Question

A patient is refusing to leave the Dining Room. You observe another staff member grab the patient around the waist and forcibly remove the patient from the chair. You recognize this as?
A HIPAA violation
An acceptable intervention, as it was time for the patient to leave
Battery
A boundary violation
An employee of the Long Term Care facility forgets to lock the wheels on a patient's wheelchair, resulting in a fall with injuries. This could potentially result in the employee being charged with?
Malpractice
Assault
Emotional Abuse
Negligence
You suspect that a patient you are providing cares for is being abused by a family member. What is your priority action?
Report it to whoever takes your report at the change of shift
Report it to your Charge Nurse immediately
Report it to the police
Confront the suspected abuser
Failing to provide something necessary for health and safety, such as food, medicine, shelter, or personal care is?
A Rights Violation
Psychological Abuse
Neglect
Physical Abuse
You witness another staff member threaten a resident with punishment for refusing to take their medications. You recognize this as?
A very effective intervention in disciplining elderly patients
A rights violation
Verbal abuse
Acceptable, if done in the right tone of voice
You observe the unit Nurse Manager acting in a negligent manner. What action should you take?
Follow the facilities chain of command to determine who you should report this behavior to.
Call the Doctor in charge of the patient
Confront the Nurse Manager yourself
Call the patients family and report the Nurse Manager
Which of the following is considered the most prevalent type of accident experienced by older adults?
Burns
Asphyxiation
Falls
Motor vehicle accidents
You are assisting a patient, who is identified as a fall risk, from the bed to the commode. What would you tell this patient ?
I need to put on the transfer belt
I will leave the room when you use the commode
Use your call light when you are finished
You can lift yourself using the armrests on the commode
Fall prevention measures include all of the following except?
Ensure call light is within reach of patient
Remove clutter from patient's room
Provide adequate lighting in patient's room
Ensure patient has an order for a chest restraint
Which of the following is not considered a right as a nursing home resident?
The right to privacy and confidentiality
To be treated with respect and dignity
Be free from abuse and neglect
To choose what medications they will be on
Nursing home residents have rights and protections under federal and state law. Which of the following statements addressing these rights is not true?
Nursing home residents have the right to make complaints
Nursing home residents have the right to participate in activities
Nursing home residents have the right to be free of restraints
Nursing home residents are not able to manage their own money
The HIPAA Privacy Rule provides federal protections for personal health information. What does PHI stand for?
Protected Health Insurance
Private Health Information
Protected Health Information
Private Health Identifier
Which of the following is a HIPAA violation?
Keeping passwords in a secure hidden location
Providing patients with copies of their Protected Health Information (PHI) on request
Using an encrypted network to store and transmit health information
Texting Protected Health Information (PHI)
Which of the following is a violation of a patient's right to privacy?
Covering the patient when providing personal cares
Opening the window blinds when providing assistance with dressing
Closing the bathroom door when the patient is using the bathroom
Asking the patient permission to observe a treatment
What is the most important way the employer can protect employees against exposure to bloodborne pathogens?
By placing residents in isolation if they develop a fever
By providing mandatory training on hand washing
By providing and ensuring they use personal protective equipment (PPE)
By requiring all employees to sit and read the OSHA's Bloodborne Pathogens Standard
Which of the following is a time when you must wear gloves?
When you are assisting a resident in getting dressed
When you pass meal trays
When you enter a resident's room
When you touch blood or other body fluids
Standard precautions should be practiced when?
When care is provided for any resident
When you care for residents who are in isolation
Only when you have been exposed to bodily fluids
When you are ill
The acronym RACE can help your respond to a fire emergency. What does this stand for?
Run, Alarm, Contain, Extinguish or Evacuate
Rescue, Alarm, Contain, Extinguish or Evacuate
Race, Emergency, Containment, Extinguish
Rescue, Alert, Call, Evacuate
You accidentally spill a hazardous chemical in the resident hallway. What is your action?
