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COMPETENCY #8
This competency exam is based on the information included in the hand out entitled “Care For Yourself As You Care For Others.” (go back to Employment Opportunities page to download PDF)
Questions 1–10: Avoid Injury
- 1. Healthcare workers are at a higher risk of sustaining
musculoskeletal injuries than individuals who work in construction, mines, and in the manufacturing industry.*
- True
- False
- 2. Musculoskeletal injuries are frequently due to improper lifting, transferring and positioning a client.*
- True
- False
- 3. This answer is worth 1 point. Name 4 positions that will change your balance, center-of-gravity, and weight distribution.*
- 4. You are transferring your client from bed to the wheelchair. Your client can only stand on one leg. You
should:*
- a. Use a Hoyer lift or a transfer board
- b. Inform the client of each step before making the transfer
- c. Think through each step you need to take before attempting the transfer
- d. All of the above
- 5. You should assess the environment for any hazards that may interfere with a safe transfer. Name two:*
- 6. What is the only reason an aide may position themselves on a client’s bed?*
- a. The client is very heavy
- b. The client asked you to get on the bed
- c. You are tired and need to rest
- d. You need to maintain proper body alignment
- 7. Name 4 things the aide should do to prepare the client to transfer from the bed to the wheelchair? Each correct answer is worth 1 point.*
- 8. If your client begins to fall during the transfer, what should you do?*
- a. Call for help
- b. Call the EMT to help get the client in the chair
- c. Lower the client to the nearest flat surface
- d. Ask the client to stand up
- 9. Which muscles are injured most often when a nursing assistant does not use proper body mechanics when transferring a client?*
- a. Back muscles
- b. Shoulder muscles
- c. Neck muscles
- d. Leg muscles
- 10. When a client is being transferred to a wheelchair, which of the following is the correct position during the transfer?*
- a. Left side of the wheelchair
- b. Right side of the wheelchair
- c. In front of the wheelchair
- d. Behind the wheelchair
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Terms in this set (74)
What locations would a nursing assistant stand when assisting a resident who has experienced a stroke to ambulate?
on the resident's affected side
Which of the following is appropriate care for a resident who is agitated and talking loudly?
speak to the resident in a calm, comforting manner
Gloves are to be worn when performing which of the following activities?
performing peri-care
What is an example of neglect?
applying a restraint too tight
when a resident is dying, which sense is lost last?
hearing
What is the first sign of a decubitus ulcer?
redness
The nursing assistant demonstrates correct listening skills?
leaning toward the resident and responding when appropriate
What location is the body temperature of a resident taken most often?
oral
What is performed to increase muscle strength and joint mobility of a resident who is unable to voluntarily move his or her limbs?
passive range of motion exercises
When a resident is being transferred to a wheelchair by the nursing assistant, what is the position for the nursing assistant during the transfer?
in front of the wheelchair
What is the first action of a nursing assistant before performing a procedure?
checking the resident's identification
Which muscles are injured most often when a nursing assistant does not use proper body mechanics for procedures?
back muscles
What are some examples of safety precaution used for showering a resident?
1. checking the water temperature before assisting the resident into the shower 2. Locking the wheels on the shower chair. 3. Promptly drying and covering the resident after the shower is completed
What phrase best defines the term STAT?
immediately
What is the most appropriate action of the nursing assistant when a resident complains of chest pain?
call for help immediately
A bed that is free of wrinkles is necessary to prevent what complications?
pressure sore
What food groups have vitamin d?
dairy
What is a true statement regarding religious beliefs?
residents have a right to practice their own religious beliefs
What is needed to communicate with a completely deaf resident?
pen and paper
The nurse administering the wrong medication to a resident is an example of which of the following?
malpractice
A nursing assistant threatening to restrain a resident is an example of which of the following?
assault
Select the appropriate equipment to use when giving mouth care to an unconscious resident.
soft toothette
What is a description of a stage one decubitus ulcer?
redness
What is the medical term for intestinal gas?
flatus
What statement by a nursing assistant suggests that he or she has an understanding of cultural awareness?
care is planned to include a resident's cultural needs
The nursing assistant is offered a $10 tip by a family member for taking good care of her mother.
refuse to accept the money
What is the best action of the nursing assistant when assisting a resident with a.m. (morning) care to encourage independence?
allowing the resident to do as much as possible for himself or herself and then assisting him or her with the rest of the a.m. care
It is appropriate for the nursing assistant to share resident information with?
1. the physician caring for the resident 2. the nurse caring for the resident 3. the nursing assistant who will be caring for the resident
When assisting a resident who has right-sided weakness to get dressed in the morning, which arm is placed in the sleeve of the shirt first?
right side (the affected side)
What products are applied to a resident's skin before shaving?
shaving cream
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 following what actions?
staying with the resident and encouraging him or her to talk
What is the procedure for documenting in the medical records?
