(Test Bank) Nursing Assistants

Carter, 5

Nursing

Test Bank

5th Edition

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Description

Test Bank for Nursing Assistants, The downloadable file consists of 378 pages, and the total size of the file is 2.88 MB. Purchase now only for highly discounted price.

Author(s): Carter

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Study Note Preview

Page 1 Lippincott Textbook for Nursing Assistants 5th Edition Carter Test Bank 1. The nursing assistant instructor has just completed a class exploring the history of medical care with a group of nursing assistant students. The instructor determines the session was successful when the students correctly choose which factor concerning charlatans? A) Have attained mastery over medical science. B) Assist medical practitioners. C) Believe that God is the only healer. D) Have no training or knowledge of medicine. 2. A group of nursing assistant students are contrasting the various names of medical professionals over the years. The group discovered that a "family doctor" of their grandparent's generation will most likely now be referred to as which name? A) An in-house health care provider B) A general practitioner C) A community practitioner D) A general consultant 3. The nursing assistant is learning that health care should focus on the entire individual and not just the person's physical condition or disease. Which approach will the nursing assistant prioritize when providing care? A) Holistic B) Comprehensive C) Holoscopic D) Mind –body –spirit 4. The nursing assistant is researching options for the type of facility for new employment. Which types of health care organization are possible options for this nursing assistant? Select all that apply. A) Drop -in center B) Hostel C) Community center D) Assisted -living facility E) Long -term care facility 5. The health care provider has informed the family of a resident that there is nothing more that can be done and recommends transfer to a different health care organization. Which organization will best suit this situation? A) Hospice B) Terminus C) Case management site D) Assisted -living facility Page 2 6. A group of nursing assistant students have completed a presentation depicting the various aspects of a health care organization. The instructor determines they have successfully presented the information after explaining which duty is performed by the board of trustees? A) Setting policies to ensure that the organization provides safe and quality care B) Conducting research to determine the most effective treatments for clients C) Providing services during emergency operations D) Passing laws that address health care at a state level 7. A nursing assistant student on clinical notes one of the RNs has "DON" on her nametag. When questioned by his instructor, the student correctly explains the "DON" represents what? A) Director of Nursing B) Division of Nursing C) Doctor of Nursing D) Directory of Nursing 8. A nursing assistant student is preparing a poster illustrating the Omnibus Budget Reconciliation Act (OBRA) of 1987. Which goal should the student prioritize in the presentation when explaining the passage of this act? A) Impro ve conditions TfoEr SpeToBplAeNinKlSonEgL-tLerEmRc.aCreOfMacilities. B) Provide convenient transport services for clients or residents. C) Ensure that the hospital's budget did not exceed a decided amount. D) Reconcile differences between the clients or residents of an organization and the management. 9. The nursing assistant student is investigating the various organizations in the community which might provide future employment. The student anticipates the organization will be in compliance with Occupational Safety and Health Administration (OSHA) standards which provide protection for which group? A) Clients and residents, from unqualified health care professionals B) Health care professionals, from on-the-job injuries C) The family members of clients and residents, from contagious diseases D) The equipment in the facility, from unsafe or inefficient usage Page 3 10. While the health care team works hard to achieve many goals while providing quality care, which goal should the team prioritize? A) Provide competent, holistic care. B) Focus on the safety needs of the medical staff. C) Use the facility's resources efficiently. D) Maintain a strong nursing presence. 11. The nursing assistant works hard to complete many dutie s in caring for clients. Which skill should the nursing assistant prioritize to assist in the reimbursement process? A) Receiving payments from the person B) Documenting the care provided to the person C) Assessing the person's medical condition D) Authorizing treatments before they are carried out 12. The nursing assistant is responsible for obtaining some of the data collected for the Minimum Data Set (MDS). Which information will the nursing assistant most likely collect? A) The individual's past history B) The resident's food restrictions C) Cost of prescribed medications D) Resident's weight measurement. 13. The nursing assistant instructor has completed a class exploring the humanistic approach to health care. The instru ctor determines the class is successful when the students correctly choose which characteristic as most important? A) The client's physical needs are prioritized over his or her spiritual needs. B) The individuality of the client is recognized and prioritized. C) The client is encouraged to be as independent as possible. D) Cooperation between the members of the health care team is prioritized. 14. The nursing assistant is excited to start a career at an assisted -living facility. The nursing assistant is prepared to care for individuals who meet which criteria? A) Typically are in the later stages of an acute illness. B) Usually are recipients of Medicare and Medicaid. C) Have social needs but do not have significant medical problems. D) Are able to provide most of their care independently. Page 4 15. The nursing assistant provides care to individuals who are unable to care for themselves at home but don't need an acute care setting. This nursing assistant most likely cares for individuals at which facility? A) Hospital B) Assisted -living C) Long -term care D) Hospice 16. The nursing assistant is considering employment at a local long -term care facility. Which standards should the nursing assistant ensure the facility is following to provide adequate care for the residents? A) The Joint Commission B) The Occupational Safety and Health Administration (OSHA) C) The Omnibus Budget Reconciliation Act (OBRA) D) A board of trustees 17. The facility where a nursing assistant provides care will soon begin an accreditation inspection by the Joint Commission. What is the primary goal of this process? A) To identify possible cost savings B) To improve public relations C) To study the facility's standards of care D) To id entify staff streTnEgtShsTaBnAd NwKeaSkEneLsLseEsR.COM 18. Two nursing assistants discuss that a resident's husband of several decades has recently been diagnosed with cancer. What is the best reason for this discussion to be held in a private area? A) Protect the resident's confidentiality. B) Allow for clearer, undisturbed communication. C) Promote holistic care. D) Allow more members of the care team to participate in discussion. 19. The family of a new resident is questioning eligibility for Medicaid assistance. Which factor would the nursing assistant point out is most important to determine the eligibility? A) Age B) Medical condition C) Work history D) Income Page 5 20. The nursing assistant is providing care for a new resident. Which question should the nursing assistant pri oritize when completing the Minimum Data Set (MDS)? A) “Are you able to get from your bed to the washroom on your own?” B) “When did you last see your health care provider about your blood pressure?” C) “What kinds of activities do you do to help yourself relax?” D) “Do you have any food or environmental allergies?” 21. A group of nursing assistant students are wading through the alphabet soup of government agencies. Which agency will the students point out is primarily responsible for overseeing the health of Americans? A) Centers for Disease Control (CDC) B) Occupational Safety and Health Administration (OSHA) C) United States Department of Health and Human Services (DHHS) D) Centers for Medicare and Medicaid Services (CMS) 22. The nursing assistant is assisting with the preparations to transfer a client to hospice. Which individual is most likely being transferred? A) Disabled woman who has no living family members B) Man with numerous chronic diseases and a low income C) Man who is in the late stages of lung cancer D) Woman who has become unable to wash or dress herself independently 23. The nursing assistant instructor is monitoring a student on clinicals. The instructor determines the student is developing good humanis tic care skills by asking which question? A) “Are you still able to climb stairs on your own?” B) “How do your current health challenges make you feel?” C) “How many medications are you currently taking?” D) “Are your children able to help with your care?” 24. A nursing assistant has applied for a job at a long -term care facility and the manager is checking to make sure the level of training is sufficient. Why will the manager prioritize this action? A) The facility is soon going through accreditation. B) Medicaid requirements. C) Standards set by the Centers for Disease Control and Prevention (CDC). D) The requirements of the Omnibus Budget Reconciliation Act (OBRA). Page 6 25. During a survey, a site inspector has asked the nursing assistant a question to which the nursing assistant does not know the answer. What action should the nursing assistant prioritize? A) Obtain the inspector's contact information for future follow -up. B) Answer the question to the best of his or her ability. C) Admit clearly that he or she does not know the answer. D) Ask the inspector to speak with the nursing assistant's supervisor. 