CNA Exam Review: Role of the Nurse Aide 87 Questions Correct Answers & Explanations

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CNA Exam Review: Role of the Nurse Aide 87 Questions Correct Answers & Explanations Assertive communication can be described by what quality? - A.Aggressive B.Demanding *C.Firm* D.Loud Being ass... ertive means being firm, not rude. Assertive behavior and communication can help nurse aides get their jobs done and stand by their principles. A volunteer goes to the nursing home every month to read to some of the clients. The volunteer asks the nurse aide what is wrong with one of the clients. What is the most appropriate response from the nurse aide? - A."Just go look at his chart." B."Why don't you ask him yourself?" *C."I can't talk about any of the clients."* D."I'll tell you later in a private room." The nurse aide is not allowed to talk about the clients to other people. It violates the client's right to privacy and confidentiality. A nurse aide who listens to a client's concerns is an example of what component of communication? - A.Message B.Feedback *C.Receiver* D.Sender In the communication process, the sender is the one speaking (or sending the message), and the receiver is the one listening (or receiving the message). The message is the information being transferred, and feedback is clarification of the message. When communicating with a deaf client, it is inappropriate to: - A.write messages on paper B.use a sign language interpreter C.let the client read lips *D.shout in the client's ear* When a client is deaf, he or she cannot hear anything, not even shouting. Shouting at any client is rude and unprofessional. The best way for a nurse aide to communicate with a deaf client is to write messages to each other on paper. Deaf residents should be provided a notebook and pen.A nurse aide has been assigned the task of helping a client get dressed. What should the nurse aide say to the client upon starting the task? - *A."What would you like to wear today?"* B."Putting on clothes is really easy." C."Do you know how to dress yourself?" D."You get dressed, and I'll check on you later." When a nurse aide is required to help a client get dressed, then that client can no longer dress himself or herself. The client should still have the independence to choose what he or she wants to wear. The nurse aide should not make the client feel bad by saying that it is easy to dress alone. Placing oneself mentally in the position of the client to better understand the client's feelings is an example of: - A.tact *B.empathy* C.depression D.sympathy Empathy is the ability to imagine yourself in another person's position and understand how that person would feel. Nurse aides should have empathy for their clients. Empathy connects people and makes them treat others the way they would want to be treated. An alert and oriented client refuses to get dressed one day. What should be the nurse aide's response? - A."Why are you trying to make my job more difficult?" B."If you don't get dressed, I'll tell your doctor." *C."Why don't you want to get dressed today?"* D."You need to get dressed like everyone else." If an alert client states that he or she does not want to get dressed, the nurse aide should try to find out why. Asking a question gives the client a chance to talk. There may be a physical or psychological reason that the client has refused to get dressed. A busy nurse aide has just been assigned a new client and must add his care to her list of responsibilities. How should the nurse aide respond to this change? - A."I feel too tired to care for another client." *B."I will find a way to provide care for this client too."* C."I think that you should give this assignment to someone else." D."I will have to skip care for some of my clients to free up more time." The nurse aide should accept the change and strive to provide exceptional care to all clients. The nurse in charge of making the assignments does not want to give the nurse aide too much work, but when things are busy, everyone has to work harder and be part of the team effort.The inability to express or understand spoken or written language is called: - A.disorientation B.paranoia C.body language *D.aphasia* Aphasia is the inability to understand or express spoken or written language. To help communicate with clients who have aphasia, the nurse aide should point to objects, use gestures, use a gentle touch, and speak slowly using simple sentences. A nurse aide is answering the phones, and a caller asks to speak to one of the other nurses. What is the best way for the nurse aide to handle this request? - *A.Put the caller on hold while looking for the nurse* B.Tell the caller to call again at the end of the day C.Write down the caller's name and tape the note to the phone D.Call out the nurse's name loudly to get his or her attention Nurse aides need to practice effective communication with people who call the facility. When a caller requests to talk to a nurse, the nurse aide should put the caller on hold and attempt to locate the nurse. If the nurse is busy, then the nurse aide should take a message and deliver the message personally or place the message in a location where the nurse will definitely see it. The nurse aide has said Mr. Kinney's name a couple times, but he has