HOME HEALTH AIDE COMPETENCY TEST #1

Mrs. Wayne, a home health aide, leaves the home of Mr. Davis, a terminally ill client. A neighbor stops her and says, Mr. Davis is very sick, isn’t he? I hear he is near death.” What is it best for Mrs. Wayne to say?

“Yes, Mr. Davis is very ill.”

“How do you know Mr. Davis is so sick?”

“I’m sorry, I can’t discuss Mr. Davis.”

“Mr. Davis is doing as well as can be expected.”

Correct! Wrong!

Mr. Stone is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a law-salt diet. When helping Mr. Stone from the bed to the wheelchair, which of these actions is essential?

Have the brakes on the wheelchair in a locked position

Place the foot supports of the wheel chair so that he can step up on them.

Have a blanket draped in the wheelchair.

Place a pillow on the seat of the wheelchair.

Correct! Wrong!

Mr. Stone is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a law-salt diet. The home health aide is to give Mr. Stone a bed bath. To be sure the water is not too hot what should you, the aide, do?

Ask Mr. Stone to place his hand in the basin to test the water temperature.

Use half hot water and half cold water to ensure the proper water temperature

Test the water temperature on your inner wrist.

Allow the basin of water to stand for onehalf hour so that it reaches room temperature.

Correct! Wrong!

When the basic psychological and physical needs of a person such as Mrs. Amos are met, that person will feel:

Aggressive

Discouraged

A sense of well—being

A sense of insecurity

Correct! Wrong!

A client is receiving oxygen through a nasal tube. What safety precautions should the home health aide take?

Keep the television set at least 5 feet from the oxygen tank

Do not permit the client to drink soda.

Allow no smoking in the client’s room

Do not use any lotions that contain oil in the client’s care.

Correct! Wrong!

Miss Ferris, a home health aide, is assigned to care for Mr. Conway. Miss Ferris notices that she feels very angry when she is with Mr. Conway. What should Miss Ferris do because she feels this way?

Tell Mr. Conway how she is feeling.

Find out if other aides have felt this way.

Try to pretend that Mr. Conway is someone she likes.

Talk with the agency supervisor about the situation.

Correct! Wrong!

Which of the following does not encourage clear and effective communication with Mrs. Amos?

Talking to Mrs. Amos about your personal life

Asking her questions about herself

Speaking clearly to Mrs. Amos.

None of the above

Correct! Wrong!

When a client complains of pain, what should the home health aide do first?

Ask the client to describe the pain.

Call the client’s doctor.

Offer the client some warm tea.

Change the client’s position.

Correct! Wrong!

The next 7 questions are about Mrs. Amos. A home health aide is assigned to assist in taking care of Mrs. Amos, an 87yearold woman who is a widow and lives alone. Mrs. Amos needs help with bathing, dressing, making meals, and cleaning her apartment. Mrs. Amos says, “I hate not being able to take care of myself.” To show Mrs. Amos that the home health aide understands her feelings, what should the aide say?

“You shouldn’t feel that way.”

“You should like being taken care of.”

“It is hard to have someone help you when you are used to taking care of yourself.”

“You make me unhappy when you talk like that.”

Correct! Wrong!

Clients sometimes express religious beliefs with which the home health aide does not agree. In dealing with these situations, which of these understandings should the aide use as a guide?

Clients have a right to their own beliefs, which should be respected.

Clients should be told not to discuss their beliefs with aides.

Aides should explain their beliefs to clients

Aides should pretend to have the same beliefs that clients have.

Correct! Wrong!

A client accuses a home health aide of stealing five dollars. The aide has not taken the client’s money, but the client does not believe this. What should the aide do?

Ask the other aides who care for the client if they took the five dollars.

Ask the client why the aide is being accused.

Offer to give the client five dollars.

Notify the agency supervisor.

Correct! Wrong!

Mrs. Amos wears dentures. Which statement is not part of routine denture care?

Dentures should be stored in sterile container when not worn.

Observe condition of client’s mouth and report findings.

Wear gloves when cleansing dentures.

Remove dentures and brush with cool water and toothpaste

Correct! Wrong!

Which of these actions is the home health aide permitted to take in relation to drug administration?

Recording and reporting the client’s reaction to the medication

Giving nonprescription medications whenever the client asks for them.

