CHHA
True or False: You must follow the service plan when helping clients get in and out of your vehicle.
( True )Actually, the service plan applies to all care, including helping clients get in and out of a vehicle.
Which of the following statements is true regarding postmortem care? A. You must wear appropriate PPE. B. You are responsible for managing the entire postmortem care process. C. If the spouse wants to hold the deceased individual's hand they must use gloves. D. Family does NOT need to wear PPE when assisting with postmortem care.
A The correct response is you must always wear the appropriate PPE when performing postmortem care due to the risk of exposure to blood and/or body fluids.
What finding do you expect from a person with dementia who may have difficulty getting in or out of a chair? A. A fear of busy spaces B. A loss of proprioception C. A fear of loud noises D. A visual impairment
A loss of proprioception which is the inability to recognize where their bodies are in space making it difficult to get in or out of a chair.
What should you do to identify the status of an individual's heart disease? A. Conduct a thorough assessment and interview. B. Coach them about appropriate diet and exercise. C. Communicate with other members of healthcare team. D. Provide emotional support about the individual's ongoing fatigue.
A thorough assessment and health interview identifies an individual's risk factors as well as signs and symptoms of a chronic disease.
In order to know a facility's latest compliance rating with Medicare and Medicaid standards a resident has a right to: A. View the survey report. B. Look at the facilitys policies. C. Talk to the manager. D. Perform an internet search
A. View the survey report. survey report has the latest compliance report for your facility. This information must be kept where it is accessible.
After slipping the stocking over the toes, foot, and heel, you should: A. Do nothing; this is the last step of the process. B. Allow the individual to finish applying the stocking, and leave the room. C. Start on the other leg. D. Grasp the top of the stocking
After slipping the stocking over the toes, foot, and heel, you should grasp the top of the stocking and slowly pull it up.
You hear the nurse say that an individual has a lump in their left neck. What sense would you use to detect the lump? A. Sight B. Touch C. Hearing D. Smell
B
When dressing a client, start by putting clothes on the: A. Strong side B. Weak side C. Lower extremities D. Upper extremities
B When dressing a client, you should start by putting clothes on the weak side first.
You are caring for Jane, who spends most of her time in bed or in her wheelchair. Which of the following interventions would you expect to see on her plan? A. Repositioning Jane every 4 hours when lying in bed B. Reminding Jane to reposition herself every 15 minutes when sitting in her wheelchair C. Avoiding physical activity D. Providing a diet high in starches and fats
B. Reminding Jane to reposition herself every 15 minutes when sitting in her wheelchair If Jane is able to reposition herself, she should be reminded to do so every 15 minutes when sitting in her wheelchair. Otherwise, you should assist her to reposition at least every 2 hours.
Which type of abuse includes the use of force to cause injury, pain, impairment, or death and can include hitting, slapping, or pushing? A. Neglect B. Physical C. Mental D. Sexual
B. Physical this type of abuse includes the use of force, like pushing, to cause injury, pain, impairment, or death. Physical abuse can also occur with the improper use of restraints and force feeding.
Which statement is TRUE regarding your role as an unlicensed caregiver in the home? A. You should perform your clientsÂ' daily activities for them when possible. B. Your supervisor will create a service plan for you to follow. C. You may need to perform skilled medical services on occasion. D. You are required to be a certified nursing assistant to work in clientsÂ' homes.
B. Your supervisor will create a service plan for you to follow.
An individual using a cane should: A. Never carry a backpack or bag, as this creates an imbalance with the cane B. Request a hemi walker, as this is the easiest and lightest cane to use C. Hold the cane on the side opposite their deficit D. Switch the cane from one side to the other
C The correct response is they should hold the cane on the side opposite their deficit, as this provides the greatest stability during use.
Which type of abuse happens when a caregiver deprives someone of a need, such as medical care, shelter, or food? A. Verbal B. Financial C. Neglect D. Physical
C when a caregiver deprives someone in their care of a need, such as food or medical care, it is neglect. Neglect is a form of abuse that may be intentional or unintentional.
