Why does the nurse aid suspect the patient is in pain although she says “Fine” when asked how she feels?

After overhearing a nursing assistant criticize their fellow co-workers, which of the following options best describes the most likely reaction that a patient would have?

Hearing this would make the patient feel uncomfortable.

Were a resident to hear a nursing assistant criticize their fellow co-workers, it makes the resident feel uncomfortable. The resident might worry that you are also doing the same thing to them whenever they are not around. Speaking in this manner not only shows a lack of empathy for others and but also makes your resident feel less likely to open up to you or that your care is insincere.

A patient’s input and output must be documented:

At the end of your shift.

As an NA, you record the totals throughout your shift and they are always documented before you leave for the day. The other options are incorrect.

What should the nurse aid do when a patient complains that his children never visit?

Listen quietly as he talks about his feelings

Good communication aims for mutual understanding. There is often another emotion present if a customer complains or seems angry. The customer may actually be sad, disappointed, or feeling abandoned. You can understand of a patient's true feelings when spending a few minutes listening. Reflect back what you are hearing and ask gentle questions. The customer may be relieved and ready to talk about solutions.

What would the most likely diagnoses be if your resident is unable to smell smoke, they increase their use of salt and sugar on foods, they ask for a magnifying glass to read and the volume to be turned up while they are watching television?

They have sensory impairment

This is usually a sign of sensory impairment if a resident loses or feels a reduction in the use of their taste, smell, hearing or sight senses. Sensory overload and sensory stimulation are an increase to the resident’s senses and sensory depravation is when there is a deliberate reduction or elimination of stimuli to the senses.

To effectively communicate with a completely deaf patient, which of the following options is the most important?

A laptop or pen and paper

It is important to have an easy alternative method of communication when dealing with a patient who cannot hear any sound; although some of the options may be acceptable for someone who has even a slight percentage of hearing.

You are asked to ambulate a patient BID during your shift. How often will you ambulate them?

Two times

BID is a medical abbreviation, which derives from the original Latin term “Bis in die” which means twice a day. QD is once a day, TID is three times a day, and QID is four times a day.

Your resident who has already called their relatives tells you that he is frustrated and plans on leaving the building without having received medical approval. What should your first line of communication be?

Report this incident to the nurse.

These types of incidents should be reported to other staff members who are part of the healthcare team by the nurse, including the patient’s physician.

A resident who has troubles with their memory, requires a nursing assistant who will:

Make eye contact, sit with them and listen.

A resident who has troubles with their memory may feel worse if they are reminded of their forgetfulness. Joking and laughing may often result in embarrassment and could show disrespect towards the resident. Difficulties with memory may demand more of your time when dealing with your resident, so time spent actively listening and showing care is definitely the best answer in this case.

When communicating with a client that only speaks and understands a foreign language, what should the nurse aide do?

Use picture boards and gestures

Customers who do not speak or know English are at many facilities. Laws are in place to protect customer rights. Check the policies of your facility to determine what the procedures are for assisting speakers of other languages. Simple adaptations involve using picture boards and gestures. Find out if interpreters are available.

Of the following four orders, which one indicates that the resident should ingest nothing by mouth when he/she is having surgery tomorrow?

NPO

NPO stands for ‘nothing by mouth.’ NOC stands for ‘night.’ NKA stands for ’no known allergies.’ And MN is the medical abbreviation for Midnight.

Of the options below, which one must be reported to the charge nurse “STAT”?

A patient’s radial pulse of 135.

Depending on people's activity level, a normal adult’s radial pulse is 60-100 beats per minute. It is above normal when the radial pulse is 135 beats per minute and it should be addressed immediately. The respiratory rate of 18 falls in a “normal” category and cloudy urine or loose stools may be a problem but not something that necessitates the label “STAT.”

Which of the following is the most important when a resident is being admitted to a new care facility?

The patient must have the opportunity to provide his or her own information.

The resident must always have input regarding their needs and wishes. If the resident confuses any details, family members may always add or correct the information. It is the care facility’s duty to create a rapport with the resident and the resident needs to feel like they have been a part of the whole process. More often than not, family members have just as much difficulty accepting the placement in the facility as the resident. Therefore it is comforting for both parties to have facility staff to take a personal interest in their residents.

Why is active listening important?

It prevents misunderstandings.

Active listening can create relationships and alleviate problems by eliminating judgment and keeping communication open. Be relaxed and attentive when using active listening. Block out distractions. Use non-verbal cues such as eye contact and leaning towards the speaker. Don’t interrupt the speaker. Be open and try to imagine their point of view. Ask thoughtful questions to learn more. The goal is to a common understanding and agreement.

The best common reponse to give to your resident is assuring them that you are listening. Out of the options below, which one would be the best method of exhibiting good listening skills?

Facing your patient while they are speaking and responding when you deem it to be appropriate.

All ways to signal that you are listening and to show patients that what they are saying is important is stopping what you are doing, facing your patient and making eye contact. The other options may dissuade future conversations.

Why does the nurse aid suspect the patient is in pain although she says “Fine” when asked how she feels?

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