INDIANA CNA SKILL EXAM 2024-2025
WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS|
FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED
A+ |NEWEST|GUARANTEED PASS
|LATEST UPDATE
What needs immediate reporting by a CNA
1. Severe pain
2. Falls or other accidents
3. Seizures
4. Sudden or increased confusion/disorientation
5. Swelling
6. Bleeding or drainage from any body area
7. Change in Level of Consciousness
8. Sudden behavior change/mood swings
9. Difficulty breathing (SOB)
10. Change in condition of skin
Director of Nursing (DON)
Licensed nurse who has administrative responsibilities to supervise the nursing care of a facility
Nurse Manager
The RN leader responsible for the care delivery, personnel supervision, and operating budget of a unit,
area, or facility.
charge nurse (nurse-in-charge)
a nurse responsible for a team of healthcare workers on the unit at that time
Interventions for Visual Impairment
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,1. State your name before starting a conversation
2. Identify persons/things in enviroment
3. Let the person know when you
4. Give detailed instructions what you are doing
5. Stay in the direct line of sight of the resident
6. Offer to read material if the person needs assistance.
Interventions for Hearing Impairment
1. Make sure hearing aids are worn if person has such. Check battery daily and clean with a damp cloth.
Check ear for wax buildup in ear.
2. Speak slowly and clearly facing the resident Use short sentences and do not shout if possible
3. Use facial expressions and gestures
4. Reduce environmental noise (TV)
5. If appropriate, use sign language ot communication boards.
Interventions for Unconscious
1. Speak to them as if they are able to understand everything that is said
2. Be respectful and explain everything that is happening.
3. Identify yourself as you enter or leave the room
4. If you have conversations with others, include the patient/resident.
Guidelines for Assisting Residents to Achieve Independence
1. Getting resident out of bed at least 1-2 hours a day if appropriate.
2. Encourage to dress self in normal clothing and dress themselves as much as possible
3. Encourage to go to dining room for meals. Evaluate the need for assistance in feeding
4. Wheelchairs and ambulatory aids should be in working order and residents need to be trained in their
use.
7. Provide mental/sensory stimulating activities on a daily basis (social activities books, newspapers,
magazines, board games, puzzles, conversations)
8. If unable to perform independent movement, a resident should receive passive ROM at LEAST twice a
day.
9. Attempts at bowel/bladder retraining should be made with every incontinent resident.
Examples of Resident/Person-Centered Care
1. Decide when to get up and when to go to bed
2.Decide frequency and method of bathing/showering.
3. Choose preferred activities
4. Decide what clothing to wear
5. Decide toileting schedule
Examples of Respecting Religious Preferences
1. Honor any dietary restrictions.
2. Report request for a spiritual advisor to the nurse
3. Respect all religious items
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,4. Respect a person'sprayer time and provide privacy.
5. Report if resident needs assistance in locating a spiritual advisor
6. Listen, without judgement, if a resident wants to talk about his7. /her spirituality.
7. Read religious materials to resident as requested.
informed consent
consent given for treatment or study after having been informed about the procedure and potential
negative consequences.
Abuse
The willful infliction of injury including unreasonable confinement, intimidation and/or punishment
resulting in physical harm, pain or mental anguish.
involuntary seclusion
separating a person from others against his or her will, keeping the person to a certain area, or keeping
the person away from his or her room without consent
Misappropriation
intentional use or theft of property or funds of another person for one's own use
Neglect/negligence
failure to take reasonable caution or care
Resident Rights
Outlined in OBRA, rights residents have in long-term care facilities
Restraints
chemical or physical devices that restrict voluntary movement or revise/restrict behavior
Slander
the action or crime of making a false spoken statement damaging to a person's reputation.
Ways of Providing Privacy
1 Closing doors and curtains as necessary or requested.
2. Keeping the person covered until necessary.
3. Do not open a person's mail without permission
4. Knock and request to enter the person's area
5. Allow privacy for visits and phone calls.
How can residents be involved in their own care?
1. Ask for procedures to be explained to them in understandable terms.
2. Allow choices when possible.
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, 3. Respect the right of a resident who refuses care.
4. If a resident refuses care, report it to his/her nurse.
Types of abuse
Physical, verbal, psychological, sexual, financial
Types of physical abuse
1. Assault-The threat of physical harm
2. Battery-Physical contact without consent even if no physical harm is experienced
3.
What is sexual abuse?
acts of rape, fondling exposing self, and /or sexual advancement/comments towards someone
What is considered mental/psychological abuse
Can include careless, thoughtless, tactless, and insensitive actions or comments.
--Retaliation towards a resident for a comment or complaint
--Verbal replies or body language or actions that indicate irritation, anger, indifference or exasperation.
--Purposely avoiding or ignoring residents.
--Purposely withholding care
--Ridiculing, teasing, sarcasm or tormenting of a resident
--Promoting inappropriate or hostile behavior
Usually this form of abuse is exhibited as a pattern and is multi-faceted.
verbal abuse
the use of spoken or written words, pictures, or gestures that threaten, embarrass, or insult a person
Financial Abuse
the improper or illegal use of a person's money, possessions, property, or other assets
What is neglect?
the failure to provide needed care that results in physical, mental, or emotional harm to a person
What is negligence?
Failure to exercise the standard care that a reasonable person would give under similar circumstances
What to do if you suspect abuse or neglect?
1. Anyone working, managing, and/or owning an Indiana nursing facitly is a mandated reporter.
2. Report the name of the facility and resident who is the suspected victim.
3. Report any injuries to the resident
4. What was seen and heard as well as dates, times, locations, and names of witnesses of the events.
5. Give factual information only
6. Policies at facilities require immediate reporting of suspected neglect or abuse to the facility
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