Chapter 1: What You Need to Know to Prepare for the Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Taking the Written Examination ......................................................................................1
Testing Readiness......................................................................................................3
Testing Strategies......................................................................................................5
Answering the Questions .........................................................................................5
Taking the Clinical Skills Test...........................................................................................7
Self-Assessment..................................................................................................................8
Exam Prep Questions ........................................................................................................8
Answer Rationales............................................................................................................11
Chapter 2: The Roles and Responsibilities of the Nursing Assistant ................................13
Your Role and Responsibilities........................................................................................13
Job Responsibilities.................................................................................................14
Other Tasks and Duties..........................................................................................15
Job Limitations .......................................................................................................15
Personal Qualities ............................................................................................................15
The Nursing Assistant as a Member of the Health-Care Team ....................................16
Being a Team Player...............................................................................................17
Communication and Interpersonal Skills Needed for Effective CNA Practice............18
Legal and Ethical Considerations in Practice.................................................................20
Resident Rights ................................................................................................................21
Ethics................................................................................................................................23
Exam Prep Questions ......................................................................................................25
Answer Rationales............................................................................................................27
Chapter 3: Promotion of Health and Safety ..............................................................29
Review of Body Systems Affected by Aging ...................................................................29
Communicable Diseases and Their Effect on Health....................................................31
Role of the Nursing Assistant to Prevent the Spread of Communicable
Diseases.................................................................................................................32
From the Library of Lee Bogdanoff
, v
Table of Contents
Medical Asepsis.......................................................................................................32
Mask, Eye Protection, Face Shield, Gowns ..........................................................34
Sharp Objects..........................................................................................................34
Resident Care Equipment ......................................................................................35
Environment ...........................................................................................................35
Linens......................................................................................................................36
Surgical Asepsis.......................................................................................................36
Resident Safety .......................................................................................................36
Reporting Accidents or Incidents....................................................................................37
Exam Prep Questions ......................................................................................................38
Answer Rationales............................................................................................................40
Chapter 4: Promotion of Function and Health of Residents ...........................................43
Personal Care Skills .........................................................................................................44
Activities of Daily Living (ADLs) ..........................................................................44
Restorative Skills..............................................................................................................52
Self-Care and Independence ..................................................................................52
Mobility/Immobility...............................................................................................53
Health Maintenance and Restoration....................................................................55
Psychosocial Care Skills ..................................................................................................57
Emotional and Mental Health Needs....................................................................57
Cultural Needs........................................................................................................58
Spiritual Needs .......................................................................................................59
Sexual Needs...........................................................................................................60
Data Collection and Reporting..............................................................................61
Exam Prep Questions ......................................................................................................63
Answer Rationales............................................................................................................65
Cardiovascular Problems........................................................................................74
Paralysis...................................................................................................................75
Digestive and Elimination Problems .....................................................................77
HIV (Human Immunodeficiency Virus) and AIDS
(Acquired Immunodeficiency Syndrome)............................................................81
Psychological Problems ...................................................................................................82
Confusion................................................................................................................82
Aggressive Residents...............................................................................................83
Dementias ...............................................................................................................83
The Depressed Resident ........................................................................................85
The Terminally Ill Resident ............................................................................................86
Exam Prep Questions ......................................................................................................88
Answer Rationales............................................................................................................90
Chapter 6: Clinical Skills Performance Checklists ......................................................91
Handwashing....................................................................................................................93
Measuring Body Temperature.........................................................................................93
Oral Temperature Measurement with Electronic Monitor ..................................93
Rectal Temperature Measurement with Electronic Thermometer ......................94
Axillary Temperature with Electronic Thermometer ...........................................95
Tympanic Membrane Temperature with Electronic Thermometer ....................95
Measuring the Radial and Apical Pulse...........................................................................96
Radial Pulse.............................................................................................................96
Apical Pulse.............................................................................................................96
Measuring the Respirations.............................................................................................97
Blood Pressure .................................................................................................................97
Partial Bedbath.................................................................................................................98
Perineal Care of the Female Resident ............................................................................99
Nail Care (Fingers and Toes) ........................................................................................100
Mouth (Oral) Care.........................................................................................................100
Mouth (Oral) Care: Care of Dentures ..........................................................................100
Dressing .........................................................................................................................101
Applying Elastic Support Hose .....................................................................................101
Making an Occupied Bed ..............................................................................................102
Moving the Resident to the Side of the Bed .......................................................103
Supine Position.....................................................................................................104
From the Library of Lee Bogdanoff
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