65 Hours Exam Part 1
Chapter - 1 to chapter - 11
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Chapter - 1: Exam
Multiple Choice. Choose the correct answer.
(1) Which of the following healthcare settings is for people who will die in approximately six months or less?
Hospice
Long-term care
Assisted living
Acute care
(2) ___________ is care given by specialists to help restore or improve function after an illness or injury.
Sub acute care
Acute care
Adult day services
Rehabilitation
(3) Another name for 24-hour skilled care that takes place in nursing homes, or extended care facilities, is called
Hospice care
Long-term care
Assisted living
Acute care
(4) For what percentage of home care costs does Medicare pay?
37%
8%
19%
63%
(5) Medicare will pay for
All care requested by the recipient
All care requested by the doctor
All care requested by the home health agency
Only care that it determines to be medically necessary
(6) The abbreviation "HMO" means
Home maintenance organization
Health management organization
Health maintenance organization
Home medical organization
(7) Which of the following factors helps explain the purpose of and need for home health care?
Hospitals discharge patients later than they used to.
There are shrinking numbers of older and chronically ill people.
Family members are more able to are for aging relatives at home than in the past.
People who are ill or disabled feel more comfortable at home.
(8) Which of the following is a key event in the history of home care services?
In1837, the first women were hired to perform medical procedures in the homes of those who were sick.
In1959, a national conference on homemaker services was held.
In1972, preferred provider organizations were created.
In1925, women were first hired as house keeping aides.
(9) Which of the following is required by the Centers for Medicare & Medicaid Services (CMS) regarding home health aides?
Home health aides must have criminal background checks before they can begin working.
Home health aides must have received their bachelor's degree before they can begin working.
Home health aides must be allowed to write prescriptions after they complete their training courses.
Home health aides must be certified to give injections before they can begin working.
(10) What may be different about working in a home than working in a facility?
Home health aides do not have a supervisor.
All client's homes are set up the same way.
Home health aides have more contact with the client's family.
Home health aides do not need to communicate with others.
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Chapter - 2: Exam
Multiple Choice. Choose the correct answer.
(1) Which member of the care team diagnoses dis-ease and prescribes treatment?
Home health aide (HHA)
Client
Physician (MD)
Dietitian (RDT)
(2) Which of the following care team members are licensed professionals who may assign tasks to home health aides?
Other HHAs, nurses
Client's family
Nurses, PTs, OTs
Other HHAs, physicians
(3) Which of the following statements is true of clients?
Clients cannot make their own decisions.
Clients are not care team members.
Clients should not try to make choices about the care they want to receive.
The care team revolves around the client and his or her condition,treatment, and progress.
(4) Which of the following statements is true of a home health aide's responsibilities if an activity is not listed in the care plan?
The HHA should not perform the activity if it is not listed on the care plan.
The HHA should perform the activity if he or she believes it is best for the client.
The HI-IA should only perform the activity if the client says he wants it performed.
The HHA should consult other HHAs to see if they would perform the activity.
(5) What is one reason why reporting a client's changes and problems to the supervisors a very important role of the home health aide?
The care plan must be updated as the client's condition changes.
Reporting changes is not a task that the HHA performs.
Depending on the client's changes, the HHA can decide if she wants to work that day or not.
The HHA can decide what medication to prescribe for the client's current condition.
(6) Which of the following is a typical task that an HHA performs?
Changing a sterile dressing on an open wound
Giving skin care
Administering medication
Prescribing treatments
(7) Which of the following tasks is considered out-side the scope of practice for an HHA?
Giving a client a bath
Inserting tubes into a client's body
Helping a client eat dinner
Transferring a client from the bed to a chair
(8) One basic federal regulation that applies to HHAs is
HHAs must complete at least 75 hours of training and/or they must pass a competency evaluation before they begin working.
HHAs must be certified in medication management before they begin working.
HHAs must have been trained to diagnose certain diseases before they begin working.
HHAs must have at least 50 hours of in-service education training every year.
(9) Which of the following statements is an example of a common policy at a home health agency?
HHAs must follow the client's care plan.
1-1HAsshould discuss personal problems with clients to keep them aware of what is happening in their lives.
HHAs are not responsible for completing paperwork.
HHAs should expect to receive gifts from clients if they are doing their job properly.
(10) A professional relationship between an HHA and a client includes
Telling the client about problems with the supervisor
Calling the client "Dearie" and "Sweetie"
Letting a client know if the HHA is in a bad mood
Keeping client information confidential.
(11) A client has purchased a special gift for his HHA. What is the best response by the HI-IA?
The HHA should refuse the gift but thank the client for thinking of her.
The HHA should accept the gift because she is unsure about her agency's policy on gifts.
The HHA should accept and ask the client to keep it confidential.
The HHA should refuse the gift and tell the client that her employer is very unfair about employees accepting gifts from clients.
(12) Which of the following is an example of an HI-IA behaving professionally with an employer?
Arguing when the HHA is criticized
Never bothering the supervisor with questions
Documenting carefully
Trying not to be late more than twice a week
(13) The best type of jewelry for an HHA to wear to work is
A ring
A waterproof watch
A bracelet
A necklace
(14) What does the term "empathy" mean?
Empathy means being alert around others.
Empathy means being able to document honestly.
