HHA Test Form

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HHA Test

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Communication Skills

1. A person receiving home care gives up the right to know in advance about the type of care that is going to be provided.

True

False

2. The personal care aide should encourage their patient to be as independent as possible with their care.

True

False

3. Insulting a patient is a form of psychological abuse which would be reported to the proper authorities.

True

False

4. The home health aide functions as a vital member of the health care team by following the plan of care and sharing appropriate observation with the Nursing Supervisors.

True

False

5. The home health aide is responsible for bathing, hair care and dressing but not for meal preparation, feeding the patient or housekeeping duties.

True

False

6. A hand bell or stick to bang on the floor or the side of the bed are not acceptable ways for a patient to communicate, since verbal communication is the only acceptable form of communication in nursing.

True

False

7. For a client who has Aphasia (inability to speak), it is better to ask questions that can be answered "yes" or "no".

True

False

8. If a client is unable to sign your worksheet/checklist you should attempt to have a relative sign for them.

True

False

9. If the home health aid is scheduled to work Mon-Fir. He/she should fill our the checklist/time sheet for the entire week Monday and have the client sign for each day to save time for the aide and avoid having to bother the client everyday for their signature.

True

False

10. The proper way to connect a documentation error is to draw a line through the incorrect word or phase, initial and date the error then write correct word or phase.

True

False

Infection Control

11. What is the most effective method of infection control?

A. Wearing gloves for all contact with patients.

B. Hand washing before and after each patient contact.

C. Double bagging all linens and disposables.

D. Using gowns, masks and goggles during patient care.

12. You should wash your hands?

A. Upon arriving at the home and before leaving the home.

B. After combing your hair.

C. After empting a bed pan.

D. All of the above.

13. Gloves need to be worn?

A. To perform incontinent care.

B. To prepare the patient's breakfast.

C. To perform exercises for the patient.

D. To collect a sputum specimen for the patient with a cough.

E. A & D

F. All of the above.

14. You wear gloves and use other universal precautions to:

A. Protect yourself from infections that the patient may have.

B. Protect the patient from any infections you might have.

C. Prevent the spread of infection from your present patient to the next patient you will take care of.

D. Protect members of your family from possible infection from your patient.

E. All of the above.

15. Blood borne disease such as AIDS and Hepatitis B are spread by?

A. Sharing food with the patient.

B. Sexual contact with infected person.

C. Through the toilet seats in the homes of the infected person.

D. By shaking hands or hugging the infected persons.

Observation, Reporting and Documentation

16. What are two types of observation?

A. Technical, professional

B. Objective, subjective

C. Oral, written

D. Legal, precise

17. An incident report is?

A. Something that the aide needs to fill out every day to document care.

B. A document that should be filled out to accurately describe an event which is outside the normal course of events with the patient or the employee.

C. Extra paperwork for the supervisor to fill out for the home health aide.

D. Never needed unless patient injury occurs.

18. Which of these situations should be reported to the nurse?

A. A family member did not set out the medications for this week.

B. The patient is out of laundry soap.

C. The neighbor's dog died.

D. All of the above.

19. What are the steps in the process of care delivery?

A. Bathing, feeding, dressing, ambulation.

B. Intake, assignment, referral, discharge.

C. Assessment, planning, implementation, evaluation.

D. Communicating, documenting, observing, reporting.

20. You should always be observing for any happening, accident or event which is not consistent with normal care the patient or agency policy and procedure.

True

False

21. The home health aide should report to the Nursing supervisor if they notice a change in their patients condition.

True

False

Safe Transfers, Techniques and Ambulation

22. Good Body mechanics includes:

A. Using a wide base of support.

B. Pointing your feet in the direction of your intended move.

C. Keeping your hips and knees flexed during a patients transfer or lift.

D. Bearing most of the weight on your lower back.

E. A, B, C.

23. Changing your patient's position in bed or in a wheelchair can?

A. Improve circulation.

B. Prevents bedsores (pressure ulcers).

C. Prevents joint deformities.

D. Provides diversion and socialization.

E. All of the above.

24. The usual frequency for repositioning your bedridden patient is?

A. Every 1 or 2 hours.

B. Every day.

C. Every so often.

D. Every 15 minutes.

25. The basic process for transferring a patient from their bed to a chair is:

A. There is no recommended process, unless pneumonia is present.

B. Stand the patient, turn the patient, then place in a chair.

C. Check for safety, sit the patient up, dangle the patient, place in a chair using good body mechanics.

D. Check for safety, feed the patient, keep proper width, place in chair, dangle legs.

26. Never leave your patient unattended between procedures for sitting and for standing or transferring.

True

False

Personal Care

27. Giving a complete bed bath ensures that the patient will be clean and comfortable also gives the home health aide a chance to check the patient's skin condition.

