Home Health Aide: Roles, Responsibilities, and Best Practices, Exams of Personal Health

Download Home Health Aide: Roles, Responsibilities, and Best Practices and more Exams Personal Health in PDF only on Docsity! Home Health Aide Exam Questions and Correct Answers. Which member of the care team diagnoses disease and prescribes treatment? - Physician (MD) Which of the following care team members are licensed professionals who may assign tasks to home health aides? - Nurses, PTs, OTs Who does the care team revolve around? - The client and his/her condition, treatment, and progress If an activity is not listed on the care plan, what should a HHA do? - The HHA should not perform the activity if it's not listed on the care plan Why is reporting a client's changes and problems to the supervisor a very important role of the HHA? - The care plan must be updated as the client's condition changes What is one typical task that a HHA performs? - Giving skin care What task is considered outside the scope of practice for an HHA? - Inserting tubes into a client's body What's one federal regulation that applies to HHAs? - HHAs must complete at least 75 hours of training and/or they must pass a competency evaluation before they begin working What's an example of a common policy at a home health agency? - HHAs must follow the client's care plan What does a professional relationship between an HHA and a client include? - Keeping client informational confidential What's would be the best response by a HHA if a client purchases them a gift? - The HHA should refuse the gift but thank the client for thinking of her What's an example of a HHA behaving professionally with an employer? - Documenting carefully What's the best type of jewelry for a HHA to wear to work? - A waterproof watch What does the term "empathy" mean? - Empathy means being able to identify with and enter into the feelings of others. What's one responsibility of an employer regarding a HHA? - Employers must provide initial training and continuing in-service training Who is the most important person on the healthcare team? - The client What is the chain of command? - The line of authority in an agency ___ has to do with the knowledge of right and wrong - Ethics An example of ethical behavior by a HHA is _____ - Protecting a client's privacy What term means harming a person physically, mentally, or emotionally by failing to provide needed care? - Neglect What must a HHA do if he suspects that a client is being abused? - The HHA should report immediately to his supervisor What term means to steal, take advantage of, or improperly use the money, property, or other assets of another person? - Financial abuse What's an example of sexual abuse? - Rubbing up against a client inappropriately Threatening to harm a client if her tells another caregiver about a problem is an example of what type of abuse? - Psychological abuse For home health aides, confidentiality means.... - keeping private things private with whom may an HHA share a client's medical information? - With other members of the care team What's a term for a legal document that designates what kind of care a person wants if he is unable to make that decision himself? - Advance directive what's an example of an advance directive? - Durable Power of Attorney for Health Care what's the best way for a HHA to keep clients' health information confidential? - store, file, or shred documents according to agency policy what behavior promotes clients' rights? - Encouraging a client to participate in care planning What’s the correct order of the three-step communication process? - Sender sends message. Receiver receives message. Receiver provides feedback. Which of the following statements is true of hepatitis B (HBV)? - The vaccine for HBV helps prevent the disease A person with TB disease - Can spread it to others How is HIV spread? - By blood Which of the following is true of HIV testing? - The results are confidential and cannot be shared. In which of the following people is TB most likely to develop? - People who have HIV/AIDS or cancer How is MRSA most often spread? - By direct physical contact What is the best way to control the spread of MRSA? - Through proper hand washing What is the best way to control the spread of C. difficile? - Through proper hand washing and handling of contaminated wastes Which of the following is an HHA responsibility regarding infection prevention - Following standard precautions in caring for all clients? Which of the following statements is true of body mechanics? - Body mechanics help save energy and prevent injury When helping a client sit up, stand up, or walk, the HHA should - Bend her knees which of the following is a proper way to use body mechanics? - the HHA should stand with her legs shoulder-width apart what is one way to make any position safer and more comfortable? - The HHA should use pillows to keep the body in alignment which of the following statements is true of preventing falls? - Clear walkways of clutter When serving hot drinks to clients, the HHA should - Pour hot drinks away from the clients Which of the following statements Is true of choking? - People who are weak and unconscious are at a higher risk for choking in which position should a client be placed while eating? - Sitting as upright as possible RACE is an acronym for a safety rule, and means - Remove clients, activate 911, Contain fire, Extinguish Which of the following poses a fire hazard? - Paint thinner stored next to a hot water heater Restraints can be applied - only with a doctor's orders A serious problem that has been associated with restraints is - pressure ulcers Which of the following statements is true of restraint usage? - People tend to respond better to restraint alternatives than to restraints An example of a restraint alternative is - offering the client food or drink If a restraint is applied, an HHA must - check in the client every 15 minutes Which of the following is information an HHA should be prepared to give when calling emergency services? - The phone number and address where the emergency is happening The first steps to take when approaching an emergency are - Assess the situation and the victim In which of the following situations should an HHA give abdominal thrusts to a client? - The client cannot speak, breathe, or cough If a client is in shock, an HHA should - Elevate the client's feet unless a head or abdominal injury exists When a client is suspected of having a heart attack, an HHA should - Loosen clothing around the neck To control bleeding, an HHA should - Hold a thick pad against the wound and press down hard Which of the following should an HHA do if he suspects poisoning? - The HHA should look for a container that will help determine what the client took or ate To treat a minor burn, an HHA