An alert resident has requested to be left alone with her husband who is visiting. The resident closes the door to her room. What should the nurse aide do?
Allow the resident to be alone with her spouse.
Suggest that the husband take the resident home for a visit.
Explain that the facilitys policies do not allow for this type of visiting.
Remind the resident that this is a nursing home and not a hotel.
Correct Answer :
A. Allow the resident to be alone with her spouse.
Related Questions
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.
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 is choking. The first response by the nurse aide should be to
go find the charge nurse.
get the suction machine.
call emergency services (911).
begin abdominal thrusts.
The first step the nurse aide should take when discovering a fire is to
check how quickly the fire is spreading.
remove any residents near the fire.
throw a blanket over the flames.
pull the alarm.
Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours?
Correct residents' posture
Improve the residents' breathing
Promote circulation at pressure points
Provide an opportunity for incontinent care
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
A resident says, I am not going to eat this food. It is poisoned, What is the best response by the nurse aide?
Offer to taste all the food first to prove it is not poisoned.
Report to the charge nurse that the resident is acting crazy.
Ask if there is something else the resident would like to eat.
Leave the resident alone because the resident will eat when hungry enough.
When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear
black.
green.
purple.
white.
Which of the following is the best example of using reality orientation for a resident with early dementia?
Your son plans to visit today at 2:00 p.m.
You are in the nursing home. I am here to help you.
This is your daughter Anna. Do you remember her?
Look at the time. Lunch is in 30 minutes. Are you feeling hungry?
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 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 must have assistance to walk. When leaving the resident in the residents room, what must the nurse aide do before leaving the room?
Turn on the residents television.
Make sure the residents bedpan is within reach.
Place the call light where the resident can reach it.
Say to the resident, Remember that you need help to walk.
Which foods are found on a high protein diet?
Pasta and rice
Meat and eggs
Fruits and vegetables
Whole grains and milk products
When feeding a resident, the nurse aide notices that the resident keeps coughing after each drink of fluids. What is the appropriate response by the nurse aide?
Give the resident more time to swallow.
Keep the amount of fluid small by using a spoon to give fluids.
Add thickener to the fluid and see if it helps stop the coughing.
Stop the feeding and report the coughing to the charge nurse right away.
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.
A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aide's first response should be to
return the resident to bed.
provide the resident with a cane.
tell the nurse the resident is having foot pain.
remove the resident's shoe and inspect the foot.
Which action is most helpful to help decrease a resident's incontinence?
Leaving the bedpan in place for extra time
Putting an incontinent brief on the resident
Answering the resident's call light quickly
Controlling fluid intake throughout the day
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.
The purpose of a gait or transfer belt is to
limit physical contact with ill residents who are transferred or walked.
protect the nurse aide's back when walking or transferring a resident.
help steady and support a resident when transferring or walking.
allow residents to transfer or walk independently.
A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first?
Try to get the resident to take a few sips of water through a straw.
Reach around from behind the resident to provide abdominal thrusts.
Pat the resident's back and then reach in his mouth to remove the blockage.
Ask the resident to take a deep breath and cough.
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.
A nurse aide is assigned to a table in the dining room during the residents' lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to
guide the resident from the chair to the floor.
remove the other resident's away from the table.
try to open the resident's mouth to check for food.
keep the resident in the chair by holding around the resident's waist.
Residents are most likely to feel the urge to have a bowel movement
after taking a nap.
after eating a meal.
just before bedtime.
during the shift change.
A resident has an indwelling urinary catheter. When the resident sits in a wheelchair, where should the nurse aide place the drainage bag?
On the floor directly next to the wheelchair, positioned well below the resident's bladder
Tucked at the resident's side on the seat of the chair to keep the drainage bag level with the resident's bladder
Hung from back of the wheelchair so that it is out of the resident's view and above the bladder
Attached to the seat of the wheelchair, positioned below the level of the resident's bladder
A resident reports having a very large bowel movement two days ago. What should the nurse aide do first?
Report this to the charge nurse.
Ask if this is a normal pattern for the resident's body.
Suggest the resident drink more water and increase foods with fiber.
Check if the resident is getting a medication to help with bowel movements.
A resident with an indwelling catheter says, I need to urinate. Which of the following is the best response by the nurse aide?
Check to see if the tubing is kinked and draining properly.
Report to the charge nurse that the resident is very confused.
Remind the resident this is impossible since a catheter is in place.
Tell the resident to try to urinate since the urine will collect in the bag.
When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques?
Place a gait belt around the residents waist
Position the chair as close to the bed as possible
Signal the resident to stand by saying, 1, 2, 3, stand
Follow the transfer technique as described in the care plan
A resident, who is usually alert and oriented, is having difficulty remembering where he is today. What should the nurse aide do first?
Increase the resident's fluids since dehydration causes confusion.
Consider that some memory loss is a normal part of aging.
Ask where the resident believes he is.
Report the change to the charge nurse.
When a resident wears a restraint, the nurse aide must make sure the
resident is wearing an incontinent brief.
resident is checked once every two hours.
restraint is applied following the manufacturer's instructions.
restraint is applied tightly and placed under the resident's clothing.
A nurse aide is giving a resident a bed bath. Which of the following should the nurse aide do during the bed bath?
Keep the bed in the lowest position throughout bathing.
Keep the residents body covered during the bath.
Open the window for fresh air during the bath.
Add a lot of soap to the water in the basin.