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1. Define important words in this chapter

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Title: 1. Define important words in this chapter


1
1. Define important words in this chapter
  • abuse
  • purposely causing physical, mental, emotional,
    or financial pain or injury to someone.
  • active neglect
  • purposely harming a person physically, mentally,
    or emotionally by failing to provide needed care.
  • advance directives
  • legal documents that allow people to decide what
    kind of medical care they wish to have if they
    are unable to make those decisions themselves.
  • assault
  • the act of threatening to touch a person without
    his or her consent.

2
1. Define important words in this chapter
  • battery
  • touching a person without his or her consent.
  • civil law
  • private law law between individuals.
  • criminal law
  • public law related to committing a crime
    against the community.
  • DNR (do-not-resuscitate)
  • an order that tells medical professionals not to
    perform CPR.

3
1. Define important words in this chapter
  • domestic violence
  • physical, sexual, or emotional abuse by spouses,
    intimate partners, or family members.
  • durable power of attorney for health care
  • a signed and dated legal document that appoints
    someone to make the medical decisions for a
    person in the event he or she becomes unable to
    do so.
  • ethics
  • the knowledge of right and wrong standards of
    conduct.
  • etiquette
  • the code of proper behavior and courtesy in a
    certain setting.

4
1. Define important words in this chapter
  • false imprisonment
  • the unlawful restraint of someone which affects
    the persons freedom of movement includes both
    the threat of being physically restrained and
    actually being physically restrained.
  • financial abuse
  • the act of stealing, taking advantage of, or
    improperly using the money, property, or other
    assets of another.
  • HIPAA (Health Insurance Portability and
    Accountability Act)
  • a federal law that sets standards for
    protecting the privacy of patients health
    information.
  • invasion of privacy
  • a violation of the right to be left alone and
    the right to control personal information.

5
1. Define important words in this chapter
  • involuntary seclusion
  • separating or confining a person from others
    against the persons will.
  • laws
  • rules set by the government to help protect the
    public.
  • living will
  • a document that states the medical care a person
    wants, or does not want, in case he or she
    becomes unable to make those decisions.
  • malpractice
  • a negligent or improper act by a professional
    that results in damage or injury to a person.

6
1. Define important words in this chapter
  • mandated reporters
  • people who are required to report suspected or
    observed abuse or neglect due to their regular
    contact with vulnerable populations, such as the
    elderly in long-term care facilities.
  • misappropriation
  • the act of taking what belongs to someone else
    and using it illegally for ones own gain.
  • NATCEP (Nurse Aide Training and Competency
    Evaluation Program)
  • part of OBRA that sets minimum requirements for
    nursing assistants for training and testing.
  • negligence
  • actions, or a failure to act or give proper
    care, that results in injury to a person.

7
1. Define important words in this chapter
  • OBRA (Omnibus Budget Reconciliation Act)
  • federal law that includes minimum standards for
    nursing assistant training, staffing
    requirements, resident assessment instructions,
    and information on rights for residents.
  • ombudsman
  • person assigned by law as the legal advocate for
    residents.
  • passive neglect
  • unintentionally harming a person physically,
    mentally, or emotionally by failing to provide
    needed care.
  • physical abuse
  • intentional or unintentional treatment that
    causes harm or injury to a persons body.

8
1. Define important words in this chapter
  • protected health information (PHI)
  • information that can be used to identify a
    person and relates to the patients past,
    present, or future physical or mental condition,
    including any health care that patient has had,
    or payment for that health care.
  • psychological abuse
  • any behavior that causes a person to feel
    threatened, fearful, intimidated, or humiliated
    in any way.
  • Residents Council
  • a group of residents who meet regularly to
    discuss issues related to the long-term care
    facility.

9
1. Define important words in this chapter
  • Residents Rights
  • rights identified in OBRA that relate to how
    residents must be treated while living in a
    long-term care facility they provide an ethical
    code of conduct for healthcare workers.
  • scope of practice
  • defines the tasks that healthcare providers are
    legally permitted to perform as allowed by state
    or federal law.
  • sexual abuse
  • forcing a person to perform or participate in
    sexual acts against his or her will.

