Final Exam

Question 1

Professional boundaries are necessary in caregiving because they help the home care aid…

1. avoid doing tasks that are unpleasant
2. Decide when the care plan should be followed
3. Keep a healthy relationship with the client

Answer 1

3. Keep a healthy relationship with the client

Question 2

A clients son asks the HCA to do the families laundry along the with the clients, the HCA should…

1. Suggest the son ask another caregiver to do the laundry
2. Explain that the HCA can only provide services for the client
3. Add the families laundry, since helping the family helps the client

Answer 2

2. Explain that the HCA can only provide services for the client.

Question 3

A clients daughter is visiting from out of town and asks the HCA about her fathers health. The best response by the HCA would be…

1. Review the clients care plane and the clients progress with daily living actives with the daughter
2. Discuss what the HCA has been involved with, such as doctor visits.
3. Suggest the daughter ask her father directly about his health

Answer 3

3. Suggest the daughter ask her father directly about his health

Question 4

An example of a restraint is…

1. Using a pillow to help keep the client in a side lying position
2. Using perscribed medications instead of over the counter medications for a clients pain
3. Dressing the client in clothing selected because it cannot be removed by the client

Answer 4

3. Dressing the client in clothing selected because it cannot be removed by the client

Question 5

A client is on a special diet and wants to add new food to the diet. The best response by the HCA is…

1. Explain that the HCA may only prepare foods on the current diet.
2. Encourage the client to discuss this with their doctor or dietitian first.

Answer 5

3. Encourage the client to discuss this with their doctor or dietitian first.

Question 6

A client is feeding very weak today but wants to take a tub bath The HCA is concerned about the client’s risk of falling in the tub. What is the best response by the HCA…

1. Explain their concerns to the client and offer alternatives
2. Setup to give the client a bed bath instead
3. Encourage independence allowing the client to take a tub bath

Answer 6

1. Explain their concerns to the client and offer alternatives

Question 7

When reporting suspected abuse to DSHS, the HCA must…

1. Get the clients approval
2. Inform the supervisor/case manger first
3. Describe the facts about what has been observed

Answer 7

3. Describe the facts about what has been observed.

Question 8

The client’s family member has taken several valuable items from the client’s home without permission. This could be a sign of…

1. Financial exploitation
2. lack of independence
3. abandonment

Answer 8

1. Financial exploitation

Question 9

A client’s care plan is important because it helps the HCA…

1. Understand the needs of the clients family members
2. Give appropriate medical advice to the client
3. Identify what personal care tasks the client needs

Answer 9

3. Identify what personal care tasks the client needs

Question 10

The HCA should wear gloves when…

1. Going the bathroom
2. Having any contact with the client
3. Providing care with chapped hands

Answer 10

3. Providing care with chapped hands

Question 11

You are a mandatory reporter of abuse for any vulnerable adult

1. True
2. False

Answer 11

1. True

Question 12

You need to know if your client has advanced directives and where they are located

1. Ture
2. False

Answer 12

1. Ture

Question 13

A restraint can be used if the client says he or she is afraid of falling

1. Ture
2. False

Answer 13

2. False

Question 14

A client’s right to decide what care he or she receives is protected by law

1. True
2. False

Answer 14

1. True

Question 15

Self-directed care tasks, done by an Individual Provider, must be listed in their care plan

1. True
2. False

Answer 15

1. True

Question 16

A client’s care plan is important because it helps you to

1. Give medical advice to the client
2. Meet the client’s family members
3. Know what personal care tasks to do

Answer 16

3. Know what personal care tasks to do

Question 17

It is important to understand a client’s cultural background because it can…

1. Change how many hours you work
2. Affect how you need to provide care
3. Tell you weather to fallow the care plan

Answer 17

2. Affect how you need to provide care

Question 18

When cleaning up blood, wear gloves only if a client has a blood-borne disease…

1. True
2. False

Answer 18

2. False

Question 19

A client complains of having a headache and feeling dizzy could be dehydrated…

1. True
2. False

Answer 19

1. True

Question 20

The HIV virus is hard to kill on household surfaces…

1. True
2. False

Answer 20

2. False

Question 21

Clients infected with HIV/Aids may not know they have the illness..

