1.
As a Personal Care Assistant, you:
Correct Answer
B. Work as part of the health care team
Explanation
As a Personal Care Assistant, you work as part of the health care team. This means that you collaborate and coordinate with other healthcare professionals to provide comprehensive care to patients. You may work under the supervision of nurses or other healthcare providers, assisting them in tasks such as bathing, dressing, and feeding patients. Being part of the healthcare team enables you to contribute to the overall well-being of patients and ensures that their needs are met effectively. It also allows for better communication and coordination among team members, leading to improved patient outcomes.
2.
When you work in the home you will be:
Correct Answer
B. Working under the supervision of a professional supervisor.
Explanation
The given options describe the conditions of working from home. Out of the given options, "Working under the supervision of a professional supervisor" is the correct answer as it implies that even when working from home, there will still be a professional supervisor overseeing the work. This suggests that there will be guidance and support available, indicating that the individual is not completely on their own in making decisions or carrying out tasks.
3.
As Personal Care Assistant, it is your
responsibility to:
Correct Answer
B. Do only the tasks that the registered nurse or therapist assigns to you.
Explanation
As a Personal Care Assistant, it is important to follow the instructions and assignments given by the registered nurse or therapist. They have the knowledge and expertise to determine the appropriate tasks for the client's care. By doing only the assigned tasks, the Personal Care Assistant ensures that they are working within their scope of practice and providing the best care possible. Asking for help when needed is also important to ensure the client's safety and well-being. Comparing assignments with co-workers may not be necessary as each client's care plan is unique and tailored to their specific needs.
4.
True or False. In the
home, it is important to be a good listener.
Correct Answer
A. True
Explanation
In the home, being a good listener is important because it helps in effective communication and understanding among family members. It allows individuals to feel heard, valued, and supported, which strengthens relationships and fosters a positive and harmonious environment at home. Being a good listener also promotes empathy, patience, and problem-solving skills, enabling family members to address conflicts and issues effectively. Overall, being a good listener in the home contributes to better communication, stronger relationships, and a happier and healthier family dynamic.
5.
True or False. Always tell the patient what you are going to do
before starting a procedure.
Correct Answer
A. True
Explanation
It is important to always inform the patient about the procedure that is going to be performed. This helps in building trust and ensuring patient autonomy. By providing information, the patient can make informed decisions about their healthcare and be prepared for any discomfort or potential risks associated with the procedure. Additionally, it promotes effective communication between the healthcare provider and the patient, enhancing the overall patient experience. Therefore, it is essential to always inform the patient about the procedure before starting it.
6.
True or False. You only communicate through words.
Correct Answer
B. False
Explanation
Communication is not limited to words alone. Nonverbal communication, such as body language, facial expressions, and gestures, also play a significant role in conveying messages. Additionally, communication can occur through written forms, such as emails or text messages. Therefore, the statement that communication only happens through words is false.
7.
Which of the following is important when
communicating with people:
Correct Answer
D. All of the above
Explanation
When communicating with people, it is important to demonstrate courtesy, tact, and listening skills. Courtesy involves being polite, respectful, and considerate towards others, which helps to create a positive and comfortable environment for effective communication. Tact involves being sensitive and diplomatic in our choice of words and actions, allowing us to express our thoughts and opinions without causing offense or conflict. Listening is crucial as it shows that we value the other person's perspective, helps us understand their needs and concerns, and allows for better comprehension and response. Therefore, all of these qualities are important in effective communication.
8.
Body language is:
Correct Answer
A. A way of communicating feelings by using the body, facial expression and the eyes
Explanation
Body language refers to the nonverbal communication cues that individuals use to express their emotions, thoughts, and intentions. It involves using gestures, facial expressions, and eye contact to convey messages without using words. This form of communication is not limited to any specific group of people, as it is a universal means of expressing oneself. It is a powerful tool in understanding and interpreting the emotions and intentions of others.
9.