10
1. Define important words in this chapter
  • sexual harassment
  • any unwelcome sexual advance or behavior that
    creates an intimidating, hostile, or offensive
    working environment.
  • substance abuse
  • the use of legal or illegal substances in a way
    that is harmful to oneself or others.
  • verbal abuse
  • the use of languagespoken or writtenthat
    threatens, embarrasses, or insults a person.
  • workplace violence
  • verbal, physical, or sexual abuse of staff by
    residents, other staff members, or visitors.

11
2. Define the terms law, ethics, and
etiquette
  • Define the following terms
  • ethics
  • the knowledge of right and wrong standards of
    conduct.
  • laws
  • rules set by the government to help protect the
    public.
  • criminal law
  • public law related to committing a crime
    against the community.
  • civil law
  • private law law between individuals.

12
2. Define the terms law, ethics, and
etiquette
  • Define the following term
  • etiquette
  • the code of proper behavior and courtesy in a
    certain setting.

13
2. Define the terms law, ethics, and
etiquette
  • Ethics help us make decisions at home, in the
    workplace, or in the community. In healthcare,
    ethics guide the people giving care. For example,
    keeping a residents information confidential is
    ethical behavior. It is also the law.
  • In healthcare, laws protect those receiving care.
    For example, there is a law against stealing a
    residents belongings.

14
2. Define the terms law, ethics, and
etiquette
  • Etiquette is the code of proper behavior and
    courtesy in a certain setting. For example,
    identify yourself when you answer the phone at
    your facility. Ask, How may I help you? This is
    proper telephone etiquette.

15
3. Discuss examples of ethical and professional
behavior
  • Professional and ethical behavior is vital to the
    safety of residents.
  • Remember the following guidelines for behavior
    that nursing assistants must follow
  • Keep all resident and staff information
    confidential.
  • Be honest at all times.
  • Be trustworthy.
  • Do not accept gifts or tips.
  • Report abuse or suspected abuse of residents.

16
3. Discuss examples of ethical and professional
behavior
  • Remember the following guidelines for behavior
    that nursing assistants must follow (contd)
  • Do not report to work under the influence of
    alcohol or drugs.
  • Follow all facility policies, rules, and
    procedures.
  • Do assigned tasks. Report mistakes promptly.
  • Be positive, professional, and tactful.
  • Treat all residents with respect and be
    empathetic.
  • Be patient.

17
4. Describe a nursing assistant code of ethics
  • Many facilities have adopted a formal code of
    ethics. This helps their employees deal with
    issues of right and wrong.
  • All facility codes of ethics revolve around the
    idea that the resident is a valuable person who
    deserves ethical care.

18
Transparency 2-1 Nursing Assistant Code of Ethics
  • I will strive to provide and maintain the highest
    quality of care for my residents. I will fully
    recognize and follow all of the Residents
    Rights.
  • I will communicate well, serve on committees, and
    read all material as provided and required by my
    employer. I will attend educational in-services,
    and join organizations relevant to nursing
    assistant care.
  • I will show a positive attitude toward my
    residents, their family members, staff, and other
    visitors.
  • I will always provide privacy for my residents. I
    will maintain confidentiality of resident, staff,
    and visitor information.
  • I will be trustworthy and honest in all dealings
    with residents, staff, and visitors.

19
Transparency 2-1 Nursing Assistant Code of
Ethics (contd.)
  1. I will strive to preserve resident safety. I will
    report mistakes I make, along with anything that
    I deem dangerous, to the right person(s).
  2. I will have empathy for my residents, other
    staff, and all visitors, giving support and
    encouragement when needed.
  3. I will respect all people, without regard to age,
    gender, ethnicity, religion, economic situation,
    sexual orientation, or diagnosis.
  4. I will never abuse my residents in any way. I
    will always report any suspected abuse to the
    proper person immediately.
  5. I will strive to have the utmost patience with
    all people at my facility.

20
4. Describe a nursing assistant code of ethics
  • Think about this question
  • Why is a code of ethics important for nursing
    assistants?

21
5. Explain the Omnibus Budget Reconciliation Act
(OBRA)
  • Define the following terms
  • OBRA (Omnibus Budget Reconciliation Act)
  • federal law that includes minimum standards for
    nursing assistant training, staffing
    requirements, resident assessment instructions,
    and information on rights for residents.
  • NATCEP (Nurse Aide Training and Competency
    Evaluation Program)
  • part of OBRA that sets minimum requirements for
    nursing assistants for training and testing.
  • scope of practice
  • defines the tasks that healthcare providers are
    legally permitted to perform as allowed by state
    or federal law.