Empathy means being able to identify with and enter into the feelings of others.
Empathy means taking responsibility for one's own actions.
(15) Which of the following is true of an employer's responsibilities regarding HHAs?
Employers must insist that HHAs pay for their own protective equipment, such as gloves.
Employers must provide competency testing after being sent to clients, but not before hand.
Employers must provide initial training and continuing in-service training.
Employers must give a job description verbally, but not necessarily in writing.
(16) The most important member of the care team is
The nurse
The home health aide
The physician
The client
(17) The chain of command is
A legal term meaning a person can be held responsible for harming someone else
The person in charge of the department for each shift
The line of authority in an agency
The department that a home health aide goes to if he wants to report a problem
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Chapter - 3: Exam
Multiple Choice. Choose the correct answer.
(1) have to do with the knowledge of right and wrong.
Laws
Ethics
Advance directives
Client's rights
(2) An example of ethical behavior by a home health aide (HHA) is
Protecting a client's privacy
Changing the care plan if the HHA believes it is inappropriate for a client
Performing a task outside her scope of practice when a client requests that she do so
Accepting a gift from a client for a job well done
(3) Which of the following terms means harming a person physically, mentally, or emotionally by failing to provide needed care?
Neglect
Assault
Battery
Abuse
(4) What is required of an HHA if he suspects that a client is being abused?
The HHA should call the police and let them know that the client is being abused.
The HHA should discuss the issue with the client and ask if it is OK for him to report what he suspects.
The HHA should directly confront the abuser.
The HI-IA should report immediately to his supervisor.
(5) Which of the following terms means to steal, take advantage of or improperly use the money,properly, or other assets of another person?
Substance abuse
Financial abuse
Verbal abuse
Sexual abuse
(6) Which of the following is an example of sexual abuse?
Rubbing up against a client inappropriately
Confining a client in a separate physical space without the client's consent
Using alcohol in a harmful way
Failing to provide needed care for a client
(7) Which of the following is an example of physical abuse?
Stealing from a client
Showing a client pornographic material
Shoving a client
Threatening a client
(8) Threatening to harm a client if he tells another caregiver about a problem is an example of which type of abuse?
Physical abuse
Psychological abuse
Financial abuse
Substance abuse
(9) For home health aides, confidentiality means
Not telling the supervisor about possible abuse of a client
Keeping private things private
Not documenting client problems
Sharing client information with the HHA's family
(10) With whom may an HHA share a client's medical information?
With the client's brother and sister
With the HHA's parents
With other members of the care team
With the client's children
(11) Which of the following is a term for a legal document that designates what kind of care a person wants if he is unable to make that decision himself?
Bill of Rights
Advance directive
Protected health information
HIPAA
(12) Which of the following is an example of an advance directive?
Last Will and Testament
Power of Attorney
Divorce Decree
Durable Power of Attorney for Health Care
(13) Which of the following is the best way for an HHA to keep clients' health information confidential?
Discuss clients' information in public areas away from their homes so that clients can-not hear it
Bring family and friends to clients' homes to meet them
Store,file, or shred documents according to agency policy
Post updates about favorite clients on her Facebook page to avoid being overheard
(14) Which of the following behaviors promotes client's rights?
Keeping a change in the care plan confidential so as not to upset the client
Treating a client badly if he has made a complaint about an HHA
Encouraging a client to participate in care planning
Borrowing money from a client if it helps the HI-IA continue to be able to work
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Chapter - 4: Exam
Multiple Choice. Choose the correct answer.
(1) What is the correct order of the three-step communication process?
Senders ends message. Receiver receives message. Receiver provides feedback.
Receiver sends message. Receiver receives message. Sender provides feedback.
Sender sends message. Sender receives message. Receiver provides feedback.
Receiver sends message. Receiver receives message. Receiver provides feedback.
(2) Which of the following is an example of non-verbal communication?
Asking for a cookie
Pointing to a cookie
Writing a note requesting a cookie
Shouting for a cookie
(3) Which of the following is an example of a barrier to communication?
HHA uses medical terminology with the client.
HHA asks the client to repeat a sentence.
HHA speaks the same language as the client.
HHA speaks clearly using a professional tone of voice.
(4) Which of the following are ways for HHAs to avoid barriers to communication?
The HHA should use slang so that the client understands more easily.
The HHA should respond with "why" when client makes a statement.
The HHA should use medical terminology when talking with the client.
The HHA should ask open-ended questions that require more than yes or no responses.
(5) An example of active listening is
HHA looking around the room while the client is speaking
HHA finishing the clients sentences to make communication faster
HHA focusing on the client and providing feedback
HHA talking constantly so that there are no pauses in the conversation
(6) Whichof the following sentences is an exam-ple of a fact?
Mr.Craig needs a haircut.
Mr.Craig needed help to get to the bath-room today.
Mr.Craig is lonely.
Mr.Craig needs visitors.
(7) If a client makes a request that an HHA can-not honor, what would be the best response by the HHA?
The HHA should ignore the request and hope that the client will not ask again.
The HHA should explain why the request cannot be fulfilled and report to her supervisor.
The HHA should call the client's doctor and ask if she can perform the request.
The HHA should honor the request but let the client know that she cannot do it again.
