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The Nursing Assistant and The Care Team
1. Identify the members of the care team and describe how the
care team works together to provide care
Define the following terms:
activities of daily living (ADLs)
daily personal care tasks, such as bathing; caring for skin,
nail, hair, and teeth; dressing; toileting; eating and drinking;
walking; and transferring.
assistive or adaptive devices
special equipment that helps a person who is ill or disabled to
perform activities of daily living.
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The Nursing Assistant and The Care Team
1. Identify the members of the care team and describe how the
care team works together to provide care
The care team is made up of the following individuals:
• Nursing assistant
• Registered nurse
• Licensed practical nurse/licensed vocational nurse
• Physician or doctor
• Physical therapist
• Occupational therapist
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The Nursing Assistant and The Care Team
1. Identify the members of the care team and describe how the
care team works together to provide care
Care team members (cont’d):
• Speech-language pathologist
• Registered dietitian
• Medical social worker
• Activities director
• Resident and resident’s family
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The Nursing Assistant and The Care Team
1. Identify the members of the care team and describe how the
care team works together to provide care
Think about this question:
Why are the resident and the resident’s family members
considered members of the care team?
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The Nursing Assistant and The Care Team
2. Explain the nursing assistant’s role
Define the following term:
charting
writing down important information and observations about
residents.
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The Nursing Assistant and The Care Team
2. Explain the nursing assistant’s role
There are two main ways in which nursing assistants provide
services for residents:
• Performing assigned nursing tasks
• Providing personal care or assisting with self-care
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The Nursing Assistant and The Care Team
2. Explain the nursing assistant’s role
Think about these questions:
What are some tasks nursing assistants regularly perform?
What are some tasks nursing assistants generally do not
perform?
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The Nursing Assistant and The Care Team
2. Explain the nursing assistant’s role
REMEMBER:
Nursing assistants interact closely with residents on a daily basis.
They have more contact with residents than any other member
of the care team. Because of this, they are the “eyes and ears” of
the healthcare team and play a very important role in providing
information on changes in the resident.
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Define the following terms:
professional
having to do with work or a job.
personal
relating to life outside one’s job, such as family, friends, and
home life.
professionalism
how a person behaves when he is on the job; it includes how
a person dresses, the words he uses, and the things he talks
about.
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Define the following terms:
compassionate
being caring, concerned, considerate, empathetic, and
understanding.
empathy
identifying with the feelings of others.
sympathy
sharing in the feelings and difficulties of others.
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Define the following terms:
tactful
showing sensitivity and having a sense of what is appropriate
when dealing with others.
conscientious
guided by a sense of right and wrong; principled.
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
When dealing with residents, a professional nursing assistant
always makes a point of
• Being positive
• Doing only assigned tasks
• Keeping residents’ information confidential
• Being polite and cheerful
• Not discussing personal problems
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Professional behavior for NAs when dealing with residents
(cont’d):
• Not using profanity
• Listening
• Calling residents by their proper names
• Not giving or accepting gifts
• Explaining care
• Following care practices
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Professional behavior for a nursing assistant also includes doing
the following when interacting with employers:
• Completing duties
• Following policies/procedures
• Documenting and reporting care
• Reporting problems
• Reporting anything that keeps a nursing assistant from
completing duties
• Asking questions
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Professional behavior for a nursing assistant interacting with
employers (cont’d):
• Taking directions and criticism
• Being clean and neatly dressed and groomed
• Being on time
• Notifying employer if absent
• Following chain of command
• Participating in education programs
• Being a role model for the facility
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Transparency 2-1: Qualities of Great Nursing Assistants
• Compassionate
• Honest
• Tactful
• Conscientious
• Dependable
• Respectful
• Unprejudiced
• Tolerant
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The Nursing Assistant and The Care Team
4. Describe proper personal grooming habits
Think about this question:
Page 14 of the textbook contains a list of grooming tips for
nursing assistants. Why are these important tips for professional
nursing assistants to follow?
