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Competency Exam 15

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Competency Exam 15

Competency Exam 15

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COMPETENCY EXAM #15
Revised 7/15/2024
This competency exam is based on the information included in the Handout for Competency Exam #13
1. Your consumer asks you to take her to the bathroom every 15 minutes. She complains of burning and hesitancy. You should:*
- a. Ignore her request
- b. Let her know she is being annoying
- c. Notify the registered nurse
- d. Put an attend on her
2. If a consumer is confused and disoriented, the caregiver should:*
- a. Provide a safe and comfortable environment
- b. Help the consumer recognize familiar things and people
- c. Offer reassuring comments - avoid asking questions
- d. All of the above
3. Your elderly consumer begins to wander and becomes confused. You should FIRST:*
- a. Place him/her in restraints
- b. Report the behavior to the family
- c. Attempt to engage him/her in activities to prevent wondering
- d. Do nothing to prevent wandering
4. What should the caregiver do when they find the consumers sad and crying?*
- a. Tell them they have nothing to be sad about
- b. Ignore them, just let them cry
- c. Tell their spiritual leader
- d. Ask what is making them sad
5. A caregiver who is active in church is assigned to a consumer who is not religious. The caregiver should:*
- a. Evangelize the consumer
- b. Set an example by taking your Bible to work
- c. Respect the consumer's rights and beliefs
- d. Arrange to have a clergy visit the consumer
6. When recording the activities you performed for the consumer you should include which of the following?*
- a. Meal preparation
- b. Shave and grooming
- c. Assist with ambulation
- d. All of the above
7. A person with a diagnosis of Alzheimer's disease may show which of the following symptoms?*
- a. A decline in physical and mental abilities
- b. Clear memories of the past
- c. Clear recall of recent events
- d. Desire to plan social events
8. A consumer suddenly becomes agitated, the caregiver should FIRST:*
- a. Tell the consumer to be quiet
- b. Respond in a calm, reassuring manner
- c. Respond in the same agitated manner
- d. Leave the consumer until he/she calms down
9. It is appropriate to share information related the consumer when:*
- a. You are at home with your family
- b. You are talking to the consumer's neighbors and friends
- c. You are reporting to the appropriate health care staff
- d. You should never give anyone information
10. When preparing the consumer's meals you should:*
- a. Give the consumer anything he/she wants to eat
- b. Check the Aide Assignment sheet to see if he/she is on a special diet
- c. Make him/her prepare the meal for himself/herself
- d. Tell the family to fix the meal
11. A confused consumer asks the caregiver what day it is. The caregiver should:*
- a. Tell the consumer they should know the date
- b. Ask the consumer what year it is
- c. Tell the consumer the date as they point to the calendar
- d. Ignore the request
12. The caregiver discovers a fire in the consumer's home/apartment. The FIRST thing to do is:*
- a. Attempt to put out the fire
- b. Call 911
- c. Remove the consumer from the home/apartment
- d. Open windows and doors
13. A common sign of approaching death is:*
- a. Decrease in body function
- b. Increase in appetite
- c. Increase in activity
- d. No vital signs