Adjusting the dosage of medications given to the client.

Adjusting the times medications are given to fit into the client’s activities scheduled.

Correct! Wrong!

Before trying first aid measures for a client who is choking on food or some other object stuck in the airway, what should the home health aide find out?

Does the client have a pulse rate over 70?

Can the client swallow clear fluids?

Has the client taken any sedatives within the last hour?

Can the client speak or cough?

Correct! Wrong!

. One morning shortly after the home health aide arrives, Mr. Walsh says, “I have had cramping pains in the calf of my right leg for the last two hours. In addition to reporting this complaint to the agency supervisor, what is the best way for the aide to write this on the chart?

“Complains of pain.’

“Right leg hurts.”

“States he has had cramping pains in the calf of his right leg for 2 hours.”

“Says he has leg cramps.”

Correct! Wrong!

Mr. Stone is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a lawsalt diet. Mr. Stone’s Foley catheter is attached to a drainage bag. The drainage bag should always be kept:

At the level of his bladder

Below the level of his bladder.

12 inches above the level of his bladder.

3 feet above the level of his bladder.

Correct! Wrong!

The home health aide should be sure to take which of these actions when caring for a newborn baby?

Support the baby’s head and neck when picking the baby up.

Clean the inside of the baby’s ears with cotton swabs

Use petroleum jelly to keep the area around the baby’s navel moist.

Hold the baby only at feeding and bathing times

Correct! Wrong!

Mrs. Amos has not had a bowel movement for three days. She has always given herself an enema if she does not have a bowel movement for that long a time. Mrs. Amos asks the home health aide to give her an enema. What should the aide 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.

Correct! Wrong!

Mrs. Wayne, a home health aide, leaves the home of Mr. Davis, a terminally ill client. A neighbor stops her and says, Mr. Davis is very sick, isn’t he? I hear he is near death.” What is it best for Mrs. Wayne to say?

Mr. Stone is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a law-­salt diet. When helping Mr. Stone from the bed to the wheelchair, which of these actions is essential?

Mr. Stone is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a law­-salt diet. The home health aide is to give Mr. Stone a bed bath. To be sure the water is not too hot what should you, the aide, do?

When the basic psychological and physical needs of a person such as Mrs. Amos are met, that person will feel:

A client is receiving oxygen through a nasal tube. What safety precautions should the home health aide take?

Miss Ferris, a home health aide, is assigned to care for Mr. Conway. Miss Ferris notices that she feels very angry when she is with Mr. Conway. What should Miss Ferris do because she feels this way?

Which of the following does not encourage clear and effective communication with Mrs. Amos?

When a client complains of pain, what should the home health aide do first?

Clients sometimes express religious beliefs with which the home health aide does not agree. In dealing with these situations, which of these understandings should the aide use as a guide?

A client accuses a home health aide of stealing five dollars. The aide has not taken the client’s money, but the client does not believe this. What should the aide do?

Mrs. Amos wears dentures. Which statement is not part of routine denture care?

Which of these actions is the home health aide permitted to take in relation to drug administration?

Before trying first aid measures for a client who is choking on food or some other object stuck in the airway, what should the home health aide find out?

. One morning shortly after the home health aide arrives, Mr. Walsh says, “I have had cramping pains in the calf of my right leg for the last two hours. In addition to reporting this complaint to the agency supervisor, what is the best way for the aide to write this on the chart?

Mr. Stone is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a law­salt diet. Mr. Stone’s Foley catheter is attached to a drainage bag. The drainage bag should always be kept:

The home health aide should be sure to take which of these actions when caring for a newborn baby?

Mrs. Amos has not had a bowel movement for three days. She has always given herself an enema if she does not have a bowel movement for that long a time. Mrs. Amos asks the home health aide to give her an enema. What should the aide do?

Mr. Stone is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a law-salt diet. When helping Mr. Stone from the bed to the wheelchair, which of these actions is essential?

Mr. Stone is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a law-salt diet. The home health aide is to give Mr. Stone a bed bath. To be sure the water is not too hot what should you, the aide, do?

Mr. Stone is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a lawsalt diet. Mr. Stone’s Foley catheter is attached to a drainage bag. The drainage bag should always be kept: