NURC 1001 Review Exam Study Guide Exam 1 With 100% Correct And Verified Answers, Exams of Advanced Education

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NURC 1001 Review Exam Study Guide

Exam 1 With 100% Correct And Verified

Answers

Rules of charting - Correct Answer-Never write inflammatory statements or argue on charts, do not leave blank lines between test, if you make a mistake mark it out with straight line, if you must add information write a separate addendum and sign and date, for computer charting do not copy and past someone else's note, always sign your note AND print your name, always leave room below your note for your notes to be amended and co-signed by attending/resident, medical student's note should always be more detailed than resident because of less clinical judgement and experience What do you know about the elderly and infections, why are they more susceptible - Correct Answer-- impaired immune system

• skin breakdown
• poor nutrition / hydration
• Chronic Diseases Care Plan - Correct Answer-A plan developed for each resident to achieve certain goals; it outlines the steps and tasks that the care team must perform. List tasks and responsibilities of Nurse Aide - Correct Answer-- ADL: Activities of Daily Living
• Perform delegated takes
• dress and undress
• bathe
• mobility
• elimination
• eating and drinking
• bed mobility Are there any limitations? - Correct Answer-Yes
• nothing inside the body
• no giving drugs or oxygen Methicillin-resistant Staphylococcus aureus (MRSA) - Correct Answer-a strain of the bacterium Staphylococcus aureus that has become resistant to the antibacterial action of the antibiotic methicillin, a form of penicillin Vancomycin Resistant Enterococcus (VRE) - Correct Answer-a strain of enterococcus that cannot be controlled with antibiotics; it is spread through direct and indirect contact Nonverbal communication - Correct Answer-- appearance

• facial expressions
• eye contact
• hand movements
• hands on the hips
• smiling
• rolling of eyes
• gestures
• posture Verbal communication - Correct Answer-- with words How does culture affect communication - Correct Answer-When communication is not culturally sensitive, patients and families are less likely to be satisfied with their perceptions and experiences of care, there is an increased risk of miscommunication, and cultural disparities may result; leading to poor adherence to treatment, poorer health outcomes and an increased Communication techniques for residents with impairments as hearing, visual, confusion or dementia - Correct Answer-- always be in front of them
• always say their name before touching them
• be at eye level What should you know about a hearing aide - Correct Answer-- change batteries
• lock up at night
• very pricey
• clean What is a medical record - Correct Answer-Documentation is the recording of pertinent facts and observation about an individual's health history, including past and present illness, tests, treatments and outcomes Care Conference - Correct Answer-a meeting to share and gather information about residents in order to develop a care plan chain of infection - Correct Answer-source, reservoir, portal of exit, method of transmission, portal of entry, susceptible host source - Correct Answer-a pathogen reservoir - Correct Answer-- the pathogen needs a place to grow and multiply.
• carrier is a human or animal that is a reservoir for microbes but does not develop the infection. portal of exit - Correct Answer-the pathogen needs a way to leave the reservoir. Exits are the respiratory, gastro-intestinal (GI), urinary and reproductive tracts; breaks in the skin; and blood

Method of Transmission - Correct Answer-The pathogen is transmitted to another host. A vehicle is any substance that transmits microbes portal of entry - Correct Answer-The pathogen enters the body. Portals of entry and exit are the same - the respiratory, GI, urinary, and reproductive tracts; breaks in the skin; and blood. Susceptible host - Correct Answer-The transmitted microbe needs a host where it can grow and multiply. Susceptible hots are at risk for infection. Infection Control - Correct Answer-practices and procedures that prevent the spread of infection Bloodborne pathogens - Correct Answer-Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus and human immunodeficiency virus (HIV). Contact Isolation - Correct Answer-- used when caring for people infected with pathogens that can be transmitted directly or indirectly

