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?
Correct Answer :
D. Look at the time. Lunch is in 30 minutes. Are you feeling hungry?
Related Questions
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 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.
The normal appearance of urine is
clear.
cloudy.
dark yellow.
strong smelling.
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.
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.
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 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 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.
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.
A resident who must stay in bed is at risk for developing
dementia.
arthritis.
foot drop.
Parkinson's disease.
A nurse aide is asked to provide postmortem care to a resident who died of natural causes. Which of the following is the most appropriate practice to follow when providing postmortem care?
Wear gloves, a mask and a gown when providing care.
Use strict isolation precautions throughout care.
Wash hands and wear gloves throughout care.
Double bag all items removed from the room.
Which of the following is considered a normal age-related change seen in elderly residents?
Increase in appetite
Decrease in constipation
Decrease in taste sensation and smell
Increase in amount of confusion experienced daily
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?
When a resident is not able to stand, the resident's height is usually measured 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 resident's height and subtracting an inch for age-related shrinkage.
taking the measurement from head to heels while the resident is flat in bed.
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?
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 member of the health care team counsels residents and their families and arranges for needed services?
Dietitian
Social worker
Physical therapist
Activities director
Which of the following is generally experienced by a resident with low blood sugar?
Fever
Weakness
Sour breath
Frequent urination
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.
While helping in the dining room, the nurse aide notices a male resident in distress holding his throat. The nurse aide believes the resident may be choking. After calling for help, the nurse aide's next action should be to
check the resident's ABCs.
ask if the resident can talk.
provide an abdominal thrust.
lower the resident to the floor.
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.
A resident says she is 5 feet 6 inches tall. When the nurse aide measures the residents height, the resident is 5 feet 4 inches. What should the nurse aide do?
Record the residents height as 5 feet 4 inches.
Record the residents height as 5 feet 6 inches.
Explain that older people shrink with aging.
Measure the resident again.
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.
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's care plan provides the nurse aide with information about
the financial arrangements made for the resident's care.
specific care required for the resident and the goals of care.
facility procedures for performing different nursing care procedures.
the nurse aide's assignments and when care is provided to each resident.
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.
The nurse aide can help the resident have regular bowel movements by
making sure the resident gets a lot of rest.
providing a routine time for the resident to toilet.
giving the resident cereal for breakfast every morning.
keeping a bedpan within reach while the resident is in bed.
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.
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 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.