not turned to look at her. She knows that Mr. Kinney is losing his hearing. To get the client's attention, the nurse aide SHOULD: - A.shout his name in her loudest voice *B.touch him lightly on the arm* C.talk directly into his ear D.jump into his line of sight The nurse aide should know appropriate ways to get the attention of a client who is hearing-impaired. It is most acceptable to lightly touch the client on the arm to get his attention. It is not appropriate to shout, jump in front of him, or talk into his ear. Those actions could startle the client or make him feel uncomfortable. Which of the following is inappropriate when communicating with a client who has memory loss? - A.Listening quietly to the client B.Asking the client questions C.Allowing the client to tell stories *D.Laughing at what the client says* A client with memory loss may say some strange things, but the nurse aide should never make the client feel inferior by laughing at him or her. The best thing to do is to listen quietly and encourage the client to talk, even if the events and descriptions are not accurate.When the nurse sees that a client has been anxious or depressed, the nurse aide should encourage the client to talk about his or her feelings. Which action encourages the client to talk to the nurse aide? - A.Putting your face closer to the client's face B.Demanding that the client talk to you C.Asking questions while doing other things *D.Sitting quietly at the level of the client* The client may feel more comfortable talking if the nurse aide is sitting quietly with the client. If the nurse aide is aggressive or distracted, then the client will not feeling like opening up about his or her feelings. The client wants to feel like the nurse aide cares. Effective skills for nonverbal communication with the client include all of the following EXCEPT: - A.leaning forward *B.looking downward* C.smiling D.nodding your head Nonverbal communication is a way to communicate without using words. It is important to use effective nonverbal communication when talking or listening to clients. Looking downward is not effective communication. Instead, the nurse aide should make eye contact with the client. The nurse aide is reading the care plan for a client and is unable to read the specific instructions given for bathing. The best way for the nurse aide to clarify this information is to: - *A.ask the client's nurse* B.ask the client's relative C.ask the client D.ask another nurse aide The nurse aide should always go to the nurse and ask for clarification on something that is not understandable, whether it is illegible or is just not well understood. The best way to handle an incorrect entry into a client's chart is to: - A.put an X through the incorrect entry, skip a line, and write the correct entry B.use correction fluid to cover over the incorrect entry and then write it again C.remove the sheet from the chart with the incorrect entry on it *D.draw a line through the incorrect entry and initial it* Whenever a mistake is made in charting, the person who is charting should draw a line through the incorrect entry, date it, and initial it. Then, the correct information should be recorded immediately following the incorrect entry. The nurse aide looks at the schedule for next week and sees that she has been scheduled to work during the vacation time she has already had approved. What should the nurse aide do? - A.Find another nurse aide who can work in her place*B.Talk to the nurse in charge about the mistake* C.Cancel the vacation and appear for work as scheduled D.Complain to other nurse aides about the schedule If the nurse aide has gotten her vacation approved, then putting her on the schedule was a mistake. The nurse aide should bring the mistake to the attention of the nurse in charge, who can then revise the schedule. A nurse aide sees a client trying to open several locked doors that open to the outdoors. How should the nurse aide respond to the client? - *A."Would you like me to take you for a walk outside?"* B."We lock those doors for a reason, so don't open them." C."If you try to escape, we will have to restrain you." D."Do you want to leave the facility permanently?" A client who is trying to open doors that lead outside usually just wants to go outside. The nurse aide should try to understand the client's motivation. Taking the client for a walk will fulfill the client's wishes. A client's daughter tells the nurse aide that she thinks her father is not getting the best care. How should the nurse aide respond? - *A."I can get the nurse in charge to speak to you if you would like."* B."I know that I provide great care for your father." C."Maybe you should transfer your father to another facility." D."Can you describe in detail what it is that upsets you?" The nurse in charge has the authority to discuss concerns with the family members and resolve any problems. The nurse aide should not make the situation worse by acting defensive or rude. A client mentions to the nurse aide that she has been having nightmares. What is the BEST response from the nurse aide? - *A."Would you like to tell me about them?"