1. True
2. False

Answer 21

1. True

Question 22

It is better to drag, not lift, a client when helping to reposition her in bed…

1. True
2. False

Answer 22

2. False

Question 23

Infections may be spread when work areas are not kept clean

1. True
2. False

Answer 23

1. True

Question 24

When looking at the label of a client’s medication, you must verify if it is the correct client, medication, time, dosage, and route…

1. True
2. False

Answer 24

1. True

Question 25

A home care aide's role in nurse delegtion is to do a delegated task as trained by the client.. 1. True 2. False

Answer 25

2. False

Question 26

You should report a change in a client's condition or behavior anytime you have questions or concerns... 1. True 2. False

Answer 26

1. True

Question 27

It is your responsibility to come to work when scheduled and on time... 1. True 2. False

Answer 27

1. True

Question 28

A client's legal rights are important because they... 1. They are listed in the clients care plan 2. Spell out a case mangers role 3. Protect a clients freedom and dignity

Answer 28

3. Protect a clients freedom and dignity

Question 29

A relative of Mr. Timberlake has taken several valuable things from his house without permission. This could be a sign of... 1. Abandonment 2. Financial exploitation 3. Self neglect

Answer 29

2. Financial exploitation

Question 30

Which one of the following actions could be helpful to you if you were experiencing grief and loss.. 1. Increasing work hours to keep busy 2. Talking with someone who will listen 3. Ignoring the feelings they will go away

Answer 30

2. Talking with someone who will listen

Question 31

Any caregiver can assist with medications in the following way... 1. Steadying a client's wrists for drops, sprays, or lotions 2 Placing a medication into a client's mouth. 3. Preparing medications without written instructions.

Answer 31

1. Steadying a client's wrists for drops, sprays, or lotions

Question 32

As a caregiver what is the first thing you need to do in an emergency... 1. Make sure the client is safe 2. Only do what the client asks 3. Call your supervisor/case manager

Answer 32

1. Make sure the client is safe

Question 33

Your legal responsibility for reporting abuse begins as soon as you... 1. Have informed your supervisor/case manager 2. Get the client to admit it happened 3. Suspect abuse has happened

Answer 33

3. Suspect abuse has happened.

Question 34

Behaviors that put you at-risk for getting HIV/AIDS include... 1. Using public restrooms 2. Hugging an infected person 3. Contact with infected blood

Answer 34

3. Contact with infected blood

Question 35

Mr. Filmore has diabetes and has a new sore on his foot. You must... 1. Put a band-aid on it and watch it every day. 2. Report it to your supervisor/case manager. 3 Tell Mr. Filmore to take better care of himself.

Answer 35

2. Report it to your supervisor/case manager

Question 36

Actively listening to a client means you... 1. Politely ask the client to pay attention to you. 2. Share a story you think the client would enjoy 3. Stop what you are doing and focus on him or her

Answer 36

3. Stop what you are doing and focus on him or her

Question 37

Clear, professional boundaries are important because they help you... 1. Get more information about what tasks to do. 2. Get closer to the client's family and friends. 3. Keep a healthy ethical relationship with the client

Answer 37

3. Keep a healthy ethical relationship with the client

Question 38

As a caregiver, reading food labels helps you know... 1. If the client can afford to buy it. 2. Whether the client will like it. 3. If a food is healthy for the client

Answer 38

3. If a food is healthy for the client

Question 39

Check a client's skin... 1. When you have the extra time. 2. Occasionally when you do personal care 3. Whenever you do personal care

Answer 39

3. Whenever you do personal care

Question 40

HIV/AIDS is caused by a... 1. Air-born virus 2. Blood born virus 3. Food born virus

Answer 40

2. Blood-born virus

Question 41

Mr. Smith's son, Bob, is visiting him from out of town. Bob asks you about his father's health. Your best response is to tell Bob... 1. You do not know anything 2. To ask his father about his health 2. Tell all you know about his fathers heath

Answer 41

2. To ask his father about his health

Question 42

Mr. Yost wants hotdogs but is on a low-salt diet. You should tell him... 1. Why his choice concerns you and offer an alternate. 2. That he has no choice but to eat what you cook for him. 3. That his doctor must write a prescription for the hotdogs.

