MNA 12,13,15,16

Fowler's position

A semi sitting position, the head of the bed is raised between 45 and 60 degrees

Full visual privacy

Having the means to be completely free from public view while in bed

High Fowler's position

A semi sitting position; the head of the bed is raised between 60 and 90 degrees

Resident unit

The personal space, furniture, and equipment provided for the person by the nursing center

Reverse Trendelenburg's position

The head of the bed is raised and the foot of the bed is lowered

Semi-Fowler's Position

The head of the bed is raised 30 degrees portion is raised 15 degrees

Trendelenburgh position

The head of the bed is lowered and the foot of the bed is raised

A device used to support a person who is unsteady or disabled is a

Transfer belt

A____ rail is a device that serves as a guard or barrier along the side of the bed.

Bed rail

Another name for a transfer belt is a

Gait belt

Most falls occur
A. Hallways
B. in resident rooms and bathrooms
C. Outside areas
D. At meal time

B. in resident rooms and bathrooms

Falls are more likely to occur:
A. After midnight
B. During shift changes
C. At mealtime
D. In the morning after breakfast

B. During shift changes

Which of these would prevent falls?
A. Answer call light promptly
B. Take the person to the bathroom once per shift
C. Always keep side rails up
D. Have the person wear socks to walk in his or her room

A. Answer the call light promptly

What can be done to prevent falls when assisting a person in the shower?
A. Support the person with your hand while he or she is standing in the shower
B. Make sure that grab bars are secure and the person can reach them
C. Always use a gait belt when giv

B. Make sure that grab bars are secure and the person can reach them

Bed rails:
A. Are used for all older persons
B. Are considered restraints by OBRA
C. Prevent falls
D. Are never used when giving care

B. Are considered restraints by OBRA

When giving care, the bed wheels are always
A. Unlocked
B. Locked
C. Unlocked on the side of the bed where you are working
D. Locked when moving the bed

B. Locked

A transfer belt is
A. Always applied over clothing
B. Applied with the buckle over the spine
C. Applied very loosely
D. Always applied next to the skin

A. Always applied over clothing

If a person begins to fall, you should
A. Try to prevent the fall
B. Call for help and hold the person
C. Ease the person to the floor
D. Stand back and let the person fall

C. Ease the person to the floor

Most falls occur ____ and ____

4:00 PM, 8:00 PM

Meeting basic needs may help to

Prevent falls

Grab bars are in_____ and by______ and ______

Bathrooms, shower, tubs

Tubs and showers may be made safer if they have _____ surfaces

Non-slip

Alarms are used on the bed, chair, door, floor mat, and belt to sense

Movements

The need for bed rails is noted in the person's ______ and ______

Care plan, medical record

Hand rails in hallways and stairways give support to persons who are

Weak or unsteady when walking

When a transfer belt is applied, you should be able to slide _____ under the belt

Flat hand

The transfer belt buckle is never applied over the

Persons spine

When a person starts to fall, you should protect the persons ____ as you ease the person to the floor

Head

Any change in place or position for the body that the person is physically able to control is called

Freedom of movement

A___ restraint is any manual method or mechanical device, material, or equipment attached to or near the persons body that he or she cannot remove easily and that restricts freedom of body movement or normal access to ones body

Physical

Any drug that is used for discipline or convince and not required to treat medical symptoms is a

Chemical restraint

A _______ is an indication or characteristic of a physical or psychological condition

Medical symptoms

____ is when the manual method, device, material, or equipment used to restrain the person in the same manner it was applied by the staff

Remove easily

Restraints may be used
A. Whenever the nurse feels they are necessary
B. For immediate physical safety of the person or others
C. To make sure the person does not fall
D. To decrease work for the staff

B. For immediate physical safety of the person or others

The decision to find ways to meet the persons safety need is made by
A. The doctor
B. The nurse and family
C. The health team and resident care conference
D. The nursing assistant giving care

C. The health team and resident care conference

Research shows that restraints
A. Prevent falls
B. Cause falls
C. Are used whenever the nurse decides
D. Are necessary protective device

B. Cause falls

A person's harmful behaviors may be caused by:
A) Being afraid of a new setting
B) Being too hot or too cold
C) Being hungry or thirsty
D) All of the above

D. all of the above

Guidelines about using restraints are part of
A) FDA regulations
B) State agencies
C) OBRA and CMS regulations
D) All of the above

D. All of the above

Centers for Medicare and Medicaid Services (CMS) rules for restraint use say they
A. May be used to discipline or punish person
B. Must be discontinued at the earliest possible time
C. May be as restrictive as needed as decided by the staff
D. Maybe used

B. Must be discontinued at the earliest possible time

Which of these can be a physical restraint?
A. A soft chair with footstool to elevate the feet
B. A bed without rails
C. A chair with a lap top tray attached
D. A drug that helps a person function at his or her

C. A chair with a lap top tray attached

The most serious risk from restraints is
A. Cuts, bruises, and fractures
B. Death from strangulation
C. Falls
D. Depression, anger, and agitation

B. Death from strangulation

After receiving instructions about the correct use a restraint, you should
A. Ask for help
B. Demonstrate proper application before using it on a person
C. Watch someone else apply it to a person
D. Apply it to the person independently

B. Demonstrate proper application before using it on a person

Which of these is a chemical restraint
A. A vest restraint
B. A chair with an attached tray
C. A drug that affects the person's mental function
D. Sheets tucked in so tightly they restrict movement

C. A drug that affects the person's mental function

In order to use a restraint, the nurse must
A. Get permission from the family
B. Have a doctors order
C. Get permission from the health care team
D. Receive OBRA permission

B. Have a doctors order

Unnecessary restraint is
A. False imprisonment
B. Needed to give good care
C. Acceptable if the person does not resist
D. Acceptable if used for short periods of time

A. False imprisonment