Caregiver Competency Exam #2

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Caregiver Name

Date:

othe shaver: that

Bathing, Shaving, Grooming and Dressing

Please answer the following questions related to bathing, shaving, grooming and dressing

Sarah, a direct care worker, is going to bathe Mrs. Allen. What should Sarah do first?

Test the water temperature
Help Mrs. Allen undress
Tell Mrs. Allen what she is going to do
Close the bathroom door and windows to keep the room free of drafts

When shaving a consumer's face with an electric shaver:

Shave in the same direction that the hair grows
Use long, even strokes
Keep the skin loose and flexible
Shave the chin, bringing the razor from the chin to the neck

When helping a consumer dress, which of the following is FALSE?

Encourage them to put on comfortable, safe and attractive clothing
Check that the consumer has shoes with non-slip soles
Never let the consumer pick out their own clothes
Spread shoes as far open as possible for ease of the foot

Which of the following is FALSE regarding elastic (TED) stockings?

It is better to put them on the consumer while they are lying down
Roll the stocking inside out first
Position the stocking over the heel and foot
Grab and pull the stocking quickly up the rest of the leg

Which of the following is the proper beginning sequence when giving a bed bath?

Buttocks, arms and legs, genitals
Eyes, face, ears, and neck
Arms and legs, chest and back
Face, ears, neck and arms

When giving a bed bath, it is necessary to change the water:

When it is no longer warm
After cleaning the legs and feet
Whenever the water becomes dirty or too soapy
All of the above

Hair, Skin, and Mouth Care

Please answer the following questions related to hair, skin, and mouth care

When providing nail care, it is important to:

Check the fingers and toes weekly
Wear gloves
Soak the hands and feet first
All of the above

Hair care consists of:

Brushing the hair and spraying it with lots of hair spray
Brushing and combing from the scalp toward the ends of the hair
Wetting the hair
Wrapping a warm towel around the head

Bath time is an excellent time to observe the skin for redness, a warning sign of a pressure ulcer

True
False

When dressing a client, dress the weak limb last and undress it first.

True
False

In order to prevent pressure ulcers:

Change the person’s position in bed every 4 hours
Bathe the person daily
Change the person’s position in bed every 2 hours
Apply salve to reddened areas

A consumer's dentures should be stored in:

Tissues
A denture cup
A plastic bag
The nightstand drawer

If a consumer cannot do their own oral hygiene, the direct care worker should:

Give them mouthwash and tell them to spit it out
Give them peppermint gum
Brush their teeth for them
Call their dentist

Ambulation and Transferring

Please answer the following questions regarding ambulation and transferring

To transfer a consumer from bed to a wheelchair safely, the direct care worker should:

Place a cushion in the back of the wheelchair
Use a foot stool
Always lock the wheels of the wheelchair first
Raise the bed to a higher position

Ambulates with assistance means:

The consumer can walk with help
Walk with the consumer twice daily
The consumer can self propel their wheelchair
You should take the consumer’s blood pressure prior to walking

It is important for the direct care worker to remain in front of the consumer for a few minutes when they first stand up and before helping them to a chair, bed, or start to walk:

True – the client may feel dizzy from standing up
False – it is important to keep moving

Which of the following statements is FALSE regarding transferring a consumer from the bed to a chair?

Assess the consumer’s ability to help
Inform the consumer about the transfer and what he/she needs to do
Allow the consumer to dangle his/her legs while sitting on the side of the bed
Bring the chair or wheelchair to the bedside at a 90 degree angle

Meal Preparation and Feeding

Please answer the following questions regarding meal prep and feeding

When assisting a consumer with meal preparation, with no dietary restrictions, you should:

Know the client’s likes and dislikes
Cook what you like to eat
Prepare finger food
Prepare soup

Your client has a history of difficulty chewing and swallowing. You should:

Prepare the meal and leave the client alone
Prepare the meal and stay with the client to assist as needed
Don’t worry about it
Call your supervisor

Your client is on a low sodium diet. He should avoid:

Bread
Bacon
Fruit
Ice Cream

Your client recently had a doctors appointment and was told she must eat food high in iron. Knowing the consumer's preference, you should suggest the following:

Cake and candy
Rice and broth
Green leafy vegetables, liver, and peanut butter
Cheese and fruit

Providing well balanced meals that limit fatty foods help the following illnesses:

Dementia
Circulatory problems
Asthma
Foot fungus

Toileting

Please answer the following questions having to do with toileting

When you are assisting a client to use the bathroom in their home you should:

Provide privacy but remain nearby for safety or assistance
Leave the client alone
Only check to see that there’s enough toilet tissue
Make sure your client flushes the toiler

Your client needs to use a bed pan with assistance while in bed, You should:

Hand the bedpan to your client and leave the room
Position the client on the bedpan so the body is aligned and supported for comfort
Only check to see if the bedpan is nearby
Tell your client you will sit the bedpan on a nearby table and leave the room

Your client uses a urinal while in bed. You should do all of othe following EXCEPT:

Assist the client with placement of of the urinal
Provide privacy but remain nearby to assist
Assist the client with hand washing
Remove the urinal and leave it sitting on the floor

Your client needs the urinal. What do you do?

Ignore him
Get the urinal, assist him with placement, keep him covered
Hand him the urinal and walk away
Tell him to wait until you are done with folding the laundry

Assistance with Self-Administered Medications

Please answer the following questions related to assistance with self-administered medications

You find your client's medication on the living room floor. You should:

Throw the medication away
Return the medication to the bottle that it might have been in
Flush the medication down the toilet
Call your supervisor to discuss

Your client has severe arthritis. Her medications come in child proof bottles. You should:

Assist your client by opening the bottles
Hand your client a slip proof bottle top opener
Tell your client to order non-child proof bottles next time
See how long it takes your client to figure it out

You can assist your client with self-administering medication by offering reminders. It is important for you to:

Tell your client when the medication is outdated
Remind your client to take the right medication at the correct time with the correct dosage
Check to see if the medication is to be taken on an empty stomach

Miscellaneous

Please answer the following questions of miscellaneous/related topics

When a client offers you a tip for services you should:

Accept it and then return it to the client’s family
Refuse in a polite, but firm manner
Accept the tip and share it with other direct care workers
Refuse while acting shocked

Helping your client with legal matters is going beyond your role

True
False

Confidentiality means that all client information, such as personal, medical or financial is not shared with your family or friends

True
False

As a direct care worker, you have many responsibilities. Which of the below tasks is NOT one of?these

Light housekeeping
Assisting with bathing, dressing and grooming
Medication reminders
Cashing checks for the client

A DNR order guarantees that a person can get life support when need it.

True
False

This competency assessment was developed by Millbrook HomeCare in October of 2022.

Source information obtained by https://learningcenter.pahomecare.org/dashboard/tutorial-videos PA guidance to home care agencies and registries licensed by PA Department of Health-28 PA code section 611.55 competency requirements.