CCW CCW Nutrition & Personal Care 1 — Questions and Answers
Question 1: A care worker is assisting a client who has difficulty swallowing. Which food texture is safest to offer without a specific swallowing assessment?
- Whole raw vegetables
- Thin clear liquids
- Pureed soft foods (Correct answer)
- Hard crackers
Correct answer: Pureed soft foods
Pureed soft foods reduce choking risk for clients with swallowing difficulties until a formal assessment guides further diet modifications.
Question 2: Which vitamin deficiency is most commonly associated with poor wound healing in elderly care home residents?
- Vitamin A
- Vitamin C (Correct answer)
- Vitamin B12
- Vitamin K
Correct answer: Vitamin C
Vitamin C is essential for collagen synthesis, and its deficiency directly impairs the wound healing process.
Question 3: When assisting a client with bathing, which action best protects their dignity?
- Leaving the bathroom door open for safety
- Completing the bath as quickly as possible
- Exposing only the body part being washed (Correct answer)
- Asking a colleague to assist without informing the client
Correct answer: Exposing only the body part being washed
Exposing only the area being washed maintains the client's privacy and dignity throughout personal care.
Question 4: A CCW notices a client has lost 5 lbs in two weeks without intentional dieting. What is the priority action?
- Increase portion sizes immediately
- Document and report the weight loss to the supervisor (Correct answer)
- Assume the scale is inaccurate and reweigh next month
- Offer high-calorie snacks without documentation
Correct answer: Document and report the weight loss to the supervisor
Unintentional weight loss must be documented and reported promptly as it can signal serious underlying health issues.
Question 5: Which position is recommended for a client during and after meals to prevent aspiration?
- Supine (lying flat)
- Trendelenburg (head lower than feet)
- Upright at 90 degrees or as close as tolerated (Correct answer)
- Left lateral recumbent
Correct answer: Upright at 90 degrees or as close as tolerated
An upright seated position uses gravity to direct food down the esophagus and reduces aspiration risk.
Question 6: A client on a fluid restriction of 1,500 mL per day has consumed 1,200 mL by 4 PM. What should the CCW do?
- Allow unlimited fluids for the rest of the day since the restriction is nearly reached
- Document intake and inform the client and nurse of the remaining 300 mL allowance (Correct answer)
- Stop all fluids immediately for the rest of the day
- Double the restriction the following day to compensate
Correct answer: Document intake and inform the client and nurse of the remaining 300 mL allowance
The CCW should document intake and communicate remaining allowance to both the client and nursing staff to ensure the restriction is safely managed.
CCW CCW Nutrition & Personal Care 1
A care worker is assisting a client who has difficulty swallowing.
Which food texture is safest to offer without a specific swallowing assessment?