26. The nursing assistant notes a client is a member of a preferred provider organization (PPO). The nursing assistant will interpret this to indicate which factor? A) Will receive care only from certain health care providers. B) Qualifies for Medicare or Medicaid. C) Has a much lower than average income. D) Can only be treated in his or her local community. 27. The nursing as sistant instructor has explained the use of diagnosis -related groups (DRGs). The instructor determines the session is successful when the class correctly chooses which outcome from the increased use of DRGs? A) Earlier discharge from hospital B) Reduced burden on the Medicaid program C) Increased need for trained nursing assistants D) More effective diseaTseEmSTanBaAgeNmKeSntELLER.COM Page 7 Answer Key 1. D 2. B 3. A 4. D, E 5. A 6. A 7. A 8. A 9. B 10. A 11. B 12. D 13. B 14. D 15. C 16. A 17. C 18. A 19. D 20. A 21. C 22. C 23. B 24. D 25. C 26. A 27. A Page 1 1. A nursing assistant student was sharing stories with the class her grandmother told her when she was a nursing assistant as a teenager. Which main difference could the student point out between her grandmother's time of employment and her own future career? A) She worked in long-term care facilities with minimal or no training. B) Employment on a contractual basis was normal. C) Her grandmother performed the role of a registered nurse. D) More worked as private individuals than for institutions. 2. A family is touring a facility for possible placement of a family member. How should the nursing assistant respond when asked what "OBRA" stands for in the literature? A) Omnibus Budget Reconciliation Act B) Omnibus Budget Regulation Act C) Omnipotent Budget Reconciliation Act D) Omniscient Budget Regulation Act 3. The nursing assistant instructor has completed a session covering the Omnibus Budget Reconciliation Act. The instructor determines the class is successful when the class correctly chooses which objective as the most important for passing this bill? A) To establish safety and health standards for the workplace. B) To help clients and residents move from place to place. C) To improve the quality of care given to residents of long-term care facilities. D) Better care for peopTleEwShToBhaAvNeKpSroEblLemLEs wR.ithCtOhiMnking and m emory. 4. An individual has decided to become a nursing assistant. Which topics should his or her training include? Select all that apply. A) Infection control B) Medication administration C) Feeding techniques D) Residents' rights E) Stitching up small wounds 5. A group of nursing assistant students are studying for their competency evaluation. Which area should they prioritize? A) Physical B) Stamina C) Nursing D) Skills Page 2 6. The nursing assistant students are excited and nervous to start their clinicals. Who will the students expect to be a part of the nursing team? Select all that apply. A) Licensed practical nurse B) Holistic nurse C) Licensed vocational nurse D) Registered nurse E) Registered psychiatric nurse 7. In the course of a shift, one nurse is administering all the clients' medications while another nurse is conducting all of the necessary assessments. What does this best represent? A) Team nursing B) Primary nursing C) Secondary nursing D) Functional nursing 8. The new nursing assistant is reading the job description for an open position at the local long-term care facility. What information would the nursing assistant predict to be included? A) The tasks which the nursing assistant may eventually delegate to others. B) The range of tasks the assistant is legally permitted to do. C) Information r egardinTgEtSheToBffAicNiaKlSreEcLorLdEoRf s.uCccOeMssful nursing assistant gr aduates. D) A list of accepted local training sites. 