HOME HEALTH AIDE WRITTEN COMPETENCY TEST

HOME HEALTH AIDE WRITTEN COMPETENCY TEST

Time Limit – 1 Hour

General Information
Name
Date:
Email
example@example.com

Role of the Home Health Aide

Answer True (T) or False (F) to each of the following question(s):

	T	F
Every client is the same and has the same needs and wants.

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As a home health aide, you:

Work alone Work as part of a health care team May become the leader of a health care team Will never get any further training or orientation
As a home health aide, it is your responsibility to:

Plan the client’s care Do only the tasks that the registered nurse assigns you Try to do your best, but not ask for any help Compare assignments with your co-workers
Communication

Check the box of the correct answer::
Which of the following is important in communicating with people?

Courtesy Tact Listening All the above
Nursing care for a conscious client should be preceded by:

Asking the client for his permission to go ahead with the procedure Telling the client you would like to have his cooperation Giving an explanation of what is going to be done Explaining to the client that the doctor ordered for this to be done

Abuse and Neglect:

Answer True (T) or False (F) to each of the following question(s):

	T	F
Using a bed sheet to tie a client to the bed is a form of restraint and abuse.
Making fun of or belittling a client is a form of abuse.
Refusing to give client food or fluids when they ask is not abuse.
Hitting or slapping a client is abuse.

HIPPAA

Answer True (T) or False (F) to each of the following question(s):

	T	F
A breach of confidentiality cannot be the basis of a lawsuit against the homecare worker and/or the agency.
Keeping client information private and confidential is a requirement for all caregivers

Check the box of the correct answer::
A neighbor is asking questions about the client you are presently taking care of. “Mrs. Collier is dying, isn’t she?” How will you answer her?

“Mrs. Collier is doing as well as can be expected.” “I am sorry, but I cannot discuss Mrs. Collier.” “Yes, it is too bad, she is very ill.” “How did you know about Mrs. Collier and her illness?”

Basic Human Needs
Check the box of the correct answer:r:
The most basic human needs include:

Shelter Nutrition Bathroom All the above

Safety and Emergencies

Answer True (T) or False (F) to each of the following question(s):

	T	F
For an injury with profuse bleeding, apply pressure and call for assistance.

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Which of the following conditions can be a risk factor for client falls?

Dementia Sensory Impairment Both
Part of your duties as a home health aide is to assure a safe home environment. This includes:

Proper infection control with good hand washing Electrical and fire safety Moving things which may cause the client to fall All the above
Which of the following safety measures would reduce the risk of a client falling?

Report broken or malfunctioning equipment to RN Keep personal items used by the client within their reach Both Neither
Which of the following are 911 Emergencies?

Client has a significant fall with head injuries Client does not want to watch TV Client is having difficulty breathing None of the above A and C only
In case of a fire in the home, what is the best procedure to follow?

Tell the client to be calm, call the fire department and then take the client out of the house. Get the client and yourself out of the house and then call the fire department. Try to put the fire out yourself. Call your supervisor and the fire department, then leave the house.

Observation, Recording, Reporting

Answer True (T) or False (F) to each of the following question(s):

	T	F
According to the Care Plan, it is the role of the CHHA to report any changes relating to the client’s condition to the RN.
Recording a client’s “TPR” or vital signs is not important if you can remember what they are.
Irregular bowel movements such as diarrhea and constipation should be reported to the RN.
Clues such as grimacing, moaning or crying may indicate that the client is in pain.

Check the box of the correct answer::
After arriving to care for Mr. Jones, he complains he has had severe cramping pain in the calf of his left leg for the last three hours. You call your supervisor and then record on your progress note the following

“States he has leg cramps” “Complains of pain” “Left leg hurts a lot” “States he has severe cramping pains in the calf of his left leg for three hours”
Call the RN at the office if:

Client cannot urinate Client has a fever Client is confused Client has a wet diaper during the night A, B and C

Principles of Infection Control

Answer True (T) or False (F) to each of the following question(s):

	T	F
You can tell by looking at a client what disease causing germs may be present in their blood or bodily fluids.
The following are signs and symptoms of an infection: body aches, nausea, vomiting and inflamed joints.
Always wear protective gloves if bed linens are soiled.

Check the box of the correct answer::
During a visit, you need to wash your hands

Before you give physical care to the client After you pet the dog Before you leave the client’s home All the above
In what situation should gloves be used?

The client is vomiting The client has been incontinent of stool The client has a draining wound All the above

Common Disorders and Related Topics

Answer True (T) or False (F) to each of the following question(s):

	T	F
As a client gets older, their circulation decreases.
As a client gets older, their skin becomes drier and can develop scales.
If your client suffers a significant fall, do not move them, call 911.
Clients should drink plenty of fluids unless otherwise instructed by their doctor.
It’s normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach or legs.
The most common symptom of Alhziemer’s disease is confusion.

Check the box of the correct answer::
Which of these are risk factors for pressure ulcers?

Immobility Incontinence Both Neither
If the client suffers the following, call 911:

Chest Pain Shortness of Breath Unresponsive Seizure All the above
Which of the following is not recommended for promoting daily bowel habits?

Plenty of water Laxatives Exercise Well balanced meals

Client Care Measures and Activities of Daily Living

Answer True (T) or False (F) to each of the following question(s):

	T	F
Use hot water to clean dentures.
The best time to check the client’s skin is bath/shower time.
If the client often becomes fatigued while standing in the shower, discuss the need for a shower chair with the RN.
If the client is taking a blood thinner, he should be shaved with an electric razor
Always transfer a client towards his good side.

Check the box of the correct answer:
If a client is recovering from a stroke:

Encourage them to do as much as they can independently while dressing Assist them with buttons, snaps or laces if they cannot do it on their own Both
Before helping a client into or out of a wheelchair, which of these actions is necessary?

Have the brakes unlocked and leave the foot pieces down Lock the brakes and fold the foot pieces up Have the brakes unlocked and fold the foot pieces up Lock the brakes and leave the foot pieces down
To prevent bedsores in the elderly, you should:

Change the client’s position every two hours if they are unable to do so themselves Get the client out of bed if they are allowed to do so Ensure adequate nutrition with special emphasis on the protein intake All the above

Nutrition

Answer True (T) or False (F) to each of the following question(s):

	T	F
During the summer months, encourage the client to drink plenty of water.
If the client does not want to eat, wait and try again later.
Ask family members about the client’s favorite foods.
A regular diet is well balanced with no restrictions.
You should prepare meals without checking the care plan for the client’s dietary restrictions.

Check the box of the correct answer:
If your client is on a no salt diet:

Use a salt substitute Add a little salt Give them plenty of water after eating if they are not on a fluid restriction All the above A and C
Foods in a liquid diet would include:

Chicken, eggs and toast Chopped and strained foods Broth, tea and Jell-O Lightly seasoned foods

Short Answer Questions
Write in your answers to the following questions:
Mr. Jones says, “No way, no bath today!” What do you do?
Mrs. Smith tells you she wants to shower, and the care plan says a sitting commode bath. What do you do?
On your first visit to Mr. Doe, he tells you he always wanted to be bathed at 10:00am. What do you do?

SBT
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HOME HEALTH AIDE WRITTEN COMPETENCY TEST

Communication