16 Personal Services Care Attendant Test

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Communication is defined as:*

Exchanging information with othersStating your feelings and factsWriting or drawingGiving your opinion

Body language is:*

A way of communicating feelings by using the body positioning, facial expressions and the eyesOnly used by clients to tell their doctors what is causing them problemsOnly used by persons who are deafOnly used by persons who cannot speak

When a client, caregiver, or co-worker makes you angry, you should:*

Tell him/her your true feelingRespond sharplyThink before answering and respond tactfullyLeave the room

Mr. Jones makes you uncomfortable because of sexual statements and an occasional misplaced hand. How would you handle this situation?:*

Tell him that it is unacceptable behavior and call your supervisorTell him to keep his hands to himselfTell him that you will tell his familyPush his hands away and tell him to "stop it"

When speaking to a client who is hard of hearing and odes not wear hearing aides, you should:*

Face the client when speaking to him or herSpeak as loud as you must in order to be heardSpeak slowly and clearlyAll of the above

The client with dementia*

Loses the ability to make judgmentsLoses the ability to perform self-careMay be angry, restless, or irritableAll of the above

Clients sometimes express religious beliefs with which the personal care attendant does not agree. In dealing with these situations, which should the attendant use as a guide?*

Clients have a right to their own beliefs, which should be respectedClients should be told not to discuss their beliefs with aidesPersonal care attendants should explain their beliefs to clientsPersonal care attendant should pretend to have the same beliefs that clients have

The client tells you he has had a red rash for three days. What should you do?*

Tell him not to worry about itPut an antibiotic cream on itReport it to your supervisorTell him he may be allergic to fruit

After arriving to care for Mr. Jones, he complains he has had severe cramping pains in the calf of his left leg for the last three hours. You call your supervisor to report this and then record on your documentation notes:*

"states he has leg cramps""complains of pain""left leg hurts a lot""states he's had severe cramping in the calf of his left leg for the last three hours"

The principles of documenting your care include:*

If a task is not charted, it is assumed not to have been doneIf you make a charting mistake, draw a line through the mistake and write errorYou may not chart activities performed by other personnelAll of the above

It is your responsibility as a personal care attendant to:*

Do whatever the client wants, even if it is not on the assignment sheetMake necessary changes in the service plan/assignment sheetReport changes in the client's condition to the supervisorAll of the above

A client complains that he has fallen three times in the past two days. Which of the steps should you take?*

Ask the client when and what happened when he fellReport the falls to your supervisorCheck the client for possible injuryAll of the above

It is Mrs. Kelly’s bath day, but she states she is in too much pain to take the bath. What should you do?*

Reschedule the bath for the next visitTell Mrs. Kelly that "the bath will make you feel better"Call and report to your supervisorCall 911

A personal care attendant is way behind in seeing all of the assigned clients. She decides to skip part of the care of her last client. She documented that the care was given as assigned. This is an example of:*

FraudUnethical behaviorLyingAll of the above

When a client complains of pain, what should the personal care attendant do first?*

Ask the client to describe the painCall the client's doctorTell the client what medication works for you when you have painChange the client's position

Which of the following incidents in a mentally ill client should you report immediately?*

Talking to and hearing voicesNeglect of one's personal appearanceSkipping or stopping medicationsAll of the above

Mrs. Rand, who has diabetes and takes insulin regularly, tells the personal care attendant that she feels very nervous and jittery. What should the PCA do?*

Take her temperatureCall her dcotorHave her lie down on teh bedCall the supervisor immediately

During a visit you need to wash your hands:*

Before you give physical care to the clientAfter you empty a bedside commodeBefore you leave the client's homeAll of the above

In what situations should gloves be used?*

When emptying a urinary drainage bagWhen the client has been incontinent of stoolWhen the client has a draining woundAll of the above

When soiled linen is removed from the client's bed, it should be:*

Shaken, then foldedFolded hem to hemHeld away from one's clothesInspected for any tears

Which of the following best describes standard Precautions?*

Used only for client's with the Human Immunodeficiency Virus (that causes AIDS) or Hepatitis B VirusUsed only for clients with airborned sieases such as tuberculosisUsed when providing care for all clientsUsed only if you have a cold or the flu

In care for a client with HIV/AIDS, you must practice which of the following Standard Precautions?*

Wear gloves at all times when caring for the clientWear a gown when handling linens that contain body fluidsDispose of body wastes in a leak-proof containerAll of the above

Mrs. Snodgrass tells you that she hasn’t had a stool since your last visit five days ago. What should you do?*

