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NNAAP Alaska Nurse Aides - Blogs Sample Questions

Nurse aides have standards or professional boundaries for care. These boundaries include: underinvolved, helpful zone, and over-involved. Which of the following nurse aides is over-involved?

Correct Answer:
mr. madison tells the nurse aide that he is lonely. he is being discharged today and the nurse aide gives him his cell number and suggests that he call when he wants to talk.
in the context of professional boundaries in healthcare, particularly among nurse aides, it is crucial to maintain a balance that avoids being either underinvolved or over-involved with patients. professional boundaries are designed to protect both the patient and the healthcare worker and to ensure a safe, therapeutic environment. these boundaries help define the limits of a professional relationship, guiding interactions that aim to benefit the patient's health and emotional well-being while maintaining professional integrity and distance.

in the given scenarios, identifying the over-involved nurse aide involves recognizing actions that cross these professional boundaries. the correct answer, involving mr. madison, exemplifies an over-involved behavior. mr. madison, feeling lonely and facing discharge, expresses his feelings to the nurse aide. instead of maintaining professional boundaries, the nurse aide offers his personal cell phone number and encourages mr. madison to call him for a conversation. this action crosses professional boundaries for several reasons: 1. **personal information sharing**: sharing personal contact information like a cell phone number moves the relationship from a professional to a personal level, which is inappropriate in a patient-caregiver setting. 2. **emotional attachment**: suggesting personal calls implies a readiness to engage beyond professional support, fostering an emotional attachment that could compromise objective care. 3. **role confusion**: such behavior can lead to confusion regarding the role and responsibilities of the nurse aide, potentially leading the patient to expect support types that are outside the professional scope of a nurse aide.

professional behavior would require the nurse aide to address mr. madison’s feelings of loneliness by communicating these concerns to the nursing staff or social services within the facility, who could then arrange appropriate follow-up support or counseling. this approach maintains the necessary professional boundary while still addressing the patient's emotional needs.

in contrast, the other scenarios, although involving emotional situations, do not necessarily indicate over-involvement. for example, offering a brief hug to mrs. adams, who is grieving, could be seen as a compassionate gesture within the bounds of professional behavior, depending on the policies of the healthcare facility and the comfort level of the patient. likewise, assisting mr. monroe with writing a letter does not involve sharing personal information or forming a personal attachment; rather, it is a supportive act within the professional role of a nurse aide.

thus, the scenario with mr. madison is a clear example of over-involvement where the nurse aide steps beyond professional boundaries, potentially jeopardizing the professional relationship and the emotional well-being of both the patient and the caregiver. in healthcare settings, maintaining these boundaries is essential for providing high-quality, ethical care.

Elastic bandages provide support and reduce swelling from injuries. When you apply an elastic bandage which of the following would you NOT do?

Correct Answer:
start at the upper part of the extremity and work downward to the lower part.
when applying an elastic bandage, it is crucial to use the correct technique to ensure effective support and reduction of swelling in injured areas. here is an expanded explanation of the considerations and steps you should follow, highlighting what you should not do:

**start at the upper part of the extremity and work downward to the lower part**: this statement is incorrect. when applying an elastic bandage, you should start at the lower (distal) part of the extremity and work upward towards the upper (proximal) part. this method helps in enhancing venous return and reducing swelling more effectively. starting at the lower part ensures that the bandage can support proper blood flow back towards the heart, which is crucial in preventing pooling of blood and fluids in the lower extremity, which can exacerbate swelling and delay healing.

**use the correct size of bandage**: it is important to choose a bandage that is wide enough to cover the area adequately but not so tight that it restricts blood flow. the length should be sufficient to wrap the area securely without excessive layering, which might lead to bulkiness and discomfort.

**position the person in good alignment**: before applying the bandage, make sure that the injured extremity is in a natural, aligned position. this ensures that the bandage can be wrapped smoothly and evenly without causing misalignment or undue pressure on any part of the extremity.

**apply the bandages with firm, even pressure**: the bandage should be wrapped snugly to provide support and compression but not so tight as to cut off circulation. uneven pressure can lead to areas of excessive tightness or looseness, which can either impede blood flow or fail to support the injured area adequately.

**reapply a loose or wrinkled bandage**: if the bandage becomes loose or wrinkled, it should be reapplied. a loose bandage will not provide adequate support, and wrinkles in the bandage can cause uneven pressure points on the skin, potentially leading to discomfort or even skin damage.

**replace a moist or soiled bandage**: a wet or dirty bandage can be a breeding ground for bacteria, potentially leading to infection. it is important to replace it with a clean, dry bandage to maintain hygiene and ensure effective support and compression.

**expose fingers or toes if possible**: this practice allows you to check the circulation (color and temperature) of the extremity frequently to ensure that the bandage is not too tight. keeping the fingers or toes exposed also helps in monitoring for any signs of swelling, discoloration, or numbness, which could indicate issues with the bandage’s application.

**check the color and temperature of the extremity every hour**: this is an essential step to ensure that the bandage has not been applied too tightly. changes in color (pale or blue) or temperature (cool to the touch) could indicate compromised blood circulation, necessitating immediate adjustment or removal of the bandage.

**face the person during the procedure**: maintaining eye contact and facing the person during the bandaging process helps in communication, allowing the injured person to provide feedback on discomfort or pressure, ensuring the bandage is applied comfortably and effectively. by understanding and avoiding the incorrect step of starting the bandage application from the upper part of the extremity and working downward, and instead following the proper procedures outlined above, you can effectively use an elastic bandage to support healing and reduce swelling in injuries.

Additional Blogs for NCSBN - National Council of State Boards of Nursing dfgdfgdfg

In your journey to get NNAAP Alaska Nurse Aides certified it is important for you to have all information related to your exam. So we have pulled together a list of additional blogs that may be of interest to you because that are all related to the National Council of State Boards of Nursing.

Exam Edge Blogs for NCSBN - National Council of State Boards of Nursing