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The Nursing Assistant and The Care Team
5. Explain the chain of command and scope of practice
Define the following terms:
chain of command
the line of authority within a facility or agency.
liability
a legal term that means someone can be held responsible for
harming someone else.
scope of practice
defines the tasks that healthcare providers are legally allowed
to do and how to do them correctly.
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Transparency 2-2: Chain of Command
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5. Explain the chain of command and scope of practice
Think about this question:
How does the chain of command show the importance of nursing
assistants not performing tasks outside their scope of practice?
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The Nursing Assistant and The Care Team
5. Explain the chain of command and scope of practice
REMEMBER:
Laws and regulations are different from state to state, but certain
tasks are never performed by NAs (e.g. performing procedures
involving sterile technique or making diagnoses).
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The Nursing Assistant and The Care Team
5. Explain the chain of command and scope of practice
Think about these questions:
Why must a nursing assistant never honor a request to do
something outside his scope of practice?
What should an NA do if he receives such a request?
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6. Discuss the resident care plan and explain its purpose
Think about these questions:
Why does each resident have a different care plan?
How might residents’ care plans be different from each other?
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6. Discuss the resident care plan and explain its purpose
REMEMBER:
A nursing assistant must never perform any activity not listed on
the care plan.
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Transparency 2-3: Resident Care Plan 1
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Transparency 2-4: Resident Care Plan 2
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Transparency 2-5: Nursing Process
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The Nursing Assistant and The Care Team
7. Describe the nursing process
Think about these questions:
In which of the steps in the nursing process (evaluation,
assessment, diagnosis, planning, implementation) does a nursing
assistant play a role?
How is the nursing assistant’s role important to the nursing
process?
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The Nursing Assistant and The Care Team
8. Describe The Five Rights of Delegation
Define the following term:
delegation
transferring responsibility to a person for a specific task.
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The Nursing Assistant and The Care Team
8. Describe The Five Rights of Delegation
These are The Five Rights of Delegation:
• Right task
• Right circumstance
• Right person
• Right direction/communication
• Right supervision/evaluation
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8. Describe The Five Rights of Delegation
A nursing assistant should consider these questions before
accepting a task:
• Do I have all the information I need to do this job? Are there
questions I should ask?
• Do I believe that I can do this task? Do I have the necessary
skills?
• Do I have the needed supplies, equipment, and other
support?
• Do I know who my supervisor is and how to reach him/her?
• Do we both understand who is doing what?
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The Nursing Assistant and The Care Team
8. Describe The Five Rights of Delegation
REMEMBER:
A nursing assistant can provide better care if she asks for help
when she needs it.
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9. Demonstrate how to manage time and assignments
There are five important strategies for NAs to use in managing
their time and usefulness:
• Plan ahead.
• Prioritize.
• Make a schedule.
• Combine activities.
• Get help.
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The Nursing Assistant and The Care Team
9. Demonstrate how to manage time and assignments
Think about this question:
Where can an NA find help if he needs it?
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The Nursing Assistant and The Care Team
Exam
Multiple Choice. Choose the correct answer.
1. Which member of the care team diagnoses disease and prescribes
treatment?
(A) Nursing assistant (NA)
(B) Resident
(C) Physician (MD)
(D) Dietitian (RDT)
2.
Which of the following care team members are licensed professionals who
delegate jobs to nursing assistants?
(A) NAs, nurses
(B) Resident’s family
(C) Nurses, PTs, OTs
(D) NAs, physicians
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The Nursing Assistant and The Care Team
Exam
3.
Which of the following statements is true of residents as a part of the care
team?
(A) Residents cannot make their own decisions.
(B) Residents are not care team members.
(C) Residents should not try to make choices about the care they want to
receive.
(D) The care team revolves around the resident and his or her condition,
treatment, and progress.
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The Nursing Assistant and The Care Team
Exam
4.
Which of the following statements is true of a nursing assistant’s
responsibilities if an activity is not listed in the care plan?
(A) The NA should not perform the activity if it is not listed on the care
plan.
(B) The NA should perform the activity if he or she believes it is best for
the resident.
