This covers basic patient care tasks, including bathing, grooming, feeding, and medication and mobility assistance.
You are assisting a patient with eating and know that the patient has orders for a clear liquid diet for a colonoscopy tomorrow. What would you expect to be on the patient’s tray?
Clear liquids are liquids that can be “seen through” at room temperature (72-78 degrees Fahrenheit). Liquids such as soup or milk are not clear and should be avoided on a clear liquid diet. Although jello is hardened at lower temperatures, at room temperature it is a liquid.
Clear liquids are liquids that can be “seen through” at room temperature (72-78 degrees Fahrenheit). Liquids such as soup or milk are not clear and should be avoided on a clear liquid diet. Although jello is hardened at lower temperatures, at room temperature it is a liquid.
You are assisting a resident in shaving his face. Which of the following is a correct step in shaving the face?
When shaving the face, the aide should first wash the face with warm water to soften the hair. After applying shave cream the aide should use short strokes to shave the face while shaving in the direction of hair growth. The blade should be rinsed between every stroke.
When shaving the face, the aide should first wash the face with warm water to soften the hair. After applying shave cream the aide should use short strokes to shave the face while shaving in the direction of hair growth. The blade should be rinsed between every stroke.
A patient’s care plan states that he is a two person assist and must use a hoyer lift. Which transfer are you most likely making with the hoyer lift?
A hoyer lift is generally used to transfer a patient from the bed to a chair and vice versa. The patient in need of the hoyer lift is usually immobile. The patient is a two person assist, meaning two persons should assist him while using the hoyer lift. This ensures the safety of the patient.
A hoyer lift is generally used to transfer a patient from the bed to a chair and vice versa. The patient in need of the hoyer lift is usually immobile. The patient is a two person assist, meaning two persons should assist him while using the hoyer lift. This ensures the safety of the patient.
You have a resident with Alzheimer’s disease who is refusing to eat any of her dinner. What is your response to her?
Forcing a patient into eating is unhealthy. Alzheimer’s patients sometimes refuse to eat or even forget that eating is a necessary part of living. The aide should ascertain why the patient does not want to eat. Does she like the food? Is it too hot or too cold? The CNA can then report this to the nurse in charge.
Forcing a patient into eating is unhealthy. Alzheimer’s patients sometimes refuse to eat or even forget that eating is a necessary part of living. The aide should ascertain why the patient does not want to eat. Does she like the food? Is it too hot or too cold? The CNA can then report this to the nurse in charge.
Which of the following should be considered when providing hair care to residents?
It is important to be cognizant of one’s race and culture when providing hair care to residents. The aide should ask questions and inquire about the resident’s preference and needs when it comes to their hair. Hair care varies tremendously between races and cultures.
It is important to be cognizant of one’s race and culture when providing hair care to residents. The aide should ask questions and inquire about the resident’s preference and needs when it comes to their hair. Hair care varies tremendously between races and cultures.
You have a patient that is mostly independent with her care and needs you as a standby assist. She is very slow at dressing and providing oral hygiene. How do you approach this?
It is important that you are patient and kind to the patient, not making them feel as though they are a burden to you. As we age our reaction time is slowed significantly and those neuro cells are never replaced. It is normal for even an independent elderly patient to perform tasks slowly.
It is important that you are patient and kind to the patient, not making them feel as though they are a burden to you. As we age our reaction time is slowed significantly and those neuro cells are never replaced. It is normal for even an independent elderly patient to perform tasks slowly.
You have a patient that has had a stroke that has residual left sided weakness. He asks you to assist him with dressing him. How should you assist him?
When helping a patient that has suffered a stroke and has unilateral weakness, the aid should assist the patient by standing on the patient’s weaker side to assist them with dressing. This helps ensure that if the patient were to become weak, you are on their weaker side to assist them. This patient is needing light assistance, so having the patient sit or lie down is not necessary.
When helping a patient that has suffered a stroke and has unilateral weakness, the aid should assist the patient by standing on the patient’s weaker side to assist them with dressing. This helps ensure that if the patient were to become weak, you are on their weaker side to assist them. This patient is needing light assistance, so having the patient sit or lie down is not necessary.
The focus of providing ADLs in your patients include the following except
Comfort, safety, and dignity/respect should be your top priority when caring for patients as a CNA. It can be a challenge for a patient when they can no longer provide care to themselves, especially when it comes to the more sensitive care like bathing. Ensuring dignity is a priority as a CNA. Comfort can range from a lot of things like ensuring the water is warm and not too hot/ cold to combing a patient’s hair the way she likes it.
Comfort, safety, and dignity/respect should be your top priority when caring for patients as a CNA. It can be a challenge for a patient when they can no longer provide care to themselves, especially when it comes to the more sensitive care like bathing. Ensuring dignity is a priority as a CNA. Comfort can range from a lot of things like ensuring the water is warm and not too hot/ cold to combing a patient’s hair the way she likes it.
You have a patient experiencing dysphagia and must be on a dysphagia diet. You are assisting the patient with feeding. What type of diet would you expect this patient to be on?
Dysphagia means trouble swallowing. A dysphagia diet should consist of soft and/or moist food to help the patient swallow it better. Sometimes patients on a dysphagia diet will also require thickened liquids so that the patient does not choke on thin liquids.
Dysphagia means trouble swallowing. A dysphagia diet should consist of soft and/or moist food to help the patient swallow it better. Sometimes patients on a dysphagia diet will also require thickened liquids so that the patient does not choke on thin liquids.
You are applying lotion to a patient’s skin upon request. Which part of the body should you avoid applying lotion?
