Hartman's Nursing Assistant Care: The Basics Chapter 1 Exam 2024, Exams of Nursing

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Hartman's Nursing assistant Care The

Basics Chapter 1 Exam 2024

Long-term care - ANS-Given in long term care facilities for persons who need 24-hour skilled care Skilled care - ANS-Medically necessary care given by a skilled nurse or therapist Length of stay - ANS-Number of days a person stays in a care facility Terminal illness - ANS-An illness that will eventually cause death Chronic condition - ANS-A condition lasting a long period of time, even a lifetime Diagnoses - ANS-Medical conditions determined by a doctor Home health care - ANS-Provided in a person's home Assisted living - ANS-Residences for people who need some help with daily care Adult day services - ANS-people who need some help and supervision during certain hours Acute care - ANS-24 hour skilled care given in hospitals and ambulatory surgical centers. Subacute care - ANS-Care given in a hospital or in a long-term care facility Outpatient care - ANS-Usually given for less than 24 hours Rehabilitation - ANS-Care given by specialists to help restore or improve function after an illness or injury. Hospice care - ANS-Given in facilities or homes for people who have about six months or less to live Long-term care activities - ANS-- Physical, occupational, and speech therapy

• Wound care
• Care of different types of tubs (such as catheters - thin tubes inserted into the body to drain fluids or inject fluids)
• Nutrition therapy
• Management of chronic diseases (Alzheimer's, AIDS, diabetes, COPD, CHF, cancer) ADL's - ANS-Bathing

Skin Nail Hair care Mouth care Assistance with walking Eating Drinking Transferring Elimination (toileting) Culture change - ANS-A term given to the process of transforming services for elders so they are based on the values and practices of the person receiving care CORE Values - ANS-promoting choice, dignity, respect, self-determination, purposeful living Person-directed care - ANS-Emphasizes the individuality of the person who needs care and seeks to build community by recognizing and developing each person's capabilities Assistive or Adaptive Devices - ANS-special equipment that helps person who is ill or disables (ex: wheelchair, dentures) CARE Team - ANS-nurse assistant, nurse, LPN, doctor, NP, OT, PT, SP, RD, SW, AD, resident and resident's family [resident is the VIP] Chain of command - ANS-Describes the line of authority and helps to make sure that residents get proper health care Liability - ANS-held responsible for harming someone else Scope of practice - ANS-Tasks that health-care providers are allowed to do and how to do them correctly Medicare - ANS-A federal health insurance program established in 1965 for people aged 65 or older, also covers people of any age with permanent kidney failure or certain disabilities 4 Parts of Medicare - ANS-1) Helps pay for care in a hospital or skilled nursing facility of care from HHA or hospice

2. Helps pay for doctor services and other medical services/equipment
3. Allows private health insurance companies to provide Medicare benefits
4. Helps pay for medications prescribed for treatment

Medicaid - ANS-Medical assistance program for low-income people as well as for people with disabilities. (covered by state and federal aid) Care plan - ANS-a plan developed for each resident to achieve certain goals; it outlines the steps and tasks that the care team must accomplish

• individualized
• developed by nurse
• lists tasks to do Charting - ANS-documenting info and observations Vital signs - ANS-temperature, pulse, blood pressure, respiration, pain levels STNA Can NOT - ANS-- insert/remove tubes
• change sterile dressings
• give tube feedings STNAs are the... - ANS-eyes and ears of healthcare team (+the heart) Policy - ANS-a course of action that should be taken every time a certain situation occurs Procedure - ANS-a method, or way, of doing something Professionalism - ANS-Behaving properly when on the job Compassionate - ANS-Being caring, concerning, empathetic, and understanding Empathy - ANS-Identifying with feelings of others Sympathy - ANS-Sharing in the feelings and difficulties of others Tactful - ANS-Showing sensitivity and having a sense of what is appropriate when dealing with others Conscientious - ANS-Trying to do your best, guided by a sense of right and wrong and principled Ethics - ANS-Knowledge of right and wrong Laws - ANS-Rules set by the government to help people live peacefully together and to ensure order and safety

Omnibus Budget Reconciliation Act - ANS-Requires that the Nurse Aid Training and Competency Evaluation Program set minimum standards for nursing assistant training, resident's rights, long-term care Residents' Rights - ANS-An ethical code of conduct for healthcare workers, relates to how residents must be treated while living in a facility