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14. Tuberculosis is a disease that affects the:*
- a. Kidney
- b. Brain
- c. Heart
- d. Lungs
15. Which statement regarding the use of fire extinguishers is correct?*
- a. Any fire extinguisher can be used on any fire
- b. Fire extinguishers should be used only in kitchens
- c. Each extinguisher should be used for the correct type of fire
- d. The caregiver does not need to know how to use fire extinguishers
16. If a consumer is masturbating, the caregiver should*
- a. Tell the client to stop
- b. Report the incident to the registered nurse
- c. Leave the room and provide privacy
- d. Laugh and tell the incident to everyone
17. The LAST sense a dying person will lose is:*
- a. The sense of smell
- b. The sense of taste
- c. The sense of hearing
- d. The sense of touch
18. The best time to prepare for a disaster is:*
- a. Before it happens
- b. Never- it's not your responsibility
- c. Let the consumer decide
- d. During an evacuation
19. Which incident should be immediately reported to the registered nurse?*
- a. During the winter months you find your consumer has no heat or electricity
- b. People are smoking in the area the consumer is receiving oxygen therapy
- c. You find a consumer's pet to be dangerous
- d. All of the above
20. The caregiver's assignment includes taking the consumer in the car to various activities. The consumer refuses to use the seatbelt. What should you do?*
- a. Force the consumer to get out of the care
- b. Get out and leave the consumer sitting in the car alone (c)
- c. Explain that you cam10t drive until the consumer puts the seat belt on
- d. Drive slowly to the appointment
21. When giving a bed bath, you should:*
- a. Keep the entire body exposed
- b. Expose only the part of the body that is being washed
- c. Enjoy the scenery
- d. Tell jokes about the anatomy
22. The term used when a person has a device to replace a missing body part is called:*
- a. Extension
- b. Hearing Aide
- c. Cane
- d. Prosthesis
23. When placing a sweater on a person with right-sided weakness, which arm should be placed in the sleeve first?*
- a. The left
- b. The right
- c. Both arms at the same time
- d. The left leg
24. When ambulating a consumer with left-sided weakness, the caregiver should assist:*
- a. On the weak side
- b. On the strong side
- c. From the front
- d. From the back
25. Exercises that move the joints are called:*
- a. Range of motion
- b. Rotation
- c. Abduction
- d. Deep breathing

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26. To prevent pulling the catheter when turning the consumer, tape the catheter to the consumer's:*
- a. Bedrail
- b. Hip
- c. Wheel chair
- d. Upper thigh
27. The consumer wants to wear an outfit that does not match. You should:*
- a. Try to convince him/her to wear something else
- b. Select an outfit you like for him/her
- c. Allow him/her to make the choice
- d. Go shopping for more clothes
28. The best way to prevent the spread of infection when removing soiled linen is to:*
- a. Hang them to dry
- b. Place them on the floor
- c. Immediately put them in the dirty clothes container
- d. Carry them close to the body
29. Your client asks you to assist him/her to the bathroom and close the door. You should:*
- a. Close the door and go into another room
- b. Loss of a loved one.
- c. Refuse to assist him/her
- d. Close the door but stay close by
30. What is a crucial step in assisting a client with personal hygiene?*
- a. Skip it if the client prefers privacy.
- b. Use scented lotions for a pleasant experience.
- c. Encourage the client to do it independently.
- d. Maintain a clean and safe environment.
31. When assisting a client with mobility, what is a key safety consideration during transfers?*
- a. Speed up the process to minimize discomfort.
- b. Use the client's mobility aids without asking for permission.
- c. Ensure proper body mechanics and posture.
- d. Skip the use of gait belts to avoid inconvenience.
32. How can a home health aide adapt meal assistance based on the client's preferences?*
- a. Forcefully encourage a specific diet for health reasons.
- b. Disregard dietary preferences as long as nutritional needs are met.
- c. Avoid discussing dietary choices with the client.
- d. Personalize meal plans considering the client's preferences and dietary restrictions.
33. When assisting a client with transfer and and ambulation, what is a critical consideration for the home health aide?*
- a. Encourage the client to perform transfers independently to build strength.
- b. Minimize communication to avoid distracting the client during transfers.
- c. Prioritize speed to complete the transfer quickly and efficiently.
- d. Ensure proper body mechanics and posture to prevent injury.
34. How can a home health aide effectively communicate with a client who has difficulty expressing themselves?*
- a. Assume their needs without asking for clarification.
- b. Speak louder and slower to ensure understanding.
- c. Use non-verbal cues and observe for cues in body language.
- d. Emotional abuse.
35. A client who wanders maybe:*
- a. Anxious.
- b. In pain.
- c. Frustrated.
- d. AII the above.
36. The best way to prevent wandering is to use restraints:*
- True
- False
37. Neglect can be harmful, but it is not a crime.*
- True
- False