(8) The part ofthe word that is added to the end of a root to form a new word is called a(n)
Root
Prefix
Suffix
Abbreviation
(9) Which of the following should an HHA report about a client to her supervisor immediately?
Family fighting
Chest pain, high fever
Watching too much TV
Acting lonely
(10) Which of the following is an example of objective information?
"Mrs.Johnson says she has a rash on her torso."
"There are raised, red marks the size of pinpricks on Mrs. Johnson's torso."
"Mrs.Johnson must have a rash because she looks uncomfortable."
"Mrs.Johnson needs some lotion."
(11) Which of the following senses is not used in making observations?
Sight
Touch
Smell
Taste
(12) Accurate documentation is important because
The medical chart includes information about the client's meal choices each day
Documentation provides an up-to-date record of the client's status and care
Family members make copies of clients' medical charts
Home health aides put their diagnoses in medical charts
(13) When should documentation be recorded?
Immediately after care is given
The next day
When ever there is time
Before the care is given
(14) Which of the following occurrences is considered an incident and requires a report to be completed?
A family member who helps care for the client arrives late.
The client requests a food item that is not included in his special diet.
The client falls.
The client shows signs of improvement.
(15) Whenmaking a call, the HI-IA should
Not leave a message if the person is not there
Ask,"Who is this?" when the person answers the phone
Identify herself and state why she is calling
Leavea very long, detailed message explaining everything that the HHA wants to say
(16) Positive responses to cultural diversity include
Valuing and respecting each person as an individual
Seeing all people from a certain culture as being the same
Preferring people of one culture over those of other cultures
Making assumptions about a person based on stereotypes about their culture
(17) Which of the following shows the correct con-version of 9:00 p.m. to military time?
2300 hours
2100 hours
2400 hours
2000 hours
(18) When a client becomes combative, the HI-IA should
Try to find out what triggered the behavior
Leave the client alone
Tell the client that she will not feed him if he does not stop
Realize that the behavior was the HI A's fault
(19) If a clientmakes an inappropriate request of an HHA, the HHA should
Let the client know that favors cost more
Callthe police
Politely let the client know that it is not allowed
Tell the client that the HHA will quit if she is asked that again
(20) Which of the following religions is divided into Reform, Conservative, and Orthodox movements and has religious leaders who are called rabbis?
Buddhism
Christianity
Hinduism
Judaism
(21) Which of the following religious groups believe that life is filled with suffering that is caused by desire and that meditation should be practiced regularly?
Agnostics
Christians
Buddhists
Spiritualists
(22) Which of the following religions has many subgroups and followers who believe that Jesus Christ is the son of God?
Buddhism
Christianity
Hinduism
Judaism
(23) Which of the following people actively deny the existence of God?
Agnostics
Hindus
Atheists
Jewish people
(24) Which of the following shows the correct conversion of 0530 to regular time?
12:30a.m.
12:30p.m.
5:30a.m.
5:30p.m.
(25) Which of the following shows the correct conversion of 2:35 p.m. to military time?
2435 hours
1435 hours
2235 hours
1235 hours
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Chapter - 5: Exam
Multiple Choice. Choose the correct answer.
(1) Infection prevention is
The way in which infections occur
An infection that is prevented from traveling from one part of the body to another
A set of methods used to prevent the spread of disease
An object that has been prevented from being contaminated with pathogens
(2) What happens if one of the links in the chain of infection is broken?
The infection gets worse.
The spread of infection is stopped.
The transmission continues.
The susceptible host gets sick.
(3) A home health aide (HI-IA) will come into con-tact with microorganisms
Only in high-traffic areas of the home
Only during direct contact with clients
Only during personal care procedures
Every time the HHA touches something
(4) Which of the following is considered a mucous membrane?
Lining of the knee
Lining of the mouth
Lining of the hand
Lining of the ankle
(5) Transmission of pathogens can occur through contact,which results from touching the infected person or his secretions.
Transmission
Indirect
Portal
Direct
(6) Under Standard Precautions, the term "body fluids" includes
Sweat
Water
Juice
Urine
(7) Standard Precautions means
Not performing care on clients who have infectious diseases
Treating all blood, body fluids, and mucous membranes as if they were infected
Asking all clients if they have infectious diseases before performing care
Looking at clients' charts to determine if they have an infectious disease
(8) With whom should an HHA use Standard Precautions?
With clients who have infectious diseases
With clients he suspects might have infectious diseases
With every client in his care
With clients who request that they be used
(9) The single most important thing an HHA can do to prevent the spread of disease is to
Carry dirty linen close to her uniform so as not to spread contaminants
Was hand dry her disposable gloves before reusing them
Remove gloves before cleaning spills
Wash her hands
(10) Hand hygiene is
Washing hands with either plain or anti-septic soap and water or using alcohol-based hand rubs
Washing hands with soap and water only
Using alcohol based hand rubs only
Wearing gloves when performing care procedures
(11) When washing hands, an HHA should use friction for
At least 25 seconds
At least 20 seconds
At least 15 seconds
At least 5 seconds
(12) Which of the following is true of wearing gloves?
Disposable gloves can be washed and reused.
Gloves should be changed before contact with mucous membranes.
After giving care, gloves are not contaminated.
Gloves can continue to be worn if they are torn as long as the hole(s) are covered.