What does the communication technique "slow down and be patient" mean? A. Avoid looking at your watch when giving care. B. Slow your speech so the person has time to think about each word you say. C. Slow your body movements and wait as long as it takes for the person with dementia to respond. D. Do not tell the person how many other people you have to help after them.
C. Slow your body movements and wait as long as it takes for the person with dementia to respond. People with dementia tend to perceive movement as much faster than it actually is, and that is frightening for them so you should slow your body movements.
What is a pressure injury? A. An ulcer that forms in the stomach because of stress B. A sore that develops around the body's pressure points during physical activity C. Soft tissue damage that occurs because of unrelieved force in a localized area D. An area of the skin that breaks down when you reposition someone too frequently
C. Soft tissue damage that occurs because of unrelieved force in a localized area
If a piece of equipment has a cracked and worn power cord, what should you do? A. Leave it plugged in at all times. B. Unplug it when not in use. C. Ignore it until the equipment stops working. D. Don't use the equipment.
D. Don't use the equipment. Always inspect equipment prior to use. Don't use equipment if you get a shock from it, or if it has a damaged, worn, or cracked cord.
What is the BEST way to help a client who has a visual impairment with paying their bills independently? A. Pay the bill online for them. B. Remind them to pay their bills. C. Write their checks for them. D. Read the bill information to them.
D. Read the bill information to them.
The right to a healthy environment includes: A. Water, finances, sanitation, air, and food B. Safety, food, water, sanitation, and air C. Freedom from abuse and neglect D. Water, air, food, sanitation, and shelter
D. Water, air, food, sanitation, and shelter This is a fundamental right.
What are instrumental activities of daily living (IADLs)? A. Complex activities that permit a person to be self-reliant and live independently B. Activities that are necessary for a person to perform the basic functions of life C. Care that should focus on that specific client's needs and abilities D. Dressing, eating, ambulating, toileting, and hygiene
D: . Dressing, eating, ambulating, toileting, and hygiene This is the definition of IADLs. IADLs include shopping, housekeeping, accounting, food preparation, and telephone and transportation.
All of the following are barriers to providing good customer service EXCEPT: A. Lack of appreciation B. Unrealistic demands C. Effective communication D. Time constraints
Effective communication is actually one of the five essential skills for providing good customer service.
Elastic stockings aid in: A. Circulation and healing. B. Infection prevention. C. Respiratory control. D. Patient comfort.
Elastic stockings aid in circulation and healing.
Appropriate daily care interventions for nutrition support include: A. Limiting liquids to meal times only B. Ensuring upright positioning during eating C. Putting a thickening agent in all liquids for all individuals to prevent choking D. Feeding all individuals over the age of 75
Ensuring an upright position during eating is an appropriate safety measure to use to prevent choking and aspiration.
True or False: You should try to use pressure and shear to prevent injury when repositioning someone. A. True B. False
False
As a home care worker, procuring DME and assigning the appropriate payer source is part of your responsibility in home care. A. True B. False
False Actually, neither of these tasks is your responsibility. It is the responsibility of the referring agency or your organizations designated agent.
True or False: With regard to RACE, it is more important to try to extinguish a fire than it is to warn people.
False R in RACE stands for rescue. If there is a fire, stop what you are doing and assist anyone in immediate danger. Individuals who can walk should be instructed to leave under their own power and report to the designated fire evacuation assembly area.
Which of the following is a benefit of providing nail care? A. It gives you something to do. B. Nail care including cutting nails is required. C. Nail care can help prevent skin tears and infections. D. There is no benefit so nail care should not be provided.
Nail care can help prevent skin tears and infections.
