1. Define important words in this chapter

1
1. Define important words in this chapter

• accountable
• answerable for ones actions.
• activities of daily living (ADLs)
• personal daily care tasks, including bathing,
  skin, nail, and hair care, walking, eating and
  drinking, mouth care, dressing, transferring, and
  toileting.
• acute care
• 24-hour skilled care for short-term illnesses or
  injuries generally given in hospitals and
  ambulatory surgical centers.
• adaptive devices
• special equipment that helps a person who is ill
  or disabled perform ADLs also called assistive
  devices.

2
1. Define important words in this chapter

• adult daycare
• care given to adults at a facility during
  daytime work hours.
• assisted living
• a residence for people who require some help
  with daily care, but who need less care than a
  long-term care facility offers.
• assistive devices
• special equipment that helps a person who is ill
  or disabled perform ADLs also called adaptive
  devices.
• care team
• the group of people with different kinds of
  education and experience who provide resident
  care.

3
1. Define important words in this chapter

• chain of command
• the order of authority within a facility.
• charge nurse (nurse-in-charge)
• a nurse responsible for a team of healthcare
  workers.
• chronic
• the term for an illness or condition that is
  long-term or long-lasting.
• cite
• in a long-term care facility, to find a problem
  through a survey.

4
1. Define important words in this chapter

• conscientious
• guided by a sense of right and wrong
  principled.
• continuity of care
• coordination of care for a resident over time,
  during which the care team is always exchanging
  information about the resident and working toward
  shared goals.
• courteous
• polite, kind, considerate.
• delegation
• transferring authority to a person for a
  specific task.

5
1. Define important words in this chapter

• dementia
• a serious, progressive loss of mental abilities
  such as thinking, remembering, reasoning, and
  communicating.
• diagnosis
• the identification of a disease by its signs and
  symptoms and from the results of different tests.
• empathetic
• identifying with and understanding anothers
  feelings.
• first impression
• a way of classifying or categorizing people at
  the first meeting.

6
1. Define important words in this chapter

• functional nursing
• method of care assigning specific tasks to each
  team member.
• holistic
• care that involves the whole person this
  includes his or her physical, social, emotional,
  and spiritual needs.
• home health care
• care that takes place in a persons home.
• hospice care
• care for people who have approximately six
  months or less to live care is available until
  the person dies.

7
1. Define important words in this chapter

• inter-generational care
• mixing children and the elderly in the same care
  setting.
• Joint Commission
• a not-for-profit organization that evaluates and
  accredits different types of healthcare
  facilities.
• length of stay
• the number of days a person stays in a
  healthcare facility.
• liability
• a legal term that means a person can be held
  legally responsible for harming someone else.

8
1. Define important words in this chapter

• licensed practical nurse (LPN) or licensed
  vocational nurse (LVN)
• licensed nurse who has completed one to two
  years of education LPN/LVN administers
  medications, gives treatments, and may supervise
  daily care of residents.
• long-term care
• 24-hour care provided for people with ongoing
  conditions who are generally unable to manage
  their ADLs.
• nursing assistant
• person who performs assigned nursing tasks and
  gives personal care.
• outpatient care
• care usually given for less than 24 hours to
  people who have had treatments, procedures, or
  surgery.

9
1. Define important words in this chapter

• pet therapy
• the practice of bringing pets into a facility or
  home to provide stimulation and companionship.
• policy
• a course of action to be followed.
• primary nursing
• method of care in which the registered nurse
  gives much of the daily care to residents.
• procedure
• a method, or way, of doing something.

10
1. Define important words in this chapter

• professionalism
• the act of behaving properly for a certain job.
• registered nurse (RN)
• a licensed nurse who has completed two to four
  years of education RNs assess residents, create
  the care plan, monitor progress, provide skilled
  nursing care, give treatments, and supervise the
  care given by nursing assistants and other
  members of the care team.
• rehabilitation
• a program of care given by a specialist or a
  team of specialists to restore or improve
  function after an illness or injury.
• resident
• a person living in a long-term care facility.

11
1. Define important words in this chapter

• resident-focused care
• method of care in which the resident is the
  primary focus residents and their families
  actively participate in care, and their choices
  are honored by caregivers whenever possible.
• sandwich generation
• people responsible for the care of both their
  children and aging relatives.
• skilled care
• medically-necessary care given by a skilled
  nurse or therapist.
• subacute care
• care for an illness or condition given to people
  who need less care than for an acute (sudden
  onset, short-term) illness or injury but more
  than for a chronic (long-term) illness.

