CHPNA Personal Care and Activities of Daily Living 3

Question 1

When preparing to transfer an ambulatory patient from the bed to a wheelchair, how should the chair be positioned?

Accepted Answer

At a 45-degree angle to the bed with brakes locked and footrests moved aside

Answer

Directly in front of the patient facing them

Answer

As far from the bed as possible to give the patient room to pivot

Answer

Parallel to the bed with brakes unlocked to allow easy adjustment

Question 2

What is the primary purpose of using a draw sheet when repositioning a patient up in bed?

Accepted Answer

To reduce friction and shear forces on the patient's skin during movement

Answer

To keep the patient warm during repositioning

Answer

To safely restrain the patient during care activities

Answer

To absorb moisture away from the patient's skin

Question 3

Before providing hair care to a hospice patient, what should the nursing assistant consider first?

Accepted Answer

The patient's cultural, personal, and religious preferences regarding their hair

Answer

The patient's hair texture and the most efficient styling method

Answer

Whether the hair appears clean enough to delay washing

Answer

The most efficient method to complete hair care quickly

Question 4

A hospice patient with left-sided weakness needs assistance with ambulation. Where should the nursing assistant position themselves?

Accepted Answer

On the patient's left (weak) side

Answer

Behind the patient to catch them if they fall backward

Answer

On the patient's right (strong) side

Answer

In front of the patient to guide them forward

Question 5

What is the recommended frequency for oral care in an unconscious hospice patient?

Accepted Answer

Every 2 to 4 hours to keep mucous membranes moist and prevent infection

Answer

Once daily in the morning

Answer

Only when visible soiling or crusting is present

Answer

Every 8 hours, once per nursing shift

Question 6

A hospice patient refuses their morning bath. What is the most appropriate response by the nursing assistant?

Accepted Answer

Respect the refusal, inform the nurse, and document without forcing care

Answer

Insist on the bath because it is required for hygiene and infection prevention

Answer

Perform a partial bath while the patient is distracted with conversation

Answer

Skip all personal care for that entire day

Question 7

During personal care, which observation must be reported immediately to the nurse?

Accepted Answer

A new area of redness over a bony prominence that does not blanch when pressed

Answer

The patient's skin is dry and needs moisturizing lotion

Answer

The patient prefers a morning bath rather than an evening bath

Answer

The patient's hair is tangled and needs conditioning treatment