Home Health Aide Competency Test #3 2

Question 1

A pediatric home health patient's parent requests that the aide perform a medical procedure outside the care plan. The aide should:

Accepted Answer

Decline politely, explain the scope of practice, and contact the supervisor so the care plan can be reviewed if medically warranted

Answer

Perform the procedure to keep the family satisfied

Answer

Perform the procedure if the parent provides written permission

Answer

Argue with the parent about what is appropriate

Question 2

Post-mortem care (care after death) in the home setting includes:

Accepted Answer

Treating the deceased with dignity — positioning body per family/cultural wishes, contacting the supervisor and appropriate authorities, and supporting the family

Answer

The aide independently declaring time of death

Answer

Removing all medical equipment before notifying anyone

Answer

Performing an autopsy

Question 3

Sundowning in a dementia patient refers to:

Accepted Answer

Increased confusion, agitation, and behavioral symptoms that worsen in the late afternoon and evening

Answer

Excessive daytime sleeping

Answer

Refusing to eat evening meals

Answer

Waking up refreshed after sleeping only a few hours

Question 4

An aide notices that a diabetic patient's wound on their foot is not healing and appears to be getting larger. The aide should:

Accepted Answer

Report the wound deterioration to the supervisor immediately — delayed wound healing in diabetics can lead to serious infection or amputation

Answer

Apply an over-the-counter antibiotic ointment and monitor for another week

Answer

Wrap the wound tightly to compress it

Answer

Advise the patient to walk more to increase circulation

Question 5

Which of the following is included in an aide's documentation at the end of each visit?

Accepted Answer

All care provided, patient's response, any changes in condition, and vital signs if measured

Answer

Only tasks that were not completed

Answer

Only unusual events that occurred

Answer

Personal opinions about the patient's compliance

Question 6

Which situation requires the aide to wear a mask in addition to gloves and gown?

Accepted Answer

Providing care to a patient with confirmed influenza or respiratory illness requiring droplet precautions

Answer

Routine bedbath

Answer

Applying a gait belt for ambulation

Answer

Performing a routine blood pressure check