Answer 42

1. Why his choice concerns you and offer an alternate

Question 43

Mrs. Higginbottom is confined to a wheelchair. To prevent pressure ulcers, encourage her to... 1. Stay as still as possible. 2. Use a donut shaped cushion. 3. Shift her weight frequently

Answer 43

3. Check her weight frequently

Question 44

Mrs. Moody has dementia, becomes restless in the afternoon, and tries to get outside. How do you keep her safe without using a restraint? Have her.. 1. Sit unattended in her recliner. 2. Walk or pace in a safe area. 3. Locked up safe in her room.

Answer 44

2. Walk or pace in a safe area

Question 45

Mrs. Phillips continues to refuse to take her medications. You should... 1. Report it to your case manager/supervisor. 2. Hide the medications in her food. 3. Do nothing. It is her right to refuse.

Answer 45

1. Report it to your case manager/supervisor.

Question 46

Mrs. Washington has bruises on her arms and legs that can't be explained. You must... 1. Wait until there is more proof that the abuse happened. 2. Get her permission before making report. 3. Report this suspected abuse to DSHS immediately.

Answer 46

3. Report this suspected abuse to DSHS immediately

Question 47

A client that complains of dizziness, thirst, weakness, and confusion is showing signs of... 1. Infection 2. Grief 3. Depression

Answer 47

1. Infection

Question 48

Objectively reporting concerns about a client means you give... 1. Take action early to reduce what causes you stress. 2. Only the facts of what you observed. 3. Only what the client wants you to report.

Answer 48

2. Only the facts of what you observed

Question 49

One effective way to avoid caregiver burnout is to... 1. Take action early to reduce what causes you stress. 2. Delay needed changes until you have more time. 3. Set big goals when change is needed.

Answer 49

1. Take action early to reduce what causes you stress

Question 50

Proper body mechanics inclue always bending from the... 1. Waist 2. Knees 3. Shoulders

Answer 50

2. Knees

Question 51

Standard precautions are used... 1. Any time there is a risk of exposure to blood or body fluids. 2. In place of other infection control practices. 3. Only when you know a client has a blood borne disease

Answer 51

1. Any time there is a risk of exposure to blood or body fluids.

Question 52

To make sure your body language communicates respect to a client, always... 1. Keep your gestures relaxed and open 2. Hide any negative emotions you are feeling. 3. Stand and look down at the client.

Answer 52

1. Keep your gestures relaxed and open

Question 53

When assisting a client to transfer, always... 1. Tell the client it would be best to do the transfer your way. 2. Communicate exactly what you will be doing and when. 3. Stay quiet unless the client asks you a question.

Answer 53

2. Communicate what you will be doing and when

Question 54

When something needs to be doumented about a client, you should... 1. Wait until the issue is solved to document it. 2. Make sure that you give your opinion. 3. Write down exactly what happened as soon as possible.

Answer 54

3. Write down exactly what happened as soon as possible

Question 55

Which one of the following actions helps reduce the possibility of caregiver burnout... 1. Setting healthy limits to what you can realistically do. 2. Ignoring your feelings and seeing if they go away. 3. Spending extra time at work to get everything done.

Answer 55

1. Setting healthy limits to what you can realistically do

Question 56

Which practice helps a client keep good bowel function... 1. Straining when toileting. 2. Eating foods high in fiber 3. Having a big breakfast.