22
5. Explain the Omnibus Budget Reconciliation Act
(OBRA)
  • The Omnibus Budget Reconciliation Act (OBRA) was
    passed in 1987. It has been updated many times
    since then.
  • OBRA was written in response to reports of poor
    care and abuse in long-term care facilities.
  • Congress decided to set minimum standards of
    care. This included standardizing training of
    nursing assistants.

23
5. Explain the Omnibus Budget Reconciliation Act
(OBRA)
  • Think about these questions
  • Why would creating minimum standards for nursing
    assistant training be important?
  • What kind of training/what topics could help
    prevent poor care and abuse of residents?

24
5. Explain the Omnibus Budget Reconciliation Act
(OBRA)
  • OBRA requires that the Nurse Aide Training and
    Competency Evaluation Program (NATCEP) set
    minimum requirements for nursing assistants.
    Nursing assistants must complete at least 75
    hours of training.
  • However, programs may exceed these minimums. Many
    states require 80 to 150 program hours in theory
    and clinical skills.

25
6. Explain Residents Rights
  • Define the following terms
  • Residents Rights
  • rights identified in OBRA that relate to how
    residents must be treated while living in a
    long-term care facility they provide an ethical
    code of conduct for healthcare workers.
  • Residents Council
  • a group of residents who meet regularly to
    discuss issues related to the long-term care
    facility.
  • misappropriation
  • the act of taking what belongs to someone else
    and using it illegally for ones own gain.

26
6. Explain Residents Rights
  • REMEMBER
  • Be very familiar with Residents Rights. They
    are legal rights and understanding and respecting
    them is an important part of your job.

27
6. Explain Residents Rights
  • Residents Rights
  • Quality of life
  • Services and activities to maintain a high level
    of wellness
  • Be fully informed about rights and services
  • Participate in their own care
  • Make independent choices

28
6. Explain Residents Rights
  • Residents Rights (contd)
  • Privacy and confidentiality
  • Dignity, respect, and freedom
  • Security of possessions
  • Rights with transfers and discharges
  • Right to complain
  • Visits
  • Rights with regard to social services

29
Handout 2-1 Decision Quiz
  • Choices I have made today include
  • 1.__________________________________________
  • 2.__________________________________________
  • 3.__________________________________________
  • 4.__________________________________________
  • 5.__________________________________________
  • 6.__________________________________________

30
7. Explain types of abuse and neglect
  • Define the following terms
  • abuse
  • purposely causing physical, mental, emotional,
    or financial pain or injury to someone.
  • physical abuse
  • intentional or unintentional treatment that
    causes harm or injury to a persons body.
  • psychological abuse
  • any behavior that causes a person to feel
    threatened, fearful, intimidated, or humiliated
    in any way.
  • verbal abuse
  • the use of languagespoken or writtenthat
    threatens, embarrasses, or insults a person.

31
7. Explain types of abuse and neglect
  • Define the following terms
  • sexual abuse
  • forcing a person to perform or participate in
    sexual acts against his or her will.
  • financial abuse
  • the act of stealing, taking advantage of, or
    improperly using the money, property, or other
    assets of another.
  • assault
  • the act of threatening to touch a person without
    his or her consent.
  • battery
  • touching a person without his or her consent.

32
7. Explain types of abuse and neglect
  • Define the following terms
  • domestic violence
  • physical, sexual, or emotional abuse by spouses,
    intimate partners, or family members.
  • workplace violence
  • verbal, physical, or sexual abuse of staff by
    residents, other staff members, or visitors.
  • false imprisonment
  • the unlawful restraint of someone which affects
    the persons freedom of movement includes both
    the threat of being physically restrained and
    actually being physically restrained.
  • involuntary seclusion
  • separating or confining a person from others
    against the persons will.

33
7. Explain types of abuse and neglect
  • Define the following terms
  • sexual harassment
  • any unwelcome sexual advance or behavior that
    creates an intimidating, hostile, or offensive
    working environment.
  • substance abuse
  • the use of legal or illegal substances in a way
    that is harmful to oneself or others.
  • active neglect
  • purposely harming a person physically, mentally,
    or emotionally by failing to provide needed care.
  • passive neglect
  • unintentionally harming a person physically,
    mentally, or emotionally by failing to provide
    needed care.

34
7. Explain types of abuse and neglect
  • Define the following terms
  • negligence
  • actions, or a failure to act or give proper
    care, that results in injury to a person.
  • malpractice
  • a negligent or improper act by a professional
    that results in damage or injury to a person.

35
7. Explain types of abuse and neglect
  • Preventing abuse and neglect is a very important
    part of Residents Rights. In order to do this,
    it helps if you understand more about the
    different types of abuse and neglect.

36
7. Explain types of abuse and neglect
  • REMEMBER
  • You are legally required to report any observed
    or suspected abuse of residents and assist
    residents who wish to make a complaint of abuse
    in every way possible.

37
8. Recognize signs and symptoms of abuse and
neglect
  • Define the following term
  • mandated reporters
  • people who are required to report suspected or
    observed abuse or neglect due to their regular
    contact with vulnerable populations, such as the
    elderly in long-term care facilities.

38
8. Recognize signs and symptoms of abuse and
neglect
  • REMEMBER
  • As a nursing assistant, you are considered a
    mandated reporter.

39
8. Recognize signs and symptoms of abuse and
neglect
  • Signs of physical abuse
  • Unexplained broken bones
  • Unexplained bruising
  • Similar injuries that occur repeatedly
  • Burns shaped in specific ways
  • Bite marks or scratches
  • Unexplained weight loss or signs of dehydration

40
8. Recognize signs and symptoms of abuse and
neglect
  • Signs of physical abuse (contd)
  • Dry, cracked, torn or bleeding skin
  • Missing hair
  • Broken or missing teeth
  • Blood in underwear
  • Bruising in genital area

41
8. Recognize signs and symptoms of abuse and
neglect
  • Signs of psychological abuse
  • Depression or withdrawal
  • Mood swings
  • Fear and anxiety, especially when a caregiver is
    present
  • Lack of appetite
  • Fear of being left alone

42
8. Recognize signs and symptoms of abuse and
neglect
  • Signs of neglect
  • Sores on the body
  • Weight loss, poor appetite, or signs of
    dehydration
  • Frequent complaints of hunger or thirst
  • Strong smell of urine
  • Unclean body

43
8. Recognize signs and symptoms of abuse and
neglect
  • Signs of neglect (contd)
  • Dirty, matted, or unstyled hair
  • Ragged or dirty fingernails
  • Soiled clothes or bed linens or incontinence
    briefs not being changed
  • Ripped or torn clothing
  • Damaged or poorly fitting hearing aids, glasses,
    dentures
  • Unanswered call lights

44
8. Recognize signs and symptoms of abuse and
neglect
  • Other signs of abuse
  • Missed doctor appointments
  • Changing doctors frequently
  • Wearing makeup or sunglasses to hide injuries
  • Family concern that abuse is occurring
  • Person not taking medication
  • Caregiver does not allow others to be alone with
    resident

45
Handout 2-2 Who is Vulnerable to Abuse and
Neglect?
46
Handout 2-2 Who is Vulnerable to Abuse and
Neglect? (contd.)
  • Some people are more vulnerable to adult abuse or
    neglect than others. They include
  • Elderly
  • Physically ill or disabled
  • Developmentally disabled
  • Mentally ill or disabled
  • People with communication problems, such as
    hearing, speech, and vision
  • All of these people have a few things in common
    that make them so vulnerable. They are often
    unable to stand up for themselves, or report
    abuse or neglect to others. They may not even
    understand that they have rights. Often these
    people can be much more demanding to care for,
    which increases the stress that caregivers have
    to deal with.
  • Caregivers may not have been properly trained to
    care for these particular people, and they may
    not understand why these people behave the way
    they do. Caregivers may also be overworked,
    tired, stressed, and unappreciated, all while
    caring for someone who requires so much time and
    energy.
  • These are the people who most need your help in
    protecting themselves. They may not be able to
    speak for themselves, but the signs of abuse and
    neglect may speak volumes for them, if you just
    know how to recognize these signs.