• voice complaints
• can refuse anything
• make own choices To maintain STNA you need... - ANS-12 hours of continued education Informed consent - ANS-Process in which a person, with the help of a doctor, makes informed decisions about his or her health care. Abuse - ANS-Purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone Neglect - ANS-Failure to provide needed care that results in physical, mental, or emotional harm to a person Physical abuse - ANS-Any treatment, intentional or not, that causes harm to a person's body. Includes slapping, bruising, cutting, burning, physically restraining, pushing, shoving, or even rough handling. Psychological abuse - ANS-Emotional harm caused by threatening, caring, humiliating, intimidating, isolating, or insulting a person, or treating him or her as a child, includes verbal abuse Sexual abuse - ANS-Forcing of a person to perform or participate in sexual acts against his or her will. Includes unwanted touching and exposing oneself to a person and sharing of pornographic material Financial abuse - ANS-The improper or illegal use of a person's money, possessions, property, or other assets Assault - ANS-A threat to harm a person, resulting in the person feeling fearful that he or she will be harmed Battery - ANS-The intentional touching of a person without his or her consent. Domestic violence - ANS-Abuse by spouses, intimate partners, or family members False imprisonment - ANS-Unlawful restraint that affects a person's freedom of movement

Involuntary seclusion - ANS-The separation of person from others against the person's will Workplace violence - ANS-Abuse of staff by other staff members, residents, or visitors. It can be verbal, physical, or sexual Sexual harassment - ANS-Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment Substance abuse - ANS-The use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself of others Active neglect - ANS-The purposeful failure to provide needed care, resulting in harm to a person Passive neglect - ANS-The unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person Negligence - ANS-Actions, or the failure to act or provide the proper care for a resident, resulting in unintended injury. Example: A CNA forgetting to lock a resident's chair before transferring her. Malpractice - ANS-Occurs when a person is injured due to professional misconduct through negligence, carelessness, or lack of skill. Suspicious injuries that should be reported - ANS-Poisoning ; teeth marks ; buckle or strap marks bruises ; contusions ; welts scars ; fractures ; dislocations burns ; scalding burns ; scratches or puncture wounds patches of missing hair ; scalp tenderness swelling in face ; broken teeth ; nasal discharge bruises bleeding or discharge from vaginal area Signs that could indicate Abuse - ANS-Yelling obscenities, fear, apprehension fear of being alone, poor self control constant pain, threatening to hurt others withdrawal, apathy, alcohol or drug abuse agitation or anxiety, signs of stress low self-esteem, mood changes, confusion, disorientation, resident not allowed private conversations, reports of questionable care by resident or family Signs that could indicate Neglect - ANS-Pressure ulcers, unclean body, body lice unanswered call lights, soiled bedding or incontinence briefs not being changed,

poorly fitting clothing, unmet needs relating to hearing aids, eye glasses, etc., weight loss, poor appetite, uneaten food, dehydration, freshwater or beverages not being offered regularly, reports of not receiving prescribed medication by the resident or his family Ombudsman - ANS-Assigned by law as legal advocate for residents; visits facilities and listen to residents

• appears in courts
• works with investigations
• educates consumers
• releases info to public Confidentiality - ANS-Keeping private things private HIPPA - ANS-Health Insurance Portability and Accountability Act; Protects confidential healthcare information (name, SSN, address, email, MRN) HIPPA guidlines - ANS-- listen to + read messages in private area
• know w/ whom you are speaking on the phone
• do NOT talk about residents on the phone
• use confidential rooms for report
• be careful creating resident's family
• protect computer (log off) and paper
• no confidential info on emails
• no photos/ videos/ social networking of residents PHI - ANS-Protected Health Information - the information kept private under HIPPA (name, address, phone, social, diagnoses, etc) Incident - ANS-An accident, problem, or unexpected event during the course of care; something that is not part of the normal routine [falls, injuries, blood, mistakes, unsafe, sexual advances] - DO NOT DOCUMENT IN MED RECORD Military time - ANS-AM : add 0 in front of number [12 AM = 0000] PM : add 12 to number Minimum Data Set (MDS) - ANS-a detailed form for assessing patients
• helps nurses complete assessments
• reviewed every 3 months
• if any major change in the resident's conditions (report) Medical record - ANS-- legal document, charting is key (no chart = it did not happen)
• care documentation immediately after it is given
• think before documenting
• use facts

• black pen only
• sign full name + title
• correct errors properly (see figure 1-17)