Give her an enemaNotify your supervisorTell her to drink more prune juiceTell her to increase the fiber in her diet

Mrs. Jones is an 82-year-old who lives alone. She returned home yesterday after surgery for a fractured hip and rehabilitation in an extended care facility. When doing care, which of the following is the most important to report to your supervisor?*

The wound is red and oozing yellow drainageComplaints of the wound itchingClient not wanting to take her pain pillThe dressing is loose on one end of the incision

Mrs. Smith complains of constipation when you are there. Which of the following should you do?*

Encourage her to spend as much time lying or sitting as possible to ease the discomfortLimit her fluidsTell her to take an extra laxativeAsk Mrs. Smith how much fiber and liquids she's taking in her diet

Mrs. Seevers has Alzheimer’s disease. Her caregiver reports that Mrs. Seevers has been trying to leave home at all hours. What would you do?*

Restrain client in a chairLock the client in her roomStay with the client and report the behavior to your supervisorHave the caregiver give the client extra medication before you leave the home

Mr. Jones, a client with dementia, is becoming very agitated. Which of the following suggestions would be helpful in this situation?*

Stay calmOffer diversion or entertainmentBe agreeableAll of the above

Part of your duties as a personal care attendant is to assure a safe home environment. This includes:*

Proper infection control with good hand washingElectrical and fire safetyClear walkways; no throw rugs; stairs, halls and exits free from clutterAll of the above

When a grease fire occurs, you can:*

Use a fire extinguisher to put out the fireSmother it out with a lidPour baking soda over the fireAll of the above

Which laundry product is also a disinfectant?*

Fabric softenerLiquid pre-washBleachLiquid stain remover

When working in a kitchen it is important to practice good safety. Which of the following is NOT an appropriate safety measure?*

Clean all spill simmediatelyRefrigerate warmed food only after it has cooledKeep drawers and cupboards closedAir dry dishes after washing them, instead of drying with a towel

To prevent accidental poisoning of children and adults with cognitive impairments which of the following actions is best?*

Keep poisons locked upKeep an antidote read in case someone takes poisonHave an emergency number to call by the phoneHave the physicians number by the phone

A client is receiving oxygen through a nasal tube. You would perform all of the following safety precautions except:*

Make sure there are no kinks in the tubingTurn off the oxygen at mealtimeGive oral hygiene as directed by your supervisorPast a sign and do no allow smoking in the client's room

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 houseGet the client and yourself out of the house and call the fire departmentTry and put the fire out yourselfCall your supervisor and the fire department, then leave the home

In case of an emergency, the MOST important number to call is:*

A family memberThe doctorThe emergency medical serviceYour agency

A client is choking on some object that is caught in his airway. Before any first-aid measures are applied, find out:*

If the client's pulse is over 80If the client can swallow liquidsIf the client can speak or coughIf the client's respirations are less than 20

You arrive at a client’s home that lives alone. He does not answer the door when you knock and the door is locked. What do you do first?*

Call the emergency medical serviceCall the client's familyCall the agency and report your findingsGo to the next client

A client suddenly complains of intense, squeezing pain in the chest that goes down the arm. The client is sweating profusely. The personal care attendant should:*

Call for emergency help immediatelyMassage the client's chest and armAssist the client back to bedCall the agency to report your findings

While giving a bath in a shower chair, the client suddenly gasps and becomes unresponsive. The personal care attendant who is CPR certified should:*

Yell for caregiver assistanceLeave the client and call 911Lower the client to the floor of the tub, yell for the caregiver to call 911 and initiate CPR if indicatedTell the caregiver to stay with the client while you call 911 and your supervisor

As a personal care attendant, what can you do for a client’s minor burn as an emergency procedure?*

Use cool water over the burned areaApply butter on the burned areaCover the area with a dry dressingAll of the above

Which is not a common reaction of children to stress?*

NightmaresPlaying quietly with their favorite toysAggressive acting out behaviorBedwetting

Mrs. Smith, age 85, does not like to eat. To encourage her to improve the amount she eats, you should:*

Give her extra helpings on pretty platesMake the surroundings and conversation pleasant while serving her only one thing at a timeGive her a balanced diet even if she does not like all of the foodServe small helpings of foods that she likes in pleasant surroundings

You are caring for Johnny, a 7 year old, with cerebral palsy. He is showing sign of aggression and shouting at you. What can you do to change that behavior?*

Tell him to go to his room for a “time out” and shut the doorGive him cookies and milkRemember he has a chronic disease and suggest play activityCall his mother and tell her to come home