9. Some nursing assistant students are preparing a poster illustrating the history of nursing. What information should the students prioritize when presenting Florence Nightingale? A) British nurse who is credited with creating today's nursing profession B) Lead nurse who is responsible for carrying out the nursing traditions C) First official keeper of the nursing registry in the United States D) First nurse in recorded history to provide assistance to a physician 10. A high school graduate is considering becoming a nursing assistant. Which option would be most appropriate for training? A) Blogs set up by licensed nursing assistants B) A long-term care facility C) One-on-one training from a nursing assistant friend D) Reading the nursing assistant textbook at home Page 3 11. The nursing assistant has relocated to a different city and is seeking new employment. Which information about this nursing assistant will the new prospective employer discover in the Registry? Select all that apply. A) Full name B) Home address C) Any reported incidents of abuse or neglect D) Learning goals E) Marital status 12. The nursing assistant completes many duties while caring for several residents each shift. Which duty should the nursing assistant always prioritize? A) Noticing and reporting observations of changes in a client's or resident's condition. B) Performing a physical assessment on the client or resident. C) Planning client or resident care from minimum data set information. D) Requiring a client or resident to accept care as it is written in the nursing care plan. 13. The nursing assistant completes numerous delegated tasks throughout the shift; however, the nursing assistant has respectively refused to complete a delegated task. Which reason should the nursing assistant be prepared to offer as the basis for this refusa l? A) Does not want to perform the task. B) Has been doing the TsaEmSeTtaBskArNeKpeSaEteLdlLy.ER.COM C) Has not received adequate training about the task and the directions are not clear. D) Recognizes that the charge nurse has more time to do the task. 14. It has been a very hectic day as several RNs and nursing assistants have been out sick. Everyone working has been trying to be cooperative and help to ensure all residents are receiving proper care. However, toward the end of the shifts, the RN asks you to change a surgical dressing. Which questions should you ask yourself before completing this task? Select all that apply. A) "Is this allowed by my job description?" B) "What is the resident's current condition?" C) Does the state allow me to do this?" D) "Who will supervise if needed?" E) "Can I perform this task safely?" Page 4 15. A local community college is developing a nursing assistant program. Which factor should the school include to meet federal guidelines? A) An interview by a panel of nursing experts. B) One-on-one mentoring with a physician. C) Practical experience in a health care setting. D) Education about prescribing basic medications. 16. A nursing assistant is preparing to move from her home state of New York to Florida. Which concept will be most relevant to the nursing assistant's job hunt in Florida? A) Scope of practice B) Registry C) Continuing education D) Reciprocity 17. The nursing assistant enjoys a career of assisting others and looks forward to the various classes to increase current knowledge. The nur sing assistant is able to point out that fulfilling the continuing education requirements is mainly whose responsibility? A) Facility's director of nursing (DON) B) State board of nursing C) Nursing assistant himself or herself D) U.S. Department of Health and Human Services (DHHS) 18. Nursing assistant graduates are beginning their new careers in a long -term care facility. These nursing assistants are expecting to be supervised by which individual? A) Registered nurse (RN) B) Health care provider C) Director of nursing D) More experienced nursing assistant 19. A nursing assistant has been working cooperatively with a registered nurse (RN) and another nursing assistant to provide care for a large number of clients on a hospital unit. The RN has identified and assigned the tasks for the nursing assistants to complete. Which model for organizing client care is in place on this unit? A) Primary nursin g B) Team nursing C) Modular nursing D) Delegated nursing Page 5 20. A registered nurse has asked a nursing assistant to remove a client's urinary catheter. Which is the most important question the nursing assistant should ask himself or herself before undertaki ng this task? A) “How will I respond if I encounter a problem while doing this task?” B) “Why is it necessary to remove this client's urinary catheter?” C) “Would the RN's workload allow him or her to perform this himself or herself?” D) “Have I been trained and certified to perform this task?” 21. The RN has delegated a task to a nursing assistant. What should both individuals determine to be the most appropriate? A) Right setting B) Right workload C) Right responsibility D) Right direction 22. A hospital client has experienced increasing pain over the past several hours. In the health care team's efforts to meet this client's needs, which actions should the nursing assistant be prepared to complete? A) Change the client's care plan to prioritize pain control. B) Take a new medication order from the physician over the telephone. C) Teach the client about the analgesics (pain medications) available. D) Reposition the clienTt iEnSbTedBtAo Na KmSoEreLcLomEfRo.rtCabOleMposition. 