True

False

28. In cleaning the perineal area, always wipe from front to back.

True

False

29. Oral care is important because the mouth contains bacteria that can cause infections and also may contain food particles (especially for the patient with swallowing difficulty).

True

False

30. Proper care of the feet includes cleaning carefully between the toes and drying carefully between the toes.

True

False

31. The bath water should be changed before beginning perineal care, before moving from the upper body to the lower body and as needed during the bath depending on the temperature of the water.

True

False

Maintaining Clean, Safe Environment

32. When the home environment is not maintained the chances for increased health hazards occurs.

True

False

33. When illness is present, a clean orderly home becomes as essential part of home health care just as it does in the care of the sick in the institutional setting.

True

False

34. If grab bars are not present and the client has difficulty moving about in the bathroom safety, this should be reported to your nurse supervisor.

True

False

35. Home health aides should always try to locate at least one alternate exit in the client's home which can be used in the event of a fire in the home.

True

False

36. The best way to control bleeding is by applying light pressure over the area.

True

False

Elimination Patterns

37. A foley (urinary) catheter?

A. Is a tube inserted into the bladder that drains urine.

B. Is inserted through the urethra and held inside the bladder by an inflated balloon.

C. Is attached to a drainage bag which should be kept below the level of the patient's bladder at all times.

D. All of the above.

38. The home health aide can help to prevent constipation in the elderly by:

A. Giving the patient an enema every day.

B. Increasing their activity level.

C. Is attached to a drainage bag which should be kept below the level of the patient's bladder at all times.

D. All of the above.

39. An ostomy?

A. Is a surgically created opening (called a stoma) through the abdomen to the digestive tract.

B. Can be permanent or temporary.

C. Requires the home health aide to use universal Precautions when performing ostomy care.

D. All of the above.

40. Kidneys filter waste materials out of the blood elimination from the body.

True

False

41. Blood noted in the patient's stool should not be reported since this may be embarrassing to the patient.

True

False

Measuring Pulse / Cardiovascular

42. Pulses can be felt in all the following except:

A. The front of the knee.

B. The side of the neck.

C. The top of the foot.

D. The wrist.

43. The pulse is:

A. A measure of breathing patterns.

B. Something to do with blood pressure.

C. A measure of how often the heart beats.

D. Counted for about 10 seconds.

44. The normal range for the adult pulse is:

A. 50-60 beats/min

B. 50-90 beats/min

C. 18-20 beats/min

D. 60-100 beats/min

45. You have checked Mr. Jones pulse: you got a rate of 124 beats per minute and the Rhythm is irregular. You should:

A. Ask Mr. Jones to lay down and relax since he should be OK soon.

B. Record this as a normal pulse.

C. Re-check the rate to confirm it and call the Nursing Supervisor immediately

46. A radial pulse is checked with the fingertips of the first three fingers placed?

A. Behind the knee.

B. At the side of the neck.

C. In the Groin area.

D. Above the patient's wrist on the thumb side, with palm facing up.

Nutrition

47. The average adult needs approximately:

A. 2 glasses of water daily.

B. 2 gallons of water daily.

C. 2.5 liters of water daily.

D. 1 glass of water daily.

48. Needed daily water intake comes from?

A. The food we eat.

B. The fluids we drink.

C. The combination of food and fluid intake.

49. A balanced diet means:

A. Eating very little one day and a lot the next.

B. Balancing the amount of candy and pop you eat.

C. Eating foods from all five food groups while using fats, oils, sweets sparingly.

D. None of the above.

50. The food guide pyramid recommends:

A. Using fats, oils, sweets sparingly.

B. 6-11 servings from the meat, poultry and eggs group daily.

C. Eating roughly equal amounts of fruits and vegetables daily.

D. A and C only.

E. B and C only.

51. When kidneys don't work normally, waste products, the results of what we eat build up in the blood.

True

False

52. An example of an Ethnic variation in the diet is the kosher diet of the Orthodox Jewish community.

True

False

Counting Respirations / Respiratory System

53. The respiratory system consists of all of the following except:

A. Pharynx

B. Larynx

C. Heart

D. Diaphragm

54. The following can be caused by inhaling pathogens (disease causing microorganisms).

A. Common cold

B. Pneumonia

C. Tuberculosis

D. All of the above

55. The normal respiratory rate for adults is 24-30/min.

True

False

56. A respiration consists of one inhalation and one exhalation.

True

False

57. Noisy breathing, flared nostrils, blue fingertips and lips and cool skin are all signs of a normal breathing pattern.