• single room preferred
• if shared, more than 3 feet
• keep the privacy curtain closed at all times changes PPE between each person in the room Droplet Isolation - Correct Answer-- droplets come from coughing, sneezing or talking
• Used for Haemophilus influenza, meningitis, streptococcal pneumonia, epiglottitis, diphtheria, pertussis, influenza, mumps, rebella, adenovirus infections.
• Wear mask when within 3-6 feet Airborne Isolation - Correct Answer-- used for persons known or suspected to be infected with pathogens transmitted person-to-person
• Measles (Rubella), Tuberculosis (TB), Varicella virus, chicken pox, HZV shingles
• private room, mask, gloves, gown, handwashing, respirator for TB, negative air flow Hand Washing - Correct Answer-- 20 secs
• do not touch skink at anytime
• discard paper towel and use a clean one to turn off faucet When do you handwash? - Correct Answer-- When they are visibly dirty or soiled
• Before and after patient care
• before eating
• after known or suspected exposure to c. diff
• after using the restroom

When do you use an alcohol based hand rub - Correct Answer-- before direct contact with a person

• after contact with the persons intact skin. After taking a blood pressure or pulse
• after contact with body fluids
• after removing gloves Clarifying questions - Correct Answer-questions that seek to understand the meaning of particular words or phrases that the speaker used in the message; say you do not understand or re-state the message Open-ended questions - Correct Answer-questions lead or invite the person to share thoughts, feelings, or ideas. The person controls the topic and the information given; answers require more than a Yes or No Define work ethics and behaviors at work. - Correct Answer-- being on time
• do your job
• have kindness
• always be clean How would you remove an isolation gown - Correct Answer-- roll inward (gown will turn inside out)
• hold removed gown away from your body PPE - Correct Answer-Personal Protective Equipment i.e. gloves, mask, safety glasses and clinical attire Can you take orders over the phone - Correct Answer-No; write a note for the nurse or hand the phone to the nurse if available Rehabilitation/ restorative - Correct Answer-Returning persons to their highest possible level of physical and mental function and to independence. When answering the phone - Correct Answer-give your name, title, and location What is the Nurse Registry - Correct Answer-- full name
• identifying information
• date the competency eval was passed
• information about any abuse, neglect, and/or misappropriation OBRA - Correct Answer-Omnibus Budget Reconciliation Act of 1987 Delegate - Correct Answer-To authorize or direct a nursing assistant to perform a nursing task How does OBRA regulate the Nurse Aide Class? - Correct Answer-59 hours in the classroom

16 hours of clinical total of 75 hours What is involved in the state test - Correct Answer-Skills, written Who does a Nurse Aide report to? - Correct Answer-nurse What information about a resident would you communicate to other team members - Correct Answer-- new illness

• change in personally
• fall Gloving - Correct Answer-- blood
• non-intact skin
• body fluids
• secretions
• mucous membranes
• skin that may be contaminated (urine or stool) If you do not understand a question that is posed by a surveyor, what should you do? A. Explain that you are not allowed to answer any questions B. Answer the question to the best of your ability C. Tell the surveyor that you do not know the answer D. Ask the surveyor to restate or rephrase the question. - Correct Answer-C. Tell the surveyor that you do not know the answer What action should you take if a deficiency is found during a survey of a health care agency where you work? A. seek a new job with a different agency within 60 days B. Ask if your responses to surveyor's questions created a problem C. Give honest information about the deficiency to patients/ residents D. Follow instructions from the team leader to correct the deficiency - Correct Answer-D. Follow instructions from the team leader to correct the deficiency What rationale would support your choice to work for an accredited health care agency A. All health care team members are licensed and experienced B. Any person needing care is accepted regardless of income level C. Voluntary review shows that a high quality of care is provided D. Facility is likely to offer promotions, a good salary and benefit - Correct Answer-C. Voluntary review shows that a high quality of care is provided A confused elderly resident tells you he doesn't have any money to pay you for your help or to pay the bill for the long term care center. What should you do? A. Reassure him that you will care for him no matter how much money he has B. Tell him not to worry about it and change the subject C. Find out who is paying the bills for the resident