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38. You notice a slight reddened area on your client's heel. The skin is cool to the touch and your client tells you it's tingling. You should:*
- a. Massage the area with warm lotion.
- b. Put socks and tight-fitting shoes on her feet.
- c. Apply an icepack to reduce pain and swelling.
- d. Report findings and make a detailed note on your timesheet.
39. People with mental health problems tend to have better outcomes if family members are not critical of them:*
- True
- False
40. Some people are at a higher risk of developing tuberculosis disease:*
- True
- False
41. People who are at a higher risk for developing tuberculosis disease are people who :*
- a. Live in shelters.
- b. Have been in jail or prison. c.
- c. Have HIV infection.
- d. All the above.
42. The following observations should be included in your daily documentation:*
- a. Changes in the client's appetite.
- b. Changes in the client's ability to move /walk.
- c. Changes in the client's mental condition.
- d. All the above.
43. Unusual incidents must be reported to the Agency. Which of the following should be rerorted as unusual incidents:*
- a. Injuries to clients, staff, or employees while on official duty.
- b. Witness or suspected abuse and/or neglect of a client.
- c. Death of a client.
- d. All the above.
44. Your client offers you money "because you are so nice" . You should:*
- a. Accept the money.
- b. Tell the client that you have your own money and don't need theirs.
- c. Refuse in a firm but courteous manner.
- d. Take the money but secretly put it back In the client's wallet.
45. Which of the following is NOT a part of the conflict resolution process?*
- a. Negotiating the problem.
- b. Jumping to conclusions.
- c. Creating solutions.
- d. Realizing there are solutions.
46. You may be dealing with a bully if the difficult behavior is rude and :*
- a. Passive
- b. Aggressive
- c. Passive and Aggressive
47. Which of the following might make a nice person irritable and mean:*
- a. Pain.
- b. Loss of a loved one.
- c. Depression.
- d. All the above.
48. Getting hit, pinched, pushed, and yelled at by a sick, elderly client is:*
- a. Just part of the job.
- b. Part of the client's rights.
- c. Not okay in any situation.
- d. None of the above.
49. If you feel you may be physically harmed by a combative client, you should :*
- a. Avoid touching the client.
- b. Do not crowd the client...give him/her space.
- c. Listen to what they are saying. Don't tease or ignore him/her.
- d. All the above.
50. The nursing assistant's role in pain management includes:*
- a. Giving narcotics
- b. Adjusting the client's medication.
- c. Observing and reporting signs of pain.
- d. Recommending certain exercises.
- e. None of the above.

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51. Which of the following members of the healthcare team is responsible for prescribing medical care:*
- a. Nurse.
- b. Physician or Nurse Practitioner.
- c. Social Worker.
- d. Nurse Assistant.
52. Which of the following clients has the GREATEST risk of falling?*
- a. The client who has difficulty with balance.
- b. The hearing-impaired client.
- c. The client who uses a cane or walker.
- d. The client who often has visitors.
53. Which of the following is considered to be an invasion of privacy?*
- a. Bathing/showering a client.
- b. Engaging the client in conversation.
- c. Failing to keep the client's affairs confidential or unnecessarily exposing the client's body when performing care.
- d. Being informed about the client's medical condition.
54 Which is an example of verbal or non-verbal abuse?*
- a. Cursing at or in the presence of a client.
- b. Calling the client out of their name as calling them stupid.
- c. Ignoring the client when they ask a question.
- d. All the above.
55. Demonstration of correct listening skills is:*
- a. Talking while the client is talking.
- b. Providing no verbal response.
- c. Making eye contact and giving verbal responses.
- d. Ignoring the client.
56. When working with a client who suffers from memory loss, which statement is true?*
- a. Do not attempt to communicate with the client because they can't give the correct response.
- b. Laugh at what the client is saying..
- c. Ask the client to stop talking.
- d. Listen closely and attempt to talk with the client based on what they are saying.
57. Which of the following helps to create a safe environment for the client?*
- a. Ensuring throw rugs are secured to prevent falls.
- b. Making sure doorways are clear so the client has a safe exit.
- c. Making sure the smoke alarms are working.
- d. All the above.
58 . It is appropriate to share information with another when:*
- a. Another Aide is relieving you for the care of the client.
- b. Your client's neighbor asks you about your client.
- c. Your client's niece calls and asks specific questions regarding your client's health.
- d. You should never discuss the client's information with anyone.
59. Your client tells you that he/she wants to die. You should:*
- a. Laugh and tell him/her to stop joking.
- b. Ignore the comment, he/she is trying to get attention.
- c. Notify the Agency for advice as to what you should do.
- d. Call the client's doctor.
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