47
9. Describe the steps taken if a nursing
assistant is suspected of abuse
  • REMEMBER
  • When a report of abuse by a nursing assistant is
    made, the NA is usually suspended immediately.
  • The NATCEP (Nurse Aide Training and Competency
    Evaluation Program) is notified, as well as the
    facility administrator. Adult Protective Services
    (APS) may be notified.

48
9. Describe the steps taken if a nursing
assistant is suspected of abuse
  • The following steps are taken after a report of
    abuse by a nursing assistant
  • A full, confidential investigation is completed.
  • The facility will protect the resident and the
    person who reported the abuse from retaliation.
  • If the investigation does not prove the claim of
    abuse, the NA returns to work.
  • If the investigation shows that there might be
    truth to the claim, specific actions are taken.

49
9. Describe the steps taken if a nursing
assistant is suspected of abuse
  • These steps are outlined by NATCEP
  • Investigation
  • Notification
  • Hearing
  • Decision of hearing
  • Appeals process

50
9. Describe the steps taken if a nursing
assistant is suspected of abuse
  • REMEMBER
  • If abuse is found to have occurred, the nursing
    assistant is placed on the abuse registry in
    addition to other possible penalties. Employers
    check this registry before hiring nursing
    assistants.

51
10. Discuss the ombudsmans role
  • Define the following term
  • ombudsman
  • person assigned by law as the legal advocate for
    residents.

52
10. Discuss the ombudsmans role
  • The ombudsman visits the facility and listens to
    residents. He or she decides what course of
    action to take if there is a problem.
  • An ombudsman can help settle disputes and resolve
    conflicts. He or she provides an ongoing presence
    in nursing homes to monitor care and conditions.

53
10. Discuss the ombudsmans role
  • Typical duties of an ombudsman
  • Advocates for Residents Rights and quality care
  • Educates consumers and care providers
  • Investigates and resolves complaints
  • Appears in court and/or legal hearings
  • Gives information to the public

54
11. Explain HIPAA and related terms
  • Think about this question
  • What negative consequences could happen if you do
    not protect the privacy of residents
    information?

55
11. Explain HIPAA and related terms
  • REMEMBER
  • One of the most important parts of a nursing
    assistants job is to keep resident information
    confidential.

56
11. Explain HIPAA and related terms
  • Define the following terms
  • HIPAA (Health Insurance Portability and
    Accountability Act)
  • a federal law that sets standards for protecting
    the privacy of patients health information.
  • protected health information (PHI)
  • information that can be used to identify a
    person and relates to the patients past,
    present, or future physical or mental condition,
    including any health care that patient has had,
    or payment for that health care.
  • invasion of privacy
  • a violation of the right to be left alone and
    the right to control personal information.

57
11. Explain HIPAA and related terms
  • The Health Insurance Portability and
    Accountability Act (HIPAA) was passed in 1996.
    This law sets standards for protecting the
    privacy of patients health information.
  • It identifies certain protected health
    information (PHI) that must remain confidential.

58
11. Explain HIPAA and related terms
  • HITECH (Health Information Technology for
    Economic and Clinical Health) became law at the
    end of 2009. It is a way to expand the protection
    of electronic health records (EHR).
  • The HITECH Act increases civil and criminal
    penalties for sharing PHI and expands the ability
    to enforce these penalties.

59
11. Explain HIPAA and related terms
  • Remember these ways that NAs can keep PHI
    confidential
  • Do not give out health information on the phone
    except to approved staff members.
  • Do not give personal information to visitors.
  • Do not share medical records with anyone other
    than the care team.
  • Do not discuss residents in public areas.
  • Do not bring family or friends to the facility.

60
11. Explain HIPAA and related terms
  • Ways that NAs can keep PHI confidential (contd)
  • Double-check fax numbers and use cover sheets.
  • Return charts to proper place after use.
  • Dispose of personal notes regarding resident care
    prior to leaving work for the day.
  • Log out and exit web browser when finished with
    computer work.

61
11. Explain HIPAA and related terms
  • Ways that NAs can keep PHI confidential (contd)
  • Do not include private information in e-mails.
  • Do not share resident information on any social
    networking site (e.g., Facebook or Twitter).
  • Do not takes photos of residents and share them
    with anyone, including via cell phones, e-mail,
    social networking sites, or other websites.
  • Give documents found with residents information
    to the nurse.

