A resident with dementia tries to get out of bed without help during the night. The care plan states the resident needs assistance to get out of bed. What should the nurse aide do first?
Orient the resident to person, place and time.
Review how to use the call light with the resident.
Tell the resident to never get out of bed without help.
Try to find out if there is something the resident needs.
Correct Answer :
D. Try to find out if there is something the resident needs.
Related Questions
A resident is restrained. What observation should the nurse aide report to the nurse immediately?
The resident states, I do not like this thing.
The residents position needs to be adjusted.
The resident has suddenly become very agitated.
The restraint was removed according to the care plan schedule.
A resident's leg has recently been amputated. Since the surgery the resident has not wanted to leave his room. What response by the nurse aide is most supportive?
You do realize that you will look normal when you get your prosthesis?
Do you think you will ever leave your room? It will help you feel better
There is no reason to feel embarrassed about losing your leg?
You used to enjoy activities. What's keeping you in your room so much?
Which of the following should be reported to the charge nurse immediately?
A resident's change in appetite
A resident's complaint of chest pain
A resident who refuses to take a scheduled tub bath
A resident who wanders is found napping in another resident's bed
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's scope of practice. What should the nurse aide do?
Consider if the task can be performed another way.
Provide the care and perform the task as best as possible.
Contact the ombudsman's office since resident's rights may be violated.
Refuse to perform the task and explain it is not within the nurse aide's role.
The nurse aide is to obtain a residents weight. The nurse aide should
ask if the resident remembers his/her last weight.
ask when the resident last ate food or drank fluid.
wait until after the resident has a bowel movement.
check what scale is usually used for this resident.
Why is it important to check the feet of a resident with diabetes at least once a day?
To look for sores on the feet the resident may not feel
To check if vision problems have resulted in foot injuries
To trim the toenails so they do not become long or jagged
To make sure the resident does not get a foot fungus
A resident who is Roman Catholic is dying. The resident comments that she has not been to confession and she worries that she will die in a state of sin. Which of the following is the best response by the nurse aide?
Don't you think God knows you are in a nursing home?
Would you like it arranged for a priest to visit you?
Sounds like you are not ready to die.
Have you considered praying?
The use of a physical restraint helps
control a resident's behavior.
protect the resident from injury.
make staff members' jobs easier.
decrease how often staff need to check the resident.
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.
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.
A nurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that today the resident is restless and is pacing a lot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and
ask the resident when he had his last bowel movement.
check if the resident is hungry or needs to go to the bathroom.
try to keep the resident close to observe the resident throughout the shift.
allow the resident to move around as long he does not harm other residents.
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
When caring for a resident who is comatose, the nurse aide is expected to
provide mouth care once a day.
avoid changing the resident's position.
talk to the resident while providing care.
keep the resident's room dark and quiet.
A resident has an indwelling urinary catheter. Which of the following is part of the catheter care procedure performed by the nurse aide?
Clean the catheter, starting at the meatus and moving downward.
Clean the catheter, starting at the end and moving towards the genitalia.
Disconnect the drainage bag from the catheter to empty the bag fully.
Cleanse around the meatus with alcohol swabs, wiping front to back.
How much assistance does a resident receiving PROM need from the nurse aide?
Partial assistance with range of motion exercises
Full assistance with the nurse aide taking the joints through exercises
Minimal assistance to just remind the resident when it is time to exercise.
Minimal assistance to provide extremity support while the resident moves joints
Which of the following describes an important requirement when providing colostomy care?
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
A nurse aide walks into a resident's room and finds a resident on the floor. The resident says, I fell down and I cannot move my arm. What should be the nurse aide's next action?
Help the resident to a sitting position on the floor.
Ask the resident to stay still while the nurse aide calls for help.
Ask the resident to describe the pain and how the fall happened.
Support the injured arm by placing a pillow under the arm and shoulder.
A resident who was admitted today is sitting in a chair in his room. He asks for help to go to the bathroom. The nurse aide knows the resident's care plan has not been completed. To help the resident the nurse aide should
ask the resident to use a walker while assisting the resident to the bathroom.
get another nurse aide's help to walk the resident to the bathroom.
position a commode chair next to the chair the resident is sitting in.
ask the charge nurse for instructions on what assistance the resident needs.
A nurse aide hears another staff member yelling and cursing at a resident. This is an example of
resident neglect.
resident abuse.
nurse aide carelessness.
nurse aide non-compliance.
The heart is an important muscle for which body system?
Urinary
Musculoskeletal
Circulatory
Digestive
A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next?
Get the emergency cart
Turn the resident onto her side
Check if the resident is able to talk
Help the resident back into the chair
Which of the following best describes the daily routine needs of residents with dementia?
It is important that the resident's day be kept full of activities.
Changing daily routine is often helpful to residents with dementia.
Providing opportunities for activity and periods for rest is important.
Following a strict schedule is required to decrease confusion.
When bathing a resident, the nurse aide observes that the resident's great toe is red and swollen. Which of the following is the appropriate action by the nurse aide?
Protect the toe by putting on an extra sock.
Report the observation to the charge nurse.
Apply an antibiotic ointment to prevent infection.
Soak the foot in very warm water and dry gently.
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.
When cleaning which area of the body, is it important to change the spot on the washcloth for each washing and rinsing stroke?
Arms and hands
Abdominal area
Face and neck
Perineal area
The nurse aide receives resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the nurse aide to
decide break times with other nurse aides.
review assignments with others to check if residents are divided evenly.
check all assigned residents to see if anyone has immediate needs.
check what the activity department has scheduled for residents during the shift.
When going to take routine vital signs, the nurse aide discovers that a minister is praying with the resident. The nurse aide should
ask how long the minister plans to visit.
explain politely that it is time to take vital signs.
check if the resident is praying before interrupting.
wait to take the vital signs after the minister has left.
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.
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 with a feeding tube is scheduled for a shower. The residents feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide?
Disconnect the feeding tube temporarily to give the shower.
Protect the pump with a plastic bag before bringing into the shower room.
Ask the charge nurse for assistance with the feeding pump.
Give the resident a bed bath since the resident has a feeding tube.