Question

1. list guidelines for communicating with residents with special needs

multiple choice
hearing impairment

1. to best communicate with a resident who has a hearing impairment, the nursing assistant should

(a) use short sentences and simple words
(b) shout
(c) approach the resident from behind
(d) raise the pitch of her voice

1. if a resident is difficult to understand, the na should

(a) pretend to understand the resident so as not to hurt his feelings
(b) mouth the words in an exaggerated way so that the resident will mimic that behavior next time
(c) ask the resident to repeat what he said, and then tell the resident what the na thinks she heard
(d) ask the resident to speak up

1. hearing aids should be cleaned

(a) every couple of hours
(b) daily
(c) once a week
(d) when the resident is sleeping
multiple choice
vision impairment

1. the ability to see objects in the distance better than objects nearby is

(a) closesightedness
(b) farsightedness
(c) nearsightedness
(d) myosightedness

1. which of the following would the best way for a nursing assistant to orient a resident who has a visual impairment to a step in a room?

(a) look at the step below you.
(b) watch out for the step below.
(c) there is a step at twelve oclock.
(d) visualize a step in front of you.

1. when entering the room of a resident who has a visual impairment, the nursing assistant should

(a) touch the resident, then identify herself
(b) be quiet so as not to disturb the resident
(c) wait until she is very close to the resident, then touch the resident on the arm
(d) knock on the door and then identify herself

1. when helping a resident with a visual impairment to walk, the nursing assistant should

(a) walk slightly ahead of the resident
(b) walk slightly behind the resident
(c) walk on the residents stronger side
(d) gently push the resident forward
matching
cerebrovascular accident (cva) or stroke
use each letter only once.

1. _____ cerebrovascular accident (cva)
2. _____ dysphagia
3. _____ emotional lability
4. _____ expressive aphasia
5. _____ hemiparesis
6. _____ hemiplegia
7. _____ receptive aphasia

(a) occurs when blood supply to a part of the brain is blocked or a blood vessel leaks or ruptures within the brain
(b) weakness on one side of the body
(c) paralysis on one side of the body
(d) trouble communicating thoughts through speech or writing
(e) difficulty understanding spoken or written words
(f) inappropriate or unprovoked emotional responses
(g) difficulty swallowing

Explanation:

1. For a resident with hearing impairment, using short sentences and simple words helps in clear communication. Shouting, approaching from behind, or raising pitch may not be effective or appropriate.
2. Asking a hard - to - understand resident to repeat and then stating what was heard is a respectful and effective way to clarify. Pretending to understand or mimicking are not good practices, and asking to speak up may not solve the comprehension issue.
3. Hearing aids should be cleaned daily to maintain their functionality and hygiene.
4. Farsightedness is the ability to see objects in the distance better than nearby objects.
5. Telling a visually - impaired resident "There is a step at twelve o'clock" gives a clear spatial reference.
6. When entering a visually - impaired resident's room, knocking and identifying oneself is the proper etiquette.
7. When helping a visually - impaired resident walk, walking slightly ahead provides guidance.

8 - 14. Matching based on medical definitions: CVA is when blood supply to part of the brain is blocked or a vessel leaks/ruptures; dysphagia is difficulty swallowing; emotional lability is inappropriate or unprovoked emotional responses; expressive aphasia is trouble communicating thoughts through speech or writing; hemiparesis is weakness on one side of the body; hemiplegia is paralysis on one side of the body; receptive aphasia is difficulty understanding spoken or written words.

Answer:

1. A. Use short sentences and simple words
2. C. Ask the resident to repeat what he said, and then tell the resident what the NA thinks she heard
3. B. Daily
4. B. Farsightedness
5. C. There is a step at twelve o'clock
6. D. Knock on the door and then identify herself
7. A. Walk slightly ahead of the resident
8. A. Occurs when blood supply to a part of the brain is blocked or a blood vessel leaks or ruptures within the brain
9. G. Difficulty swallowing
10. F. Inappropriate or unprovoked emotional responses
11. D. Trouble communicating thoughts through speech or writing
12. B. Weakness on one side of the body
13. C. Paralysis on one side of the body
14. E. Difficulty understanding spoken or written words