PCA care for a conscious patient should be
preceded by
Correct Answer
C. Giving an explanation of what is going to be done
Explanation
Before performing PCA care on a conscious patient, it is important to give an explanation of what is going to be done. This ensures that the patient is fully informed and understands the procedure that will be performed on them. It allows the patient to give their consent and make an informed decision about their care. Providing an explanation also helps to establish trust and cooperation between the patient and the healthcare provider, promoting a more positive patient experience.
10.
Miss Harris, a Personal Care
Assistant, is assigned to care for Mr. Goodway. Miss Harris notices that she feels very angry when
she is with Mr. Goodway. What should Mrs. Harris do because she feels this way?
Correct Answer
D. Talk with the agency supervisor about the situation
Explanation
Miss Harris should talk with the agency supervisor about the situation. It is important for her to address her feelings of anger and discuss any concerns or issues she may have while caring for Mr. Goodway. The agency supervisor can provide guidance, support, and potentially find a solution to improve the situation for both Miss Harris and Mr. Goodway. Seeking assistance from a supervisor is a proactive step towards resolving the issue professionally and ensuring the best quality of care for the patient.
11.
A patient accuses a Personal
Care Assistant of stealing five dollars. The PCA has not taken the patient’s money, but the patient
does not believe this. What should the PCA do?
Correct Answer
D. Notify the agency supervisor
Explanation
The PCA should notify the agency supervisor because they need to report the accusation made by the patient. This is important to ensure that the situation is properly addressed and investigated. The supervisor can then take appropriate action, such as conducting an inquiry or providing guidance on how to handle the situation. It is crucial for the PCA to follow the proper protocol and involve the supervisor to maintain professionalism and integrity in their role.
12.
True or False. If you do not chart a task that you do for a
patient, legally, it was not done.
Correct Answer
A. True
Explanation
Charting is an essential part of documenting the care provided to a patient. It serves as legal evidence that the task was performed. If a task is not charted, there is no official record of it, and it can be assumed that it was not done. This can have legal implications as it may be seen as negligence or failure to provide adequate care. Therefore, it is important to accurately and timely chart all tasks performed for a patient to ensure proper documentation and legal protection.
13.
True or False. If the patient has a new area
of skin breakdown, and the nurse is coming in two days, you do not need to report the skin breakdown
to your supervisor.
Correct Answer
B. False
Explanation
It is important to report any new area of skin breakdown to the supervisor, regardless of when the nurse is coming. Skin breakdown can indicate a worsening condition or the need for additional interventions, and timely reporting ensures appropriate care is provided to the patient. Neglecting to report the skin breakdown can lead to complications and delays in treatment.
14.
True or False. A rapid pulse and shortness of breath in a patient usually indicates the patient is excited and does not need to be reported to the nurse.
Correct Answer
B. False
Explanation
A rapid pulse and shortness of breath in a patient usually indicate a physiological response to stress or an underlying medical condition, rather than just excitement. These symptoms may be signs of a serious health issue, such as a heart or lung problem. Therefore, it is important to report these symptoms to the nurse for further evaluation and appropriate medical intervention.
15.
The patient tells you he has not moved his
bowels in three days. What should you do?
Correct Answer
C. Report it to the nursing supervisor
Explanation
The correct answer is to report it to the nursing supervisor. This is because the patient's inability to move his bowels for three days could be a sign of constipation or a more serious underlying issue. It is important to inform the nursing supervisor so that appropriate measures can be taken to address the patient's condition and provide necessary medical intervention if needed. Ignoring or dismissing the patient's concern could lead to potential complications and is not a responsible course of action.
16.
Which of these actions is the
Personal Care Assistant permitted to take in relation to drug administration?
Correct Answer
A. Record and report the patient’s reaction to the medication
Explanation
The Personal Care Assistant is permitted to record and report the patient's reaction to the medication. This is an important responsibility as it helps the healthcare team monitor the effectiveness and potential side effects of the medication. By documenting the patient's reaction, the healthcare team can make informed decisions regarding the patient's treatment plan.
17.
When a patient complains of pain, what should
the Personal Care Assistant do first?