1. document in blue or black ink only 2. print legibly, accurately, and completely 3. Never erase, scratch out, or use a liquid eraser to correct your charting
As a nursing assistant, you can refuse to do a delegated task when what occurs?
it is not a task a nursing assistant should perform
What is the last action taken by the nursing assistant when making a resident's bed?
hand washing
What is the correct definition for NPO?
nothing by mouth
Who is responsible to ask visitors to leave the resident's room before giving the resident a bath?
the nursing assistant preparing to give the bath
What is true regarding the resident's phone rights?
access to phones and privacy is provided to each resident
What is the first stage of grief as presented by Elizabeth Kubler-Ross?
Denial
What best defines restorative nursing?
1. helping to regain strength 2. promoting well-being 3. increasing self-care ability
Who should the nursing assistant report to when the resident is threatening to leave the facility without physician permission?
Nurse
Which of the following is least likely to cause a skin tear?
short cropped nails
A fellow nursing assistant comes to work under the influence of marijuana. As a member of the health-care team, your best action is which of the following?
inform the nurse immediately
An assigned resident does not want lifesaving measures to be performed if he expires. You know the term written on the chart is
DNR
What behavior is considered a demonstration of caring?
taking the time to listen to the resident
If the nursing assistant recognizes that a resident is not eating enough, he or she should do what?
offer dietary supplements as prescribed
When a resident falls, what is the most frequent injury that occurs?
fractured hip
In which condition is a cold pack applied?
to decrease swelling
What are some signs of impending death?
1. decreased respirations 2. irregular, weak, and thread pulse 3. skin cool and moist
What should be reported to the nurse STAT?
respiratory rate of 38
The resident is to be placed in fowler's position. What is the correct definition of this position?
Head of bed 45-60 degrees with legs either bent or straight
When helping to lift a resident up in bed, what position demonstrates proper use of body mechanics?
bend slightly at the waist, keep knees partially flexed, and lift with your legs muscles
Washing your hands appropriately is important to reduce the spread of infection. What are some of the directions that need to be followed?
1. rub hands vigorously with soap and water for at least 30 seconds. 2. Use a clean paper towel to dry hands 3. Use paper towel to turn off faucet.
When wearing gloves, remember to do which of the following to ensure adequate protection?
wash your hands before and after glove use
When caring for a resident who is anxious, it is important for the nursing assistant to do?
remain calm and speak softly
When a confused resident is placed in restraints by the nurse, the nursing assistant knows?
assessment of the resident needs such as bathroom, repositioning, and circulation must be conducted at least every 2 hours.
The nursing assistant is walking a resident around the unit, and the resident starts to fall. The first action of the nursing assistant should be?
get behind the resident and ease the patient to ground slowly
What term is used to define when a resident becomes more confused each day during the evening or night hours?
Sundowner's Syndrome
The nursing assistant is ready to enter Mrs. Jane Smith's room to care for her. What is the best way to approach Mrs. Smith?
"Good morning, Mrs. Smith. I am Mrs. Jones the nursing assistant on duty today. How may I help you?"
A nursing assistant smells smoke in the nursing facility. A resident is found smoking a cigarette.
Tell the resident that it is a safety hazard and ask him or her to go outside.
The resident consumed 3 ounces of juice. How many milliliters should the nursing assistant document on the flow sheet.
30 X 3 = 90 ml
What is true regarding the use of a gait belt?
use a rocking and pulling motion when using the belt to get up from a sitting position.
What is the correct method for counting respirations?
look at your watch and the resident's abdomen at the same time
What best defines quadriplegia?
no movement of all four extremities
One of the residents you care for is a member of your church. When someone from the church inquires about the resident's medical condition, your best response should be?
inform the person that all information regarding all residents is confidential and you cannot disclose the information to him or her.
When a resident refuses a bath, the nursing assistant should perform which of the following actions?
respect the resident's wishes
What is an appropriate response to a resident who is making sexual comments?
"The comment is not acceptable to me."
What device is used to prevent contractures?
hand roll
What is the medical term for high blood pressure?
hypertension
When residents have visitors, it is important for the nursing assistant to do?
provide privacy
What is the correct method of washing the perineum of a resident who has an indwelling catheter?
wash away from the meatus
The nursing assistant is cleaning a resident's dentures.
the nursing assistant places a towel in the sink while cleaning the dentures
The resident calls the nursing assistant into his room to tell her that his dentures are lost. What is the best action of the nursing assistant?
notify the charge nurse
Washing your hands as a nursing assistant is very important. What is part of the hand washing procedure?
applying friction for 15-20 seconds
The nursing assistant overhears a conversation about a resident on the elevator at work. The nursing assistant knows this is a violation of?
the resident's right to privacy
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