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
The nurse aides role in assisting with a bowel and bladder retraining program includes
being consistent with carrying out the toileting schedule.
notifying the family that the resident has been placed on the program.
determining the type of program best suited for the resident.
checking the resident every four hours for incontinence.
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 residents 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 aides 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.
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.
Which of the following is an observation often seen when a resident is impacted?
Liquid feces seeping out of the anus
Darkening of the residents urine
Many soft, formed stools
Bad breath odor
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 residents decision and ask what the resident would like to do.
ask if the resident participated in any activities for the Jewish Hanukah holiday.
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 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
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.
How should the nurse aide respond when a resident tries to talk about the recent death of another resident?
Explain that HIPAA laws forbid staff from discussing residents that died.
Suggest the resident talk to other residents feeling the same loss.
Try distracting the resident with a more cheerful subject.
Allow the resident to talk about the resident who died.
Which of the following is an example of disinfection?
Washing a residents hands after toileting
Using a wipe to clean around a residents stoma
Cleaning a shower chair with a chemical cleanser
Cleaning a residents bath basin with soap after use
Which member of the health care team counsels residents and their families and arranges for needed services?
Dietitian
Social worker
Physical therapist
Activities director
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.
Which of the following is generally experienced by a resident with low blood sugar?
Fever
Weakness
Sour breath
Frequent urination
When preparing to shower a resident, what should the nurse aide do next after checking the water temperature?
Give the resident a washcloth to hold
Suggest the resident wash his or her face
Ask the resident to check the water temperature
Check if the resident wants a partial or full shower
When a resident has an indwelling urinary catheter, the nurse aide should expect that the residents care plan will include
limiting activity by keeping the resident on bedrest.
emptying the urinary drainage bag every two-hours.
keeping the area where the catheter enters the body clean.
toileting the resident every two hours for bladder retraining.
While eating lunch, hot tea splashes on a residents hand. The nurse aides 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.
The normal appearance of urine is
clear.
cloudy.
dark yellow.
strong smelling.
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 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 noncompliance.
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 great-granddaughter? Your daughter just turned 60.
What do you like to do with your daughter when she gets home from school?
A nurse aide finds a resident who has a history of falls lying on the floor in the residents room. The resident is crying and says, I fell again. What should the nurse aide do first?
Call for help while keeping the resident calm.
Check for injuries while asking how the resident fell.
Place a pillow under the residents head and cover with a blanket.
Consider if the resident is trying to get attention.
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 residents shoe-fit
The residents pulse rate
The way the resident walks
The color of the residents toes
Which foods are found on a high protein diet?
Pasta and rice
Meat and eggs
Fruits and vegetables
Whole grains and milk products
While watching the residents in the dining room, a nurse aide notices that a resident is eating very little lunch. It is most important that the nurse aide
check if the resident was snacking before the meal.
ask if the resident would like something else to eat.
remind the resident that dinner is several hours away.
check when the resident last had a bowel movement.
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 residents bladder
Tucked at the residents side on the seat of the chair to keep the drainage bag level with the residents bladder
Hung from back of the wheelchair so that it is out of the residents view and above the bladder
Attached to the seat of the wheelchair, positioned below the level of the residents bladder
To help prevent burns to residents during meals, the nurse aide should
place a clothing protector on the resident.
wait to serve the food until hot food is cold.
add ice to any hot liquids, such as coffee or soup.
let residents know which foods and beverages are hot.
Sundowning is a term used to describe when residents
take short naps throughout the day.
show signs of Alzheimers at a younger age.
prefer to go to bed earlier in the evening.
become restless and agitated late in the day.
When a resident is not able to stand, the residents 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 residents height and subtracting an inch for age-related shrinkage.
taking the measurement from head to heels while the resident is flat in bed.
A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aides 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 residents shoe and inspect the foot.
Which of the following best describes the daily routine needs of residents with dementia?
It is important that the residents 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.