(13) Which of the following is the proper order to don PPE?
Put on mask and goggles, gown, and gloves.
Put on gloves, gown, and mask and goggles.
Put on mask and goggles, gloves, and gown.
Put on gown, mask, goggles, and gloves.
(14) Which of the following is true of Transmission-Based Precautions?
An HHA does not need to practice Standard Precautions if he practices Transmission Based Precautions.
They are exactly the same as Standard Precautions.
They are practiced in addition to Standard Precautions.
They will not be listed in the care plan so as not to alarm anyone.
(15) When cleaning a body fluid spill, what is the first step that an HHA should take?
Spray bleach solution on the spill
Put on gloves
Wipe up the spill using a rag
Vacuum the spill with a wet-dry vacuum
(16) What is one example of an airborne disease?
Mumps
Conjunctivitis(pink eye)
Tuberculosis
Lice
(17) In order for an object to be called "clean' in a health care setting, it must be
Contaminated with pathogens but not microorganisms
Free of pathogens
Washed in the dishwasher, then dried with a towel
Soaked in water
(18) Which of the following statements is true of sterilization?
Sterilization is the same as disinfection.
Sterilization means only pathogens are destroyed.
Sterilization means that all microorganisms are destroyed.
Sterilization means that spore-forming organisms cannot penetrate an object.
(19) What is one way that blood borne pathogens can be transmitted?
By hugging an infected person
By touching something an infected person has touched
By standing too close to an infected person when he coughs
By contact with blood or body fluids
(20) Which of the following statements is true of hepatitis B (HBV)?
HBV is a relatively minor disease and poses no real threat to healthcare workers.
More people have HIV than have HBV.
The vaccine for HBV helps prevent the disease.
HBV causes some unpleasant symptoms but cannot cause death.
(21) A person with TB disease
Can spread it to others
Does not show symptoms
Cannot infect others
what is called latent TB
(22) How is HIV spread?
Through the air
By hugging an infected person
By standing next to an infected person
By blood
(23) Which of the following is true of HIV testing?
It does not require consent.
The results of the test can be shared with a persons family.
The results are confidential and cannot be shared with anyone.
A person can be fired if he or she has HIV.
(24) In which of the following people is TB most likely to develop?
People who have high blood pressure
People who are overweight
People who have HIV/AIDS or cancer
Children who recently started school
(25) How is MRSA most often spread?
By direct physical contact
By indirect contact
By being in enclosed spaces
Through the air
(26) Whatis the best way to control the spread of MRSA?
By taking medication
Through proper hand washing
By using masks
By taking vancomycin
(27) What is the best way to control the spread of C. difficult?
By limiting contact of the infected person with others
By using more powerful antibiotics
By giving more enemas to clean out the GI tract
Through proper hand washing and handling of contaminated wastes
(28) Which of the following is an HHA responsibility regarding infection prevention?
Following Standard Precautions in caring for all clients
Telling all visitors the client's treatment plan related to his illness
Learning to decide which clients need Transmission-Based Precautions
Capping needles and other sharps before disposing of them in the trash
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Chapter - 6: Exam
Multiple Choice. Choose the correct answer.
(1) Which of the following statements is true of body mechanics?
Body mechanics help save energy and prevent injury.
The narrower a persons base of support, the more stable the person is.
Proper alignment of the body means that the two sides of the body should not line up.
Twisting at the waist is the best way to maintain body alignment.
(2) When helping a client sit up, stand up, or walk, the HHA should
Keep her feet together
Bend her upper body
Bend her knees
Try to catch the client if he starts to fall
(3) Which of the following is a way to use proper body mechanics?
The HI-IA should twist at the waist when lifting objects.
The HI-IA should stand with her legs shoulder-width apart.
The HHA should lift objects, rather than pushing or sliding them.
The HHA should carry objects away from her body.
(4) What is one way to make any position safer and more comfortable?
The HHA should keep her legs crossed.
The HHA should stand while doing most jobs.
The HI-IA should keep her back bent or in a curve.
The HHA should use pillows to keep the body in alignment.
(5) Which of the following statements is true of preventing falls?
Clear walkways of clutter.
Keep lights low.
Leave spills for family members to clean.
Use wax on floors to keep them easy to walk on.
(6) When serving hot drinks to clients, the HHA should
Pour hot drinks away from clients
Place hot drinks on the edges of tables so that they will be easier to reach
Take lids off of hot drinks just before serving them
Make sure clients are standing up before serving hot drinks
(7) Which of the following statements is true of choking?
Choking is a normal response to eating as people get older.
People who are weak and unconscious are at a higher risk for choking.
Elderly clients should eat in a reclining position to avoid choking.
Pillows should be placed in an infants crib to prevent choking.
(8) In which position should a client be placed while eating?
Lying flat on his back
Reclining at a 45-degree angle
Lying on his side with his arm propping his head up
Sitting as upright as possible
(9) RACE is an acronym for a safety rule, and means
Run to A Close Exit
Remove clients, Activate 911, Contain fire, Extinguish
Restore power, Activate 911, Call Fire Department, Exit
Remove window, Access outside, Call for help, Elderly clients first
(10) Which of the following poses a fire hazard?
