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NNAAP Washington Nurse Aides Exam Blueprint

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

NNAAP Washington Nurse Aides 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 Washington Nurse Aides - Exam Topics Sample Questions

You have been working with Mrs. Clark for some times and you notice that she never eats her green beans. She tells you that green beans are one vegetable she has never cared for. Which of the following would be most appropriate?

Correct Answer:
at the next care conference, mention what you have observed and ask for alternatives.
in the scenario with mrs. clark, who does not like green beans, the most appropriate action to take is to bring up this observation during the next care conference and ask for alternatives. here’s why this approach is suitable and beneficial:

**understanding the role of a nurse aide:** nurse aides often spend more time with patients than other healthcare staff, which puts them in a unique position to notice the likes and dislikes of their patients regarding food, comfort, and other daily activities. this close observation helps in tailoring care to the specific needs and preferences of each patient, thereby enhancing their comfort and satisfaction.

**importance of addressing dietary preferences:** dietary satisfaction is crucial in healthcare settings, as it directly impacts a patient's nutrition, health, and overall well-being. if a patient consistently refuses to eat a particular food, like green beans in this case, it could lead to nutritional deficiencies or reduced food intake altogether.

**appropriate actions at care conferences:** care conferences are regular meetings where the multidisciplinary team involved in a patient's care discusses their progress, concerns, and any adjustments needed in their care plan. by bringing up mrs. clark’s dislike for green beans at such a meeting, the nurse aide ensures that this issue is addressed formally and that alternative arrangements can be considered and implemented. this might include substituting green beans with another vegetable that mrs. clark prefers, thus ensuring she receives adequate nutrition while also respecting her food preferences.

**why other options are less appropriate:** 1. **eating the green beans so no one will notice:** this does not solve the underlying issue of mrs. clark's food preference and could lead to ongoing dissatisfaction or nutritional issues. 2. **directly telling the kitchen staff to change the vegetable:** while this might seem like a quick fix, it bypasses the formal care planning process, which is designed to ensure that any changes in patient care are well-documented and made with the input of the entire care team. 3. **bringing in fresh green beans from home:** this option assumes that the issue is with the quality of the green beans rather than a preference. it does not address mrs. clark’s stated dislike and could potentially create issues with dietary regulations or health safety standards in the care facility.

**conclusion:** opting to discuss mrs. clark's dietary preferences at the next care conference is not only respectful of her choices but also ensures that any changes are made with the consideration of her overall health and nutritional needs. this approach emphasizes the importance of personalized care and the role of the nurse aide in advocating for the patient's preferences within the healthcare setting.

Which of the following statements about death and a person's rights is false?

Correct Answer:
the dying person does not have a right to be in denial.


the statement "the dying person does not have a right to be in denial" is false because it misrepresents the rights and emotional experiences of individuals who are facing the end of their life. in various healthcare settings, especially those governed by ethical standards and patient rights frameworks such as the omnibus budget reconciliation act (obra), patients, including those who are dying, are entitled to personal autonomy and the right to participate in their own care decisions. this includes the psychological and emotional aspects of coping with their condition.

denial is a common stage in the grieving process, as articulated by elisabeth kübler-ross in her model which outlines five stages of grief: denial, anger, bargaining, depression, and acceptance. denial serves as a psychological defense mechanism that helps individuals cope with overwhelming emotions or news. in the context of terminal illness, a patient may use denial to maintain hope or simply manage their emotional response at a pace that feels manageable to them.

asserting that a dying person does not have the right to be in denial undermines the patient's autonomy and the complexity of their emotional experiences. it is crucial that healthcare providers support patients in a manner that respects their feelings and coping mechanisms, including denial, as long as it does not result in harm or interfere with necessary treatment decisions. in practice, this means healthcare professionals should offer support and information, but also respect the patient's right to process their situation in their own way.

furthermore, the principles of dignity, respect for autonomy, informed consent, and non-maleficence all support the idea that a patient has the right to experience and express their emotional state, including denial, without coercion or judgment from others. the role of healthcare providers is to communicate effectively and compassionately, ensuring the patient understands their medical condition and the implications, but also respecting their emotional journey and rights as an individual.

in summary, the correct understanding is that a dying person does indeed have the right to be in denial, as part of their broader rights to emotional autonomy and self-determination. healthcare settings must uphold these rights by providing a supportive and respectful environment, where patients can express their feelings and cope with their conditions in their own terms.