12
1. Define important words in this chapter

• team leader
• a nurse in charge of a group of residents for
  one shift of duty.
• team nursing
• method of care in which a nurse acts as a leader
  of a group of people giving care.
• trustworthy
• deserving the trust of others.

13
2. Describe healthcare settings

• Nursing assistants have a very important job and
  many career opportunities. Your work will make a
  difference in the lives of many people.
• Facts about long-term care (LTC)
• Long-term care facilities provide 24-hour skilled
  care.
• Long-term care assists people with ongoing,
  chronic medical conditions.
• Other terms for LTC facilities include the
  following nursing homes, nursing facilities,
  skilled nursing facilities, extended care
  facilities

14
2. Describe healthcare settings

• Define the following terms
• long-term care
• 24-hour care provided for people with ongoing
  conditions who are generally unable to manage
  their ADLs.
• skilled care
• medically-necessary care given by a skilled
  nurse or therapist.
• chronic
• the term for an illness or condition that is
  long-term or long-lasting.
• resident
• a person living in a long-term care facility.

15
2. Describe healthcare settings

• REMEMBER
• The LTC facility is the residents home.
• The residents room must be treated with respect.

16
2. Describe healthcare settings

• Think about this question
• How would you feel if someone touched your
  personal
• belongings or moved your things around without
  asking?

17
2. Describe healthcare settings

• Define the following terms
• assisted living
• a residence for people who require some help with
  daily care, but who need less care than a
  long-term care facility offers.
• home health care
• care that takes place in a persons home.
• adult daycare
• care given to adults at a facility during daytime
  work hours.
• sandwich generation
• people responsible for the care of both their
  children and aging relatives.

18
2. Describe healthcare settings

• Define the following terms
• inter-generational care
• mixing children and the elderly in the same care
  setting.
• acute care
• 24-hour skilled care for short-term illnesses or
  injuries generally given in hospitals and
  ambulatory surgical centers.
• subacute care
• care for an illness or condition given to people
  who need less care than for an acute (sudden
  onset, short-term) illness or injury but more
  than for a chronic (long-term) illness.
• outpatient care
• care usually given for less than 24 hours to
  people who have had treatments, procedures, or
  surgery.

19
2. Describe healthcare settings

• Define the following terms
• rehabilitation
• a program of care given by a specialist or a team
  of specialists to restore or improve function
  after an illness or injury.
• hospice care
• care for people who have approximately six months
  or less to live care is available until the
  person dies.
• pet therapy
• the practice of bringing pets into a facility or
  home to provide stimulation and companionship.

20
3. Explain Medicare and Medicaid

• Medicare is a health insurance program for people
• who are 65 or older
• who are under 65 but are disabled and cannot
  work
• Medicare will only pay for care that it deems
  medically necessary.

21
Transparency 1-1 Facts about Medicare and
Medicaid

• Medicare
• Medicare is for people 65 or older and people
  under 65 who are disabled and cannot work.
• Part A helps pay for care in a hospital or
  skilled nursing facility or for care from a home
  health agency or hospice.
• Part B helps pay for doctor services and other
  medical services and equipment.
• Part C allows private health insurance
  companies to provide Medicare benefits.
• Part D helps pay for medications prescribed for
  treatment.
• Medicaid
• Medicaid is a medical assistance program for
  low-income people.
• People qualify based on income and special
  circumstances.

22
4. Describe the residents for whom you will care

• REMEMBER
• Understanding each individual in your care is far
  more important than understanding facts about the
  entire population.

23

• Transparency 1-2 Residents in LTC Facilities

• Residents in LTC facilities
• Over 88 are over 65.
• Over 71 are female.
• More than 85 are Caucasian.
• About 1/3 come from a private residence.
• Over 64 come from a hospital or other facility.

24
4. Describe the residents for whom you will care

• Define the following terms
• length of stay
• the number of days a person stays in a
  healthcare facility.
• dementia
• a serious, progressive loss of mental abilities
  such as thinking, remembering, reasoning, and
  communicating.

25
5. Describe the nursing assistants role

• Define the following terms
• nursing assistant
• person who performs assigned nursing tasks and
  gives personal care.
• activities of daily living (ADLs)
• personal daily care tasks, including bathing,
  skin, nail, and hair care, walking, eating and
  drinking, mouth care, dressing, transferring, and
  toileting.