Correct Answer
A. Ask the patient to describe the pain
Explanation
The first step in addressing a patient's complaint of pain is to ask them to describe the pain. This allows the Personal Care Assistant to gather important information about the nature and intensity of the pain, which can help in determining the appropriate course of action. Calling the patient's doctor may be necessary, but it should be done after gathering more information about the pain. Offering warm tea or changing the patient's position may provide temporary relief, but understanding the pain is crucial in providing effective care.
18.
A patient’s prescription for
heart pills has recently been changed. The home health PCA should notify the agency supervisor
immediately if the patient makes which of these comments:
Correct Answer
C. “I have a rash on my stomach since I’ve been taking these pills.”
Explanation
The correct answer is "I have a rash on my stomach since I've been taking these pills." This statement indicates a potential adverse reaction to the medication, which should be reported to the agency supervisor immediately. Adverse reactions can be serious and may require immediate medical attention. The other statements do not indicate a significant concern that requires immediate notification.
19.
Mrs. Rand, who has diabetes
and takes insulin regularly, tells the Personal Care Assistant that she feels very nervous and
jittery. What should the PCA do immediately?
Correct Answer
D. Give her a glass of orange juice
Explanation
Mrs. Rand, who has diabetes and takes insulin regularly, feeling nervous and jittery could be a sign of low blood sugar levels, also known as hypoglycemia. Giving her a glass of orange juice would be the most appropriate immediate action to take in this situation. Orange juice contains sugar, which can help raise her blood sugar levels quickly and alleviate her symptoms. This is important because if left untreated, hypoglycemia can become a medical emergency.
20.
True or False. Always report a pulse if the beats per minute
are under 60 or over 100.
Correct Answer
A. True
Explanation
It is important to always report a pulse if the beats per minute are under 60 or over 100 because these values may indicate abnormal heart rhythms or other medical conditions. A pulse rate below 60, known as bradycardia, may suggest a slow heart rate that could be caused by conditions such as heart block or hypothyroidism. On the other hand, a pulse rate above 100, known as tachycardia, may indicate a rapid heart rate that could be caused by factors such as stress, dehydration, or an underlying heart condition. Therefore, reporting these abnormal pulse rates is crucial for proper medical evaluation and intervention if necessary.
21.
True or False. The temperature of an
unconscious patient should be taken orally since they are not moving about.
Correct Answer
B. False
Explanation
False. The temperature of an unconscious patient should not be taken orally. When a person is unconscious, they may have difficulty swallowing or may be at risk of choking. Therefore, it is not safe or appropriate to take their temperature orally. Instead, other methods such as using a tympanic thermometer or a forehead thermometer should be used to measure their temperature accurately and safely.
22.
True or False. Recording a patient’s TPR or
vital signs is not important as long as you remember what they are.
Correct Answer
B. False
Explanation
Recording a patient's TPR (temperature, pulse, and respiration) or vital signs is important regardless of whether one remembers them or not. Accurate documentation of these measurements is crucial for monitoring the patient's health status, identifying trends or changes, and providing appropriate medical care. It also helps in communication among healthcare professionals and ensures continuity of care. Neglecting to record vital signs can lead to medical errors, misdiagnosis, and inadequate treatment. Therefore, it is essential to record and document these measurements accurately and timely.
23.
For which, if any, of these body areas is 99.6
degrees F. a normal temperature?
Correct Answer
C. Rectum
Explanation
The rectum is the correct answer because it is one of the body areas where a temperature of 99.6 degrees F is considered normal. The axilla (armpit) and mouth temperatures are typically lower than the rectal temperature, so a reading of 99.6 degrees F in those areas would indicate a fever. Therefore, the rectum is the only body area listed where this temperature is within the normal range.
24.
When taking a patient pulse,
you should take it for:
Correct Answer
B. One full minute
Explanation
When taking a patient's pulse, it is recommended to take it for one full minute. This duration allows for a more accurate assessment of the patient's heart rate and rhythm. Taking the pulse for a shorter duration, such as 5 or 15 seconds, may not provide a comprehensive understanding of the patient's cardiovascular health. Additionally, taking the pulse for two minutes may be unnecessary and time-consuming in most cases. Therefore, one full minute is the optimal duration for accurately assessing a patient's pulse.
25.
When a patient’s respirations are being counted,
it is best that the patient:
Correct Answer
D. Not be aware that the respirations are being counted
Explanation
When a patient is not aware that their respirations are being counted, they are more likely to breathe naturally and not alter their breathing pattern. This allows for a more accurate count of their normal breathing rate. If the patient tries to breathe evenly or as deeply as they can, it may affect their natural breathing pattern and result in an inaccurate count. Similarly, if the patient sits up straight, it may also affect their breathing pattern. Therefore, it is best for the patient to not be aware that their respirations are being counted in order to obtain an accurate measurement.
26.
True or False. Hand washing is the single best way to decrease
the number of pathogens.
Correct Answer
A. True
Explanation
Hand washing is considered the single best way to decrease the number of pathogens because it helps to remove germs and bacteria from our hands. Pathogens can easily be transmitted through touch, and washing hands with soap and water effectively eliminates them, reducing the risk of spreading infections and diseases. Regular hand washing is particularly important before and after handling food, using the restroom, or when in contact with sick individuals. It is a simple yet effective practice that can significantly contribute to maintaining personal and public health.
27.
True or False. Gloves should be worn when handling items soiled by body fluids.
Correct Answer
A. True
Explanation
It is important to wear gloves when handling items soiled by body fluids to prevent the spread of infections and diseases. Body fluids can contain pathogens such as bacteria, viruses, and fungi that can be harmful to health. Wearing gloves provides a barrier between the skin and the contaminated item, reducing the risk of transmission. Additionally, gloves should be disposed of properly after use to prevent cross-contamination. Therefore, the correct answer is true.
28.
True or False. The catheter drainage bag must be lower than the bladder, but not on the floor.
Correct Answer
A. True
Explanation
The statement is true because the catheter drainage bag needs to be positioned lower than the bladder to allow for proper drainage of urine. Placing the bag on the floor can lead to contamination and increase the risk of infection. Therefore, it is important to ensure that the bag is positioned at an appropriate height to maintain proper drainage and hygiene.
29.
During a visit, you need to wash your hands after removing gloves:
Correct Answer
D. All of the above
Explanation
It is important to wash your hands after removing gloves in all of the mentioned situations. Before giving physical care to the patient, washing hands ensures that you do not transfer any germs or contaminants to the patient. After petting the dog, washing hands is necessary to prevent the spread of any potential allergens or bacteria. Before leaving the patient's home, washing hands helps to maintain personal hygiene and prevent the transmission of any pathogens to other environments. Therefore, washing hands is required in all of the mentioned scenarios.
30.
In what situation should gloves be used
Correct Answer
D. All of the above
Explanation
Gloves should be used in all of the situations mentioned. When a patient is vomiting, gloves can protect the healthcare provider from coming into contact with bodily fluids. When a patient has been incontinent of stool, gloves can prevent the spread of fecal matter and potential infections. Similarly, when a patient has a drainage wound, gloves can help prevent the transmission of pathogens and maintain a sterile environment. Therefore, in all these situations, gloves should be used for the safety and protection of both the patient and the healthcare provider.
31.
True or False. Diarrhea can cause dehydration and other serious complications and should be reported.
Correct Answer
A. True
Explanation
Diarrhea can cause dehydration because it leads to excessive fluid loss from the body. When a person has diarrhea, they pass frequent loose or watery stools, which can result in the loss of essential electrolytes and fluids. If left untreated, severe dehydration can occur, leading to serious complications such as electrolyte imbalances, organ failure, and even death. Therefore, it is important to report diarrhea to seek appropriate medical attention and prevent dehydration and its potential complications.
32.
True or False. If a person complains of pain, it is important to have the patient describe the pain and then report it to the nurse and record it in your notes.
