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CNA Exam 1
Module 1-8, 12
| Question | Answer |
|---|---|
| What California State Code regulates the CNA training program and Skilled Nursing Facilities? | Title 22, Division 5. |
| What is OBRA? | Omnibus Reconciliation Act (1987). Federal regulations. |
| What are the three major resident care responsibilities that a CNA must meet? | 1) Provide a safe environment. 2) Meet the physical needs of the resident. 3) Assist residents to fulfill their psychosocial, spiritual, and cultural needs. |
| What is informed consent? | The act of informing the Pt of the consequence of refusing treatment. |
| What are the ONLY reasons that would allow the transfer or discharge of a resident or Pt? | -Medical reasons -Welfare -Other Pts' welfare -Nonpayment |
| What is the Health Insurance Portability Accountability Act (HIPAA)? | This regulates the confidentiality of a Pt's health records and condition between the Pt and healthcare workers. |
| When may a Pt's rights be denied or limited? | Only for good cause evidenced by MD's order, or only if allowed by law. |
| What hours are available for a Pt to have a Clergy visit? | Clergy visits are made to be available at anytime. |
| What times are available for relatives or persons responsible to visit critically ill Pts? | Visiting hours for relatives or persons responsible are at anytime. |
| According the California Health and Safety Code (Skilled Nursing and Intermediate Care Facility Patient's Bill of Rights), if a Pt is deemed to be incapable of carrying out and/or protecting their own rights, who are to be responsible for such? | The Pt's rights are to be carried out/protected by his/her guardian, next of kin, conservator, sponsoring agency or representative unless is the facility. |
| What is therapeutic communication? | Communication that is used to promote optimum wellness. |
| What are the two routes of communication? | Internal: what is seen, heard, touched. External: what is spoken, written, or gestured. |
| What are the steps in communication? | -Message -Sender -Receiver -Interpretation |
| What is called when somebody's ability to communicate is physically impaired? | Aphasia |
| What is the meaning of ergonomic? | Designs with the intention of making something less stressful and free of injury, providing optimal comfort. |
| What are some examples of assistive devices used to reduce falls and maintain safe mobility of residents? | -Canes -Walkers -Wheelchairs -Mobility alarms |
| What is the first-most resident related accidents that can be prevented? | Falls account for about 70% of resident related accidents. |
| What is the second-most resident related accidents that can be prevented? | Burns are the second-most resident related accidents, which can be caused by steam or hot water from bathing and hot drinks, flames from smoking, chemicals, and thermal, such as heating pads and sunburns. |
| What does R.A.C.E. mean? | In case of a fire emergency: -R_Remove the resident from the fire area and close the room door. -A_Active the fire alarm system. -C_Contain the fire. -E_Extinguish if possible. |
| What does P.A.S.S. mean? | In the act of extinguishing a fire: -P_Pull the extinguisher. -A_Aim. -S_Squeeze. -S_Sweep low. |
| When is it OK to use devices for nursing convenience or as punishment? | It is never OK to use devices for nursing convenience or as punishment. |
| What are the Homeland Security Advisory System threat levels and their color code? | -Low condition (green) -Guarded condition (blue) -Elevated condition (yellow) -High condition (orange) -Severe condition (red) |
| What should a CNA allow a Pt do before ambulating after laying in bed for a period? | Dangle. Dangling would allow the Pt's blood circulation and pressure to adjust before attempting to stand or proceed in an upright position. |
| What are some devices that can be used to assist a Pt in ambulation? | -Cane -Walker -Gait belt |
| What is asepsis? | Asepsis is the absense of harmful bacteria, viruses or other microorganisms. |
| What are the 5 necessary conditions for infectious agents to grow? | -Food source. -Moisture. -Oxygen or lack of oxygen. -Warmth. -Darkness. |
| What is the order of the chain of infection? | 1. Causative agent 2. Reservoir 3. Portal of exit 4. Method of transmission 5. Portal of entry 6. Susceptible host |
| What are the four lines of defense against infection in the human body? | 1. Normal flora 2. Skin 3. Mucous membrane 4. Immune system |
| What is the CDC? | The Center for Disease Control and Prevention. Introduced categories of precautions in 1996 called "standard precautions" and transmission-based precautions". |
| What is OSHA? | Occupational Safety and Health Administration. A state regulatory agency keeping workers safe. Require written docs and follow-up on exposure incidents. |
| What is the precaution that is used across the care of all Pt designed to reduce risk of infection regardless of Dx and presumed infectious state? | Standard Precautions (asepsis) |
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