26
5. Describe the nursing assistants role

• Common nursing assistant tasks include
• Serving trays and feeding residents
• Helping residents dress and undress
• Bathing, shaving, and shampooing residents
• Bedmaking
• Tidying living areas
• Measuring vital signs, including temperature,
  pulse, respiration, blood pressure and observing
  and reporting pain levels

27
5. Describe the nursing assistants role

• Common nursing assistant tasks include (contd.)
• Helping residents with toileting
• Assisting with mouth care
• Giving back rubs
• Observing and reporting changes in conditions and
  complaints
• Helping residents move safely around facility
• Caring for equipment

28
5. Describe the nursing assistants role

• Tasks which nursing assistants usually do not
  perform include
• Giving medications
• Inserting or removing tubes
• Giving tube feedings
• Changing sterile dressings

29
5. Describe the nursing assistants role

• REMEMBER
• Nursing assistants can have different titles,
  such as nurse aide, patient care technician,
  health care assistant, etc.

30
6. Discuss professionalism and list examples of
professional behavior

• Define the following term
• professionalism
• the act of behaving properly for a certain job.

31
6. Discuss professionalism and list examples of
professional behavior

• Understanding how to be professional is a key
  step to success for a nursing assistant.
• Professionalism has to do with behaving properly
  on the job.

32
6. Discuss professionalism and list examples of
professional behavior

• As a nursing assistant, you must practice the
  following professional behavior
• Be neatly dressed, groomed, and clean.
• Do not discuss personal problems with residents.
• Be at work on time and avoid unnecessary
  absences.
• Never leave work early without permission.
• Do not report to work under the influence of
  drugs and/or alcohol
• Keep a positive attitude.
• Do not gossip about co-workers.

33
6. Discuss professionalism and list examples of
professional behavior

• Professional behavior for nursing assistants
  (contd.)
• Be polite and respectful.
• Address residents and visitors in the way they
  wish to be addressed.
• Do not curse.
• Keep resident information confidential.
• Follow procedures and policies.
• Report problems to your supervisor.
• Maintain educational requirements.

34
6. Discuss professionalism and list examples of
professional behavior

• Professional behavior for nursing assistants
  (contd.)
• Ask questions when you do not understand
  something.
• Be honest and document carefully.
• Accept and learn from constructive criticism.
• Do not accept tips or gifts.
• Be loyal to your facility and be a good role
  model.

35
6. Discuss professionalism and list examples of
professional behavior

• REMEMBER
• Whenever you are unsure about care, be sure to
  ask questions or to review the policy manual
  about policies or procedures you do not
  understand.

36
7. List qualities that nursing assistants must
have

• Think about these questions
• The best nursing assistants have certain traits.
  As you review these traits, ask yourself, Do I
  have these traits? and, Is there a way I can
  better develop them?

37
7. List qualities that nursing assistants must
have

• Define the following terms
• trustworthy
• deserving the trust of others.
• conscientious
• guided by a sense of right and wrong principled.
• courteous
• polite, kind, considerate.
• empathetic
• identifying with and understanding anothers
  feelings.

38
7. List qualities that nursing assistants must
have

• Define the following terms
• accountable
• answerable for ones actions.

39
7. List qualities that nursing assistants must
have

• Nursing assistants should be
• Patient and understanding
• Honest and trustworthy
• Conscientious
• Enthusiastic
• Courteous and respectful

40
7. List qualities that nursing assistants must
have

• Nursing assistant traits (contd.)
• Empathetic
• Dependable and responsible
• Humble and open to growth
• Tolerant
• Unprejudiced

41
7. List qualities that nursing assistants must
have

• Think about these questions
• Choose one of the qualities that nursing
  assistants must have. Can you imagine a
  situation on the job where that quality is
  needed? Can you describe a time that you used
  that quality in a previous job, or in your
  personal life?

42
8. Discuss proper grooming guidelines

• Making a good first impression is very important,
  and proper grooming is an essential part of
  making a good first impression.
• Do these things to be properly groomed
• Keep uniform clean and neat.
• Bathe and wear deodorant every day.
• Brush teeth at least twice a day.
• Avoid strongly-scented items.
• Keep hair neatly tied back.

43
8. Discuss proper grooming guidelines

• Do these things to be properly groomed (contd.)
• Keep beards trimmed and neat.
• Apply makeup lightly.
• Keep nails short, filed, and clean. Do not wear
  artificial nails.
• Keep shoes and laces clean and in good condition.
• Wear as little jewelry as possible, except for a
  simple waterproof watch and identification badge.

