Which of the following statements is true about how people experience pain?
Pain is usually worse in the morning.
Residents with dementia do not feel pain
A persons culture can affect response to pain.
Younger people handle pain better than older adults.
Correct Answer :
C. A persons culture can affect response to pain.
Related Questions
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.
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.
Before helping a resident to stand who has been lying in bed, the nurse aide needs to
find out what the resident plans to do for the day.
make sure a walker is available for support in case it is needed.
ask if the resident has taken any medication recently.
allow time for the resident to adjust to sitting at the edge of the bed.
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 departments kitchen.
Remind the resident that the nursing home prepares her meals.
Ask the resident about her husbands favorite dinners.
Explain gently that the residents husband is dead.
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 biohazard-safe trash can.
avoid contact with the outside of the gloves.
keep germs in the trash can area.
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 residents 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.
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 residents room.
Distract the resident by asking about the residents 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.
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.
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.
The nurse aide is bathing a resident and notices new swelling in the residents ankles. Which of the following is the best response by the nurse aide?
Ask if the resident has been eating salty foods lately.
Elevate the residents legs and check again later.
Report the swelling to the charge nurse.
Avoid bathing the residents lower legs.
When a residents husband begins telling the nurse aide how to care for his wife, the nurse aide should
accept that the husband has always been in charge.
explain that the nurse aide is certified and able to care for his wife.
suggest that the husband participate in his wifes resident care conference.
understand that the husband wants staff aware of his wifes needs.
A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels dizzy. The nurse aide should
hold the gait belt tighter and ask the resident to rest for a minute.
suggest the resident lean on the nurse aide for more support.
guide the resident over to the handrail and ask to hold.
ease the resident to the floor if a chair is not available.
When moving a resident in bed, a lift or turning sheet may be used to help prevent
atrophy.
shearing.
infections.
contractures.
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 is admitted to the nursing home for rehabilitation after a stroke. The plan is for the resident to stay only a short time, before returning home. Which of the following shows the best support of the residents needs?
Provide total care for the resident.
Set high standards for the residents achievements.
Help the resident focus on even small accomplishments.
Remind the resident that she will be happier when she is home.
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.
When a person is receiving end-of-life care, the residents care plan is likely to include
ways to best provide for the comfort of the resident.
exercises to help improve the residents strength.
frequent observation to help prevent confusion.
instructions for providing post-mortem care.
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 residents care plan provides the nurse aide with information about
the financial arrangements made for the residents care.
specific care required for the resident and the goals of care.
facility procedures for performing different nursing care procedures.
the nurse aides assignments and when care is provided to each resident.
According to Standard Precautions, the nurse aide should wear gloves for which of the following procedures?
Getting linen from a linen cart
Removing soiled linen from a bed
Performing range of motion exercises
Transferring a resident to a shower chair
While performing range of motion exercises, the nurse aide notices that the residents 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.
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.
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
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
The nurse aide is taking routine vital signs on a resident. The residents temperature is 101.4� Fahrenheit. The most appropriate response by the nurse aide is to
place a cool, wet washcloth to the residents forehead.
cover the resident with extra blankets.
record and report the change at the end of the shift.
report the temperature promptly.
What is the best reason for giving frequent perineal care to residents?
It increases comfort.
It decreases sexual responses.
It helps prevent skin breakdown.
It prevents incontinence.
When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear
black.
green.
purple.
white.
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.
When providing foot care, the nurse aide observes an open sore on the residents foot. The nurse aide should
pat gently to dry and cover with a dry dressing before applying a sock.
stop the foot care immediately and ask the resident what happened.
report the skin opening to the charge nurse as soon as possible.
check the residents sock for any wound drainage.
Which action is most helpful to help decrease a residents incontinence?
Leaving the bedpan in place for extra time
Putting an incontinent brief on the resident
Answering the residents call light quickly
Controlling fluid intake throughout the day