62
11. Explain HIPAA and related terms
  • REMEMBER
  • There are serious penalties, including fines and
    even prison time, for not following HIPAA
    guidelines.

63
12. Discuss The Patient Self-Determination Act
(PSDA) and advance directives
  • Define the following terms
  • advance directives
  • legal documents that allow people to decide what
    kind of medical care they wish to have if they
    are unable to make those decisions themselves.
  • living will
  • a document that states the medical care a person
    wants, or does not want, in case he or she
    becomes unable to make those decisions.

64
12. Discuss The Patient Self-Determination Act
(PSDA) and advance directives
  • Define the following terms
  • durable power of attorney for health care
  • a signed and dated legal document that appoints
    someone to make the medical decisions for a
    person in the event he or she becomes unable to
    do so.
  • DNR (do-not-resuscitate)
  • an order that tells medical professionals not to
    perform CPR.

65
12. Discuss The Patient Self-Determination Act
(PSDA) and advance directives
  • The Patient Self-Determination Act (PSDA) is a
    federal law originally passed in 1990.
  • The PSDA requires all healthcare agencies
    receiving Medicare and Medicaid money to give
    adults, during admission or enrollment,
    information about their rights relating to
    advance directives.

66
12. Discuss The Patient Self-Determination Act
(PSDA) and advance directives
  • Think about this question
  • What are some examples of advance directives and
    why are they important?

67
Exam
  • Multiple Choice. Choose the correct answer.
  • 1. Which of the following statements is true of
    ethics?
  • (A) Ethics are rules set by the government to
    protect people.
  • (B) Ethics are the knowledge of what is right and
    wrong.
  • (C) Misdemeanors are examples of ethics.
  • (D) Ethics do not apply to healthcare workers.
  • 2. Criminal laws
  • (A) Protect society from harmful people or
    organizations
  • (B) Resolve disputes between individuals
  • (C) Include any crime which is not a felony
  • (D) Are a code of proper behavior and courtesy in
    a certain setting

68
Exam (contd.)
  • 3. Which of the following is an example of
    professional and ethical behavior by a nursing
    assistant?
  • (A) Keeping quiet if he makes a mistake
  • (B) Documenting care accurately and promptly
  • (C) Telling his friend details about the
    residents he works with
  • (D) Rushing a resident through tasks if there is
    not much time left in the nursing assistants
    shift
  • 4. Which of the following is an example of
    unprofessional behavior by a nursing assistant?
  • (A) Graciously accepting a gift from a favorite
    resident
  • (B) Reporting all abuse or suspected abuse of
    residents
  • (C) Coming to work every day on time
  • (D) Being positive, pleasant, and tactful

69
Exam (contd.)
  • 5. A code of ethics revolves around
  • (A) Getting tasks done as quickly as possible
  • (B) Controlling costs in the facility
  • (C) Valuing residents and giving ethical care
  • (D) Sharing opinions and personal values with
    residents
  • 6. An example of ethical behavior by a nursing
    assistant is
  • (A) Keeping a residents information confidential
  • (B) Not telling anyone when a mistake is made
  • (C) Pretending to be a nurse in order to get
    residents to be more cooperative
  • (D) Letting a resident know that the nursing
    assistant is having a bad day

70
Exam (contd.)
  • 7. OBRA was written as a response to
  • (A) Lack of funding for long-term care facilities
  • (B) Reports of abuse and poor care in long-term
    care facilities
  • (C) Complaints from long-term care facility staff
    about resident behavior
  • (D) The inability of nursing assistants to pass
    the competency examination
  • 8. How many hours of training does OBRA require
    for nursing assistants?
  • (A) At least 150 hours
  • (B) At least 100 hours
  • (C) At least 75 hours
  • (D) At least 50 hours

71
Exam (contd.)
  • 9. Which of the following behaviors promotes
    Residents Rights?
  • (A) Deciding which clothing a resident should
    wear if she takes too long to decide for herself
  • (B) Letting residents know when they are eating
    too slowly
  • (C) Providing privacy during all care procedures
  • (D) Restricting visitors for uncooperative
    residents
  • 10. Which of the following behaviors violates
    Residents Rights?
  • (A) A nursing assistant tells stories about her
    favorite residents to her family.
  • (B) A nursing assistant helps a resident resolve
    a complaint.
  • (C) A nursing assistant informs a resident in
    advance about a change of roommate.
  • (D) A nursing assistant encourages a resident to
    choose her clothing for the day.