An unused fireplace
Computer plugged into a power strip
Vented heaters
Paint thinner stored next to a hot water heater
(11) Restraints can be applied
As punishment when a client is not behaving properly
Only with a doctor's order
When an HHA does not have time to watch a client closely
When the HHA judges a client is a danger to himself or others
(12) Aserious problem that has been associated with restraints is
Jaundice
Headache
Increased activity
Pressureulcers
(13) Which of the following statements is true of restraint usage?
People tend to respond better to restraint alternatives than to restraints.
Laws allow the use of restraints when an H HA cannot be at the house.
Using restraints does not cause negative effects.
Aclient who is restrained does not have to be checked often.
(14) An example of a restraint alternative is
Tying the client to the bed
Keeping the client isolated until the behavior improves
Leaving the client alone for long periods of time
Offering the client food or drink
(15) If a restraint is applied, an HHA must
Leave the client alone until another care-giver arrives
Check on the client every 15 minutes
With hold fluids
Tighten the restraint every 30 minutes
(16) Howoften should smoke alarms be checked to ensure they are in working condition?
Weekly
Monthly
Quarterly(every three months)
Daily
(17) If the HHA must leave something in his car when using the car for work, which of the fol-lowing is the best place to leave it?
On the driver's seat
In the trunk
On the passenger's seat
On the dashboard
(18) How can an HHA reduce the risk of auto mobile accidents when driving to a client's home?
By staying on her cell phone with the client as she drives so he can give directions
By planning her route in advance
By checking her map on her phone frequently
By texting a friend for directions
(19) Whichof the following would be the best place to store a car insurance card?
In the glove compartment of the car
In the console of the car, between the seats
Underthe driver's seat
Inthe owner's wallet or purse
(20) Whatshould the HHA do if he reaches a cli-ent's home and finds nobody is there?
Let himself in and start housekeeping tasks
Call his supervisor and not enter the home
Lethimself in but wait to begin work until the client arrives
Let himself in and start cooking lunch or dinner
(21) Which of the following is a tip to avoid trouble when working in a high-crime area?
If strangers are hanging around a client's home, the HHA should move past them quickly.
The HHA should refuse all assignments in areas she considers unsafe.
The HHA should be sure someone knows her schedule and should call the office at the end of the work day.
The HHA should carry a map or check her phone while walking slowly so she does not miss the client's house.
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Chapter - 7: Exam
Multiple Choice. Choose the correct answer.
(1) Which of the following is information an 1-11-IA should be prepared to give when calling emergency services?
Her supervisor's name
The phone number and address where the emergency is happening
The correct diagnosis of the victim
The names of client's family members
(2) The first steps to take when approaching an emergency are
Perform CPR and assess the situation
Call the supervisor and call 911
Assess the situation and the victim
Get assistance and get out of the house
(3) In which of the following situations should an HHA give abdominal thrusts to a client?
The client is coughing.
The client cannot speak, breathe, or cough.
The client is breathing very rapidly.
The client tells the HHA that she feels short of breath.
(4) If a client is in shock, an HHA should
Quickly give the client something to eat
Have the client lie on her stomach with her arms at her side
Elevate the client's feet unless a head or abdominal injury exists
Give the client a type of strong liquor, like brandy
(5) When a client is suspected of having a heart attack, an 1-1I-IA should
Loosen clothing around the neck
Give the client some water
Put medication directly into the client's mouth
Wait and see if the episode subsides before calling emergency services
(6) To control bleeding, an HHA should
Lower the wound below the heart
Use a topical antibiotic cream on the wound
Holda thick pad against the wound and press down hard
Applylight pressure with a bandage
(7) Which of the following should an HHA do if he suspects poisoning?
The HI-IA should offer an over-the-counter medicine to induce vomiting.
The HHA should look for a container that will help determine what the client took or ate.
The NI-IA should feed the client crackers or bread to soak up the poison.
The HHA should give the client medication and then call the client's doctor.
(8) To treat a minor burn, an HHA should use to decrease the temperature of the skin.
Ice or ice water
Cool water
Ointment
Butter
(9) Which of the following is a correct response if a client is having a seizure?
Hold the client down if he is shaking severely.
Give the client a hard piece of candy to prevent choking.
Move furniture away to prevent injury to the client.
Open the client's mouth to move the tongue to the side.
(10) If a client faints, an FIFIA should
Lowe him to the floor
Position him curled up in a ball
Elevate his legs one inch
Help him stand up immediately
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Chapter - 8: Exam
Multiple Choice. Choose the correct answer.
(1) Which of the following is a physical need?
The need for social interaction (B)
The need for water
The need for self-esteem
The need for independence
(2) Which of the following is an example of a psycho social need?
The need for food
The need for sleep
The need for activity
The need for acceptance
(3) If an HHA encounters a consenting adult client in a sexual situation, she should
Provide privacy and leave the room
Tell him that what he is doing is wrong
Ask him to stop what he is doing
Discuss it with the client's family
(4) Which of the following statements is true of spiritual needs?
Clients will believe in God.
Clients will be Christians.
Clients will have different spiritual needs and beliefs.
Clients will not believe in God or a higher power.
