Competency Test Form - PUT YOUR HART IN OUR HANDS AGENCY

Competency Test

There are 59 questions with a perfect score totaling 100. A score of 80% or better (47 correct must be answered correctly in order to pass.) Any questions incorrectly answered should prompt additional training of the CTOP.

PLEASE CIRCLE THE ALPHABET OF YOUR CHOSEN ANSWER

CONFIDENTIALITY

1. What is NOT an Authorization Exception?

A. Non-Emergency Care.

B. Vulnerable adult or child abuse reporting.

C. Information requested by law enforcement to avert a serious threat to health or safety.

2. The meaning of confidentiality is:

A. Share information with my friends

B. Private and secret

C. Open and public

D. Tell anyone who asks

3. The Health Insurance Portability and Accountability Act (HIPAA) is a law that protects:

A. Children in foster homes

B. Who can know or share a person's personal health information

C. Insurance companies

D. Pets

CONSUMER CONTROL AND THE INDEPENDENT LIVING PHILOSOPHY

4. Mrs. Jones tells the direct care worker that she would like her hot dog fried not put in the microwave. The direct care worker has never fried a hot dog. The direct care worker should:

A. Ignore the request and fry the hot dog

B. Ask Mrs. Jones to explain exactly how she used to do it and follow the directions

C. Prepare something else

D. Tell Mrs. Jones "No, I'll cook it my way"

5. Mr. Jim likes to go outside for walks. He is a little unsteady, but he has a walker to assist him. The direct care worker should:

A. Not allow Mr. Jim to go outside

B. Tell Mr. Jim "You're not allowed out while I'm here"

C. Call his family

D. Accompany Mr. Jim for a short walk with the use of his walker

INSTRUMENTAL ACTIVITIES OF DAILY LIVING

6. Housecleaning and home maintenance. This means cleaning kitchens after eating, keeping one's living space reasonably clean and tidy, and keeping up with home maintenance is not an IADL?

A. True

B. False

7. The direct care worker is busy doing Mr. Clein's light housework. Mr. Clein asks the direct care worker to help him write a letter. What should the direct care worker say?

A. "I am too busy"

B. "Write it yourself"

C. "It is not part of my job"

D. "Let's set a time when I can help you sometime today."

8. Mrs. Tune needs assistance doing the laundry. The direct care worker is not familiar with her type of washing machine. The direct care worker should:

A. Not do the laundry

B. Ask Mrs. Tune to explain how to use it or ask to see the "how to operate" instructions

C. Take the clothes to the closest Laundromat

D. Leave it for the next worker to do

RECOGNIZING CHANGES IN THE CONSUMER THAT NEED TO BE ADDRESSED.

9. Mr. Smith tells the direct care worker that he has had pain for three days and no one cares. The direct care worker should:

A. Tell Mr. Smith that they care

B. Look in the communication log to see what's been written about his pain

C. Call their supervisor to report Mr. Smith's complaint

D. All of the above

10. While preparing Mrs. Spratt her meals, the direct care worker notices that she keeps dropping things with her right hand, can't hold her fork without shaking, and seems to lean to her right side when sitting at the table. Mrs. Smith didn't do those things yesterday. The direct care worker should:

A. Tell Mrs. Spratt to sit up straight and quit dropping things

B. Call the supervisor to explain Mrs. Spratt's behavior

C. Ask Mrs. Spratt to go lay down until she feels better

D. Call the family

BASIC INFECTION CONTROL

11. What is the most important method for preventing the spread of infection?

A. Putting lotion on to avoid dry hands.

B. Washing your hands often.

C. Keeping your hands in your pockets.

12. Gloves, gowns, masks, face shields and eye goggles must be worn if the possibility exists that you can come in contact with blood or any bodily fluids.

A. True

B. False

13. How many times during a home visit should a direct care worker wash his or her hands?

A. Before and after each contact with a consumer

B. At the beginning and end of the visit

C. At least once before the visit

D. At least once after the visit

UNIVERSAL PRECAUTIONS

14. When washing your hands why is it important to turn the faucet on with a paper-towel?

A. To keep your hands dry.

B. To clean the faucet handle.

C. To prevent the spread of infections.

15. Which one of the following would NOT spread communicable diseases?

A. Droplets from the nose and mouth

B. The use of universal precautions

C. Direct contact with feces (bowel movement)

D. Open wounds that are draining blood

16. The major recommendation of universal precautions is to minimize contact with which one of the following?

A. Consumer's linen

B. Consumer's personal belongings

C. Blood and body fluids

D. Consumer's skin

HANDLING OF EMERGENCIES

17. You go to Mrs. Smith's house and are unable to gain access to her house. Walking to a window you see that she is on the floor not moving. What is the first thing you should do?

