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Nursing Assisting A Foundation in Caregiving 4th Edition Dugan Test Bank
Table of Contents
Preface v
Appendices
Appendix A Transparency Masters 181 Lesson Plans
Appendix B Handouts 235
- The Nursing Assistant in Long-Term Care 1
Appendix C Chapter Exams 287
- Ethical and Legal Issues 8
Appendix D Answer Key for Chapter Exams 349
- Communication Skills 15
Appendix E 2nd Set of Chapter Exams 361
- Communication Challenges 23
Appendix F Answer Key for 2nd Set of Chapter Exams 413
- Diversity and Human Needs and Development 29
Appendix G Final Exam 423
- Infection Prevention 35
Appendix H Answer Key for Final Exam 433
- Safety and Body Mechanics 45
Appendix I Workbook Answer Key and
Practice Exam Answer Key 437
- Nutrition and Fluid Balance
86
- The Gastrointestinal System 96
- The Urinary System 104
- The Reproductive System 110
- The Integumentary System 114
- The Circulatory or Cardiovascular System 120
- The Respiratory System 124
- The Musculoskeletal System 129
- The Nervous System 135
- The Endocrine System 148
- The Immune and Lymphatic Systems and Cancer 152
- Rehabilitation and Restorative Care 158
- Subacute Care 162
- End-of-Life Care 169
- Your New Position 175
- Emergency Care, First Aid, and Disasters 53
- Admission, Transfer, Discharge, and Physical Exams 59
- Bedmaking and Unit Care 64
- Positioning, Moving, and Lifting 69
- Personal Care 73
- Vital Signs 80
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1 1 The Nursing Assistant in Long-Term Care
- Define important words in this chapter
- Describe healthcare settings
- Explain Medicare and Medicaid
- Describe the residents in long-term care facilities
- Describe the nursing assistant’s role
- Discuss professionalism and list examples of professional behavior
- List qualities that nursing assistants must have
- Discuss proper grooming guidelines
- Define the role of each member of the care team
- Discuss the facility chain of command
- Explain The Five Rights of Delegation
- Describe methods of nursing care and discuss person-centered care
- Explain policy and procedure manuals
- Describe the long-term care survey process
Supplemental Tools TRANsPARENCy 1-1 FACTs AbouT MEDICARE AND
MEDICAID
TRANsPARENCy 1-2 REsIDENTs IN LTC FACILITIEs TRANsPARENCy 1-3 CHAIN oF CoMMAND
CHAPTER 1: EXAM
Assignments TEXTbooK READINg, PP. 1-16 woRKbooK EXERCIsEs, PP. 1-7 Overview of Teaching Strategies The purpose of the teaching strategy for this chapter is to describe various healthcare settings, with an emphasis on long-term care (LTC). Stu- dents will learn how LTC is paid for and will be introduced to the types of residents for whom they will care and the other members of the health- care team. The roles and functions of the nurs- ing assistant should be explained, along with the professional behavior expected in the healthcare setting. Students will also learn about the chain of command, as well as different methods of nursing care and the survey process. The person-directed care model is introduced and should be continually emphasized.
- Define important words in this chapter
Meeting the Learning Objective TEXTbooK PP. 1-3 woRKbooK P. 1
Lecture Pronounce and define each of the key terms listed in the Learning Objective.
- Describe healthcare settings
Meeting the Learning Objective TEXTbooK PP. 3-5 woRKbooK P. 1
Lecture Pronounce and define the following key terms: 2 / 4
2
• Long-term care • Skilled care • Chronic • Residents Discuss job opportunities for nursing assistants and the importance of this work. Give students a
brief description of long-term care, including:
• LTC facilities provide 24-hour skilled care • LTC assists people with ongoing, chronic medi- cal conditions • Other terms for LTC facilities Emphasize that the LTC facility is the resident’s home, and the resident’s room must be treated with respect.Define and briefly describe each of the following
healthcare settings and terms:
• Assisted living • Home health care • Adult day services • Sandwich generation • Inter-generational care • For people 65 or older or who have disabilities and illnesses • 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 compa- nies to provide Medicare benefits.• Part D helps pay for medications prescribed for treatment.
Describe facts about Medicaid:
• Funded by both federal government and each state • Eligibility determined by income and special circumstances.• People must qualify for Medicaid.Describe long-term care coverage under Medicare
and Medicaid:
• Pays LTC facilities a fixed amount for services • Services are based on the resident’s needs upon admission.• Acute care • Subacute care • Outpatient care • Rehabilitation • Hospice care • Animal-assisted therapy (AAT)
- Explain Medicare and Medicaid
Meeting the Learning Objective TEXTbooK P. 5 woRKbooK PP. 1-2
Lecture
- Describe the residents in long-term care
facilities Meeting the Learning Objective TEXTbooK PP. 5-6 woRKbooK P. 2
Lecture Emphasize to students that understanding each individual in their care is more important than understanding the entire population.
Pronounce and define the following key terms:
• Length of stay • Dementia
Pronounce and define the following key terms:
• Medicare • Medicaid
Display Transparency 1-1 FACTs AbouT MEDICARE AND MEDICAID
Describe Medicare coverage:
Display Transparency 1-2 REsIDENTs IN LTC FACILITIEs Discuss these facts about residents in long-term
care facilities in the U.S.:
• 88% are over 65 • 71% are female 3 / 4
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• More than 90% are white and non-Hispanic • About 1/3 come from a private residence • Over 50% come from a hospital Discuss length of stay and the reasons residents with different lengths of stay might be in an LTC facility.These facts are true of residents in LTC with a
length of stay of six months or more:
• Over 2/3 of residents • Require 24-hour care • Did not have caregivers available to give enough care at home These facts are true of residents with a length of
stay of less then six months:
• May be admitted for terminal care (will die in facility) • May be admitted for rehabilitation or temporary illness (will recover and return to community) Stress that different kinds of care is needed in a fa- cility. Note that many residents in LTC lack outside support, and emphasize the importance of caring • Measuring vital signs (temperature, pulse, respiration, blood pressure, and observing and reporting pain levels) • Helping residents with toileting needs • Assisting with mouth care • Giving back rubs • Observing and reporting changes in conditions and complaints • Helping residents move safely around facility • Caring for supplies and equipment Describe tasks that nursing assistants do not
perform:
• Inserting or removing tubes • Giving tube feedings • Changing sterile dressings • Giving medications
- Discuss professionalism and list
- Describe the nursing assistant’s role
examples of professional behavior Meeting the Learning Objective for the whole person. TESTBANKSELLERT.EXCTbOoMoK PP. 7-8 woRKbooK PP. 2-3
Meeting the Learning Objective TEXTbooK PP. 6-7 woRKbooK P. 2
Lecture
Pronounce and define the following key terms:
• Nursing assistant (NA) • Activities of daily living (ADLs)
Discuss two ways NAs provide services for residents:
• Performing assigned nursing tasks • Providing personal care or assisting with self-care
Describe common nursing assistant tasks:
• Serving trays and feeding residents • Helping residents dress and undress • Bathing, shampooing, and shaving residents • Bedmaking • Tidying living areas
Lecture
Pronounce and define the following key term:
• Professionalism Discuss important points about professional be-
havior guidelines, including the following:
• Being clean and neatly dressed and groomed • Not discussing personal problems with residents • Being at work on time and avoiding absences • Not leaving work early without permission • Not reporting to work under the influence of ille- gal drugs and/or alcohol • Keeping a positive attitude • Not gossiping about coworkers • Being polite and respectful • Addressing residents and visitors in the way they wish to be addressed • Not using profanity • Keeping resident information confidential • Following procedures and policies
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