Follow the instructions on the safety data sheet and inform the charge nurse immediately
Throw a towel over the spill and notify the charge nurse
Wipe up the spill with paper towels from a patient's room
Leave the spill, as housekeeping will find it and clean it up
You are assisting a patient with limited mobility with transferring to the chair from the bed. What is the best equipment to use for this task?
A posey restraint
A sheet
A transfer belt
A cane
Transferring a patient means to move from one place to another, such as, from a bed to a chair. To plan the safest way to accomplish this you would do which of the following.
Tell the patient how you are going to transfer them and use good body mechanics
Allow the patient to place their arms around your neck for security
Raise the bed to its highest height
Do not tell the patient details about what you are doing as this may cause the patient anxiety
You are assisting a patient with a transfer from the bed to their wheelchair. What is the very first thing you should do?
Place the transfer belt on the patient while still in bed
Assist the patient to a sitting position on the edge of the bed
Place the patients arms around your neck and assist them to a standing position
Make sure the wheels on both the bed and wheelchair are locked and secure
When performing a task that requires lifting, you realize it is important to have your feet separated in the standing position to?
Distribute body weight evenly
Provide a wide base of support
Prevent straining to the knees
Relieve pressure from your feet
Which of the following gives the most accurate description of Range of Motion exercise?
Therapeutic Exercise
Therapeutic activity performed independently by the patient
Therapeutic activity in which the joints are moved
Exercises performed for the resident by the activity director
Abduction is a term used in Range of Motion. This refers to?
Moving the extremity away from a patients body
Moving the extremity towards a patients body
Moving the patients extremities above the body
Moving the patients arms above their head
Activities of Daily Living (ADLs) are essential and routine tasks you will be assisting with in your employment. The basic ADL categories include all of the following except.
Toileting
Ambulating
Spirituality
Personal Hygiene
UTI's can manifest with symptoms in the elderly of:
Fever
Cognitive and behavioral changes
Pain
Frequency
Foul smelling urine
All of the above
Standard precautions which prevent the spread of COVID-19 virus are?
Wear a mask
Mandatory social distancing of 6 feet
Enforce standard precautions (PPE)
All of the above
Pain management for elderly patients in long term care facilities includes which of the following?
Providing a quiet room and leaving the patient alone to rest
Believe what the patient says about their pain
If the patient does not appear to be in pain they usually are not
Do not administer opioids as this may cause addiction
Tuberculosis can be spread by which of the following?
Infectious person coughs or sneezes the droplets into the air.
Blood on the clothing of caregivers.
Contact with blood and/or blood products.
Wearing a mask when in contact with an infectious patient.
The CDC has guidelines for hand hygiene, which include all of the following except?
Rub your hands palm to palm
Hand washing should take 5 to 10 seconds
Use a towel to turn off the faucet
Wet hands with warm water and apply soap
You walk into a patient's room and observe all 4 bedrails raised, this is considered a:
Safety precaution
Hazard
Physical restraint
Medical restraint
When restraints are necessary, the least restrictive methods should always be considered first.
True
False
Which statement is considered true of restraints?
Restraints can be ordered by any staff caring for patient
Any drug can be used as retsraints
Restraints are used to restrict patient's movements
Family members can apply restraints
If a restraint must be used. How often would you remove the restraint and re-position the patient?
Remove restraints and reposition every 15 minutes
Assessing patient every 4 hours is acceptable if patient appears comfortable
Remove and reposition every 2 hours
Only when the patient complains of discomfort
Which of the following is true regarding the use of side rails?
The side rails should always be raised at night
The side rails on one side of the bed should be raised at all times
The side rails should not be raised unless stated in patient's care plan
The side rails should only be used at the request of the family or guardian
A female patient admitted to the unit is considered a low-risk for a pressure injury. Does this patient need to be assessed for a pressure injury?
Yes
No
Which of the following contributes to the development of a pressure injury?
Eschar
Sloughing
Shearing
Skin rash

