has just been told of a family member’s death. The best way to help the resident deal with the death is by which of the following actions?
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Solution
D. Sitting quietly with the resident and listening when he or she wants to share something about the loved one is the best source of comfort. Answers A, B, and C do not allow the resident to feel free to talk about the loved one.