should use ____ to decrease the temperature of the skin - Cool water Which of the following is a correct response if a client is having a seizure? - Move the furniture away to prevent injury to the client If a client faints, an HHA should - Lower him to the floor Homeostasis is - The condition in which all of the body systems are working their best Which of the following statements is true of the skin? - It feels heat, cold, pain, touch, and pressure Which of the following statements is true of muscles? - They provide movement of body parts How many bones are in the human body? - 206 When atrophy occurs, - The muscles wastes away The basic unit of the nervous system is called - neuron Which of the following is a function of the nervous system? - It senses and interprets information from outside the body The eye and ear are part of - The nervous system The two upper chambers of the heart are called - Left and right atrium During the resting phase, or diastole, of the heart, - The chambers fill with blood Which of the following is a function of the circulatory system? - It supplies food, oxygen, and hormones to cells Respiration consists of - inspiration and expiration The respiratory system is made up of - trachea, bronchi, lungs Why are females more likely to have urinary tract infections than males? - Due to having a shorter urethra Which is one major function of the gastrointestinal system? - It eliminates solid wastes from the body Which of the following statements is true of positioning? - HHAs should check clients' skin every time they're repositioned. How often should clients be repositioned? - Every two hours A client who is lying on her left or right side is in the ______ position. - Lateral A client who has her head and shoulders elevated and is in a semi-sitting position (45 to 60 degrees) is in the _______ position. - Fowler's Which of the following is another word for armpit? - Axilla Which temperature site is generally considered to be the most accurate? - Rectal Why are mercury-free thermometers considered safer than mercury glass thermometers? - They do not contain mercury, which is a dangerous substance An oral thermometer is usually color coded - green or blue Which of the following statements is true of taking rectal temperatures? - The HHA must hold onto the thermometer at all times while taking rectal temperatures How far into the ear should a tympanic thermometer be inserted? - 1/4 to 1/2 inch The most common site to take the pulse is the - radical pulse The normal respiration rate for adult’s ranges from - 12-20 breaths per minute Why should respirations be counted immediately after taking the pulse, while the fingers are still on the wrist? - People may breathe more quickly if they know that they're being observed The normal pulse rate for an adult is - 60-100 beats per minute Hypertension is - high blood pressure Which is an example of a correct way to write a blood pressure reading? - 120/75 Blood pressure is measured using a - sphygmomanometer Which of the following blood pressure readings fall within the normal range? - 119/75 Which of the following statements is true of pain? - pain is a different experience for each person Which of the following measures can help reduce pain? - Changing position A plastic collection container that is put on the toilet to collect and measure urine and stool is called a - Hat What time of day is best to collect to collect a sputum specimen? - Early morning A ___ urine specimen can be collected any time the client’s voids - Routine Which type of urine specimen does not include the first and last urine in the sample? - Clean catch The abbreviation I&O means - intake and output eight ounces is equal to _____ milliliters - 240 To convert ounces to milliliters, multiple by - 30 Which is true of HHAs and catheters? - HHAs observe and report regarding catheters Which type of urinary catheter remains inside a person for a period of time? - Indwelling catheter Guidelines for proper catheter care include the following: - Keeping the genital area clean to prevent infection How can cold applications benefit a person? - Cold prevents swelling and reduces pain. A type of dry application is - electric heating pad A sits bath is used to - clean perineal wounds Which of the following is true of non-sterile dressing? - They are applied to dry wounds Another name for elastic stockings is - Anti-embolic stockings How often should a stony bag be emptied? - Whenever stool is eliminated How should elastic (non-sterile) bandages be applied? - Snugly enough to control bleeding Goals of rehabilitation include - Helping a resident adapt to a disability Which of the following statements is true of an HHA's role in restorative care? - The HHA should recognize that setbacks occur and reassure the client Passive range of motion exercises (PROM) are done - When a client cannot move on her own How should an HHA perform range of motion (ROM) exercises? - Begin at the head and work downward Abduction is - Moving a body part away from the midline of the body Bending a body part is called - flexion Which of the following body parts is included in passive range of motion (PROM) exercises? - Neck How many times should each range of motion exercise be performed for each body part? - At least three times Which of the following terms refers to the type of ROM exercises that a client does on his own, without any help from the HHA? - Active range of motion (AROM) exercises A _____ is the permanent and painful shortening of a joint and muscle that can result from lack of exercise. - Contracture Immobile clients should be repositioned every ____ hours. - Two Which of the following is a guideline for proper skin care? - Check clients' skin daily and report changes Which of the following items is used in the prevention and treatment of pressure ulcers? - Sheepskin or bed pan When helping a client who has a hip replacement get dressed, how should the HHA begin? - Start with the weaker side Which of the following statements is true of casts? - The HHA should elevate an extremity that is in a cast If a client is going through bladder retraining the HHA should - Be positive and professional when handling incontinence Deep breathing exercises help - Clear the lungs of mucus A doctor's order for partial weight-bearing, or PWB, means that - The client is able to support some body weight on one or both legs. Fowler's position - a semi-sitting position; the head of the bed is raised between 45 and 60 degrees Sims' position (semi-prone side position) - A left side-lying position in which the upper leg (right leg) is sharply flexed so it is not on the lower leg (left leg) and the lower arm (left arm) is behind the person lateral position - the person lies on one side or the other; side-lying position supine position - lying on the back