(5) A client begins to tell her HI-IA about Catholicism and the last religious service she attended. Her HHA does not believe in God. The best response by the HHA would be to
Listen quietly to the client
Tell the client that the H HA does not believe in God and would prefer not to discuss it
Tell the client that her beliefs are wrong
Ask the client what makes her think that there is a God
(6) Families help clients by
Creating the care plan for them
Telling clients what to do
Communicating with the care team
Diagnosing clients' illnesses
(7) If an HHA feels as if he cannot help a client with a problem, which of the following would be the best response by the HHA?
"You should talk to your pastor about that."
"I wish I could help you, but it's not my responsibility."
"You should try to be more positive."
"Let me ask my supervisor to call you."
(8) Which of the following remarks is a cliché?
"I understand your concerns. How can I help?"
"What can I do to make you more comfortable?"
"It will be over before you know it."
"I know you are feeling worried about your upcoming doctor's visit. I am here if you want to talk about it."
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Chapter - 9: Exam
Multiple Choice. Choose the correct answer.
(1) Homeostasis is
Abnormal changes in the body systems
The condition in which all of the body systems are working their best
The building block of the body
A group of cells that perform a similar task
(2) Which of the following statements is true of the skin?
It feels heat, cold, pain, touch, and pressure.
It becomes more elastic as a person ages.
It is the chemical substance that is created by the body and controls body functions.
It is part of the circulatory system.
(3) Which of the following statements is true of muscles?
They provide movement of body parts.
Two muscles meet at a joint.
They produce toxins.
They prevent contractures from occurring.
(4) How many bones are in the human body?
154
272
206
189
(5) When atrophy occurs,
The muscle wastes away.
The muscle increases in size.
The muscle slowly becomes stronger.
The muscle remains the same size.
(6) The basic unit of the nervous system is called
Spinal cord
Neuron
Brain
Cerebrum
(7) Which of the following is a function of the nervous system?
It pumps blood throughout the body.
It helps the body take in oxygen and remove carbon dioxide.
It senses and interprets information from outside the body.
It helps the body digest food.
(8) The eye and ear are part of
The nervous system
The integumentary system
The respiratory system
The reproductive system
(9) The two upper chambers of the heart are called
Left and right vein
Left and right cell
Left and right atrium
Left and right lung
(10) During the resting phase, or diastole, of the heart,
Ventricles pump blood through the blood vessels
The heart begins beating rapidly until the next contraction
The chambers fill with blood
Circulation stops
(11) Which of the following is a function of the circulatory system?
It senses and interprets information from the environment.
It supplies food, oxygen, and hormones to cells.
It controls and coordinates all body functions.
Itallows humans to reproduce.
(12) Respiration consists of
Intake and output
Inspiration and expiration
Taking in oxygen and removing carbon dioxide
Dilation and contraction
(13) The respiratory system is made up of
Kidneys,ureters, urethra
Brain,spinal cord, nerves
Trachea,bronchi, lungs
Atria,ventricles, aorta
(14) Whyare females more likely to have urinary tract infections than males?
Due to the different location of the meat us
Due to having a shorter urethra
Due to not filtering blood properly in the kidneys
Due to incontinence
(15) Which is one major function of the gastrointestinal system?
It maintains water balance in the body.
It creates new human life.
It protects the body against disease.
It eliminates solid wastes from the body.
(16) A disorder that causes frequent, liquid feces and is generally treated with a change of diet is
Diarrhea
Constipation
Peptic ulcers
Hepatitis
(17) Which of the following care guidelines is true for gastrointestinal re flux disease (GERD)?
The last meal of the day should be served as close to bedtime as possible.
Increasing intake of fatty and spicy foods may help reduce re flux.
The client should remain upright two to three hours after eating.
Serving three large meals a day helps pro-mote comfort.
(18) Diabetes occurs when the pancreas produces too little insulin or does not properly use insulin. Insulin is needed to convert into energy for the body.
Thyroid
Glucose
Gonad
Tissue
(19) The yellowish fluid that carries disease-fighting 1 cells is called
Sperm
Lymph
Urine
Blood
(20) How does the immune system protect the body from disease?
Through nonspecific and specific immunity
Through hormones
Through digestion and elimination
Through inspiration and expiration
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Chapter - 10: Exam
Multiple Choice. Choose the correct answer.
(1) How does the skin appear when it first begins to break down?
Skin looks like a deep crater.
Skin turns pale, white, red, or purple.
Skin is covered with bruises.
Skin has raised blisters.
(2) Which of the following is a condition that increases the risk of pressure ulcers?
Flexibility
Cold air
Good circulation
Restricted mobility
(3) Which of the following statements is true of pressure ulcers?
When skin begins to break down, it first turns black.
Pressure ulcers are difficult to heal but do not hurt much.
Pressure ulcers are impossible to prevent.
Pressure ulcers can lead to life threatening infections.
(4) Which of the following symptoms is important to observe and report as a possible sign that a pressure ulcer may be forming?
Complaints of feeling cool
Complaints of clothing feeling too tight
Complaints of tingling or burning in the area
Complaints of seeing flashes of light
(5) __________ are areas of the body where the bone lies close to the skin.
Pressure points
Open wounds
Bony prominences
Pressure ulcers ption
(6) Which of the following is at a higher risk of skin breakdown?
Front of neck
Face
Tailbone (sacrum)
Hands
(7) Rheumatoid arthritis is an autoimmune illness. With an autoimmune illness the body's system attacks normal tissue.
