CHPNA Personal Care and Activities of Daily Living

Question 1

When providing oral care to an unconscious hospice patient, what is the most important safety precaution?

Accepted Answer

Position the patient's head to the side to prevent aspiration

Answer

Use a full cup of water to rinse the mouth thoroughly

Answer

Apply lip balm before cleaning the teeth

Answer

Use a hard-bristle toothbrush for thorough cleaning

Question 2

How often should a bedridden hospice patient typically be repositioned to prevent pressure injuries?

Accepted Answer

Every 2 hours

Answer

Every 6 to 8 hours

Answer

Once per shift

Answer

Only when the patient requests it

Question 3

When assisting a hospice patient with a bed bath, which approach best supports patient dignity?

Accepted Answer

Expose only the body part being washed while keeping the rest covered

Answer

Complete the bath as quickly as possible to minimize discomfort

Answer

Keep the patient fully exposed throughout to monitor skin condition

Answer

Ask family members to leave only if the patient specifically requests it

Question 4

When performing passive range-of-motion exercises on a hospice patient, what is the key principle to follow?

Accepted Answer

Support the joint above and below and move slowly within the pain-free range

Answer

Move each joint quickly to complete exercises efficiently

Answer

Push joints until resistance is felt to maintain flexibility

Answer

Perform only on joints specifically ordered by the physician

Question 5

When providing perineal care to a female hospice patient, in which direction should the nursing assistant cleanse?

Accepted Answer

From front to back

Answer

From back to front

Answer

In a circular motion around the perineum

Answer

Side to side across the perineum

Question 6

Which footwear is most appropriate for an ambulatory hospice patient to reduce fall risk?

Accepted Answer

Non-skid slippers or shoes with a firm sole

Answer

Thick socks without shoes for comfort

Answer

Bare feet to feel the floor surface

Answer

Lightweight sandals for ease of putting on and off

Question 7

When changing bed linens with a patient remaining in bed, what is the most important safety consideration?

Accepted Answer

Keep side rails up when not actively working on that side and never leave the patient unattended

Answer

Work quickly to minimize the patient's exposure to cool air

Answer

Remove all pillows to create more working space

Answer

Ask the patient to grip the side rail while you turn them