What is the acronym used to remember how to operate a fire extinguisher? A. PASS B. ASAP C. RACE D. PACE
PASS stands for Pull, Aim, Squeeze, Sweep
Which of the following is NOT provided by ALL palliative care service providers? A. Medications B. Care coordination C. Spiritual support D. Symptom management
Palliative care does not supply medications
Which of the following involves the prescription of a lethal dose of medication for a terminally ill patient to carry out suicide? A. Physician-assisted suicide B. Euthanasia C. Provider/Medical Orders for Life-Sustaining Treatment (POLST/MOLST) D. Comfort measures only
Physician-assisted suicide involves the prescription of a lethal dose of medication for a terminally ill patient to carry out their own suicide.
Poor nutrition causes: A. Weight gain B. High energy levels C. Constipation D. Good oral hygiene
Poor nutrition causes constipation.
A client who only needs someone nearby for safety reasons requires which kind of assistance? A. Stand-by assistance B. Minimal assistance C. Extensive assistance D. Total assistance
Stand-by assistance is required for individuals who need someone nearby for safety.
Persons with dementia for whom English is not their first language will most likely revert to their native language. This is referred to as which of the following middle stage communication difficulties? A. First in, last out B. Word salad C. Past reality D. Time Travel
The First in, last out theory is that persons with dementia will retain the things learned as infants, such as talking, walking, eating, and toilet training until they reached more advanced stages of dementia. For this reason, persons with dementia will often revert back to their native language.
When using the SWIPES method what does the P stand for? A. Prep the area B. Provide for the client's privacy C. Put your gloves on D. Perineal care
The P in the SWIPES method stands for provide for the client's privacy.
When using the SWIPES method what does the W stand for? A. Wait for help B. Watch for help C. Wash your hands before contact with your client D. Wash your client's hands before contact
The W in the SWIPES method stands for wash your hands before contact with your client.
All of the following may help with vision and hearing impairments in the person with dementia EXCEPT: A. Emphasizing vowel sounds B. Lowering the pitch of your voice C. Making sure the person can see your face and lips clearly D. Moving to a quieter room if there is a lot of noise where you are
The ability to hear high pitched tones deteriorates with hearing loss, so lowering the pitch WILL help. Hearing impairments do not affect the ability to understand what is said, so speaking slowly and emphasizing vowel sounds will not help.
The openings in the stockings should be placed: A. Over the arch of the foot. B. Under the pads of the feet. C. Over the toes. D. Under the heal.
The opening in the stockings should be placed over the toes, to allow for pedal circulation assessment.
What is the MOST important thing that you must do when helping a client with food preparation? A. Prepare foods that you enjoy. B. Wash your hands. C. Remind them to eat more often. D. Avoid wearing gloves when handling food items.
The single most important thing you can do when preparing food is wash your hands
How can you help an individual who has diabetes with self-management? A. Create a meal plan for them to implement. B. Help them prioritize their goals regarding treatment of their condition. C. Make them an appointment to see a diabetic specialist. D. Decide on a schedule for checking their blood glucose.
Therefore, you would not create any plan to manage their disease for them. Instead you would help them or assist them by prioritizing their goals regarding treatment of their condition.
True or False: Barriers to providing good customer service may include your own attitudes and actions. A. True B. False
True
True or False: Rest and sleep allow the brain to cope with change. A. True B. False
True
True or False: Postmortem care includes care of the body and the family's needs after death and begins as soon as the individual is pronounced dead. A. True B. False
True Postmortem care of the family's needs does begin at the time of death.
True or False: Your customers in the home health setting include both internal and external customers. A. True B. False
True The basics of good customer service also apply to anyone you come into contact with during your workday.
Which of the following are considered DME? A. Adult briefs B. Wheelchairs C. Medications D. Home security system
Wheelchairs are considered to be DME.
In what position should the individual in need of stockings be placed while the stockings are being applied?
When applying elastic stockings, ensure that the individual is lying down on their back (supine).
True or False: Identifying potential hazards in the environment can prevented skin problems such as cuts and bruises. A. True B. False
You can then take steps to correct the problem including reporting it to your supervisor if necessary.