Immune
Lymphatic
Circulatory
) Endocrine
(8) Which of the following statements is true of osteoarthritis?
The jaw and neck are usually affected.
Pain and stiffness increase in cold or damp weather.
Surgery is the first method of treatment for osteoarthritis.
Antibiotics are usually the first type of medication used to treat osteoarthritis.
(9) Antibiotics are usually the first type of medication used to treat osteoarthritis.
Lead with the weaker side.
Stand on the weaker side.
Use the terms "bad" or "messed up" so it is clear which side is the weaker side.
A gait belt should not be used during transfers.
(10) When assisting clients who have had a stroke, the HHA should
Place food in the unaffected/stronger side of the client's mouth
Place food in the affected/weaker side of the client's mouth
Offer another bite of food before the client has swallowed the last bite
Encourage the client to take large bites
(11)Where should the HHA stand when helping a client who is recovering from a stroke to walk?
On either side, but very close to the client
On the client's stronger side
On the client's weaker side
A few feet in front of the client
(12) A sign that a stroke is occurring is
Abdominal pain
Gasping for air
Low blood pressure
Slurred speech
(13) Parldnsons disease typically causes
A shuffling gait
Extremely straight posture
Memory loss
Aggressive behavior
(14) Guide lines for caring for a client with multiple sclerosis include which of the following?
Rushing client through tasks
Administering medications
Preventing falls
Encouraging client to speak faster to improve cognition on 4
(15) Which of the following is true of spinal cord injuries?
Clients with spinal cord injuries will not be able to perform any self-care.
Rehabilitation is not helpful in the case of spinal cord injury.
The higher the injury, the greater the loss of function.
The higher the injury, the greater the loss of function.
(16) If a client has a hearing impairment, the HHA should
Face away from the client when speaking
Face the client with the light on the HHA's face
Shout so that the client can hear the HHA
Exaggerate the words so that the client can read the HHA's lips
(17) One way that an HHA can help a client who is visually impaired is to
Move the furniture to make it easier for the client to get around
Keep the lights very low
Use the face of an imaginary clock to explain the position of objects
Walk behind the client, lightly pushing the client forward
(18) After an amputation, a client may experience phantom sensation. Phantom sensation is
Not real
Tingling or itching in the area where the limb was amputated
An artificial body part
The surgical removal of a body part due to disease or injury
(19) The ability to think logically and clearly is called
Cognition
Cognition
Awareness
Dysphagia
(20) Which of the following statements is true of Alzheimer's disease (AD)?
Skills a person has used over a lifetime are usually kept longer.
Clients with AD will show the same signs at the same times.
HHAs should do everything for clients with AD.
Alzheimer's disease is a normal part of aging.
(21) When a client with AD is frightened, the HHA should
Speak in a room where the television is on
Check her body language to make sure she is not tense or hurried
Use long sentences
Not tell the client what she is going to do
(22) When a client with AD shows memory loss, the HHA should
Repeat herself using the same words
Tell the client that she already answered that question
Remind the client every time she forgets something
Give the client a long list of instructions to review
(23) If a client with AD has lost most of his verbal skills, the HHA should
Assume the client cannot understand what is being said
Use touch, smiles, and laughter
Ask the client questions
Not involve the client in activities because it will only frustrate him
(24) If a client with AD is incontinent, the HHA should
With hold fluids
Dim the bathroom lights
Mark the bathroom with a sign or picture
Check client every four hours to help deter-mine a "bathroom time"
(25) If a client with AD has problems with bathing, the HHA should
Schedule bathing when the client is least agitated
Hurry the client through the bath
Insist that the client bathe even if she does not want to
Surprise the client with the bath
(26) One way for an HHA to help a client with AD with eating is to
Put a few types of food on the plate at the same time
Use dishes without a pattern and a simple place setting
With hold food until the client is really hungry
Serve steaming hot foods and drinks
(27) If a client with AD has problems with dressing, the HHA should
Layout clothes in the order they should be put on
Dress the client in the hallway
Choose the client's clothing for the client
Give the client multiple steps to follow
(28) A good way for an HHA to respond to hallucinations is to
Tell the client that what she thinks she sees is not real
Tell the client that she can see the hallucination too
Reassure a client who is upset and worried
Laugh at the client to ease tensions
(29) An HHA can respond to sun downing by
Adding more caffeine to the client's diet
Setting a bedtime routine and keeping it
Restricting exercise during the day
Scheduling activities during this time
(30) When a client with AD perseverates, the HHA should
Answer questions each time they are asked
Try to silence the client
Use a thesaurus to find new ways to say things
Ignore the client
(31) If a client with AD shows violent behavior, the HHA should
Hit back
Remove triggers
Leave the client alone in the home until he calms down
Yell at the client to frighten him into stopping
(32) When is using reality orientation a good idea for clients with AD?
Late stages of AD
Early stages of AD
When clients are totally disoriented
Never
(33) Which of the following statements is true of using validation therapy?
An HHA makes no attempt to reorient the client to actual circumstances.
An HHA reminds the client that he is not living in the past.
An HHA argues with the client about what is real and what is not real.
An HHA tells the client he is having delusions.