A. Call the Agency.

B. Go to a neighbor's house.

C. Call 911.

18. A direct care worker discovers a small fire in the wastebasket in a room where the consumer is sitting. The direct care worker should FIRST:

A. Call 911

B. Contain the fire

C. Remove the consumer from the room

D. Extinguish the fire

19. Upon entering the consumer's home, the direct care worker finds the consumer on the floor crying in pain and holding their arm which is bent in an awkward position. The direct care worker should:

A. Change the position of the arm

B. Help the person get off the floor

C. Call for medical help

D. Tell the person to quit crying

DOCUMENTATION

20. What is the most important document that should be in all client's records?

A. Time sheet/Service sheet.

B. Service plan documents.

C. The client's name on each page of the recipient's record.

D. All of the above.

21. Each entry in the health service record must contain:

A. The date on which each entry was made.

B. Items in the bathroom.

C. What the conversation was about.

RECOGNIZING AND REPORTING ABUSE OR NEGLECT

22. You overhear a fellow employee talking about how they lost their temper with their client, MR. Baker. What do you do?

A. Confront them.

B. Tell every other employee what you just overheard.

C. Report it to a superior immediately.

23. During your service to Mr. Jones, you notice his eldest daughter physically abusing him. You should:

A. Tell her to stop.

B. Physically restrain the daughter.

C. When she stops take the client to the hospital.

D. Call 911 and then your Agency.

24. A direct care worker slaps a consumer. This is an example of:

A. Neglect

B. Verbal abuse

C. Physical abuse

D. Restraint

25. For older persons, abuse and neglect is reported to:

A. The family

B. Local Area Agency on Aging

C. The Human Relations Commission

D. The person's church

26. For children, abuse and neglect is reported to:

A. Pennsylvania's Child Abuse Hotline

B. The family

C. The Human Relations Commission

D. The child's church

27. A consumer makes a complaint to the direct care worker that another worker neglected her. The direct care worker should:

A. Stand up for the other worker

B. Report the complaint

C. Listen to the complaint but do nothing

D. Tell the consumer she is just confused

DEALING WITH DIFFICULT BEHAVIORS

28. If a client you care for must rely on others for help with their daily life, they may feel frustrated and helpless at times. This may cause a behavioral change. What is one way to help the client cope?

A. Ask them if they want to talk about what is angering them.

B. Tell them to get over it.

C. Give them a bath to calm down.

29. Mrs. Bradford is very agitated today and is making angry demands. What should you do?

A. Remain calm, speak slowly and clearly.

B. Make an effort to respect their demands.

C. Tell them "It's no big deal".

D. Both 'A' and 'B'.

30. A confused consumer begins to cry out suddenly. What should the direct care worker do FIRST:

A. Restrain the consumer

B. Call the family

C. Talk to the consumer in a soothing voice about familiar things

D. Leave the consumer alone

BATHING, SHAVING, GROOMING AND DRESSING

31. If a client is unable to bathe themselves how often should you do it?

A. Everyday.

B. Only as needed.

C. Once a month.

32. You should be flexible when it comes to what a client wants to wear.

A. True

B. False

33. The direct care worker is going to bathe the consumer. What should the direct care worker do FIRST:

A. Test the temperature of the water

B. Help the consumer to undress

C. Tell the consumer what the worker is going to do

D. Close the bathroom door and windows

34. When shaving a consumer's face with a blade shaver (razor blade) it is important to FIRST:

A. Soften the beard and skin with a warm washcloth for a few minutes

B. Leave the skin dry

C. Apply only water

D. Rub the face vigorously

35. When helping the consumer to dress, which of the following is NOT correct?

A. Encourage the consumer to put on comfortable, safe and attractive clothes

B. Check that the consumer has shoes with non-slip soles

C. Never let the consumer pick out the clothes

D. Spread shoes as far open as possible for ease of the foot

36. Which of the following is NOT correct regarding elastic stockings?

A. It is better to put them on the consumer while they are lying down

B. Turn the stocking inside out first

C. Position the stocking over the heel and foot

D. Grab and pull the stocking quickly up the rest of the leg

37. When giving the consumer a bed bath, it is good to:

A. Start by washing the face, including, eyes, ears and neck

B. Proceed to wash arms, forearms, hands, including fingers & nails

C. Next, wash chest & abdomen, legs and feet

D. Finish by washing back, buttocks, and perineum

E. All of the above

38. The consumer prefers tub baths instead of a shower. The direct care worker should:

A. Assist consumer into the tub using fall prevention techniques

B. Ensure water temperature is safe and comfortable

C. Wash the consumer's body parts that they cannot

D. Protect consumer from unnecessary exposure and chilling

E. All of the above

HAIR, SKIN AND MOUTH CARE

39. Mrs. Farris is too sick to get out of bed. She only gets out of the bed to get into her wheelchair. This puts her at risk for pressure ulcers or "bed sores". What is one way to prevent these?