Mr. Marsh has Alzheimer’s disease. You assist him twice a week with bathing, as he can no longer perform activities of daily living independently. You are very frustrated because he grabs onto you or the washcloth during the bath. What can you do to prevent this?*

Tell him in a loud voice to stopRestrain his arms and hands during the bathTell the supervisor that there needs to be 2 attendants assigned, so that you can do the bathGive him something to hold during the bath

Mrs. Ramirez lives with her son and his two teenage children. Her hospital bed is in the living room because there is no bedroom space for her. The family keeps walking through this area while you are assisting with her bath. What can you do to give the client privacy?*

Tell everyone to stay out while you are giving her bathTell the family that you are about to start the bath in five minutes and after that time no one may come in until after the bathMake arrangements with the family on when to give the bath to help promote the need for privacyAll of the above

Mr. and Mrs. Williams, both in their 70s, are distressed about changes that are affecting their lives. Which of the following would not be stressful?*

Positive relationships with family and friendsA change in Social Security benefitsOne of them is diagnosed with a terminal illnessMoving from their home to a retirement community

Which is an example of confidential information?*

Is a former bank president in townWas a professional athleteHas AIDSAll of the above

Which of the statements is true about any client with disabilities?*

They are sick and should be treated as suchThey need as much help as you can giveThey need to be as independent with self-care as possibleThey need repeated instruction to do a task

Mrs. Thomas had a stroke six months ago, which resulted in right-sided weakness along with difficulty in swallowing and speaking. Due to these problems she cries easily and gets angry with you frequently. How can you help ease her anxiety?*

Be patient and assist her in methods to express herselfTell her to stop feeling sorry for herself and to try harderTell your supervisor that you do not want to work with Mrs. Thomas any longerYou do all of the talking

Which of these statements about the elderly is true?*

They cannot changeThey can learn new thingsThey want to become dependent on othersThey do not enjoy meeting new people

The ability to make observations is even more important when working with infants and young children than it is when working with adults. The main reason for this is that infants and young children:*

Do not like to be told what to doAre usually sicker than adultsEnjoy human contact more than adultsCannot explain how they feel

When basic needs of clients, no matter what age, are met, the client will feel*

AggressiveDiscouragedA sense of well-beingA sense of insecurity

In caring for a dying client, which of the following guidelines should not be followed?*

Keep the client clean and dryAvoid false cheerfulnessSpeak in a normal toneAssume the client cannot hear you

Urinary leg bags are used for:*

Catheterized male clientsCatheterized clients who are up and out of bedCatheterized clients who are confined to bedCatheterized clients who have a decreased urinary output

When assisting with a bath, how often should the water be changed?*

Catheterized male clientsCatheterized clients who are confined to bedCatheterized clients who have a decreased urinary output

Which of the following is the most appropriate practice to promote good skin care in the elderly?*

Keep the skin clean and well-moisturizedApply alcohol to moist areas of the skinWash daily with scented soapsAll of the above

Why is it important that a client have good mouth care?*

Bacteria in the mouth can cause tooth decay and gum infectionThe saliva in the mouth is the source of stomach juicesPoor oral hygiene causes more saliva to be madePoor oral hygiene interferes with the sense of smell

The personal care attendant is helping Mrs. Elden with her bath. Mrs. Elden prefers to wash her perineal area herself. Which of these measures should the PCA take?*

Have Mrs. Elden use cold water only in washing her perineal areaHave Mrs. Elden use no soap when washing her rectal areaRemind Mrs. Elden to wash front to backRemind Mrs. Elden to wash back to front

You are to assist Mr. Stone into the shower. To be sure the water is not too hot, what should do?*

Ask Mr. Stone to place his hand in the shower to test the water temperatureUse half hot water and half cold water to ensure the proper water temperatureAllow the shower to run for 1/2 hour so that it reaches room temperatureTest the water temperature on your inner wrist

Mrs. Willow’s Foley catheter is attached to a drainage bag. The drainage bag should always be kept*

Below the level of the bladderAt the level of the bladder12 inches above the level of the bladder3 feet above the level of the bladder

An elderly client occasionally wets his trousers. What should you do?*

Give him fluids with his meals onlyAvoid giving him coffee and teaTell him if he urinates on himself, he will have to wear diapersEncourage him to go to the bathroom at least every two hours

You are assisting your client in a transfer when he suddenly becomes weak and begins to fall. You should:*

Quickly grab a chair and seat the clientCall for helpHelp the client gently to the floorCarry the client back to bed

You need to get Mrs. Jones from the bed to the wheelchair. She has left-sided weakness due to a stroke. Which step would you do first to insure a safe transfer?*