72
Exam (contd.)
  • 11. __________ means causing physical, mental,
    emotional, or financial pain or injury to
    someone.
  • (A) Abuse
  • (B) Assault
  • (C) Battery
  • (D) Malpractice
  • 12. Threatening to harm a resident if he tells
    another caregiver about a problem is an example
    of which type of abuse?
  • (A) Physical abuse
  • (B) Psychological abuse
  • (C) Financial abuse
  • (D) Substance abuse

73
Exam (contd.)
  • 13. Negligence is
  • (A) Threatening to touch a person without
    permission
  • (B) Touching a person without permission
  • (C) Actions or failure to act or give care that
    results in injury to a person
  • (D) Insulting, humiliating, or treating a person
    as a child
  • 14. If a nursing assistant sees or suspects that
    a resident is being abused, he must
  • (A) Report it at once to his supervisor
  • (B) Ignore it
  • (C) Try to stop the abuse himself
  • (D) Call the residents family to inform them

74
Exam (contd.)
  • 15. Which of the following is a sign of physical
    abuse?
  • (A) Missing teeth or hair
  • (B) Lack of appetite
  • (C) Depression
  • Unanswered call lights
  • 16. Which of the following is a sign of
    psychological abuse?
  • (A) Bite marks or scratches
  • (B) Unclean body
  • (C) Fear of being left alone
  • (D) Frequent complaints of hunger or thirst

75
Exam (contd.)
  • 17. Which of the following is a sign of neglect?
  • (A) Burns shaped in certain ways
  • (B) Weight loss or dehydration
  • (C) Changing doctors frequently
  • (D) Wearing make-up to hide injuries
  • 18. Which of the following is a step taken when a
    nursing assistant is suspected of abuse?
  • (A) A meeting of staff members and residents is
    held so that everyone can discuss the problem.
  • (B) The nursing assistant continues to work while
    the investigation is being completed.
  • (C) The name of the resident or staff member who
    reported the abuse is announced so opinions can
    be gathered.
  • (D) The nursing assistant is suspended
    immediately and an investigation is completed.

76
Exam (contd.)
  • 19. Which of the following is an ombudsmans
    responsibility?
  • (A) Helping with care procedures
  • (B) Assisting with resolving facility budget
    problems
  • (C) Investigating and resolving complaints
  • (D) Creating special diets for residents
  • 20. A residents health information may be shared
    with
  • (A) Anyone who asks
  • (B) Anyone who lives or works at the facility
  • (C) The residents friends and family
  • (D) Other care team members

77
Exam (contd.)
  • 21. One reason that the Health Insurance
    Portability and Accountability Act (HIPAA) was
    created is to
  • (A) Make sure nursing assistants receive adequate
    pay
  • (B) Protect privacy of health information
  • (C) Ensure that care procedures are performed
    properly
  • (D) Prevent abuse of residents
  • 22. Which of the following is the best way to
    keep residents health information confidential?
  • (A) Discuss a residents information away from
    the facility so that other residents cannot hear
    it
  • (B) Bring family and friends to the facility to
    meet the residents
  • (C) Return charts to their proper place after use
  • (D) Post updates about favorite residents on your
    Facebook page to avoid being overheard

78
Exam (contd.)
  • 23. A legal document that allows a person to
    decide what kind of medical care he wishes to
    have if he is unable to make those decisions
    himself is called a(n)
  • (A) PSDA
  • (B) Advance directive
  • (C) CPR
  • Power of attorney
  • 24. What is the purpose of the PSDA?
  • (A) To offer in-service training for nursing
    assistants
  • (B) To keep protected health information (PHI)
    private
  • (C) To encourage people to make decisions about
    advance directives
  • (D) To detail how abuse should be reported

79
Exam (contd.)
  • 25. Which of the following is an example of an
    advance directive?
  • (A) Last Will and Testament
  • (B) Power of Attorney
  • (C) Divorce Decree
  • (D) Durable Power of Attorney for Health Care
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