When a resident is unable to stand, the residents height is generally obtained by
having coworkers hold the resident upright to allow for the measurement.
adding the length of legs, chest, and neck/head to determine the height.
asking the residents height and subtracting an inch for age-related shrinkage.
taking the measurement from head to heels while the resident is flat in bed.
Correct Answer :
D. taking the measurement from head to heels while the resident is flat in bed.
Related Questions
The nurse aide notices that a resident with dementia keeps walking over to the piano, pausing there, touching the piano, and then walking away only to return again. Which of the following is the best action for the nurse aide to take?
Take the resident back to the resident's room.
Distract the resident by asking about the resident's family.
Invite the resident to sit down at the piano with the nurse aide.
Ask the activity director to find something for the resident to do.
When moving a resident in bed, a lift or turning sheet may be used to help prevent
atrophy.
shearing.
infections.
contractures.
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.
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 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 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.
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.
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
While bathing a resident who is comatose, the nurse aide notices a reddened area on the left hip. Once reported, the charge nurse is likely to request that the nurse aide
massage the area using lotion.
apply a dry protective dressing over the area.
keep the resident positioned to avoid pressure on the hip.
cleanse the hip using extra soap, then rinse and dry thoroughly.
While eating lunch, hot tea splashes on a resident's hand. The nurse aide's first response should be to
quickly move the resident to the nurses' station.
ask the resident how badly the burned area hurts.
wet a towel or napkin with cool water and place against the injured area.
apply antibiotic ointment to the burned area and then cover with a bandage.
A resident's hands shake when trying to drink liquids, causing the liquids to spill. What is the best response by the nurse aide?
Thicken the liquid so it will not spill.
Place a clothing protector on the resident.
Seat the resident with other residents who also spill.
Suggest that the resident might do well with a cup with a lid.
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
While performing range of motion exercises, the nurse aide notices that the resident's elbow is stiff and will not bend. The nurse aide should
continue exercises but move onto another joint.
continue since stiff joints are a normal part of aging.
apply very gentle pressure to try to bend the elbow slightly.
suggest the resident see a physical therapist for the elbow.
A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should
check the resident's arms and jaw for possible injury or bruising.
check the care plan to see if the resident is on heart attack precautions.
ask if the resident might have eaten something that has upset her stomach.
recognize the seriousness of the signs and observations and report immediately.
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
Which of the following actions helps to prevent skin tears?
Keeping side rails raised
Using less lotion on the skin
Sliding the resident up in the bed
Dressing the resident in long sleeves
Which of the following best describes how persons affected by Parkinson's disease typically walk?
They tend to walk quickly.
They tend to lean back when walking.
They walk normally but with some shakiness.
They shuffle their feet while taking small steps.
When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear
black.
green.
purple.
white.
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.
Which statement is true about the effects of aging?
The aging process can be reversed with good health care.
Bladder incontinence is a normal part of aging.
Joints tend to be less flexible as a person ages.
Sensitivity to pain increases with age.
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 resident with dementia says, I need to get home. My daughters school bus is coming soon. The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide?
Lets go see if Bingo has started yet. You love Bingo.
Remember you are in a nursing home. Your daughter is all grown up.
Do you mean your greatgranddaughter? Your daughter just turned 60.
What do you like to do with your daughter when she gets home from school?
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.
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.
To prevent skin tears or shearing when moving the resident, the nurse aide should
wear gloves to reduce friction against the skin.
avoid pulling or sliding the resident when moved.
tell the resident to be careful and follow directions.
ask the resident to keep arms held over the residents head.
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
To help soften the beard before shaving with a disposable razor, the nurse aide should
massage the beard area of the face gently.
rub the beard in the direction of the hair growth.
hold a warm, wet wash cloth against the face first.
lather the face with soap instead of shaving cream.
When a person is receiving end-of-life care, the resident's care plan is likely to include
ways to best provide for the comfort of the resident.
exercises to help improve the resident's strength.
frequent observation to help prevent confusion.
instructions for providing post-mortem care.
A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to
explain that the shower is required to keep clean and healthy.
try to motivate the resident by collecting clothing and supplies.
ask if the resident has another preference for bathing today.
remind the resident, You do have the right to refuse care.
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.