Home Health Aide Practice

While giving a bath on a shower chair, the patient suddenly gasps and becomes unresponsive. The home health aide should:

Lower the patient to the floor, call for the family to call 911, determine if CPR is needed and initiate it if indicated.

An aide may perform certain duties. True or False Apply a hot pack.

True

An aide may perform certain duties. True or False Reinforce a dressing.

True

True or False A bedside call bell needs to be available so the bed bound patient can summon assistance.

True

True or False A regular diet is a well balanced diet with no restrictions.

True

True or False Always report a pulse rate if the beats per minute are under 60 or over 100.

True

True or False Always tell the patient what you are going to do before stating a procedure.

True

True or False Always transfer a patient towards his good side.

True

True or False Diarrhea can cause dehydration and other serious complications and should be reported.

True

True or False If a person complains of pain, it is important to have the patient describe and report it to the nurse and record it in your notes.

True

True or False If you do not chart a task that you do for a patient, legally, it was not done.

True

True or False In the home, it is important to be a good listener.

True

True or False It is important to keep a patient covered during a bed bath except for the part being washed.

True

True or False It's best to use a gait belt if a patient is unsteady.

True

True or False Massaging of bony prominences helps to prevent skin breakdown by increasing the blood supply to the area.

True

When a patient's respirations are being counted, it is best that the patient:

Not be aware that the respirations are being counted

A patient accuses a home health aide of stealing five dollars. The aide has not taken the patient's money, but the patient does not believe this. What should the aide do?

Notify the agency supervisor.

Patient has had a stroke and has a right hand weakness. The patients can walk with a male assistance. It is best for the home health aide to assist the patient by walking to which of these positions?

On the patient's right side

When taking a patient's pulse, you should take it for:

One full minute.

Food that are high I vitamin C include:

Oranges, tomatoes, and watermelon.

When caring for a patient who is on bed rest, what should the aide do to prevent bedsores?

Use only sheets that are 100% cotton on the patient's bed.

If a patient is to have a fluid intake record kept, the right time to record the patient's fluid is:

When the patient has drank the fluid

If there is 50cc left in glass and the glass holds 150cc you should record the intake as:

100cc

When assisting a patient to walk with his walker, you should:

Clear a pathway and remove all safety hazards and stay close to the patient's side.

An aide may perform certain duties. True or False Administer medication.

False

An aide may perform certain duties. True or False Assist with change of a colostomy bag.

False

An aide may perform certain duties. True or False Change a sterile dressing.

False

An aide may perform certain duties. True or False Cut nails.

False

An aide may perform certain duties. True or False Give a rectal suppository

False

An aide may perform certain duties. True or False Give a tubal feeding.

False

An aide may perform certain duties. True or False Give an enema.

False

An aide may perform certain duties. True or False Give insulin.

False

True or False A rapid pulse and shortness of breath in a patient usually indicates the patient is excited and does not need to be reported to the nurse.

False

True or False Bedrails should never be used to secure vest restraints

False

True or False Bread and potatoes are a good source of proteins.

False

True or False Every patient is the same and has the same needs and wants.

False

True or False If the patient has a new area of skin breakdown, and the nurse is coming in two days, you do not need to report the skin breakdown to your supervisor.

False

True or False It is all right to use any item in the home without asking as long as it is for the patients personal care.

False

True or False It's normal for most people to complain of pressure, swelling, or bloating ankles, feet, stomach, or legs.

False

True or False Recording a patient's "TPR" or vital signs is not important as long as you remember what they were.

False

True or False Smoking in bed is fine for anyone who is not confused.

False

True or False The temperature of an unconscious patient should be taken orally since they are not moving about.

False

True or False There is no need to be near an object to pick it up, just reach.

False

True or False You may use the telephone in the patient's home without asking permission.

False

True or False You only communicate through words.

False

True or False Soy sauce is good to spice up a low salt diet.

False

The patient's pulse has been between 90 and 110 beats per minutes since his first doctors (?) visit. Now you find it to be 58 beats per minute. What should you do next?

Inform the supervisor right away.

Physical therapy has started range of motion exercise. Which of these statements about eyxcersice is true?

It is important to support the body parts above and below the joints when they are moved during eyxcersice.

Which of the following is most appropriate practice to promote good skin care in the elderly:

Keep the skin clean and well moisturized

Which of the following is not recommended for promoting good daily bowel habits?

Laxatives

Before helping a patient into or out of a wheelchair, which of these actions are necessary?

Lock the brakes and fold the foot pieces up.

A patient lying on his back has slid down in bed and needs help in moving up again. To start this, the patient should, if possible:

Flex his knees and push with his heels

A neighbor has asked you some questions about the patient you are presently taking care of. "Mrs. Collier is dying, isn't she?" How will you answer her?

"I am sorry, but I cannot discuss Mrs. Collier."

A patient's prescription for heart pills has recently been changed. The home health aide should notify the agency supervisor immediately if the patient makes which of these comments?

"I have a rash on my stomach since I've been taking these comments?"

Milk is a good source of calcium. Which of these foods is also high in calcium.

Cheese

Body language is:

A way of communicating feelings by using the body, facial expressions and the eyes.

When a patient complains of pain, what should the home health aide do first?

Ask the patient to describe the pain.

Why is it important that a patient have good mouth care?

Bacteria in the mouth can cause tooth decay and mouth infections

During a visit, you need to wash your hands after removing gloves:

Before you give physical care to the patient. After you pet the dog Before you leave the patient's home

Which of these statement describes good body mechanics?

Bend the knees when lifting an object off the floor.

For which of these emergencies is a knowledge of a pressure points essential?

Bleeding

Foods on a liquid diet would include:

Broth, tea, and jello.

The ability to make observations is even more important when working with infants and young children than it is when working with adults. The chief reason for this is that infants and young children:

Cannot explain how they feel.

If you notice the patient's catheter is not draining, there first thing you should do is:

Check the tubing to see if it is kinked.

When patients do not have enough fluids, they may develop which of the problems?

Constipation

Which go the following is important in communicating with people:

Courtesy, tact, and being able to listen.

As home health aide, it is your responsibility to:

Do only the tasks that the registered nurse or therapist assigns to you.

Which of these fluids if highest in protein?

Eggnog

An elderly male patient occasionally wets his trousers. What should the home health aide do?

Encourage him to go to the bathroom at least every two hours.

Mrs. Rand, who has diabetes and takes insulin regularly, tells the home health aide that she feels very nervous and jittery. What should the aide do immediately?

Give her a glass of orange juice.

Aide care for a conscious patient should be preceded by:

Giving an explanation of what is going to be done.

Mr. Stone is 76 years old, needs help with bathing, and has a foley catheter in place. He has great difficulty walking and uses a wheelchair. When helping Mr. Stone from bed to the wheelchair, which of these actions are essential?

Have the brakes on the wheelchair in a locked position.

Patients sometimes express religious beliefs with which the home health aide does not agree. In dealing with these situations, which of these understanding should the aide use as a guide?

Patients have a right to their own beliefs, which should be respected?

If dentures are not worn when sleeping, where should you store them?

Place in a clean container in clean water

When working with person who are disabled, the general goal of care is to:

Promote maximum self-care and independence within the limits of the person's ability.

Patient on low salt diets on usually allowed to have which of these foods?

Rasins

Which of these actions is the home health aide permitted to take in relation to drug administration?

Recording and reporting the patient's reaction to the medication.

For which, if any, of these body areas is 99.6 degrees F is a normal temperature?

Rectum

The patient tells you he has not moved his bowels in three days. What should you do?

Report it to the nursing supervisor.

The home health aide should be sure to take which of these actions when caring for a newborn baby?

Support the baby's head and neck when picking the baby up.

A patient who has been on bed rest is yo get up in a chair. The home health aide helps the patient to sit on the edge of the bed. The patient says, "I am dizzy." What should the aide do?

Support the patient in a sitting position and wait a minute or so so to see if the dizziness goes away.

Miss Ferris, a home health aide, is assigned to care for Mr. Conway. Miss Ferris notices that she feels very angry when she is with Mr. Conway. What should Miss Ferris do because she feels this way?

Talk with the agency supervisor about the situation.

It is Mrs. Amos' usual time for lunch, but she says she is not hungry yet. This is the first time that Mrs. Amos has made this type of statement. What should the home health aide do?

Tell Mrs. Amos to let the aide know when she wants to eat, and remind her that it's important that she have lunch.

The telephone numbers of all of the following are important to a patient. Which number must the home health aide have next to the telephone?

The emergency medical squad

In what situations should gloves be used?

The patient is vomiting The patient has been incontinent of stool. The patient has drainage wound.

Which of these statements about the elderly is true?

They can learn new things.

As a home health aide, you:

Work as part of the health care team.

When you work in the home, you will be:

Working under the supervision of a professional supervisor