True

False

Temperature Taking

58. Temperature is usually measured in the mouth, but can also be measured:

A. Under the arm

B. In the rectum

C. In the ear

D. All of the above

59. The normal range for oral temperature is:

A. 36.5 to 37.5 degree Fahrenheit

B. 95.6 to 97.6 degree Fahrenheit

C. 97.6 to 99.6 degree Fahrenheit

D. 99.6 to 100.6 degree Fahrenheit

60. Temperature readings above or below the normal ranges should be:

A. Nothing to worry about.

B. Cause for concern on the part of the home health aide.

C. Recorded in writing as soon as possible.

D. Reported to your Supervisor immediately.

D. B,C, and D

61. The proper placement of a thermometer for an oral temperature is:

A. Above the tongue with teeth clasped firmly.

B. At the side of the mouth, above the tongue.

C. In the armpit with arm tight against the body.

D. Under the tongue, slightly to the side of the mouth, with lips closed.

62. Cleaning a thermometer includes all of the following steps except:

A. Wipe from the tip to the bulb.

B. Use soap and hot water.

C. Rotate the thermometer while cleaning.

D. Rinse and dry after cleaning.

63. The temperature that the arrow is pointing to should be recorded as:

A. 99.8 F. (37.7 C.)

B. 100.6 F. (38.1 C.)

C. 103.0 F (39.4 C)

D. 106.0 F (41.1 C)

Body Functions / Changes

64. Signs of diabetes include extreme thirst, frequent urination, blurred vision, hunger and nausea.

True

False

65. It is very important for a diabetic who has just taken their insulin to eat within 20 minutes or so to prevent possible complications of low blood sugar (hypoglycemia).

True

False

66. People with Alzheimer's can benefit greatly from a calm, structure environment and a predictable daily routine.

True

False

67. Sometimes, just knowing that the home health aide is there to listen can be a great comfort to the dying person.

True

False

68. Signs of approaching death may include skin that may be cold to the touch, pale skin, decreased urine output, rapid pulse and an irregular pattern.

True

False

Developmental Needs

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

A. Give her extra helpings on pretty plates.

B. Make the surroundings and conversation pleasant while serving her only one thing at a time.

C. Give her a balanced diet even if she doesn't like all of the food.

D. Serve small helpings of food that she likes in pleasant surroundings.

70. 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?

A. Tell him to go to his room for a time out and shut the door.

B. Give him cookies and milk.

C. Remember he has a chronic disease and suggest play activity.

D. Call his mother and tell her to come home.

71. Which of the statement is true about any client with disabilities.

A. They are sick and should be treated as such.

B. They need as much help as you can give them.

C. They need to be as independent with self-care as possible.

D. They need repeated instruction.

72. Which of these statements about the elderly is true?

A. They cannot change.

B. They can learn new things.

C. They want to become dependent on others.

D. They do not enjoy meeting new things.

73. When basic psychological and physical needs of clients, no matter what age are met, the client will feel.

A. Aggressive

B. Discouraged

C. A sense of well-being

D. A sense of insecurity

Emergency Precautions

74. In case of a fire in the home, what is the best procedure to follow?

A. Tell the client to be calm, call the fire department, and then take the client out of the house.

B. Get the client and yourself out of the house and call the fire department.

C. Try to put the fire out yourself.

D. Call your supervisor and the fire department, then leave the house.

75. In case of en emergency, the most important number to call is.

A. A family member

B. The doctor

C. The emergency medical department

D. Your agency

76. A client is choking on some object that is caught in his airway, before any first aid measures are applied, find out?

A. If the client's pulse is over 80.

B. If the client can swallow.

C. If the client can speak or cough.

D. If the client's respirations are less then 20.

77. You arrive at a clients home that lives alone, He does not answer the Door when you knock and the door is locked. What do you do first.

A. Call the emergency medical service

B. Call the clients family.

C. Call the agency and report your findings.

D. Go to the next client.

78. While giving a bath in a shower chair, the client suddenly gasps and becomes unresponsive. The home health aide who is CPR certified should.

A. Yell for caregiver assistance.

B. Leave the client and call 911.

C. Lower the client to the floor of the tub, yell for the caregiver to call 911 and initiate CPR if indicated.

D. Tell the caregiver to stay with the client while you call 911 and your supervisor.

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