When washing hands, a nursing assistant should use friction for

Correct Answer: B

Rationale: In the context of care for patients with Alzheimer's disease, hand hygiene is crucial to prevent the spread of infections. The correct answer, option B, states that a nursing assistant should wash their hands for at least 20 seconds with friction. This duration is in line with best practices recommended by health authorities like the CDC to effectively remove pathogens from hands. Option A, requiring at least 25 seconds, is not the best choice because while thorough handwashing is essential, 20 seconds is considered adequate to remove most germs. Option C, at least 5 seconds, and Option D, at least 10 seconds, are too short to effectively cleanse hands. Educationally, understanding the proper handwashing technique and duration is fundamental for healthcare professionals caring for individuals with Alzheimer's disease, who may have compromised immune systems. Reinforcing the importance of hand hygiene helps prevent the spread of infections in this vulnerable population, promoting overall well-being and quality care.

Correct Answer: D

Rationale: In the context of caring for patients with Alzheimer's Disease, it is crucial for nursing assistants to have a clear understanding of their role during code team procedures. The correct answer, D) Give chest compressions during CPR, is the most appropriate action for a nursing assistant during a code situation. Performing chest compressions is a critical component of CPR and can significantly increase the chances of survival for a patient in cardiac arrest. Option A) Giving a resident oxygen is typically the responsibility of a licensed healthcare provider such as a nurse or respiratory therapist. Nursing assistants may assist in providing supplemental oxygen but are not usually tasked with initiating this intervention during a code situation. Option B) Calling the resident's family is an important task, but during a code situation, the focus should be on providing immediate life-saving interventions rather than contacting family members. Option C) Working with the suction machine may be necessary in certain situations, but during a code, the priority is to perform CPR and other resuscitative measures to support the patient's vital functions. Educationally, understanding the specific roles and responsibilities of healthcare team members during emergency situations is essential for providing safe and effective care to patients with Alzheimer's Disease. Nursing assistants need to be trained to respond appropriately during code team procedures to ensure the best possible outcomes for their patients.

Correct Answer: C

Rationale: In the care of patients with Alzheimer's Disease, it is crucial to maintain a clean and safe environment to prevent infections and promote overall well-being. The correct answer, C) When a resident is transferred or discharged, is the most appropriate because it aligns with infection control practices and ensures the health and safety of both current and incoming residents. Cleaning and disinfecting a unit when a resident is transferred or discharged helps to prevent the spread of pathogens to other residents. It also ensures that the incoming resident is entering a clean and sanitized environment, reducing their risk of acquiring infections. This practice is essential in healthcare settings, especially in caring for vulnerable populations like those with Alzheimer's Disease who may have compromised immune systems. Option A) Every day may not be necessary unless there are specific infection control concerns or a high turnover of residents in the unit. Cleaning daily can be resource-intensive and may not always be practical or cost-effective. Option B) When the resident has visitors is important for maintaining a welcoming and comfortable environment but may not directly relate to infection control protocols. While visitor hygiene is important, cleaning and disinfecting the unit based on visitor presence alone may not adequately address infection risks. In conclusion, understanding the appropriate timing for cleaning and disinfecting units in the care of patients with Alzheimer's Disease is crucial for maintaining a safe and healthy environment. By following best practices such as cleaning when a resident is transferred or discharged, healthcare providers can effectively prevent the spread of infections and promote the well-being of all residents.

Correct Answer: B

Rationale: In caring for patients with Alzheimer's Disease, ensuring safety is the highest priority when bathing residents. Safety is paramount as individuals with Alzheimer's may have cognitive impairment, reduced mobility, and increased risk of falls. Bathing poses potential risks such as slips, burns, or other injuries, making safety a critical concern. Nursing assistants must prioritize the resident's physical well-being and create a safe bathing environment to prevent accidents and promote a positive bathing experience. Speed (option A) is not the highest priority as rushing through the bathing process can compromise safety and quality of care. While regular hygiene is important, making sure every resident has a bath every day (option C) may not be feasible or necessary for all residents, especially considering individual preferences and skin care needs. Observing for mobility (option D) is important but falls second to safety during the actual bathing process. Educationally, this question highlights the importance of prioritizing safety in Alzheimer's care. It emphasizes the need for nursing assistants to be vigilant, patient, and thorough in their approach to ensure the well-being of residents with cognitive impairments during bathing activities. The rationale reinforces the fundamental principle of person-centered care and the significance of individualized, safe care practices in dementia care settings.

Correct Answer: C

Rationale: The correct answer is option C: "The nursing assistant must hold on to the thermometer at all times while taking a rectal temperature." This statement is true because when taking a rectal temperature, it is crucial for the nursing assistant to maintain constant control over the thermometer to ensure accurate placement and prevent injury to the patient. Rectal temperatures are considered one of the most accurate methods for obtaining core body temperature readings, but they also require precision and care during the procedure. Option A is incorrect because it is essential to explain the procedure to the patient before starting to ensure their understanding and cooperation, especially in the case of patients with Alzheimer's disease who may feel anxious or confused about unfamiliar procedures. Option B is incorrect as rectal thermometers should be inserted about 1 to 1.5 inches into the rectum, not two inches. Inserting it too far can cause discomfort or injury to the patient. Option D is incomplete and does not provide a complete statement, making it an incorrect option. In an educational context, understanding the correct procedure for taking rectal temperatures is essential for healthcare professionals, especially when caring for patients with conditions like Alzheimer's disease. Proper technique ensures accurate temperature readings and patient safety, highlighting the importance of following established protocols in clinical practice.