Which statement is the basis for the revision of a long-term care ...

[penguins]

Which statement is the basis for the revision of a long-term care facility's certified nursing assistant's (CNAs) pay and benefits?
 
  a. The CNA should be paid in accordance with their training, experience and responsibilities
  b. Caring for older adult is challenging and the pay and benefits should reflect that challenge
  c. All health care providers deserve to be adequately paid for the care services they provide
  d. The work of the CNA is an invaluable component to the quality care for our older citizens

Question 2

A novice nurse fails to complete the psychosexual assessment when admitting an older client to the geriatric unit.
 
  In that space the nurse has written not applicable. What action will the nurse manager take?
 
  a. Returns the form and asks the nurse to complete the assessment
  b. Waits until the resident becomes comfortable with the unit and then finishes the assessment
  c. Provides the novice nurse with the opportunity to discuss why the assessment was not done
  d. Asks another veteran nurse to complete the assessment

[djofnc]

Answer to Question 1

ANS: D
One of the most important components of the culture change movement is the creation of models of care that value and honor the important work of nursing assistants. Until our society makes a real commitment to providing adequate wages, individual supports (e.g., health insurance, education, career ladders), and an appreciation of their significant contribution to quality of nursing home care, these neglected workers cannot be expected to have the energy or incentive to extend themselves to the elders in their care. The remaining statements, while true, lack the focus on the value of the work CNAs perform.

Answer to Question 2

ANS: C
The role of the nurse is to assess all aspects of the resident's health and wellness. As a facili-tator of a milieu there is an expectation that the assessment would be completed and the nurse manager has a responsibility to both the nurse and the client to discuss why the nurse failed to do so. Returning the form with a discussion first will have little impact on resolving the issue in the future. While it is best to perform the assessment when the resident is com-fortable there is no reason to postpone the assessment. Asking another nurse to complete the assessment will not allow for the situation to be discussed and resolved.

[penguins]

TY

[djofnc]

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