Applying lotion to the toes creates a medium for bacterial growth. Further, if the feet stay wet and moist because of the lotion, skin breakdown may occur and cause foot ulcers and infections. Keeping the toes dry is the best way to decrease risk for infection.
Applying lotion to the toes creates a medium for bacterial growth. Further, if the feet stay wet and moist because of the lotion, skin breakdown may occur and cause foot ulcers and infections. Keeping the toes dry is the best way to decrease risk for infection.
You are assisting a patient with ambulating with a gait belt. The patient is starting to fall. What should you as the aide do?
Using proper body mechanics you should grab the gait belt and gently lower the patient to the ground. You should use your legs to bear most of the weight so that you do not harm your back. You should never lean forward to try to catch the patient. This can cause you to harm yourself.
Using proper body mechanics you should grab the gait belt and gently lower the patient to the ground. You should use your legs to bear most of the weight so that you do not harm your back. You should never lean forward to try to catch the patient. This can cause you to harm yourself.
You have a patient that does not drink adequate fluids. The patient is at risk for all of the following except
A patient who does not drink adequate fluids is at high risk for dehydration. Patients with dehydration are at risk for mouth sores, bad breath, skin breakdown, and tooth decay.
A patient who does not drink adequate fluids is at high risk for dehydration. Patients with dehydration are at risk for mouth sores, bad breath, skin breakdown, and tooth decay.
You are assisting a diabetic patient with eating and he only finished 25% of his meal. What should you do?
This should be reported promptly to the nurse in charge. A diabetic patient may receive insulin before each meal. If the nurse gave a patient insulin and the patient did not finish his/her meal, the patient may suffer a hypoglycemic episode. Offering a patient his/ her favorite snack may be beneficial.
This should be reported promptly to the nurse in charge. A diabetic patient may receive insulin before each meal. If the nurse gave a patient insulin and the patient did not finish his/her meal, the patient may suffer a hypoglycemic episode. Offering a patient his/ her favorite snack may be beneficial.
You have a patient that is on a bowel regimen but he has not had a bowel movement in 4 days. What is your next step?
Report this to the nurse in charge. Your patient most likely has a history of constipation. A bowel regimen means that a patient is on medications on a schedule to keep their bowels moving. If the patient is not having bowel movements they could potentially have a bowel blockage. It is not within the aide’s scope of practice to provide medications to the patient.
Report this to the nurse in charge. Your patient most likely has a history of constipation. A bowel regimen means that a patient is on medications on a schedule to keep their bowels moving. If the patient is not having bowel movements they could potentially have a bowel blockage. It is not within the aide’s scope of practice to provide medications to the patient.
You are assisting a resident with ambulation. This patient uses a cane for ambulation. How should you assist this patient?
A patient should hold the cane on their stronger side. Therefore, as the aide ambulating the patient, you should stand on the patient’s weaker side. This helps the aide assist the patient if the patient were to fall toward their weaker side.
A patient should hold the cane on their stronger side. Therefore, as the aide ambulating the patient, you should stand on the patient’s weaker side. This helps the aide assist the patient if the patient were to fall toward their weaker side.
You have a patient who usually takes longer than other patients to eat lunch. Her physical therapy sessions are after lunch. The physical therapist has stated that the patient is unable to complete her full 60 minutes of PT daily. What should you do?
It is important for patients to receive their full time for physical therapy. If the patient is missing most of her PT sessions it is necessary for the aid to take her to lunch earlier to allow her adequate time to eat and perform PT.
It is important for patients to receive their full time for physical therapy. If the patient is missing most of her PT sessions it is necessary for the aid to take her to lunch earlier to allow her adequate time to eat and perform PT.
You have a patient that only likes to shower once weekly. It is important for you to realize what?
As healthcare workers we often forget that there are cultural differences in things such as bathing. Healthcare professionals see lots of dirty things so our minds can think “dirty” a lot. However, it is important to remember that there are cultural differences in such things as bathing and the patient may not feel as though she is dirty. Her culture may not “allow” her to bathe but once weekly. It is important to speak to the patient and build a rapport with her to figure out her reasoning behind her bathing beliefs. This way she does not feel as though you are trying to force her into anything.
As healthcare workers we often forget that there are cultural differences in things such as bathing. Healthcare professionals see lots of dirty things so our minds can think “dirty” a lot. However, it is important to remember that there are cultural differences in such things as bathing and the patient may not feel as though she is dirty. Her culture may not “allow” her to bathe but once weekly. It is important to speak to the patient and build a rapport with her to figure out her reasoning behind her bathing beliefs. This way she does not feel as though you are trying to force her into anything.
You have an 85 year old patient that you suspect is in pain. You know that indications of pain can include which of the following except?
Which of the following patients would you most likely use a soft toothette on?
Soft toothettes are typically used for unconscious patients. The aid should have the patient lying in a lateral position to provide oral care. The lateral position significantly reduces the risk of aspiration while providing oral care.
Soft toothettes are typically used for unconscious patients. The aid should have the patient lying in a lateral position to provide oral care. The lateral position significantly reduces the risk of aspiration while providing oral care.
You are providing education to a female resident about proper perineal care to promote self care. You explain to your patient that it is important to wipe from the front to the back to prevent bacteria from spreading from the rectum to the what?
The meatus houses the urethral opening. Wiping from the back to the front can cause bacteria from the rectum to spread to the urethral opening causing a urinary tract infection. Education on proper hygiene is essential to patients, especially older adults who are more prone to UTIs.
The meatus houses the urethral opening. Wiping from the back to the front can cause bacteria from the rectum to spread to the urethral opening causing a urinary tract infection. Education on proper hygiene is essential to patients, especially older adults who are more prone to UTIs.