Answers

Answered by GPT-4o mini
Here are the answers to your questions based on the scenarios and information provided:

1. The act of forcibly removing the patient from the chair is recognized as:
- **Battery**

2. The employee forgetting to lock the wheels on a patient's wheelchair resulting in a fall with injuries could potentially result in the employee being charged with:
- **Negligence**

3. If you suspect a patient is being abused by a family member, your priority action would be to:
- **Report it to your Charge Nurse immediately**

4. Failing to provide something necessary for health and safety, such as food, medicine, shelter, or personal care is:
- **Neglect**

5. Witnessing another staff member threaten a resident for refusing to take medications is recognized as:
- **Verbal abuse**

6. If you observe the unit Nurse Manager acting in a negligent manner, you should:
- **Follow the facility's chain of command to determine who you should report this behavior to.**

7. The most prevalent type of accident experienced by older adults is:
- **Falls**

8. When assisting a patient who is a fall risk from the bed to the commode, you would tell the patient:
- **I need to put on the transfer belt**

9. Fall prevention measures include all of the following except:
- **Ensure patient has an order for a chest restraint**

10. Which of the following is not considered a right as a nursing home resident?
- **To choose what medications they will be on**

11. The statement addressing nursing home residents' rights that is not true is:
- **Nursing home residents are not able to manage their own money**

12. PHI stands for:
- **Protected Health Information**

13. A HIPAA violation is:
- **Texting Protected Health Information (PHI)**

14. A violation of a patient's right to privacy is:
- **Opening the window blinds when providing assistance with dressing**

15. The most important way the employer can protect employees against exposure to bloodborne pathogens is:
- **By providing and ensuring they use personal protective equipment (PPE)**

16. You must wear gloves:
- **When you touch blood or other body fluids**

17. Standard precautions should be practiced:
- **When care is provided for any resident**

18. RACE stands for:
- **Rescue, Alarm, Contain, Extinguish or Evacuate**

19. Your action upon spilling a hazardous chemical in the resident hallway is:
- **Follow the instructions on the safety data sheet and inform the charge nurse immediately**

20. The best equipment to assist a patient with limited mobility in transferring is:
- **A transfer belt**

21. To plan the safest way to transfer, you would:
- **Tell the patient how you are going to transfer them and use good body mechanics**

22. The very first thing to do when assisting a patient with a transfer from bed to wheelchair is:
- **Make sure the wheels on both the bed and wheelchair are locked and secure**

23. It is important to have your feet separated in a standing position when lifting to:
- **Provide a wide base of support**

24. The most accurate description of Range of Motion exercise is:
- **Therapeutic activity in which the joints are moved**

25. Abduction refers to:
- **Moving the extremity away from a patient's body**

26. The basic ADL categories include all of the following except:
- **Spirituality**

27. UTI's can manifest with symptoms in the elderly of:
- **All of the above**

28. Standard precautions which prevent the spread of COVID-19 virus include:
- **All of the above**

29. Pain management for elderly patients in long term care facilities includes:
- **Believe what the patient says about their pain**

30. Tuberculosis can be spread by:
- **Infectious person coughs or sneezes the droplets into the air.**

31. The CDC guidelines for hand hygiene include all of the following except:
- **Hand washing should take 5 to 10 seconds**

32. Observing all 4 bedrails raised is considered a:
- **Physical restraint**

33. When restraints are necessary, the least restrictive methods should always be considered first:
- **True**

34. The statement considered true of restraints is:
- **Restraints are used to restrict patient's movements**

35. If a restraint must be used, you would remove the restraint and re-position the patient:
- **Remove and reposition every 2 hours**

36. The correct statement regarding side rails is:
- **The side rails should not be raised unless stated in the patient's care plan**

37. A female patient considered low-risk for a pressure injury still needs to be assessed:
- **Yes**

38. Contributions to the development of a pressure injury include:
- **Shearing**

I hope this assists you!

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