(C) The NA should only perform the activity if the resident says he wants it
performed.
(D) The NA should consult other NAs to see if they would perform the
activity.
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The Nursing Assistant and The Care Team
Exam
5.
What is one reason why reporting a resident’s changes and problems to the
supervisor is a very important role of the nursing assistant?
(A) The care plan must be updated as the resident’s condition changes.
(B) Reporting changes is not a task that the NA performs.
(C) Depending on the resident’s changes, the NA can decide if she wants to
work that day or not.
(D) The NA can decide what medication to prescribe for the resident’s
current condition.
6.
Which of the following is a typical task that an NA performs?
(A) Changing a sterile dressing on an open wound
(B) Helping residents with toileting needs
(C) Administering medication
(D) Prescribing treatments
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The Nursing Assistant and The Care Team
Exam
7.
Which of the following tasks is outside the scope of practice for an NA?
(A) Giving a resident a bath
(B) Inserting tubes into a resident’s body
(C) Helping a resident eat dinner
(D) Transferring a resident from the bed to a chair
8.
A professional relationship between an NA and a resident includes
(A) Telling the resident about problems with the supervisor
(B) Calling the resident Dearie and Sweetie
(C) Letting a resident know if the NA is in a bad mood
(D) Keeping resident information confidential
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The Nursing Assistant and The Care Team
Exam
9.
Proper personal grooming for an NA means
(A) Wearing artificial nails and large rings
(B) Keeping hair clean and neatly brushed
(C) Wearing nose rings
(D) Keeping tattoos visible by wearing a low-cut blouse
10. What does the term empathy mean?
(A) Empathy means being alert.
(B) Empathy means being able to document honestly.
(C) Empathy means being able to enter into the feelings of others.
(D) Empathy means taking responsibility for one’s own actions.
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Exam
11. Which of the following is an example of a professional relationship with an
employer?
(A) Documenting carefully
(B) Never bothering the nurses with questions
(C) Trying not to be late more than twice a week
(D) Talking about management behind their backs
12. What does the chain of command do?
(A) It determines which residents go in which rooms.
(B) It determines which shift an NA works.
(C) It describes the care plan for each resident.
(D) It helps protect nursing assistants and their employers from liability.
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The Nursing Assistant and The Care Team
Exam
13. The
(A)
(B)
(C)
(D)
correct order of the nursing process is
Planning, evaluation, assessment, implementation, nursing diagnosis
Evaluation, implementation, nursing diagnosis, assessment, planning
Assessment, nursing diagnosis, planning, implementation, evaluation
Evaluation, assessment, nursing diagnosis, planning, implementation
14. What is the single best way for an NA to manage his or her time efficiently?
(A) See the NA’s favorite residents first
(B) Let other care team members answer call lights so that the NA can
finish assignments
(C) Plan ahead by making a list of tasks to do
(D) Save time by washing hands only after caring for residents who are
obviously sick
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The Nursing Assistant and The Care Team
CHAPTER 2 PRACTICE
1. What does the term “empathy” mean?
(A) Empathy means being alert.
(B) Empathy means being able to document honestly.
(C) Empathy means being able to enter into the feelings of others.
(D) Empathy means taking responsibility for one’s own actions.
2. Which of the following statements is true of residents as a part of the care team?
(A) Residents cannot make their own decisions.
(B) Residents are not care team members.
(C) Residents should not try to make choices about the care they want to receive.
(D) The care team revolves around the resident and his or her condition, treatment, and progress.
3. The correct order of the nursing process is
(A) Planning, evaluation, assessment, implementation, nursing diagnosis
(B) Evaluation, implementation, nursing diagnosis, assessment, planning
(C) Assessment, nursing diagnosis, planning, implementation, evaluation
(D) Evaluation, assessment, nursing diagnosis, planning, implementation
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CHAPTER 2 PRACTICE-ANSWERS
1. C-Empathy means being able to enter into the feelings of
others
2. D- The care team revolves around the resident and his or her
condition, treatment and progress.
3. C- Assessment, nursing diagnosis, planning, implementation,
evaluation