CNA Certified Nursing Assistant
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00_0789739348_fm.qxd 9/22/09 2:33 PM Page i CNA Certified Nursing Assistant Linda Whitenton, Marty Walker 00_0789739348_fm.qxd 9/22/09 2:33 PM Page ii CNA Certified Nursing Assistant Exam Cram Associate Publisher Copyright © 2010 by Pearson Education, Inc. David Dusthimer All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or trans- mitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without writ- Acquisitions Editor ten permission from the publisher. No patent liability is assumed with respect to the use of the Betsy Brown information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability Senior Development assumed for damages resulting from the use of the information contained herein. Editor ISBN-13: 978-0-7897-3934-6 Chris Cleveland ISBN-10: 0-7897-3934-8 Managing Editor Library of Congress Cataloging-in-Publication Data is on file. Patrick Kanouse Printed in the United States of America First Printing: October 2009 Senior Project Editor Trademarks Tonya Simpson All terms mentioned in this book that are known to be trademarks or service marks have been appropriately capitalized. Que Publishing cannot attest to the accuracy of this information. Use of a Copy Editor term in this book should not be regarded as affecting the validity of any trademark or service mark. Kelly Maish Warning and Disclaimer Every effort has been made to make this book as complete and as accurate as possible, but no war- Indexer ranty or fitness is implied. The information provided is on an “as is” basis. The authors and the Angela Martin publisher shall have neither liability nor responsibility to any person or entity with respect to any loss or damages arising from the information contained in this book or from the use of the CD or Proofreader programs accompanying it. Elizabeth Scott Bulk Sales Que Publishing offers excellent discounts on this book when ordered in quantity for bulk purchases Technical Editors or special sales. For more information, please contact Jacqueline Ruckel U.S. Corporate and Government Sales MaryEllen Schwarzbek 1-800-382-3419 [email protected] Publishing Coordinator For sales outside the United States, please contact Vanessa Evans International Sales [email protected] Multimedia Developer Dan Scherf Book Designer Gary Adair Compositor TnT Design, Inc. 00_0789739348_fm.qxd 9/22/09 2:33 PM Page iii Contents at a Glance Introduction CHAPTER 1 What You Need to Know to Prepare for the Exam CHAPTER 2 The Roles and Responsibilities of the Nursing Assistant CHAPTER 3 Promotion of Health and Safety CHAPTER 4 Promotion of Function and Health of Residents CHAPTER 5 Specialized Care CHAPTER 6 Clinical Skills Performance Checklist Practice Exam I Answers to Practice Exam I Practice Exam II Answers to Practice Exam II APPENDIX A Nursing Assistant Test Cross-Reference APPENDIX B Nurse Aide Registries Glossary Index 00_0789739348_fm.qxd 9/22/09 2:33 PM Page iv Table of Contents 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 00_0789739348_fm.qxd 9/22/09 2:33 PM Page v 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 Chapter 5: Specialized Care ................................................................................67