D. Tell the charge nurse about the resident's concerns - Correct Answer-D. Tell the charge nurse about the resident's concerns Which action should you perform to help your health care agency to meet the standards of licensure, certification, or accreditation A. Close the door when assisting a patient or resident to bathe B. Describe the NATCEP testing process to the surveyor C. Memorize all policies and procedures related to your job D. Assist patients or residents whenever they ask for your help - Correct Answer-D. Assist patients or residents whenever they ask for your help Which person needs sub-acute care? A. Had minor surgery for a skin condition B. Discharge from hospital but needs complex would care C. Needs help with toileting, bathing, and meal preparation D. Has terminal illness and death is imminent - Correct Answer-B. Discharge from hospital but needs complex would care Which action would you perform to contain health care costs for a person who has Medicare Care. A. Complete care and duties as quickly and efficiently as possible B. Assist the person to be discharged to home as soon as possible C. Limit the amount and use of supplies that are charged to the person D. Follow the RN's instructions for the prevention of pressure injuries - Correct Answer- D. Follow the RN's instructions for the prevention of pressure injuries In patient focused care A. You would transport the patient to the diagnostic testing center B. The patient directs the focus and type of the care and treatment C. The RN would draw blood sample at the patient's bedside D. The patient is invited to actively participate in care conference - Correct Answer-C. The RN would draw blood sample at the patient's bedside In the nursing care pattern of functional nursing, you would A. Take vital signs on all patients and report data to the licensed nurse B. Talk to the other nursing assistants and decide how to divide duties C. Assist the RNs and LPNs after you receive specific instructions. D. Perform total care for all patients that are assigned to you - Correct Answer-C. Assist the RNs and LPNs after you receive specific instructions. What is the best description of your role in the nursing care pattern of team nursing? A. You do whatever the team leader tells you to do B. You help all persons who need assistance with bathing C. Your skills and abilities are matched to persons' needs D. You assist the RNs and LPNs when they need help - Correct Answer-C. Your skills and abilities are matched to persons' needs

Which action is the LPN/LVN most likely to perform? A. Assists the nursing assistants to complete tasks B. Assists the RN in caring for an acutely ill person C. Assumes RN responsibilities if no RN is available D. Claims limited authority in supervising nursing assistant - Correct Answer-B. Assists the RN in caring for an acutely ill person Which health care team member will you notify if a resident tells you he has pain in his foot? A. Podiatrist B. Physician's Assistant C. Physical Therapist D. RN - Correct Answer-D. RN In which circumstance are you most likely to seek assistance from the nursing education staff? A. You need tutoring to pass the NATCEP competency evaluation B. You are unsure how to use a new automatic blood pressure machine C. You know that an elderly person has questions about his medicine D. You suspect that an LPN is doing tasks that should be done by an RN - Correct Answer-B. You are unsure how to use a new automatic blood pressure machine Who Would you notify if a family member has a complaint about the nursing care? A. Person's primary care doctor B. RN team leader C. Director of nursing D. All health care team members - Correct Answer-B. RN team leader Which member of the health care team can recommend treatments for a person who is having trouble swallowing? A. Speech therapist B. Podiatrist C. Occupational therapist D. Physician - Correct Answer-A. Speech therapist The primary goal of a health care system that includes several clinics, a hospital, a pharmacy, a skilled nursing facility and a home health agency is to A. Decreases the overall cost of comprehensive health care B. Share resources and cross-train members of the health team C. Make medical records readily accessible across the system D. Meet all health care needs for persons and their families - Correct Answer-D. Meet all health care needs for persons and their families Which action would you perform to fulfill your role in hospice care? A. Do everything for person until he/she recovers

B. Ensure that person is clean and comfortable C. Encourage person to eat and exercise to regain strength D. Provide care only to meet person's physical needs - Correct Answer-B. Ensure that person is clean and comfortable Persons who have thoughts of harm to self or others may be treated in a A. Mental health center B. Long term care center C. Skilled care facility D. Hospice - Correct Answer-A. Mental health center To work for a home care agency you must be comfortable with A. Performing more complex care B. Calling the doctor if the person is very ill C. Providing care with offsite supervision D. Helping families to resolve interpersonal problems - Correct Answer-A. Performing more complex care