Competency Exam
Role of the Home Health Worker
The term caregiver is used throughout the exam and represents any “non-medical” healthcare worker.
1) As a home healthcare worker, you will
Work alone.
Work as part of the health care team.
May become the leader of the healthcare team.
Will never get any further training after orientation.
Name
First Name
Last Name
2) When you work in the home, under the supervision of a professional supervisor.
True
False
3) As a home healthcare worker, it is your responsibility to:
Plan the client's care.
Only do the tasks written on the service plan.
Try to do your best, but not ask for any help.
Compare assignments with your co-workers.
4) In the home, it is important to be a good listener.
True
False
5) Always tell the client what you are going to do before starting a task.
True
False
6) You only communicate through words.
True
False
7) Which of the following is important when communicating with your client?
Courtesy
Tact
Listening
All of the above.
8) Body language is:
A way of communicating feelings by using the body, facial expressions and the eyes.
Only used by clients to tell their doctors what is causing them problems.
Only used by persons who are deaf and mute.
9) While working with a client or client, you are accused of stealing five dollars. Although you have nottaken the client's money, they do not believe you. What should you do?
Ask the other caregivers who also care for the client, if they took the five dollars.
Offer to give the client five dollars.
Notify the agency supervisor.
10) Care for a conscious client should be preceded by:
Asking the client for their permission to move forward with the task.
Telling the client you would like to have his cooperation.
Explanation to the client that the doctor requested this task be done.
11) Stephanie is a caregiver assigned to care for Mr. Conway. Stephanie notices that Mr. Conway feels very angry when she is with him. What should Stephanie do?
Tell Mr. Conway how she is feeling.
Find out if other PSAs have felt this way.
Talk with the agency supervisor about the situation.
12) If you do not chart a task that you do for a client, legally, it was not done.
True
False
13) If the client has a new skin breakdown and the supervisor is coming in two days, you do not need toreport the skin breakdown to your supervisor.
True
False
14) Shortness of breath in a client usually indicates the client is excited and does not need to be reportedto the supervisor.
True
False
15) The client tells you he has not moved his bowels in three days. What should you do?
Tell him not to worry about it.
Tell him to take a laxative.
Report it to the supervisor.
16) Which of these actions is a home healthcare worker (HHA, PSA, Caregiver, any Non-Medical worker)permitted to take in relation to assisting with drug administration?
Handing out nonprescription medications to the client who asks for them.
Adjusting the dosage of medications given to the client.
“Remind” the client when medications are to be taken.
17) When a client complains of pain, what should you do first?
Ask the client to describe the pain.
Call the client's doctor.
Change the client's position.
18) Your client's prescription for heart pills has recently been changed and your client complains of a new rash on her stomach. You should notify your supervisor immediately.
True
False
19) Mrs. Rand has diabetes and takes insulin regularly. She tells you that she feels very nervous and jittery. What should you do immediately?
Take her temperature.
Find out when she has her next doctor's appointment.
Contact the supervisor.
20) Hand washing is the single best way to decrease the transfer of pathogens.
True
False
21) Gloves should be worn when handling items soiled by body fluids.
True
False
22) The catheter drainage bag must be lower than the bladder, but not on the floor.
True
False
23) During a visit when should you wash your hands?
Before providing physical care to the client.
After removing gloves.
Before you leave the client's home.
All of the above.
24) In what situation should gloves be used?
The client is vomiting.
The client has been incontinent of stool.
The client has a drainage wound.
All of the above.
25) Diarrhea can cause dehydration and other serious complications and should be reported.
True
False
26) If a person complains of pain, it is important to have the client describe the pain and then report it tothe supervisor and then record it in your notes.
True
False
27) It is normal for most people to complain of pressure, swelling, or bloating in their ankles, feet,stomach or legs.
True
False
28) If you notice the client's catheter is not draining, the first thing you should do is:
Call your supervisor.
Empty the drainage bag.
Check the tubing to see if it is kinked.
Do nothing, this is for the nurse to handle.
29) Which of the following is not recommended for promoting good daily bowel habits:
Plenty of water.
Laxatives.
Exercise.
Well balanced meals.
30) Mrs. Amos has not had a bowel movement for three days. She has always given herself an enema whenthis persists for that long a time. Mrs. Amos asks the caregiver to give her an enema. What should you do?
Give Mrs. Amos an enema.
Tell Mrs. Amos to wait another day.
Suggest that Mrs. Amos take a laxative first.
Contact the agency supervisor to discuss the situation.
31) A bedside call bell needs to be available so the bed bound client can summon assistance.
True
False
32) Bedrails should never be used to secure vest restraints.
True
False
33) Smoking in bed is fine for anyone who is not confused.
True
False
35) A client is receiving oxygen through a nasal cannula. What safety precautions should the caregiver take?
Keep the television set at least 5 feet from the oxygen tank.
Do not permit the client to drink soda.
Do not allow smoking in the client's room.
Do not use any lotions that contain oil in the client's room.
36) For an injury with profuse bleeding, apply pressure and call for assistance.
True
False
37) If the client begins to have a seizure, your first responsibility is to prevent the client from injuringhimself.
True
False
38) If the client falls and complains of pain in their hip, you should help him to get up and walk to thebed.
True
False
39) A client is choking, before first-aid measures are applied, find out if:
The client's pulse rate is over 80.
The client can swallow clear fluids.
The client can speak or cough.
40) While assisting with a bath using a shower chair, the client suddenly gasps and becomes unresponsive.What should you do?
Leave the client and call 911.
Lower the client to the floor, call for the family to call 911, determine if CPR is needed and initiate it ifindicated.
Tell the family to stay with the client while you call 911 and the supervisor.
41) For which of these emergencies is knowledge of pressure points essential?
Health stroke.
Food poisoning.
Bleeding.
42) For which of these emergencies is knowledge of pressure points essential?
True
False
43) Every client is the same and has the same needs and wants.
True
False
44) It is fine to use any item in the home without asking as long as it is for the client's personal care.
True
False
45) You may use the telephone in the client's home without asking permission.
True
False
46) A neighbor has asked you a question about the client you are caring for. She said, "is Mrs. Collier dying?"How will you answer her?
"Mrs. Collier is doing as well as can be expected"
"l am sorry, but I cannot discuss Mrs. Collier with you."
"Yes, it's too bad, but she's very ill."
47) Which of these statements about the elderly is true?
They cannot change.
They can learn new things.
They want to become dependent on others.
They do not enjoy meeting new people
48) When caring for a client who is on bed rest, what should the caregiver do to prevent bedsores?
Keep the top sheets well tucked in.
Keep the bottom sheet free of wrinkles.
Use only sheets that are 100% cotton on the client’s bed.
49) Which of these statements describes good body mechanics?
Carry heavy objects as far away from the body as possible.
Bend the knees when lifting an object off the floor.
Bend over at the waist when lifting an object from the floor.
50) Milk is a good source of calcium. Which of these foods is also high in calcium?
Cheese.
Bananas.
Orange juice.
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