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1. Which of the following statements about communication is the correct one?
communication is always understoodproblems in communication are only a result of the words you usecommunication includes what is said and how it is saidyou should always touch the person you are speaking to
2. A home care aide suspects a patient is being abused. As soon as possible, the aide must:
comfort the patientobserve the patient for further signs in the next few daysreport it to your supervisordocument it on the weekly sheet
3. Which of the following must the aide report immediately?
the patient's daughter visited todaythe patient has no foodthe patient's condition remains the samethe patient took a nap today
4. The patient has a urinary catheter attached to a drainage bag. When emptying the drainage bag, the aide must immediately report:
500cc of clear, yellow urine with a mild odor60cc of cloudy dark urine with a strong odor750cc of pale, yellow urine draining freelyThat there was the same amount of urine as yesterday
5. To prevent decubitus (bed sore) from forming on your patient’s skin, you should do which of the following:
rub your patient’s skin using friction and pressuretell your patient to remain as quiet and still as possiblealways keep your patient clean and dryencourage your patient to eat salty food
6. When doing perineal care on a female patient:
wear gloves, wash from front to back (vagina to rectum)wear gloves, wash from back to front (rectum to vagina)wash from front to backwash perineal area if she is incontinent
7. Which of the following diseases enters the body through the mouth or nose and goes to the lungs?
Herpeshepatitis BtuberculosisHIV
8. If you get stuck by a used needle, what should you do FIRST?
leave the home immediately and go to Employee Healthwash the area well with soap and water - squeeze punctured area to remove bloodnotify the supervisorfill out accident and exposure to blood-borne disease reports
9. Symptoms of a heart attack (MI):
are usually exactly the same symptoms of a strokewill usually go away by themselvesinclude chest pain,sweating and nauseacan be relieved with ginger ale and a good burp
10. Hypoglycemia (low blood sugar) is a dangerous condition associated with diabetes. Symptoms include:
headache, irritability, excessive perspiration, shakingsweet or fruity odor to the breathwarm, dry skinfrequent urination
11. The very FIRST sign of a possible decubitus ulcer (bed sore)is:
a red mark that does not go away after ten minutesa black and blue areawrinkle marks on the body that go away within 5 minutesa large, draining wound
12. You enter Mrs. Smith’s home and find her on the floor by the bed. She says she fell during the night and could not get up. What is the first thing that you should do?
call 911 and then your supervisorask her if she has pain anywhere and then help her get into bedask her if she has any pain, leave her where she is and call your supervisortell her that you cannot help her up and get her the phone so she can call her family to help her
13. Ms. Eden has had a stroke, which has affected her left side. She walks with a cane. When she is walking the HHA should be:
sitting in a chair close bywalking on Ms. Eden's left sidewalking on Ms. Eden's right sidewalking in front of Ms. Eden to clear a path for her
14. The patient reports feeling anxious, short of breath, pale and has a feeling of heaviness in his chest. The Home Care Aide should:
walk the patient to ease the paincall 911give fluidsencourage the patient to take deep breaths
15. The universal sign for choking is:
coughingclutching the throatshoutingwaving arms about
16. Which of the following is the FIRST emergency measure to control heavy bleeding?
call the doctorraise the injured part above the heart on several pillowsapply pressure with a cloth or towel to the woundtell the patient not to move, then call an ambulance and supervisor
17. When caring for a client with mental illness, the home care aide should:
expect the client to be violentallow the client to sleep as much as they wantremind the client to take their medication as directednot need to communicate at all with the client
18. The goal of Hospice Care is:
provide comfort for the terminally illprolong lifeencourage rehabilitationall of the above
19. One day you notice that your patient begins to cough up thick, yellow material through the tracheostomy. You should:
tell your patient to cover the opening with a Kleenex when he coughsrecord the amount and color of the material and report it to the supervisory nurseignore the coughing in order not to embarrass your client
20. Before helping a patient into or out of a wheelchair, it is important to do which of the following?
lock the brakes and have the footrests downlock the brakes and have the footrests folded uphave the footrests down and the brakes unlockedunlock the brakes and have the footrests folded up
21. A stand pivot transfer is used when a patient:
cannot put weight on either legcan put at least partial weight on one legdoes not have full use of armshas at least partial use of one arm
22. When helping a patient move toward the head of the bed, you should tell him to:
support himself on his elbows while you countbend his knees and push when you tell him toturn on his side and push with his armssit up and turn to the opposite side
23. Your patient has been walking with a walker for the past several months: recently she has decided that she does not need it. You should do which of the following?
let the patient go without it because it is her houseencourage her to use it, check the care plan and call the nursewatch her walk without it and say: 'I think you’re all right.'Call her doctor and report this
24. In addition to protein sources that are animal foods, alternate source of protein include:
chick peaslentilskidney beansall of the above
25. A very weak patient or one who is having trouble breathing must be watched carefully when eating so that she/he does not aspirate the food (food gets into the lung)
TrueFalse
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