1. 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.

2. 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

3. 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

4. 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?

5. 2. Explain the nursing assistant’s role
Define the following term: charting writing down important information and observations about residents.

6. 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

7. 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?

8. 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.

9. 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.

10. 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.

11. 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.

12. 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

13. 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

14. 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

15. 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

16. Transparency 2-1: Qualities of Great Nursing Assistants
Compassionate
Honest
Tactful
Conscientious
Dependable
Respectful
Unprejudiced
Tolerant

17. 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?

18. 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.

19. Transparency 2-2: Chain of Command

20. 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?

21. 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).

22. 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?

23. 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?

24. 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.

25. Transparency 2-3: Resident Care Plan 1

26. Transparency 2-4: Resident Care Plan 2

27. Transparency 2-5: Nursing Process

28. 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?

29. 8. Describe The Five Rights of Delegation
Define the following term: delegation transferring responsibility to a person for a specific task.

30. 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

31. 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?

32. 8. Describe The Five Rights of Delegation
REMEMBER:
A nursing assistant can provide better care if she asks for help when she needs it.

33. 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.

34. 9. Demonstrate how to manage time and assignments
Think about this question:
Where can an NA find help if he needs it?

35. Exam Multiple Choice. Choose the correct answer.
Which member of the care team diagnoses disease and prescribes treatment?
(A) Nursing assistant (NA)
(B) Resident
(C) Physician (MD)
(D) Dietitian (RDT)
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

36. Exam
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.

37. Exam
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.

38. Exam
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.
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

39. Exam
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
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

40. Exam 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
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.

41. Exam
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
Talking about management behind their backs
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.

42. Exam 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
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

43. 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.
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

44. CHAPTER 2 PRACTICE-ANSWERS
C-Empathy means being able to enter into the feelings of others
D- The care team revolves around the resident and his or her condition, treatment and progress.
C- Assessment, nursing diagnosis, planning, implementation, evaluation