Relias Practice and Application 3 — Questions and Answers
Question 1: A caregiver is assisting a client with a transfer from bed to wheelchair. To prevent injury to both the caregiver and client, the caregiver should:
- Lift the client using only arm strength to minimize transfer time
- Bend at the waist and twist to position the client into the wheelchair
- Use proper body mechanics by bending knees and keeping the back straight (Correct answer)
- Ask the client to bear all weight independently regardless of ability
Correct answer: Use proper body mechanics by bending knees and keeping the back straight
Proper body mechanics including bending at the knees and maintaining a straight back protect the caregiver from musculoskeletal injury during patient transfers.
Question 2: Which action best demonstrates culturally competent care when working with a patient from a different cultural background?
- Assuming the patient shares the same health beliefs as the majority culture
- Using a family member as a translator to save time
- Asking about and incorporating the patient's cultural health beliefs into the care plan (Correct answer)
- Providing the same standardized education materials to all patients
Correct answer: Asking about and incorporating the patient's cultural health beliefs into the care plan
Culturally competent care requires understanding and integrating the patient's cultural beliefs and preferences into individualized care planning.
Question 3: A behavioral health technician notices a patient has been isolating in their room for two days and refuses meals. The most appropriate action is to:
- Respect the patient's privacy and avoid disturbing them
- Document the behavior and reassess again in 48 hours
- Report the behavioral change to the treatment team immediately (Correct answer)
- Restrict the patient's privileges to encourage social interaction
Correct answer: Report the behavioral change to the treatment team immediately
A sudden change in behavior such as social isolation and refusing meals may indicate deteriorating mental status and must be communicated to the treatment team promptly.
Question 4: In the context of evidence-based practice, what does the 'E' in the PICO(T) framework stand for?
- Evidence
- Evaluation
- PICO(T) does not include an 'E' (Correct answer)
- Exposure
Correct answer: PICO(T) does not include an 'E'
The standard PICO(T) framework stands for Population, Intervention, Comparison, Outcome, and Time — there is no 'E' in the acronym.
Question 5: A home health aide observes bruising in various stages of healing on an elderly client who lives alone. The aide should:
- Ask the client what happened and, if not satisfied, do nothing further
- Document observations and report suspected abuse to the supervisor and appropriate authorities (Correct answer)
- Confront a family member at the next visit
- Avoid mentioning it to preserve the client's dignity
Correct answer: Document observations and report suspected abuse to the supervisor and appropriate authorities
Mandated reporters must document and report signs of suspected elder abuse to their supervisor and appropriate adult protective services authorities.
Question 6: Which of the following is the most effective hand hygiene technique for removing Clostridioides difficile (C. diff) spores?
- Alcohol-based hand rub applied for 20 seconds
- Soap and water handwashing for at least 20 seconds (Correct answer)
- Waterless hand sanitizer with chlorhexidine
- Hand wipes containing benzalkonium chloride
Correct answer: Soap and water handwashing for at least 20 seconds
Alcohol-based hand rubs are ineffective against C. diff spores; soap and water handwashing is required to mechanically remove the spores.
Question 7: A nurse is documenting care provided. Which principle is most important for maintaining accurate and legally defensible clinical documentation?
- Documenting care in advance to save time during busy shifts
- Recording objective observations and using approved medical abbreviations (Correct answer)
- Erasing or using correction fluid to fix documentation errors
- Leaving blank spaces in forms to be completed later
Correct answer: Recording objective observations and using approved medical abbreviations
Accurate documentation requires objective, factual entries using approved abbreviations; errors should be corrected with a single line-through, not erased.
Relias Practice and Application 3
A caregiver is assisting a client with a transfer from bed to wheelchair.
To prevent injury to both the caregiver and client, the caregiver should: