CHPNA Personal Care and Activities of Daily Living 2

Question 1

A hospice patient with dysphagia is being assisted with a meal. What position is safest to reduce aspiration risk?

Accepted Answer

Sitting upright at 90 degrees or as close as tolerated

Answer

Lying flat in bed

Answer

Semi-reclined at 30 degrees

Answer

Turned to the left side

Question 2

When assisting a patient with a weak left arm to get dressed, which arm should be dressed first?

Accepted Answer

The left (weaker) arm first

Answer

The right (stronger) arm first for patient comfort

Answer

Either arm — it does not matter

Answer

Have the patient dress themselves starting with either side

Question 3

Which skin care measure is most effective in preventing pressure injuries in a bedridden hospice patient?

Accepted Answer

Keeping the skin clean and dry and using a moisture barrier as needed

Answer

Massaging bony prominences vigorously to increase circulation

Answer

Applying talcum powder liberally to all skin folds

Answer

Leaving protective dressings in place indefinitely without changing

Question 4

When performing a back massage for a hospice patient, which area should be avoided?

Accepted Answer

Directly over the spine and bony prominences

Answer

The lower back

Answer

The shoulders and upper back

Answer

The sides of the back

Question 5

What is the recommended water temperature when bathing a hospice patient?

Accepted Answer

Warm water around 105 to 110°F tested with a thermometer or the wrist

Answer

Cool water around 65 to 70°F to prevent overheating

Answer

Hot water around 115°F for thorough cleansing

Answer

Whatever temperature the patient requests without independent verification

Question 6

What is the nursing assistant's appropriate role when providing nail care for a diabetic hospice patient?

Accepted Answer

File nails gently and report any abnormalities to the nurse; do not cut nails without specific orders

Answer

Trim nails short and straight across using standard nail clippers

Answer

Soak feet extensively before trimming nails

Answer

Use scissors to shape nails into a rounded form

Question 7

In hospice care, which principle should guide the nursing assistant when prioritizing personal care activities for a patient?

Accepted Answer

Follow the patient's preferences and adjust care to what they can tolerate that day

Answer

Complete all tasks on the care plan in the listed order regardless of patient preference

Answer

Focus on tasks the nursing assistant considers most important for hygiene

Answer

Limit care to essential tasks only to conserve staff time