1.Easy
What is a delusion?
- ASeeing or hearing things that are not really there
- BA strong, lasting fear of a particular object, animal or place
- CA sudden, short loss of consciousness and memory
- DA false belief that stays even when it is shown to be untrue
2.Easy
Who directs and supervises the work of a nursing assistant in a care facility?
- AThe resident's closest family member
- BA licensed nurse
- CA more experienced nursing assistant on the same shift
- DThe facility's activities coordinator
3.Easy
How should a nursing assistant turn off a hand-operated faucet after washing and drying the hands?
- AWith the wet hands before drying them
- BWith the clean bare hands
- CWith a clean, dry paper towel
- DBy leaving the water running for the next person
4.Medium
A resident speaks only Spanish, and the nursing assistant speaks only English. What is the best way to communicate important information?
- ASpeak English louder and more slowly
- BAsk the resident's 9-year-old grandchild to translate
- CAvoid talking to the resident as much as possible
- DAsk the nurse to arrange a trained interpreter
5.Medium
Which measure is an alternative to using a restraint?
- ATucking the sheets in so tightly that the resident cannot get up
- BLocking a tray table against the resident's chest in the chair
- CAsking the nurse for a sedative so the resident stays still
- DA regular toileting schedule and frequent checks
6.Medium
When can raised side rails count as a restraint?
- AOnly during the night shift
- BOnly if the rails are padded
- CWhen they keep a resident from getting out of bed freely
- DNever, because side rails are part of the bed
7.Hard
A resident with Alzheimer's disease no longer remembers how to brush her teeth but can do each step when shown. Which approach helps?
- ABreak the task into simple steps and show her one step at a time
- BSkip mouth care because she cannot remember how
- CGive her the whole set of instructions at once
- DBrush her teeth for her every time so that she does not get upset
8.Hard
A resident keeps removing her nasal cannula because the tubing hurts her ears. What should the nursing assistant do?
- AChange her to a different oxygen device without asking
- BTape the cannula to her face so she cannot remove it
- CLeave the cannula off because she does not want it
- DTell the nurse, who may approve padding or another solution
Answer key
- 1. D · A false belief that stays even when it is shown to be untrue
- 2. B · A licensed nurse
- 3. C · With a clean, dry paper towel
- 4. D · Ask the nurse to arrange a trained interpreter
- 5. D · A regular toileting schedule and frequent checks
- 6. C · When they keep a resident from getting out of bed freely
- 7. A · Break the task into simple steps and show her one step at a time
- 8. D · Tell the nurse, who may approve padding or another solution
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