23. During a busy shift at a long -term care facility, the practical nurse has asked the nursing assistant to “go and take care of a client in 201.” How should the nursing assistant best respond to this direction from the nurse? A) Ask for help from a fellow nursing assistant. B) Get clarification about the specific tasks required. C) Find someone to supervise. D) Consult the client's care plan. 24. A hospital nurse has asked the nursing assistant to go and “make sure a client's intravenous drip is going okay.” What is the best response from the nursing assistant? A) Assess the intravenous drip to the best of his or her abilities. B) Inform the nurse that this duty is beyond the scope of practice. C) Report this request to a supervisor promptly. D) Obtain the client's permission before doing this. Page 6 25. The RN has delegated a task to a nursing assistant. Which question should the nursing assistant prioritize to determine if right direction has been provided before accepting the delegated task? A) “Is this within my scope of practice as a nursing assistant?” B) “Was I clearly told where the resident is located?” C) “Was I taught about how important this task is?” D) “Did I receive clear and understandable instructions?” 26. The nursing assistant at a care facility has answered the telephone and a resident's health care provider has asked that the resident be given a painkiller. What action should the nursing assistant prioritize at this time? A) Write down the order word for word and read it back to the health care provider. B) Ask the health care provider to call back later when more staff members are available. C) Write down the order and then ask a registered nurse to confirm that it is correct. D) Put the health care provider on hold and find a nurse who can receive the order. 27. The nursing assistant completes many delegated tasks from the RN during a shift. Which task should the nursing assistant question if the RN delegates it? A) Assisting a confused, elderly client to the toilet B) Removing a client's urinary catheter C) Bathing a client wh oThEaSs Ta BskAinNwKoSuEnLd LER.COM D) Assisting a postsurgical client with using a urinal 28. A nursing assistant is working in a facility that uses a team nursing model. What action should the nursing assistant prioritize? A) Be assigned tasks by a nurse. B) Need to seek permission from the leader for all aspects of care. C) Focus all of one's time and effort on one resident or one small group of residents. D) Will work side by side with a nurse. Page 7 Answer Key 1. A 2. A 3. C 4. A, C, D 5. D 6. A, C, D, E 7. D 8. B 9. A 10. B 11. A, B, C 12. A 13. C 14. A, C, D, E 15. C 16. D 17. C 18. A 19. B 20. D 21. D 22. D 23. B 24. B 25. D 26. D 27. B 28. A Page 1 1. The nursing assistant instructor is preparing for a class discussion covering the various aspects of professionalism. Which definition should the instructor point out that best explains professionalism? A) What you display to the world as you communicate how you feel about things B) A sense of humor and a positive outlook to life and circumstances C) An unpleasant demeanor and a poor relationship with authority D) The sense of pride and satisfaction you feel as a result of setting high standards for your performance 2. A new class of nursing assistant graduates is now preparing to apply for their first position. Where should they begin their search for potential open positions? Select all that apply. A) A website for physicians B) The telephone directory C) The classified ads in a newspaper D) Online listings of jobs E) The Equal Employment Opportunity Commission (EEOC) 3. The nursing assistant is preparing a résumé to apply for a new job. Which information should the nursing assistant omit from the résumé? Select all that apply. A) Marital status B) Career goal C) Education history D) Employment history E) Age 4. A group of new nursing assistants are preparing for their first job interview. Which question should these individuals be prepared to answer at the interview? A) "Are you or have you ever been married?" B) "Do you have a preference of religion?" C) "Have you completed the necessary educational requirements for this position?" D) "Are you planning on getting pregnant anytime soon?" 5. The nursing assistant instructor has completed a class session related to work ethic. The instructor determines the class is successful when the students correctly choose which definition? A) Person's attitude toward his or her work B) Person's ability to grow in his or her career C) Person's work environment D) Person's level of practical intelligence