West Virginia CNA flashcards
West Virginia CNA · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Aphasia communication techniques
- Speak slowly, use short one-part sentences, ask yes/no questions, allow extra time for a response, and supplement words with gestures, pictures, or a communication board.
- Hearing-impaired resident communication
- Stand in the resident's line of sight, get attention before speaking, lower the pitch of your voice, reduce background noise, and never shout directly into the ear.
- Kubler-Ross grief stages
- The five stages, in order, are denial, anger, bargaining, depression, and acceptance; residents and families may move back and forth among them.
- Feedback in communication
- Feedback closes the communication loop; restating the message or asking the resident to repeat it back confirms that it was understood correctly.
- Donning PPE order
- Put on the gown first, then the mask or respirator, then goggles or face shield, and gloves last so that gloved hands touch the least.
- Removing PPE order
- Remove gloves first, then goggles, then gown, then mask; perform hand hygiene immediately after removing all PPE, before touching anything else.
- C. difficile hand hygiene
- Alcohol-based hand rub does not kill C. difficile spores, so soap and water handwashing is required after contact with the resident or contaminated surfaces.
- Airborne precautions PPE
- Airborne precautions for tuberculosis, measles, and varicella require a fit-tested N95 respirator in addition to standard precautions; a surgical mask is not sufficient.
- RACE fire response
- RACE stands for Rescue anyone in danger, Alarm activation, Contain the fire by closing doors, and Extinguish or Evacuate depending on the situation.
- PASS fire extinguisher use
- Pull the pin, Aim the nozzle at the base of the fire, Squeeze the handle, and Sweep from side to side until the fire is extinguished.
- Care during a seizure
- Protect the head, do not restrain the body, place nothing in the mouth, time the seizure, and turn the resident to the side afterward to protect the airway.
- FAST stroke screening
- Face drooping, Arm weakness, Speech difficulty, and Time to call emergency services; any one of these signs warrants immediate reporting.
- Resident refusal of care
- A resident may refuse any treatment; the aide stops, does not argue or force, informs the nurse, and documents the refusal and what was offered.
- Resident confidentiality rule
- Share resident information only with the care team on a need-to-know basis; discussing a resident in public areas or off duty violates confidentiality and HIPAA.
- Mandatory abuse reporting
- Nurse aides are mandated reporters; suspected abuse or neglect is reported immediately to the nurse or administrator and documented objectively without investigating it yourself.
- Resident personal possessions
- Residents may keep personal belongings; the aide labels and inventories items, handles them with care, and reports missing or damaged items.
- Normal adult vital signs
- Oral temperature 97.6-99.6 degrees F, pulse 60-100 beats per minute, respirations 12-20 per minute, blood pressure below 120/80, and oxygen saturation 95-100%.
- Radial pulse counting rule
- Count the radial pulse for 30 seconds and multiply by two when the rhythm is regular; count a full minute when the rhythm is irregular.
- Perineal care washing direction
- Wash from the urethra toward the anus, front to back, using a clean portion of the washcloth for each stroke to prevent transferring bacteria to the urinary tract.
- Repositioning schedule
- Turn and reposition an immobile resident at least every two hours, use a 30-degree lateral position, and keep the heels floated off the mattress.
- Dysphagia feeding precautions
- Sit the resident upright at 90 degrees, offer small bites, use a chin tuck, give thickened liquids as ordered, and keep the resident upright 30 minutes after eating.
- Signs of aspiration
- Coughing or choking while eating, a wet or gurgling voice, teary eyes, and food pocketed in the cheek signal possible aspiration and must be reported at once.
- Food intake documentation
- Record how much of each meal was eaten as a percentage; report intake of 50 percent or less or refusal of two or more meals in a row.
- Urinary drainage bag position
- Keep the bag below the level of the bladder and above the floor, keep the tubing free of kinks, and never pull on the catheter.
- Bladder retraining schedule
- Offer the toilet or bedpan at scheduled intervals, often every two hours, and gradually lengthen the time between trips to build bladder control.
- Minimum adult urine output
- Adequate adult urine output is at least 30 mL per hour; report output below that level or any absence of urine for eight hours.
- Maslow's hierarchy order
- From the base upward: physiological needs, safety and security, love and belonging, esteem, and self-actualization; lower needs are met before higher ones.
- Delirium versus dementia
- Delirium begins suddenly, fluctuates through the day, and is often reversible; dementia develops gradually and progresses, so a sudden change suggests delirium and needs reporting.
- Behavior as communication
- Behavior such as agitation often signals unmet needs; check for pain, hunger, thirst, toileting, noise, and fear before responding to the behavior itself.
- Nurse aide scope of practice
- Aides assist with activities of daily living and collect data; they do not assess, teach, give medications, perform sterile procedures, or provide intravenous care.
- Categories of elder abuse
- Physical, sexual, emotional or verbal, financial, neglect, and involuntary seclusion; aides must recognize and report any of these immediately.
- Objective abuse documentation
- Write exactly what was seen and heard, using the resident's own words in quotation marks, without opinion, conclusion, or blame.