44
8. Discuss proper grooming guidelines

• REMEMBER
• Keep in mind that residents may be allergic to
  certain scents. Heavy perfumes or scents should
  be avoided. This is an important part of meeting
  residents needs.

45
9. Define the role of each member of the care team

• Define the following terms
• care team
• the group of people with different kinds of
  education and experience who provide resident
  care.
• registered nurse (RN)
• a licensed nurse who has completed two to four
  years of education RNs assess residents, create
  the care plan, monitor progress, provide skilled
  nursing care, give treatments, and supervise the
  care given by nursing assistants and other
  members of the care team.

46
9. Define the role of each member of the care team

• Define the following terms
• diagnosis
• the identification of a disease by its signs and
  symptoms and from the results of different tests.
• assistive devices
• special equipment that helps a person who is ill
  or disabled perform ADLs also called adaptive
  devices.

47
9. Define the role of each member of the care team

• The care team consists of many members who each
  play a different role. The resident is at the
  center of the care team.
• Members of the care team include
• Resident and residents family
• Nurse (RN, LPN or LVN)
• Advanced practice nurse
• Physician
• Medical social worker

48
9. Define the role of each member of the care team

• Members of the care team (contd.)
• Physical therapist
• Occupational therapist
• Registered dietitian
• Speech-language pathologist
• Activities director
• Nursing assistant

49
9. Define the role of each member of the care team

• REMEMBER
• The resident is the most important member of the
  care team.

50
10. Discuss the facility chain of command

• Define the following terms
• chain of command
• the order of authority within a facility.
• charge nurse (nurse-in-charge)
• a nurse responsible for a team of healthcare
  workers.
• liability
• a legal term that means a person can be held
  legally responsible for harming someone else.

51
Transparency 1-3 Chain of Command
52
11. Explain The Five Rights of Delegation

• Define the following term
• delegation
• transferring authority to a person for a specific
  task.

53
11. Explain The Five Rights of Delegation

• When planning care, nurses must decide which
  tasks to delegate to others.
• The Five Rights of Delegation are the
  following
• Right Task
• Right Circumstance
• Right Person
• Right Direction/Communication
• Right Supervision/Evaluation

54
11. Explain The Five Rights of Delegation

• Consider these questions before accepting a
  delegated task
• Do I have all the information I need to do this
  job? Are there questions I should ask?
• Do I believe that I can do this task? Do I have
  the necessary skills?
• Do I have the needed supplies, equipment, and
  other support?
• Do I know who my supervisor is, and how to reach
  him/her?
• Have I told my supervisor of my special needs for
  help and support?
• Do we both understand who is doing what?

55
11. Explain The Five Rights of Delegation

• REMEMBER
• Asking questions and asking for help when you
  need it will allow you to provide the best
  possible care.

56
11. Explain The Five Rights of Delegation

• Think about this question
• What could happen if you did not understand
  something you were asked to do, but did not ask
  for help?

57
12. Describe four methods of nursing care

• Define the following term
• holistic
• care that involves the whole person this
  includes his or her physical, social, emotional,
  and spiritual needs.

58
12. Describe four methods of nursing care

• The nursing profession takes a holistic approach
  to caring for residents, meaning caring for the
  whole person. This includes his or her physical
  needs as well as other needs, such as social,
  emotional, intellectual, and spiritual. Meeting
  all of these needs will improve the residents
  quality of life.

59
12. Describe four methods of nursing care

• Over the years, the nursing profession has seen
  many changes. Many types of nursing care have
  been used at facilities. Each facility chooses
  the type that provides the best care for their
  residents. Definitions for the different types
  of nursing care follow.

60
12. Describe four methods of nursing care

• Define the following terms
• resident-focused care
• method of care in which the resident is the
  primary focus residents and their families
  actively participate in care, and their choices
  are honored by caregivers whenever possible.
• team nursing
• method of care in which a nurse acts as a leader
  of a group of people giving care.
• team leader
• a nurse in charge of a group of residents for
  one shift of duty.

61
12. Describe four methods of nursing care

• Define the following terms
• primary nursing
• method of care in which the registered nurse
  gives much of the daily care to residents.
• continuity of care
• coordination of care for a resident over time,
  during which the care team is always exchanging
  information about the resident and working toward
  shared goals.
• functional nursing
• method of care assigning specific tasks to each
  team member.

62
13. Explain policy and procedure manuals

• Define the following terms
• policy
• a course of action to be followed.
• procedure
• a method, or way, of doing something.

63
13. Explain policy and procedure manuals

• All facilities have manuals outlining policies
  and procedures. These two manuals are usually
  kept together. The procedure manual serves as a
  guide if you want to review the steps in a
  procedure.