Answer 56

2. Eating foods high in fiber

Question 57

Who is allowed to administer a medication... 1. An ombudsman. 2. Any caregiver. 3. RNs or LPNs.

Answer 57

3. RNs of LPNs

Question 58

You must wear gloves when you... 1. Use the restroom. 2. Have chapped hands. 3. Have any contact with a client.

Answer 58

2. Have chapped hands

Question 59

You see Mrs. Foote is about to fall. What do you do... 1. Try to stop her from falling. 2. Run and get help quickly. 3. Gently ease her to the floor.

Answer 59

3. Gently ease her to the floor

Question 60

You suspect a vulnerable adult has been sexually assaulted. You must report it... 1. After you have more proof. 2. Only if you are comfortable calling. 3. To the police and the DSHS abuse hotline.

Answer 60

3. To the police and DSHS abuse hotline

Question 61

At which temperature must you keep foods cold... 1. 41 degrees or below 2. 55 degrees or below 3. 50 degrees or below

Answer 61

1. 41 degrees or below

Question 62

Which is the correct way to reheat food... 1. Reheat until the food is warm to the touch. 2. Reheat to 145 degrees or hotter within 4 hours. 3. Reheat to 165 degrees or hotter within 1 hour.

Answer 62

3. Reheat at 165 degrees or hotter within 1 hour

Question 63

Which is the correct way to make disinfectant when using bleach... 1. Add 10 ounces of bleach to one (1) gallon soapy water. 2. Mix one (1) cup bleach with one (1) gallon hot water. 3. Mix one (1) teaspoon bleach with one (1) gallon cool water.

Answer 63

3. Mix one teaspoon of bleach with one gallon cool water

Question 64

A caregiver has just finished cutting raw meat on a cutting board and is about to cut potatoes for a salad. What must he/she do to prevent cross-contamination... 1. Wipe the board and knife with a cloth rinsed in bleach water. 2. Wipe the board with a paper towel and use a new knife. 3. Wash, rinse, and disinfect the board and knife before using.

Answer 64

3. Wash, rinse, and disinfect the board and knife before using.

Question 65

When must a person preparing foods wash his/her hands... 1. Three times a day. 2. Whenever they may have become contaminated. 3. Only when they look dirty.

Answer 65

2. Whenever they may have become contaminated

Question 66

A caregiver who has a sore throat or diarrhea should not prepare foods. Why should he/she not handle food... 1. Because the caregiver will work slower. 2. It is okay to work if you don't tell anyoe that you are sick. 3. Germs causing illnesses could also cause clients to get sick.

Answer 66

3. Germs causing illness could cause clients to get sick

Question 67

Why should a caregiver use gloves or utensils instead of preparing food with bare hands... 1. To keep hands from smelling bad. 2. To keep the foods from bruising. 3. Germs from bare hands could contaminate food.

Answer 67

3. Germs from bare hands could contaminate food

Question 68

Bacteria grow best in the "temperature danger zone." What is the temperature danger zone... 1. 70 degrees fahrenheit to 170 degrees fahrenheit. 2. 41 degrees fahrenheit to 140 degrees fahrenheit. 3. The area around a hot stove.

Answer 68

2. 41 degrees fahrenheit to 140 degrees fahrenheit

Question 69

Potentially hazardous foods are foods that can grow bacteria easily if they are stored or held in the "temperature danger zone." Which of the following are potentially hazardous foods... 1. Cherry pie, breads, and mustard. 2. Whole apples, bananas and raw carrots. 3. Cooked rice, chicken and cooked potatoes.

Answer 69

3. Cooked rice, chicken and cooked potatoes

Question 70

Which is the correct way to deterimine that meats and other foods are adequately cooked to prevent illness... 1. Use a thermometer to check the internal temperature of the food. 2. Check internal temperature to make certain it is at least 120 degrees. 3. Cook the meat/fish/chicken until it is firm, tender and smells done

Answer 70

1. Use a thermometer to check the internal temperature of the food.