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.”

.Which of these statements describes good body mechanics?

Carry heavy objects as far away from the body as possible.

Bend the knees when lifting an object off the floor or when kneeling to pick up objects.

Bend over at the waist when lifting an object from the floor.

Lift rather than push a heavy object

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.

Milk is a good source of calcium. Which of these foods is also high in calcium?

Cheese

Bananas

Orange juice

Raisins

Which of these signs may be an early warning sign of cancer?

Difficulty in bending a joint

A sore that does not heal.

A sudden increase in weight

A loss of hearing.

Signs of infection should be reported to the nursing supervisor. Which of the following would not be considered a sign of infection?

Elevated Temperature

Increased appetite

Redness or swelling of an area

Pain

. 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.”

Which would be the better choice for a client on a low salt diet?

Chicken Noodle soup and a hot dog

Ham sandwich, pickles and chips.

Turkey sandwich, fruit and jellO

Chili, crackers and peanut butter/jelly sandwich

What is the advantage of fiber in the diet?

Helps build strong bones and teeth

Is used to make red blood cells.

Helps prevent constipation

Helps regulate the body’s fluid balance

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.

What is the main reason for covering your mouth or nose when coughing or sneezing?

To prevent the escape of bad odors

To prevent the spread of germs.

To avoid injury to the lining of the nose and mouth.

To avoid getting clothing dirty.

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.

If a home health aide has bad breath or body odors, who is LEAST likely to be aware of it?

The client.

The client’s visitors.

The nurse.

The aide.

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.

Which of these substances could be used to put out a fire in pan of bacon fat?

Sugar

Vinegar.

Baking soda.

Water

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.

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.

Good sources of protein are

Green salad and cooked greens.

Potatoes and noodles

Applies and Oranges

Beans, peanut butter and eggs.

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

You can measure respiration accurately by

Counting each rise and fall of the chest as one respiration

Counting each rise and fall of he chest separately

Count the number of breaths for 60 seconds and multiply by two.

Telling the client what you are doing