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Understanding what is on the NNAAP MD Geriatric Nurse Aide exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studing the correct information.

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NNAAP Maryland Geriatric Nurse Aide Exam Blueprint

Understanding the exact breakdown of the NNAAP Maryland Geriatric Nurse Aide test will help you know what to expect and how to most effectively prepare. The NNAAP Maryland Geriatric Nurse Aide has 70 multiple-choice questions The exam will be broken down into the sections below:

NNAAP Maryland Geriatric Nurse Aide Exam Blueprint
Domain Name % Number of
Questions
Physical Care Skills - Activities of Daily Living 14% 10
Physical Care Skills - Basic Nursing Skills 39% 27
Physical Care Skills - Restorative Skills 8% 6
Psychosocial Care Skills - Emotional and Mental Health Needs 11% 8
Psychosocial Care Skills - Spiritual and Cultural Needs 2% 1
Role of the NA - Communication 8% 6
Role of the NA - Client Rights 7% 5
Role of the NA - Legal and Ethical Behavior 3% 2
Role of the NA - Member of the Health Care Team 8% 6

NNAAP Maryland Geriatric Nurse Aide - Exam Topics Sample Questions

In terms of caring for a person with Alzheimer’s disease, the nursing assistant might do all of the following EXCEPT:

Correct Answer:
talk loudly and forcefully to the person so that he or she is more likely to understand.


in caring for a person with alzheimer’s disease (ad), a nursing assistant is tasked with various responsibilities that aim to ensure the safety, comfort, and well-being of the patient. among these responsibilities are: removing harmful, sharp, and breakable objects from the person’s area to prevent accidents; ensuring the person wears necessary aids like eyeglasses and hearing devices for better perception and communication; and maintaining good skin care and alignment to prevent complications such as skin breakdown and contractures.

however, one approach that is explicitly not recommended is talking loudly and forcefully to the person in an attempt to make them understand better. this method is incorrect for several reasons. first, alzheimer’s disease affects a person’s cognitive functions, which include understanding and processing information. shouting or speaking forcefully can be perceived as threatening or confusing by someone with ad, potentially causing anxiety, stress, or agitation.

instead, communication with an alzheimer’s patient should be gentle and patient-focused. it is advisable to use clear, simple sentences and to speak calmly and softly. this respectful and straightforward form of communication helps in reducing misunderstandings and frustrations. it is also important to maintain eye contact and use non-verbal cues to aid comprehension. additionally, repeating information if necessary or rephrasing it can also be helpful since it gives the person extra time and different contexts to process the information.

furthermore, it is crucial to always explain to the patient what you are going to do, step by step, before doing it. this helps in preparing them mentally for the action, which can reduce resistance and increase cooperation. for instance, if you are helping them to change clothes, narrate each step clearly as you go along.

in summary, the role of a nursing assistant in caring for someone with alzheimer’s disease involves more than just attending to their physical needs. equally important is the approach to communication and interaction, which should always be carried out with patience, respect, and understanding. talking loudly and forcefully, contrary to being helpful, can actually detract from the quality of care and could exacerbate symptoms of anxiety and confusion in individuals with ad.

Patients need clean drinking water. Before providing water for a patient, the nurse aide needs to note all of the following except:

Correct Answer:
if the person has completed his/her meal
when a nurse aide is tasked with providing clean drinking water to a patient, there are several considerations to keep in mind to ensure the patient's safety and compliance with healthcare protocols. however, among the options provided, noting whether a patient has completed their meal is not typically a critical factor to consider before providing them with water. let’s delve into each consideration to understand why:

**the person's fluid orders:** this is critical information. patients might have specific fluid intake limitations or requirements due to various medical conditions such as heart disease, kidney disease, or fluid-restricted diets. overlooking a patient's fluid orders could lead to serious health complications. therefore, it's imperative to check these orders to determine how much and what type of fluids the patient is allowed.

**if the person can have ice:** this detail might seem minor but is important for several reasons. some patients might have sensitivity to cold, or their medical condition may require avoiding cold beverages. for example, patients with sensitive teeth or those who have undergone certain surgical procedures might find ice to aggravate their condition. additionally, the presence of ice changes the amount of liquid being consumed, which is crucial in maintaining the accuracy of fluid intake measurements.

**if the person needs a straw:** this is another important consideration, especially for patients who have difficulty swallowing or physical limitations that make drinking from a cup challenging. providing a straw can help facilitate easier and safer drinking, reducing the risk of choking or aspiration, which can lead to pneumonia or other complications.

**if the person has completed their meal:** while knowing if a patient has finished their meal might be relevant in certain contexts such as mealtime insulin administration for diabetics, it generally does not impact the immediate need to provide water. hydration needs to be maintained regardless of meal completion, and there are no typical medical protocols that restrict water intake immediately after meals. hence, this is the correct answer to the question as it is the exception; it's usually not necessary to consider this factor before providing a patient with water.

**conclusion:** ensuring patient safety and adherence to specific health requirements is paramount when administering any form of care, including something as seemingly simple as providing water. a nurse aide must always check the patient's fluid orders, and consider any additional needs such as ice and straws, but typically does not need to know whether the patient has just finished a meal before offering water. this understanding helps in providing attentive and precise care, tailored to each patient’s individual needs.