questions

•The correct term for the device that is used to replace a body part that is missing is a:
Prosthesis

Rationale: A prosthesis is molded and shaped to fit a person's body to replace a limb that was lost due to disease, injury or a congenital defect.

•When a patient has lost a loved one, the CNA can help them cope the best if they:
Encourage the patient to talk

Rationale: When a patient has lost a loved one, talking about it can often help the patient express their feelings and cope with the reality of the loss. A patient should never be forced to discuss it, but should know that the nursing assistant is available if the patient wants to talk.

•The purpose of padding a patient’s bed side rails is to:
Protect the patient from injury

Rationale: Patient's siderails are padded to protect a patient from injury in case of seizure, confusion, or violent outbursts. They are not used as restraints.

•If a patient’s left side is their weakest side then the part of their sweater that is put on first is their:
Left sleeve

Rationale: When a patient is weak on one side, that side should be dressed first because the other side will be more difficult to put through an armhole, and the patient will be able to assist more with their strong arm.

•When a CNA is caring for an aggravated patient, they should:
Speak in a slow and calm manner

Rationale: When a patient is agitated, a calm environment should be provided if possible. Yelling, hitting or threatening the patient doesn't provide this type of environment and is illegal. Speaking in a calm and slow manner allows the patient to comprehend what is being said and provides a tranquil environment.

•A CNA is not allowed to show a patient's record to:
The roommate

Rationale: Due to privacy laws, only employees taking care of that patient are allowed to see their records. The patient's physician is also allowed to view them. Under most circumstances, family is also allowed to know what is going on with their family member.

•After a patient has had a stroke, the CNA should assist:
On the patient’s weak side

Rationale: Because a patient won't be able to use their weak side as effectively as the strong side, the CNA should assist on their weak side.

•Exercises that move each muscle and joint are called:
Range of motion

Rationale: Range of motion should be performed everyday as ordered by a physician. This includes exercising all joints in the arms and legs. A physicians order must be written in order for this to be performed.

•A CNA wear gloves:
While doing peri-care

Rationale: When doing peri-care, a nursing assistant can come into contact with many types of body fluids including urine and stool. Gloves should always be worn to prevent skin contact with these and to prevent the spread of disease.

•The Heimlich is used:
When someone has a blocked airway

Rationale: The Heimlich maneuver, which includes abdominal thrusts to expel an object blocking a patients airway, should on be performed by someone certified to perform this maneuver.

•A CNA can assist with a patient's spiritual needs by:
Allowing patient’s to talk about their own beliefs

Rationale: The spiritual needs of a patient are an important aspect of their care. A nursing assistant should listen to the patient and never voice their opinion or own beliefs.

•If a patient is completely deaf, the best way for a CNA to communicate with the patient is to:
Write out the information

Rationale: When a patient is deaf, trying to speak to them can make them feel as though you don't care. Not communicating to them is negligence. Letting the patient write out their needs or wants is the most effective way to speak with them.

•If asked “what day is it?” by a confused patient, the CNA should:
Point to the date on the calendar and say the date

Rationale: By saying the date and pointing it out on a calendar, you are providing two ways of orienting the patient to what day it is. Double reinforcement is a good way of helping a confused patient reorient themselves.

•In order to avoid pulling out a catheter tube accidentally from a male patient, the catheter should be attached to:
Upper thigh

Rationale: By attaching the catheter tube to the patient's upper thigh, it moves with them when they walk, roll or are re-positoned that way it is not accidently pulled out. Get a nurse immediately if it does come out, or the tape comes loose.

•When a CNA is getting ready to dress a patient, they should:
Let the patient choose

Rationale: By letting the patient make choices about their care, this helps foster independence. This also might help the patient be cooperative by knowing they took control of the situation by making their own choices.

•The FIRST thing that a CNA should do upon discovering a fire in a patient’s room is to:
Remove the patient

Rationale: Patient safety is always first! If a patient is near the fire, immediately move them to safety before any other action is taken.

•The role of the ombudsman is:
To work with the nursing home to protect the patients’ rights

Rationale: An omsbudman is a trusted mediator between two parties that acts as an unbiased judge. In healthcare, they work between the facility and it's patients to ensure the patient's rights are not violated.

•Usually, the final stage of dying is:
Acceptance

Rationale: The stages of grief related to dying include denial ("This isn't happening to me"), anger ("I hate you God for doing this to me"), bargaining ("If I can just live to see my daughter graduate, I'll be ready to die"), depression and acceptance.

•In order to communicate clearly with a patient who has hearing loss, a CNA should:
Look directly at the patient while speaking to them

Rationale: When a patient has hearing loss, speaking directly to them can help them understand what you are trying to communicate. Reading lips can help the patient decipher words accurately.

•If a patient says "why me?" or "God is punishing me!":
Listen quietly

Rationale: A nursing assistant should never judge or ignore a patient that is depressed and angry. Listening to the patient express their feelings is the best thing a nursing assistant can do. The nursing assistant should also report these feelings to the nurse for further investigation.