Which type of nursing care setting BEST provides 24-hour care for serious injury or short-term illness? A. Hospice B. Assisted living C. Home care D. Acute care
acute care setting such as a hospital provides 24-hour care for serious injuries or short-term illness.
Before applying stockings, which of the following steps comes FIRST? A. Determine the stocking size. B. Perform hand hygiene. C. Remove any twists or creases. D. Turn the stocking inside out.
the first step you should take while applying elastic stockings is determining what stocking size to use.
A resident has their finances managed by the facility where you work. One day they ask you how to get $20.00 out of their account. How do you respond? A. Tell the resident they must go to the bank. B. Tell them they will receive the money in 24 hours. C. Tell them the manager will bring it to them in a week. D. Call their family and ask them to bring the money.
because the facility is managing their finances and the amount requested is less than $50.00, the correct response would be to tell the individual they will receive the money in 24 hours.
Which of the following skills for good customer service is BEST described as being able to handle and manage the unexpected? A. Patience B. Respect C. Positive attitude D. Flexibility
being able to handle and manage the unexpected is having FLEXIBILITY.
If a cane is adjusted to the correct height, the individual's elbow should: A. Rest on a plate B. Have a 20 to 30 degree of flexion C. Bear most of their weight D. Be straight
individual's elbow should have a 20 to 30 degree of flexion.
Which of the following is an appropriate guideline for maintaining safety when using sharps? A. Activating the safety mechanism immediately after use B. Bending or removing needles before disposing of them C. Emptying small sharps containers into larger containers when full D. Picking up broken glass with gloved hands
A. Activating the safety mechanism immediately after use When using sharps, you should activate the safety mechanism immediately after use. To clean up broken glass, pick up the glass using a mechanical means such as a dustpan and brush, tongs, or forceps and then place in a sharps container. Never pick up broken glass with your hands, even with gloved hands.
Which of the following is a risk factor for heart disease, diabetes, and hypertension? A. Being physically inactive B. History of preeclampsia C. Eating too much salt D. Migraines
A. Being physically inactive
According to CMS, what is the most common chronic condition among those 65 years or older? A. Hypertension B. Alzheimer's disease C. Cancer D. Arthritis
A. Hypertension It can lead to heart disease which is the deadliest chronic condition among those 65 and older.
After a patient tells you, "the doctor says things are not going well," which of the following statements would MOST encourage them to express their concerns? A. Tell me more about that. B. Don't say that. C. Don't think like that. D. You have a great doctor.
A. Tell me more about that. This statement encourages the patient to share their concerns.
All of the following are factors that can impair nutrition EXCEPT: A. Diagnosis of Parkinson's disease B. Adequate financial resources C. History of stroke D. Use of antipsychotic medication
B. Adequate financial resources Having adequate financial resources for the purchase of food is not a factor that can lead to impaired nutrition. Rather persons with limited financial resources are at higher risk for impaired nutrition.
Transmission of infectious agents within healthcare requires a certain sequencing of elements that allows infection to occur. What is this called? A. Chain of command B. Chain of infection C. Chain of transmission D. Chain of illness
B. Chain of infection In order for an infection to occur, a specific set of conditions must exist in a specific sequence, called the chain of infection.
Which type of pain is most likely to cause a patient to simply appear withdrawn and to not necessarily report pain? A. Acute B. Chronic C. Incident D. Breakthrough
B. Chronic While chronic pain may cause elevated pulse or grimace at times, chronic pain may cause a patient to simply appear withdrawn at times. Patients experiencing chronic pain may not describe pain as a healthcare professional might expect.
Outside entrance wheelchair ramps can be DME if there is a demonstrated need. A. True B. False
B. False wheelchair ramps are never considered DME.
What statement should you make to encourage an older adult to get up and be physically active when they are not sure if they can meet the time requirements for activity? A. If you do not get the full amount of exercise, your heart disease will get worse. B. How about just moving for 5 minutes? Let's walk together outside. C. I will bring you your running shoes and help put them on. D. I'm sorry that we don't have dance class this week. Maybe next week we will.
B. How about just moving for 5 minutes? Let's walk together outside.
Which of the following is an example of helping a person with dementia to have a successful conversation? A. I understand you like fly-fishing. What should I know about fishing? B. I heard you like fishing. Fishing is fun, isn't it? C. I've heard you like to fish. When was your last fishing trip? D. I think fishing is boring. Can you convince me otherwise?
B. I heard you like fishing. Fishing is fun, isn't it? This is a good opening statement because it asks a simple question about something the individual enjoys.
Luis fails to perform hand hygiene after caring for Nicole, who has MRSA. He then moves on to care for Theodore, who then contracts MRSA. What method of transmission does this represent? A. Direct B. Indirect C. Droplet D. Airborne
B. Indirect Theodore contracted MRSA from his interaction with Luis, not directly from the infectious agent, Nicole. As such, this is considered indirect transmission.
A caregiver is giving a verbal report to a nurse. Which of the following describes the background component of SBAR? A. Mr. Hayden has a temperature of 102.1 Fahrenheit. B. Mr. Hayden has had elevated temperatures for one day. C. Right now Mr. Hayden is sweating and shivering. D. I think you should see Mr. Hayden soon.
B. Mr. Hayden has had elevated temperatures for one day. This describes background information about Mr. Hayden that has happened throughout the day.
The Safe Medical Device Act of 1990: A. Was designed to allow the FDA to have knowledge of a potentially faulty medical device within a year of an adverse event B. Requires all organizations that use medical devices in a home care setting to report injuries, illnesses, or deaths caused by or contributed to medical devices C. Is no longer part of the national standard and you no longer have any responsibility to report adverse events. D. Applies only to minor injuries that are non-life-threatening and dont require immediate medical treatment
B. Requires all organizations that use medical devices in a home care setting to report injuries, illnesses, or deaths caused by or contributed to medical devices
You are caring for an individual with decreased mobility. What is the best way to tell if this is a new change for this individual? A. Ask the nurse at the end of the day B. Review trends in the medical record C. Discuss the condition with the family D. Ask the individual about the change
B. Review trends in the medical record
A staff member confines an individual to her room and prevents the individual from socializing with other individuals. Which right has this staff member violated? A. The right to manage finances B. The right to be free from abuse, mistreatment, and neglect C. The right to privacy D. The right to be informed
B. The right to be free from abuse, mistreatment, and neglect
When an individual has a chronic condition, which of the following is more likely to occur? A. They will have an increase in life expectancy. B. They will have a decrease in life expectancy and quality of life. C. They will have an increase in quality of life and life expectancy. D. They will have an increase in quality of life.
B. They will have a decrease in life expectancy and quality of life. Therefore, it is critical to recognize and address risk factors and implement chronic care management.
What is the proper way to check a closed door that potentially has fire behind it? A. Open it quickly. B. Use the back of your hand to feel the door for warmth. C. Knock on the door. D. Lock the door if it is unlocked.
B. Use the back of your hand to feel the door for warmth. If it feels warm or hot to the touch, do not open it. Carefully open doors that are cool to the touch only if they are between you and your evacuation route.
What is one of the most common mistakes made with mopping floors? A. Spot-cleaning a specific area B. Using too little cleaning solution C. Mopping the edges of the room first D. Using mops with looped ends
B. Using too little cleaning solution You should always follow the manufacturer's instructions for using any cleaning solution.
What type of nursing care setting would be BEST for someone who needs assistance with bathing, dressing, grooming, and other activities of daily living? A. Acute care facility B. Hospice center C. Assisted living community D. Outpatient center
C. Assisted living community An assisted living community would best serve someone who needs assistance with these tasks.