A. Make sure she is eating a healthy diet

B. Keep her skin clean and dry

C. Use disposable bed pads/liners

D. All of the above

40. When it comes to a client's mouth you should always do the following except:

A. Clean teeth at least once a day

B. Remove dentures for cleaning and store in liquid when out of the mouth

C. If their dentures are cracked throw them out

41. Common sites for pressure sores are:

A. Elbow, shoulder

B. Hips, sacrum, coccyx, buttocks

C. Heels, ankles

D. All of the above

42. If a consumer can't do his or her oral hygiene, the direct care worker should:

A. Ignore the consumer

B. Give them gum

C. Brush their teeth for them

D. Give them some mouthwash and tell them to spit it out

43. Shampooing a consumer who is confined to bed includes:

A. Head and shoulders are moved to edge of bed if position is allowed

B. Plastic or rubber trough is placed under head and drains into basin

C. Multiple towels may be used to help position the head and shoulders

D. All of the above

ASSISTANCE WITH AMBULATION AND TRANSFERRING.

44. Walking or moving from one place to another is beneficial because:

A. It relieves stress

B. You won't have to supervise the client at much

C. The client won't be as hungry

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

A. Place a cushion in the back of the wheelchair

B. Use a foot stool

C. Lock the wheels on the wheelchair

D. Raise the bed to a high position

46. "Ambulate with assistance" means:

A. Walk with the consumer twice a day

B. The consumer can use a wheelchair with help

C. Take the consumer's blood pressure

D. The consumer can walk with help

MEAL PREPARATION AND FEEDING

47. When preparing a meal for your client you should always use fresh whole foods. Why?

A. It is easier to digest.

B. It's a healthier choice.

C. Both 'A' and 'B'

48. You are beginning to notice that Mr. Dobb is losing his appetite. What should you do?

A. Start giving him fast food choices.

B. Tell a superior immediately.

C. Just ignore it.

49. The consumer has a history of difficulty with chewing and swallowing. The direct care worker should:

A. Prepare the meal and leave the consumer alone

B. Prepare the meal and stay with the consumer to assist as needed

C. Not worry about it

D. Call the supervisor

50. The consumer is on a low sodium diet and should AVOID:

A. Bread

B. Bacon

C. Fresh fruits

D. Ice cream

ASSISTANCE WITH SELF-ADMINISTERED MEDICATIONS

51. If a client occasionally has accidents, you should leave them in their soiled clothes to teach them a lesson?

A. True

B. False

52. When assisting the consumer with using the bathroom in their home, the direct care worker should:

A. Provide privacy but remain nearby for safety or assistance if needed

B. Leave the consumer alone

C. Only check to see that there's enough toilet tissue

D. Make sure the consumer flushes before and after

53. The consumer must use a bedpan with assistance while in bed. The direct care worker should:

A. Hand the bedpan to the consumer and leave the room

B. Position the consumer on the bedpan so the body is aligned and supported for comfort

C. Only check to see if the bedpan is nearby

D. Tell the consumer "Get the bedpan yourself"

TOILETING

54. All of these are the '6 Rights' rules except:

A. Right Region

B. Right Dosage Form

C. Right Dose

D. Right Time

E. Right Drug

55. Why is assisting clients with their medications one of the most important things you do?

A. The correct medications are taken at the correct time.

B. You can count the pills left.

C. You can see what kind of medication is being taken.

56. The direct care worker finds a consumer's medication on the living room floor. The direct care worker should:

A. Throw the medication in the waste basket

B. Return the medication to the bottle that it might have been in

C. Flush the medication down the toilet

D. Call their supervisor

WHAT WOULD YOU DO?

57. The consumer tells the direct care worker that they aren't happy with the person who is the consumer's power of attorney or guardian. The direct care worker should:

A. Volunteer to be the consumer's power of attorney

B. Listen but refuse in a firm, courteous manner to be the consumer's power of attorney

C. Tell the family

D. Write it down

58. A consumer gives the direct care worker $50 as a birthday gift. The direct care worker should:

A. Accept the money and thank the consumer

B. Share the money with the other direct care worker who helps

C. Politely refuse the gift

D. Use the money to buy a gift for the consumer

59. It is important to smooth out wrinkles on the consumer's bed because:

A. It will look nice and help the consumer sleep better

B. It will be easier to keep clean

C. It helps decrease the risk for skin irritation and bed sores

D. The consumer's cat likes it that way

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Put Your Hart In Our Hands Agency

Competency Test

CONFIDENTIALITY

CONSUMER CONTROL AND THE INDEPENDENT LIVING PHILOSOPHY

INSTRUMENTAL ACTIVITIES OF DAILY LIVING

RECOGNIZING CHANGES IN THE CONSUMER THAT NEED TO BE ADDRESSED.

BASIC INFECTION CONTROL

UNIVERSAL PRECAUTIONS

HANDLING OF EMERGENCIES

DOCUMENTATION

RECOGNIZING AND REPORTING ABUSE OR NEGLECT

DEALING WITH DIFFICULT BEHAVIORS

BATHING, SHAVING, GROOMING AND DRESSING

HAIR, SKIN AND MOUTH CARE

ASSISTANCE WITH AMBULATION AND TRANSFERRING.

MEAL PREPARATION AND FEEDING

ASSISTANCE WITH SELF-ADMINISTERED MEDICATIONS

TOILETING

WHAT WOULD YOU DO?

Email

Phone

Address