Correct Answer
A. True
Explanation
It is important to have the patient describe the pain and report it to the nurse and record it in your notes because pain is subjective and can vary from person to person. By having the patient describe the pain, the healthcare provider can gather important information about the location, intensity, quality, and duration of the pain, which can help in diagnosing and treating the underlying condition. Recording this information in the notes ensures that it is documented and can be referred to in the future for continuity of care.
33.
True or False. It's normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach or legs.
Correct Answer
B. False
Explanation
It is not normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach, or legs. These symptoms can be indicative of various health conditions such as edema, circulatory issues, or organ dysfunction. While some individuals may experience occasional swelling or bloating due to factors like prolonged standing or certain foods, it is not considered a normal occurrence for the majority of people. Therefore, the correct answer is False.
34.
If you notice the patient’s catheter is not
draining, the first thing you should do is:
Correct Answer
C. Check the tubing to see if it is kinked
Explanation
If the patient's catheter is not draining, the first thing you should do is check the tubing to see if it is kinked. A kink in the tubing can obstruct the flow of urine and prevent proper drainage. By checking the tubing, you can identify and resolve any kinks, allowing the urine to flow freely. Calling your supervisor or doing nothing would not address the immediate issue of the catheter not draining. Emptying the drainage bag may be necessary after resolving the kinked tubing, but it should not be the first step taken.
35.
Which of the following is not
recommended for promoting good daily habits?
Correct Answer
B. Laxatives
Explanation
Laxatives are not recommended for promoting good daily habits because they are typically used to treat constipation or to empty the bowels before a medical procedure. While they may provide temporary relief, relying on laxatives can lead to dependence and disrupt the natural digestive process. It is better to focus on maintaining a healthy diet, drinking plenty of water, and engaging in regular exercise to promote good daily habits.
36.
Mrs. Morris has not had a bowel movement for three days. She has always given herself an enema if she does not have a bowel movement for that length of time. Mrs. Morris asks the Personal Care Assistant to give her an enema. What should the PCA do?
Correct Answer
D. Contact the agency supervisor to discuss the situation
Explanation
The PCA should contact the agency supervisor to discuss the situation. Mrs. Morris has always given herself an enema if she does not have a bowel movement for three days, but it is important for the PCA to consult with the supervisor before proceeding. This is to ensure that the PCA follows proper protocols and procedures, and to get guidance on how to handle the situation appropriately.
37.
True or False. Bedrails should never be used to secure vest
restraints.
Correct Answer
A. True
Explanation
Bedrails are not designed or intended to be used as a secure attachment point for vest restraints. They may not provide the necessary strength or stability to safely restrain a person. It is important to use appropriate and approved methods for securing vest restraints to ensure the safety and well-being of the individual.
38.
True or False. Smoking in bed is fine for anyone who is not confused.
Correct Answer
B. False
Explanation
Smoking in bed is not fine for anyone, regardless of whether they are confused or not. Smoking in bed poses a significant fire hazard, as it increases the risk of accidentally starting a fire. Falling asleep while smoking in bed can lead to the ignition of bedding or furniture, causing a potentially deadly fire. It is important to never smoke in bed to ensure personal safety and prevent any potential fire accidents.
39.
Part or your duties as a
Personal Care Assistant are to assure a safe home environment. This includes:
Correct Answer
D. All of the above
Explanation
The correct answer is "All of the above". As a Personal Care Assistant, it is important to ensure a safe home environment for the patient. This includes practicing proper infection control by maintaining good hand washing techniques, ensuring electrical and fire safety measures are in place, and removing any objects or obstacles that may pose a risk of falling for the patient. By doing all of these tasks, the Personal Care Assistant can help create a safe and secure environment for the patient.
40.
A patient is receiving oxygen through a nasal canella. Which safety precautions should the Personal Care Assistant take:
Correct Answer
C. Allow no smoking in the patient’s room
Explanation
The correct answer is to allow no smoking in the patient's room. Smoking can cause a fire hazard in the presence of oxygen, as oxygen supports combustion. Therefore, it is important to prohibit smoking in the patient's room to ensure their safety.
41.
True or False. For an injury with profuse bleeding, apply pressure and call for assistance.