Which of the following interventions should you perform to maintain healthy skin? A. Ensure skin-to-skin contact. B. Create pressure on bony prominences. C. Avoid shearing forces during repositioning. D. Permit a nasal cannula to exert pressure on the mucous membranes.
C. Avoid shearing forces during repositioning. Maintaining healthy skin should always be a priority. Avoiding shear forces by, for example, lifting an individual's shoulders or buttocks away from the mattress during repositioning is very important in maintaining healthy skin.
Which of the following conditions is MOST LIKELY to require the use of compression stockings? A. Dementia B. Hepatic failure C. Circulatory disease D. Fractured ulna
C. Circulatory disease Elastic stockings are generally used on individuals who are at risk for developing blood clots, for example, those who have had surgery, who have heart and circulatory disease, are currently on bed rest, or older individuals.
Poor nutrition causes: A. Weight gain B. High energy levels C. Constipation D. Good oral hygiene
C. Constipation
Which of the following actions can cause a pressure injury? A. Preventing skin-to-skin contact B. Relieving pressure to the bony prominences C. Creating shearing forces during repositioning D. Avoiding pressure on the mucous membranes
C. Creating shearing forces during repositioning
You can protect an individual's dignity by: A. Not allowing them to do things for themselves. B. Laughing when they are embarrassed. C. Learning their history and preferences. D. Limiting visitation of family and friends.
C. Learning their history and preferences. This protects the right to dignity as it enhances their self-esteem and self-worth.
Which of the following should be your FIRST step when you need to help a client make a grocery shopping list? A. Decide how much to buy B. Collect coupons C. Plan for balanced meals D. Plan your trip
C. Plan for balanced meals It is important that your client's meal plan is well-balanced and includes plenty of fresh foods, fluids, and fiber to keep their digestive system healthy.
The PRIMARY purpose of knowing the individual is to: A. Have topics of conversation to use during care. B. Know how to gain the person's cooperation. C. Provide better overall care. D. Know how to calm the person.
C. Provide better overall care. As a caregiver your overall goal is to provide better care. Therefore, understanding individuals should done with the intention of providing better overall care.
The RACE acronym stands for _____________. A. Run; Assist; Consider; Evacuate B. Resource; Alert; Call; Elevate C. Rescue; Alarm; Contain; Extinguish/Evacuate D. Run; Alarm; Contain; Extinguish/ Evacuate
C. Rescue; Alarm; Contain; Extinguish/Evacuate
A facility refuses to let a resident administer their own medication even though an assessment indicates they are capable of doing so. Which right does this violate? A. Self-determination B. Decision-making C. Self-administer medication D. Be informed of Changes
C. Self-administer medication
In order to provide privacy and dignity for the deceased and their family, which of the following is an appropriate action to take? A. Try to "make light" of a death circumstance with co-workers. B. Keep the individual's door open to welcome visitors. C. Cover the body up to the chest with a sheet or blanket as if they are resting in bed. D. Rearrange the surroundings more to your liking.
Covering the body with a sheet of blanket as if they are resting in bed offers a natural appearance and can be comforting.
About how many hours of sleep should most adults get each night? A. 4-5 hours B. 5-6 hours C. 6-7 hours D. 7-8 hours
D
The Institute of Medicine defines a good death as one that is free from avoidable distress and suffering for patients, families, and caregivers. Which of the following symptoms in a dying loved one would MOST likely cause distress to a family member? A. Irregular respiratory pattern B. Increased daytime sleeping C. Decreased urine output D. Severe pain
D
What in the environment is MOST likely to cause problems with rest and sleep? A. Sleeping alone B. Having cool sheets C. Using a white noise machine D. Hearing housekeeping workers
D
Which of the following is one of the possible signs of sexual abuse? A. Dehydration B. Malnutrition C. Pressure injuries D. Urinary tract infection
D
Which type of nursing care setting BEST provides 24-hour care for serious injury or short-term illness? A. Hospice B. Assisted living C. Home care D. Acute care
D. Acute care