A nurse aide enters a room just as a resident's wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do?
Leave the room and close the door to allow privacy.
Consider if this is normal behavior for this couple.
Report the observation to the charge nurse immediately.
Tell the wife that she must leave the facility for the day.
Correct Answer :
C. Report the observation to the charge nurse immediately.
Related Questions
Which of the following is a right of nursing home residents?
To select the staff that will provide their care
To have designated smoking areas in the facility
To make decisions about their care and treatment
To have activities offered throughout the day and evening shift
It is most important for the nurse aide to check the temperature of the water before
assisting the resident with mouth care.
soaking the resident's feet for foot care.
giving the resident a bed bath.
washing hands.
The heart is an important muscle for which body system?
Urinary
Musculoskeletal
Circulatory
Digestive
Which of the following is most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation?
The resident's shoe-fit
The resident's pulse rate
The way the resident walks
The color of the resident's toes
A resident is being showered while sitting in a shower chair. The resident says, I feel weak. I think I am going to faint. The nurse aide's immediate concerns are calling for help and
making sure the water temperature is proper.
getting the resident back to her room right away.
finishing the shower quickly by washing only soiled areas.
keeping the resident safe and comfortable.
A resident is NPO because of nausea. What should the nurse aide do?
Give the resident fluids in small amounts.
Provide the resident with a small cup of ice chips.
Ask if the resident can handle any fluids with the nausea.
Remove any fluids at the bedside including the water pitcher.
The nursing home is having a Christmas party. A resident who is Jewish is not interested in going to the party. The nurse aide should
remind the resident how much the resident enjoys parties.
encourage the resident to go since so many other residents are attending.
respect the resident's decision and ask what the resident would like to do.
ask if the resident participated in any activities for the Jewish Hanukah holiday.
Which of the following describes a residents concern that needs to be reported to the charge nurse immediately?
A residents complaint of not getting to activities on time.
A resident who states a need for a new pair of elastic stockings.
A resident with dementia who states the need to talk to the residents son.
A resident who has always been oriented is suddenly scared and confused.
When counting a resident's pulse, the nurse aide should
notice if the rhythm of the heart-beat is regular.
ask if the resident takes any heart medication.
consider the time of day when the pulse is taken.
multiply the rate by four if counted for 30 seconds.
A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first?
Speak loudly and directly into the hearing aid.
Check that the hearing aid is in the correct ear.
Ask when the hearing aid battery was replaced.
Make sure the hearing aid is turned on.
The resident is on a toileting schedule for bladder retraining. Which of the following is the best response by the nurse aide when it is time to toilet the resident?
Have you been able to hold it since you last went to the toilet?
How much longer do you feel like you can hold it?
May I please check to see if you are wet?
Can I help you to the bathroom now?
To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may
block exit doors.
restrain residents.
place large stop signs on doors.
keep confused residents in their rooms.
After reporting the observation of a red area on the resident's hip, the nurse aide should expect that the
resident will be placed on short-term bed rest.
area will be covered with a protective dressing.
area will need frequent massage with a moisturizing lotion.
resident should be positioned to avoid pressure on the area.
A resident, who is on a toileting schedule, asks to go to the bathroom frequently. The nurse aide should respond to the resident's requests by
telling the resident that it is not time.
decreasing the resident's fluid intake.
asking the resident to follow the schedule.
taking the resident to the bathroom as needed.
Which of the following is generally experienced by a resident with low blood sugar?
Fever
Weakness
Sour breath
Frequent urination
A resident whose husband died a few years ago, says, I have got to get dinner started. My husband will be home from work soon. What is the best way for the nurse aide to respond?
Offer to walk with the resident to the activity department's kitchen.
Remind the resident that the nursing home prepares her meals.
Ask the resident about her husband's favorite dinners.
Explain gently that the resident's husband is dead.
A resident likes to eat breakfast in the dining room with other residents. The resident is slow when getting dressed each morning so the residents friends are often leaving when the resident gets to the dining room. The nurse aide should
set out clothing that the resident can dress in more quickly.
dress the resident to make sure the resident gets to breakfast earlier.
ask if there is any help the resident would like in the morning.
remind the resident that the friends will also be at activities later.
Which of the following is an example of disinfection?
Washing a resident's hands after toileting
Using a wipe to clean around a resident's stoma
Cleaning a shower chair with a chemical cleanser
Cleaning a resident's bath basin with soap after use
A resident who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept?
At the nurses' station.
On the isolation cart outside the resident's room.
In the dirty utility room.
In the resident's room.
When checking the resident's urinary drainage bag, the nurse aide observes that the resident has had about 50 ccs (mls) of urine output in the last six hours. What should the nurse aide do first?
Begin offering the resident fluids to drink every 15 minutes.
Report the observation to the charge nurse immediately.
Ask if the resident is having any pain when urinating.
Check to see if the tubing is kinked or bent.
The goal when removing gloves that are soiled is to
remove quickly since there is a risk of exposure to germs.
dispose of the gloves in a biohazardsafe trash can.
avoid contact with the outside of the gloves.
keep germs in the trash can area.
When a resident is receiving oxygen, the nurse aide should
make sure the tubing is free of kinks.
remove oxygen when the resident is eating.
place a NO VISITORS sign on the resident's door.
limit how often mouth care is provided to the resident.
When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear
black.
green.
purple.
white.
A nurse aide who is new to the unit, observes two residents go into a room and close the door. The nurse aide suspects that the two residents are going to have sex. What should the nurse aide do?
Check on the residents every few minutes.
Report the residents' behavior to the charge nurse.
Ask the nurse if the residents should be medicated.
Tell the residents that sex is not allowed in the nursing home.
A nurse aide enters a room just as a resident's wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do?
Leave the room and close the door to allow privacy.
Consider if this is normal behavior for this couple.
Report the observation to the charge nurse immediately.
Tell the wife that she must leave the facility for the day.
A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the following is the most appropriate response by the nurse aide?
Ask another nurse aide to trade assignments.
Provide the care since the resident cannot be harmed.
Talk to other nurse aides about how to perform the procedure.
Discuss the nurse aide's lack of experience with the nurse.
While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action?
Dress the resident quickly.
Check the resident's vital signs.
Stop the dressing to let the resident rest.
Go to find a nurse to check the resident.
A resident reports that his wrist watch is missing. The nurse aide should ask
if the resident thinks someone took it.
if the resident has checked the lost and found box.
who was assigned to the resident on the previous shift.
for permission to help look around the resident's room.
When weighing a resident, it is important to make sure the
resident's last measured weight is available.
scale measures both pounds and kilograms.
resident is wearing light weight clothing such as pajamas.
scale is balanced or calibrated before helping the resident onto the scale.
Which of the following is an observation often seen when a resident is impacted?
Liquid feces seeping out of the anus
Darkening of the resident's urine
Many soft, formed stools
Bad breath odor