64
13. Explain policy and procedure manuals

• REMEMBER
• You should always ask questions or consult the
  policy manual or procedure manual when you are
  unsure of something.

65
14. Describe the long-term care survey process

• Define the following terms
• cite
• in a long-term care facility, to find a problem
  through a survey.
• Joint Commission
• a not-for-profit organization that evaluates and
  accredits different types of healthcare
  facilities.

66
14. Describe the long-term care survey process

• Inspections are done by the state agency that
  licenses facilities to make sure that facilities
  are following state and federal regulations.
  These inspections are called surveys.
• Inspections are done more often if a facility has
  been cited for problems. If the facility has a
  good record and has not been cited, inspections
  are done less often.

67
14. Describe the long-term care survey process

• The survey process includes the following
• Inspections are done periodically.
• Surveyors observe and interview residents and
  staff to find out how well residents needs are
  being met.
• Nursing assistants should answer any questions
  asked by surveyors to the best of their ability.
• If a nursing assistant does not know the answer
  to a question, he should say so and then find
  out.

68
14. Describe the long-term care survey process

• As previously mentioned, the Joint Commission is
  an independent, not-for-profit organization whose
  standards focus on improving the quality and
  safety of care provided. The Joint Commissions
  surveys are separate from state inspections.

69
14. Describe the long-term care survey process

• REMEMBER
• If a you are asked questions by surveyors during
  a survey and do not know the answer, be honest.
  Never guess. Tell the surveyor that you do not
  know the answer, but will find out as quickly as
  possible. Then check with your supervisor.

70
Exam

• Multiple Choice. Choose the correct answer.
• 1. Long-term care is offered in
• (A) Hospitals
• (B) Adult daycare facilities
• (C) Skilled nursing facilities
• (D) Ambulatory surgical centers
• 2. Residents in _____ are usually more
  independent and do not need skilled care.
• (A) Acute care facilities
• (B) Assisted living facilities
• (C) Subacute care facilities
• (D) Hospice settings

71
Exam (contd.)

• 3. Which of the following types of health care is
  generally for people who will die in six months
  or less?
• (A) Long-term care
• (B) Outpatient care
• (C) Inter-generational care
• (D) Hospice care
• 4. _____ is a health insurance program for people
  who are 65 years of age or older or who are ill
  or disabled and cannot work.
• (A) Medicare
• (B) Medicaid
• (C) CMS
• (D) Health and Human Services

72
Exam (contd.)

• 5. _____ is a medical assistance program for
  low-income people.
• (A) Medicare
• (B) Medicaid
• (C) CMS
• (D) HCFA
• 6. Medicare will pay for
• (A) All care requested by the recipient
• (B) All care requested by the doctor
• (C) All care requested by the facility
• (D) Only care that it determines to be medically
  necessary

73
Exam (contd.)

• 7. The amount that Medicare and Medicaid will pay
  long-term care facilities for services is based
  on
• (A) The residents income
• (B) The residents need upon admission
• (C) The size of the facility
• (D) Who the resident knows at the facility
• 8. The residents with the longest average stay in
  healthcare facilities are
• (A) Residents admitted for terminal care
• (B) Residents admitted for rehabilitation or
  temporary illness
• (C) Residents who are developmentally disabled
• (D) Residents with dementia

74
Exam (contd.)

• 9. Dementia is
• (A) Terminal illness
• (B) Loss of mental abilities
• (C) The number of days a person stays in a
  healthcare facility
• (D) Caring for the whole person
• 10. Most people in a facility are there due to
• (A) Lack of ability to care for themselves and
  the lack of a support system
• (B) Depression and lack of medication
• (C) Terminal illness
• (D) Temporary illness

75
Exam (contd.)

• 11. Which of the following is a task that nursing
  assistants commonly do?
• (A) Giving medication
• (B) Bathing residents
• (C) Changing sterile dressings
• (D) Giving tube feedings
• 12. Which of the following is a task that nursing
  assistants generally do not perform?
• (A) Shaving residents
• (B) Inserting tubes
• (C) Helping residents with toileting needs
• (D) Caring for equipment

76
Exam (contd.)

• 13. Professionalism is related to
• (A) How a person behaves at home
• (B) How a person behaves at work
• (C) How well a person performs on tests
• (D) How residents behave in a facility
• 14. A resident has purchased a special gift for
  her nursing assistant, Sarah. Which of the
  following would be the best response by Sarah?
• (A) Refuse but thank her for thinking of her
• (B) Accept because Sarah does not know her
  facilitys policy on gifts
• (C) Accept and ask the resident not to tell
  anyone
• (D) Refuse and tell her that her employer is very
  unfair about employees accepting gifts from
  residents