Correct Answer
A. True
Explanation
For an injury with profuse bleeding, it is important to apply pressure to the wound in order to control the bleeding. This can be done by using a clean cloth or bandage and applying firm pressure directly on the wound. Additionally, it is crucial to call for assistance or emergency medical help as soon as possible to ensure that the injured person receives proper medical attention.
42.
True or False. If the patient begins to have a seizure, your first responsibility is to prevent the patient from injuring himself.
Correct Answer
A. True
Explanation
If the patient begins to have a seizure, the first responsibility is indeed to prevent the patient from injuring themselves. This can be done by creating a safe environment, removing any nearby objects that could cause harm, and gently guiding the patient to the ground if they are standing. It is important to protect the patient's head and ensure that their airway remains open during the seizure.
43.
True or False. If the patient falls and complains of pain in his hip, you should help him to get up and walk to bed.
Correct Answer
B. False
Explanation
If a patient falls and complains of pain in his hip, it is important to avoid moving him or helping him to get up and walk to bed. Moving the patient without proper assessment and assistance can potentially worsen their injury or cause further harm. It is recommended to call for medical help and wait for professionals to assess and provide appropriate care.
44.
A patient is choking on some object that is caught in his airway. Before first-aid measures are applied, find out:
Correct Answer
C. If the patient can speak or cough
Explanation
If the patient can speak or cough, it indicates that the airway is partially open and the patient is able to move air in and out of their lungs. This suggests that the obstruction may not be complete and the patient may still be able to breathe to some extent. However, immediate first-aid measures should still be applied to clear the airway and remove the object causing the choking.
45.
While giving a bath on a shower chair, the patient suddenly gasps and becomes unresponsive. The Personal Care Assistant should:
Correct Answer
C. Lower the patient to the floor, call for the family to call 911, determine it CPR is needed, and initiate it if needed
Explanation
In this situation, the patient suddenly gasping and becoming unresponsive indicates a medical emergency. Lowering the patient to the floor ensures their safety and allows for easier administration of CPR if needed. Calling for the family to call 911 ensures that emergency medical help is on the way. Assessing whether CPR is needed and initiating it if necessary can potentially save the patient's life.
46.
For which of these
emergencies is the knowledge of pressure points essential:
Correct Answer
D. Bleeding
Explanation
Knowledge of pressure points is essential for emergencies such as bleeding. Pressure points are specific areas on the body where direct pressure can be applied to control bleeding. By applying pressure to these points, blood flow can be slowed or stopped, helping to prevent excessive blood loss and potentially saving a person's life. Understanding which pressure points to target and how to apply pressure correctly is crucial in managing bleeding emergencies effectively.
47.
The telephone numbers of all
the following are important to a patient. Which number must the Personal Care Assistant have
next to the phone?
Correct Answer
C. The emergency medical squad
Explanation
The personal care assistant must have the number of the emergency medical squad next to the phone because in case of any medical emergency, they would need to contact them immediately for assistance. The other numbers, such as the clergyman, drugstore, and next-door neighbor, may also be important, but they are not as critical in a medical emergency situation.
48.
True or False. Every patient is the same and has the same needs and wants.
Correct Answer
B. False
Explanation
It is false to say that every patient is the same and has the same needs and wants. Each patient is unique and may have different medical conditions, preferences, and requirements. Healthcare professionals need to provide individualized care and treatment plans based on the specific needs and wants of each patient.
49.
True or False. It is alright to use any
item in the home without asking as long as it is for the patient’s personal care.
Correct Answer
B. False
Explanation
It is not alright to use any item in the home without asking, even if it is for the patient's personal care. Respecting others' belongings and personal space is important, and it is always best to ask for permission before using someone else's items, regardless of the reason.
50.
True or False. You may use the telephone in the patient’s home
without asking permission.
Correct Answer
B. False
Explanation
It is not true that you may use the telephone in the patient's home without asking permission. Using someone else's telephone without their consent is an invasion of their privacy and can be considered rude or disrespectful. It is always important to ask for permission before using someone else's belongings, including their telephone.