Mixed Deck — All UNAR Topics Flashcards

Under OBRA regulations, nursing facility residents have the right to:

Answer: Be free from unnecessary physical and chemical restraints

OBRA mandates that residents be free from any physical or chemical restraint imposed for discipline or staff convenience.

What are basic resident rights in long-term care?

Answer: Privacy, dignity, freedom from abuse, self-determination, and access to personal belongings

Federal and state laws protect residents' rights to privacy, dignity, and self-determination in care settings.

A nursing assistant forgot to document a resident's vital signs at 8 AM. It is now 11 AM. What is the correct way to handle this?

Answer: Write a late entry with the current time and note it as a late entry for 8 AM

A late entry is acceptable and must be labeled as such, documenting both the time of the actual event and the time of the entry.

A resident with dementia insists they must go home to take care of their children. What is the best response?

Answer: Acknowledge their feelings and redirect them to another activity

Arguing or correcting residents with dementia increases agitation. Responding to their feelings and redirecting them to a pleasant activity is the preferred approach.

What should be documented about nutritional intake?

Answer: Percentage of meal eaten, fluid amounts consumed, any swallowing difficulties, and food preferences

Detailed nutritional documentation helps the care team assess adequacy and adjust plans.

Why should the CNA wear gloves while giving postmortem care?

Answer: Standard precautions apply because body fluids may still be present

Standard precautions continue after death because blood and body fluids can still be released.

Before ambulating a patient for the first time after a period of bed rest, the nursing assistant should:

Answer: Dangle the patient at the edge of the bed first and assess for dizziness

Dangling allows the patient's blood pressure to adjust gradually to the upright position, reducing the risk of orthostatic hypotension and falls.

Which action by a nursing assistant BEST demonstrates person-centered care for a resident with a mental health condition?

Answer: Learning the resident's personal history and preferences to individualize their care

Person-centered care requires understanding each resident as an individual, including their history, preferences, and personality.

When a nursing assistant charts 'resident ambulated 20 feet with walker, tolerated well,' this is an example of:

Answer: Objective, factual documentation

Objective documentation records specific, measurable facts observed by the caregiver without interpretation or opinion.

Which resident situation requires the CNA to report vital signs to the nurse immediately rather than waiting until the end of the shift?

Answer: A respiratory rate of 8 breaths per minute and SpO2 of 90%

A respiratory rate of 8 breaths per minute (bradypnea) combined with SpO2 of 90% indicates potential respiratory compromise and requires immediate reporting.

Which of the following is the correct order for DONNING (putting on) PPE?

Answer: Gown, mask/respirator, eye protection, gloves

The CDC sequence for donning PPE is gown first, then mask or respirator, then eye protection, and finally gloves.

Which action represents the ethical principle of beneficence in nursing assistant practice?

Answer: Taking actions specifically intended to promote the resident's well-being

Beneficence means actively doing good for the resident and placing their well-being at the center of every care decision.

How should a CNA respond to a resident with dementia who is confused and agitated?

Answer: Speak calmly, redirect attention, validate feelings, and maintain a safe environment

Calm redirection and validation are more effective than confrontation for managing confusion and agitation in dementia.

What is the difference between active and passive ROM?

Answer: Active ROM is performed by the patient; passive ROM is performed by the caregiver

Active ROM builds strength; passive ROM maintains flexibility when patients cannot move independently.

A nursing assistant finds a resident on the floor. Which action should be taken FIRST?

Answer: Call for the nurse before moving the resident

Never move a fallen resident until a nurse assesses for injury, as moving could worsen an unseen fracture or spinal injury.

Which of the following BEST describes the nursing assistant's role in behavior management?

Answer: Observing, documenting, and reporting behavioral changes to the nurse

Nursing assistants are responsible for observing and reporting behaviors, not diagnosing or independently implementing clinical interventions.

Under federal rules, what can cause a nurse aide's registry status to lapse?

Answer: Going 24 consecutive months without paid nursing-related work

Federal rules require nurse aides to have performed at least some paid nursing or nursing-related services within a 24-month period to remain active. After a lapse, the aide generally has to retrain or retest.

What is active listening?

Answer: Fully concentrating on, understanding, responding to, and remembering what is being communicated

Active listening involves genuine attention, understanding, and appropriate response.

What does 'I&O' stand for in medical documentation?

Answer: Intake and output

I&O stands for intake and output, which tracks all fluids consumed and excreted to monitor fluid balance.

When performing nail care for a diabetic patient, the nursing assistant should:

Answer: File toenails only and report findings to the nurse

Diabetic patients have impaired circulation and healing; nail care should be limited to filing and any concerns reported to the nurse.