77
Exam (contd.)

• 15. One example of professional behavior by
  nursing assistants when working with residents
  is
• (A) Keeping all resident information confidential
• (B) Sharing funny stories about coworkers with
  the residents
• (C) Giving gifts to favorite residents
• (D) Asking residents for advice about personal
  problems
• 16. Which of the following is an example of how a
  nursing assistant is demonstrating that she is
  dependable?
• (A) The nursing assistant is never more than 10
  minutes late for work.
• (B) The nursing assistant performs tasks that she
  does not know how to do.
• (C) The nursing assistant avoids excessive
  absences from work.
• (D) The nursing assistant does not ask others for
  help.

78
Exam (contd.)

• 17. To hold oneself accountable means to
• (A) Admit mistakes and apologize for them
• (B) Always speak positively about the facility
• (C) Be able to work with people of many different
  backgrounds
• (D) Care about the problems of others
• 18. What does the term empathetic mean?
• (A) Empathetic means being alert around others.
• (B) Empathetic means being able to document
  honestly.
• (C) Empathetic means identifying with and
  understanding the feelings of others.
• (D) Empathetic means taking responsibility for
  ones own actions.

79
Exam (contd.)

• 19. Which of the following is a quality of the
  best nursing assistants?
• (A) Tolerance
• (B) Tardiness
• (C) Complaining
• (D) Ignoring constructive criticism
• 20. Which of the following will help a nursing
  assistant make a good first impression at work?
• (A) Bathing or taking a shower once a week
• (B) Using a pleasant perfume or after-shave
• (C) Keeping hair neatly tied back away from the
  face
• (D) Wearing artificial nails to work

80
Exam (contd.)

• 21. The best type of jewelry to wear to work is
• (A) A ring
• (B) A waterproof watch
• (C) A bracelet
• (D) A necklace
• 22. The most important member of the care team
  is
• (A) The nurse
• (B) The nursing assistant
• (C) The physician
• (D) The resident

81
Exam (contd.)

• 23. Which member of the care team assesses
  residents, monitors progress, and gives
  treatments?
• (A) The nurse
• (B) The nursing assistant
• (C) The medical social worker
• (D) The registered dietitian
• 24. Which member of the care team has the most
  direct contact with the residents?
• (A) The nursing assistant
• (B) The nurse
• (C) The physician
• (D) The activities director

82
Exam (contd.)

• 25. The chain of command is
• (A) A legal term meaning a person can be held
  responsible for harming someone else
• (B) The person in charge of the department for
  each shift
• (C) The line of authority in a facility
• (D) The department that a nursing assistant goes
  to if he wants to report a problem
• 26. In which style of nursing care are residents
  and their families active participants in care
  and have their choices honored by caregivers
  whenever possible?
• (A) Resident-focused care
• (B) Team nursing
• (C) Primary nursing
• (D) Functional nursing

83
Exam (contd.)

• 27. In which type of nursing care does the
  registered nurse give much of the overall care to
  the residents?
• (A) Resident-focused care
• (B) Team nursing
• (C) Primary nursing
• (D) Functional nursing
• 28. What is one possible negative result of the
  functional nursing style of care?
• (A) There are too many tasks to be completed
  effectively.
• (B) Nursing assistants may not be adequately
  trained for their tasks.
• (C) Staff may overlook changes in a residents
  condition.
• (D) Residents may get tired of seeing the same
  care team members every day.

84
Exam (contd.)

• 29. A policy is
• (A) A course of action that should be taken every
  time a certain situation occurs
• (B) A specific method of doing something
• (C) The chain of command within the facility
• (D) A reminder on how to complete a procedure
• 30. Which of the following is the correct
  response by a nursing assistant if he forgets how
  to perform a procedure?
• (A) Review the steps of the procedure in the
  procedure manual
• (B) Act confident and perform the procedure
  anyway
• (C) Check with the residents family for help
• (D) Ask the resident for help in remembering how
  to perform the procedure

85
Exam (contd.)

• 31. If a surveyor asks a nursing assistant a
  question, the nursing assistant should
• (A) Answer honestly and to the best of her
  ability
• (B) Offer suggestions for making improvements in
  the facility
• (C) Refuse to answer any questions
• (D) Make up an answer if she does not know it