(34) Which of the following is a type of therapy that involves having clients with Alzheimer's dis-ease remember and talk about the past?
Reality orientation
Validation therapy
Reminiscence therapy
Activity therapy
(35) High blood pressure, or hypertension
Can be detected just by looking at a person
Cannot be treated with medication
Is never a serious condition
Is a measurement of 140/90 or higher
(36) Which of the following is helpful for a client who has had a heart attack?
Smoking
High fat diet
Regular exercise
Cold temperatures
(37) The medical term for chest pain, pressure, or discomfort is
Atherosclerosis
Nitroglycerin
Hypertension
Angina pectoris
(38) Which of the following statements is true of congestive heart failure (CHF)?
Clients may take medication that makes them urinate more often.
Congestive heart failure cannot be treated.
The HHA will administer nitroglycerin to relieve painful episodes.
Clients with CHF will generally need to eat a diet high in sodium to eliminate swelling. 39. Clients with chronic obstructive pulmonary disease (COPD) have trouble with
(39)Clients with chronic obstructive pulmonary disease (COPD) have trouble with
Breathing
Urination
Losing weight
Vision
(40)How should a client with COPD be positioned?
Flat on his back
Sitting upright
Lying on his stomach
Lying on his side
(41) Which of the following is a guideline for dealing with urinary incontinence?
The HHA should offer opinions as to how the client's medications could be changed to help prevent episodes of incontinence.
The HHA does not need to document episodes of incontinence because it is a normal change of aging.
The HHA should assist with changing wet incontinence briefs immediately.
The HHA should not offer fluids because it will help lessen episodes of incontinence.
(42) One way to help prevent constipation is to
Ignore the urge to eliminate
Decrease the amount of fiber in the diet
Follow a prescribed exercise program
Remain inactive for as long as possible
(43) Which of the following are symptoms commonly experienced by people who have diabetes?
Excessive thirst, extreme hunger, frequent urination
Weight gain, poor appetite, leg swelling
Diarrhea, hyperactivity, dark yellow urine
Infrequent urination, swollen lymph nodes, excessive energy
(44) Which of the following statements is true of diabetes?
To best conserve energy, people with diabetes should skip meals when they are not hungry.
People with diabetes must be very careful about what they eat.
People with diabetes must avoid exercise so that they do not bum too much glucose.
Monitoring a diabetic client's intake of protein is more important than monitoring his intake of carbohydrates.
(45) The most common form of diabetes is
Type1 diabetes
Type 2 diabetes
Pre diabetes
Gestational diabetes
(46) Which of the following terms is another name for insulin reaction?
Hypoglycemia
Diabetic coma
Sugar diabetes
Insulin free
(47) Which of the following is another name for diabetic ketoacidosis?
Hypoglycemia
Insulin reaction
Insulin shock
Hyperglycemia
(48) The best way for an HHA to provide foot care for a diabetic client is to
Cut the client's toenails to keep them short and clean
Encourage the client not to wear socks
Make sure the client is barefoot most of the time
Observe the feet regularly for signs of initiation
(49) What kind of shoes are best for diabetic clients to wear?
Leather shoes
Plastic shoes
Pleather shoes
Rubber shoes
(50) Which of the following sexually-transmitted infections (STIs) cannot be cured?
Chlamydia
Gonorrhea
Genital herpes
Syphilis
(51) HIV can be transmitted by
Telephones
Toilets
Hugs
Blood
(52) Aclient with AIDS who has an infection of the mouth may need to eat food that is
Spicy
Soft
Dry
Hot
(53) A client with AIDS who has nausea and is vomiting should eat
Small, frequent meals
Quickly
Food containing high-fat dairy products
Spicy food
(54) Whichof the following is the best option to serve to a client with AIDS who isexperienc-ingdiarrhea?
Cheddar cheese slices
Sunflower seeds
Whole wheat tortilla
Banana
(55) Which of the following is helpful for numbness, tingling, and pain in the feet for a client who has AIDS?
Wrapping the feet tightly in elastic bandages
Wearing snug, firm slippers
Tucking the sheet tightly around the feet
Going barefoot
(56) The key treatment for malignant tumors of the skin, breast, bladder, colon, rectum,stomach, and muscle is
Surgery
Chemotherapy
Radiation
Diet and exercise
(57) Which of the following is the best way an HHA can communicate with a client who has cancer?
Insist that the client tell the HHA what he is going through.
Give the client medical advice if the client asks for it.
If the client is worried, tell him, "It'll all be fine."
Listen to the client if he feels like talking.
(58) Which of the following is helpful when providing skin care for a client with cancer?
Do not use lotion on dry, delicate skin.
Do not offer basic rubs.
Avoid applying lotion to areas receiving radiation therapy.
Avoid moving at all.
(59) If a client with cancer is experiencing pain, the HHA should
Assist with comfort measures, such as repositioning
Encourage the client by telling her she has to be tougher to fight the cancer
Make light of the pain and tell the client to think about cheerful things
Tell the client to pray and God will take away her pain
(60) What should an HHA do when providing oral care for a client with cancer?
The HHA should use a commercial mouthwash for rinsing.
The HHA should use a hard-bristled toothbrush.
The HHA should assist the client with brushing and flossing regularly.
The HI-IA should avoid giving oral care or give limited oral care.
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