Have Mrs. Jones put her arms around your neck and lift her to a sitting positionPlace your arms under Mrs. Jones' armpits and wing her to the wheelchair in one smooth moveAssist Mrs. Jones to the edge of the bed and allow her to get her balanceStand on Mrs. Jones' left side, bed at your waist, keep your knees locked and lift on the count of three

Mrs. Alexander was in a car accident and sustained multiple fractures one month ago. She is now being cared for in her home. Her right leg is still in a cast. When you ambulate this client with her walker, where would you stand?*

On her left side to support her strong sideOne her right side slightly behind herBehind herIn front of her so that you can move either way to her strong or weak side if needed

Before helping a client into or out of a wheelchair, which of these actions is necessary?*

Have the brakes unlocked and leave the foot rests downLock the brakes and fold the foot rests upHave the brakes unlocked and the foot rests upLock the brakes and leave the foot rests down

A client has had a stroke and has left-sided weakness. The client can walk with assistance of a cane. It is best for the personal care attendant to assist this client by walking:*

Directly in front of the clientDirectly in back of the clientOn the client's left sideOn the client's right side

A client who has been in bed wants to get up in a chair. you assist him to sit on the edge of the bed. The client says, "I'm dizzy." What should you do?*

Rub the client's feetHelp the client to a standing position and see if the dizziness goes awayPut a cool compress on the client's headSupport the client in a sitting position and wait a minute or so to see if the dizziness goes away

A client lying on his back has slid down in bed and needs help moving up in bed. To start this, the client should, if possible:*

Raise himself on his elbowsSeparate his legs widelyArch his backFlex his knees and push with his heels

To prevent pressure sores in the elderly, you should:*

Change the client's position every two hours if they are unable to do so themselvesGet the client out of bed if they are allowed to do soEnsure adequate nutrition with special emphasis on proteinAll of the above

Which of these statements describe good body mechanics?*

Carry heavy objects as far from your body as possibleBend the knees when lifting an object off the floorBend over at the waist when lifting an object from the floorLift rather than push a heavy object

A normal newborn should bed:*

On a rigid 4 hour schedule, day and nightEvery 2-3 hours, whether hungry or notOn a schedule determined by the personal care attendantAt least every 4 hours or on demand

Which food is appropriate on a low salt diet?*

ButterHamChickenCanned Soup

The four basic food groups are:*

Bread, cereals, meat and dairy productsFruits, vegetables, dairy products and meatMeat, dairy products, fruits/vegetables and breadBread, fruits/vegetables, meat and poultry

Which of these fluids is highest in protein?*

Vegetable brothLemonadeTomato JuiceEggnog

When clients do not have enough fluids, they may develop which of these problems?*

DiarrheaSwellingConstipationDandruff

Which statement is incorrect?*

The personal care attendant may get a pill bottle from a cabinet and bring the bottle to the client at the client’s requestThe personal care attendant should observe and document if the client takes his/her medicationIf the nurse or family forgets, the personal care attendant may take the right dose of medication out of the bottle and give it to the client with Alzheimer’s diseaseThe personal care attendant may help clients to remember to take their medications.

The personal care attendant should:*

Remind clients to take their medicationsDocument and report to their supervisor if the client refuses to take their medicationsGive the client water or other liquid, if allowed, to help in swallowing the medication(s)All of the above

The most important measure to prevent the spread of disease is hand washing.*

TrueFalse

Beliefs and practices differ in cultures and often include what medical treatments may be accepted.*

TrueFalse

The food eaten in a culture is influenced by where they live, the kinds of foods that grow there and their religious restrictions.*

TrueFalse

As a personal care attendant, you can help clients meet their spiritual needs by accepting how clients express their beliefs.*

TrueFalse

Diarrhea can cause dehydration and other serious complications and should be reported.*

TrueFalse

Smoking in bed is fine for anyone who is not confused.*

TrueFalse

A personal care attendant encourages her client to be as independence as possible.*

TrueFalse

PERSONAL CARE ATTENDANT TEST

OBSERVATION, REPORTING, AND DOCUMENTATION

INFECTION CONTROL

BODY FUNCTIONS AND CHANGES

MAINTENANCE OF A CLEAN, SAFE ENVIRONMENT

EMERGENCY PROCEDURES

DEVELOPMENTAL NEEDS

PERSONAL CARE

SAFE TRANSFER TECHNIQUES AND AMBULATION

NORMAL RANGE OF MOTION AND POSITIONING

NUTRITION

ASSISTING WITH SELF-MEDICATIONS

THE FOLLOWING ARE TRUE OR FALSE STATEMENTS