* B."Everyone has nightmares at some point." C."Don't you know that nightmares aren't real?" D."You're fine. They are just dreams." The best thing for the nurse aide to do is to offer the client a chance to talk about the nightmares. Sometimes a client can have nightmares if he or she is anxious about something. The nurse aide should not belittle the client for mentioning his or her nightmares. All of the following are examples of verbal communication between coworkers EXCEPT: - A.shift reports B.training sessions *C.body language* D.staff meetingsVerbal communication involves speaking or writing to your coworkers. Shift reports, training sessions, and staff meetings use verbal communication. Nonverbal communication is communication using the human body, without speech or writing. Body language is one form of nonverbal communication. A nurse aide asks another nurse aide to help her transfer a heavy client. How should the nurse aide respond to this request? - *A."I will be there in a minute after I make sure my client is stable."* B."I'm going on my lunch break, so you will have to ask someone else." C."I can help you in a couple hours after I finish all my assignments." D."It's not my responsibility to work with your clients." The nurse aides should work as a team. The nurse aide has asked for help to promote the safety of her client. The other nurse aide should be certain that his or her client is stable and secure, and then help the coworker. A client refuses to wear a hospital gown. The nurse aide knows that the client: - *A.does not have to wear a hospital gown if he does not want to* B.can be asked to leave the facility for refusing to wear a gown C.must wear a hospital gown to have an IV started D.must agree to wear hospital pants if he will not wear a gown The client has the right to refuse to wear a hospital gown and wear his own clothes if it is feasible. The client must understand that treatment might be more difficult if a gown is not worn. A client's right to confidentiality and privacy is defined by: - A.Nurse Practice Act B.National Council of State Boards of Nursing C.Older Americans Act *D.Health Insurance Portability and Accountability Act* The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy of any person who enters or uses some type of healthcare entity such as a hospital, a clinic, or a doctor's office. A client continues to press the call light every 15 minutes to ask for minor tasks. The nurse aide may NOT: - A.attempt to meet more than one demand at a time *B.remove the call light from the client* C.tell the client she will check on her every 15 minutes D.try to find out what is bothering the client The nurse aide may not remove the call light from the client because the client must have the ability to signal for help if needed.A client has just told his family that he does not want to have open heart surgery, and he would just rather wait "for nature to take its course." The nurse aide knows the client: - *A.has the right to refuse treatment of any kind* B.does not understand all of the facts C.has a "death wish" D.is saying this to get attention All clients have the right to refuse treatment; they do not have to provide a reason for refusing that treatment. A confused client has been yelling loudly for the last 2 hours. The nurse gives the client a sedative so that the client will go to sleep. Giving medication so that a client will be quiet is a form of: - A.harassment B.theft *C.restraint* D.seclusion Medicating a client so that the client will be quiet is a form of restraint. It is a use of medication to keep the client from yelling A group of student nurse aides are completing a clinical experience at a local long-termcare facility. Prior to the students observing a treatment on a client, the client: - A.is required to allow the students to view the treatment B.needs to sign a paper that he agrees to the observation C.will need to take a bath and get cleaned up *D.must give permission for the students to view the treatment* The client has the right to personal privacy, and the client must agree to others participating in his care. This agreement is given orally, and a signed document is not required. In long-term care, an individual who is assigned to promote the needs and interests of the residents is known as a(n): - A.nurse aide *B.ombudsman* C.dietician D.chaplain All long-term care facilities in the United States must have an ombudsman. This is regulated by the Older Americans Act, which states that each facility must have someone who acts on behalf of the resident, not on behalf of the facility. A client has just been admitted to a long-term-care facility. The nurse aide knows it is important to: - A.place the client's belongings in storage B.only allow the client to keep three items *C.label the client's personal property* D.send all belongings home with a family memberA permit signed by a client prior to surgery or an invasive procedure is an example of: - A.advance directive B.the Patient Self-Determination Act C.a living will *D.informed consent* Informed consent is when the physician describes a specific procedure to a client that includes the expected outcome and any possible complications. It is usually required before any type of invasive procedure, such as surgery or a special test. The nurse aide is aware that a client may be restrained: - A.to make sure the client does not wander away B.to keep the client in the bed [Show More]

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