Competency Test

412-683-6363

Competency Test

This test is a requirement from the Department of Long Term Living and must be completed annually by all caregivers.

Please text at 412-683-6363, if you have any question regarding this test.

First Name *

Last Name *

Phone *

Email *

1) The meaning of confidentiality is *

Private and secret

Share information with my friends

Open and public

Tell anyone who asks

2) Mr. Smith confides to the direct care worker that he is not happy with one of his children’s drug use behaviors and doesn’t want anyone to know. The worker should: *

Assure Mr. Smith that the conversation is private

Tell the worker’s friends

Share the story with the worker’s family

Write the story down

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

Insurance companies

Pets

Who can know or share a person’s personal health information

Children in foster homes

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: *

Ignore the request and fry the hot dog

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

Prepare something else

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: *

Not allow Mr. Jim to go outside

Tell Mr. Jim “you’re not allowed out while I’m here”

Call his family

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

6) Miss English has decided to wear two sweaters instead of one because she says she is always cold. The two sweaters make her look “funny”. The direct care worker should: *

Tell Miss English she looks funny

Take one of the sweaters off Miss English and hide it

Respect Miss English’s choice

Call her family and tell them she’s acting funny

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

I am too busy

Write it yourself

It is not part of my job

Let’s set a time when I can help you some time today.

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

Not do the laundry

Ask Mrs. Tune to explain how to use it or ask to see the “how to operate” instructions

Take the clothes to the closest Laundromat

Leave it for the next worker to do

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: *

Tell Mr. Smith that they care

Look in the communication log to see what’s been written about his pain

Call their supervisor to report Mr. Smith’s complaint

All of the above

10) While helping Mrs. Spratt with meals, the caregiver notices she's dropping items, her right hand shakes when holding a fork, and she leans right while seated—new behaviors not present yesterday. The caregiver should: *

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

Call the supervisor to explain Mrs. Spratt’s behavior

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

Call the family

11) How many times during a home visit should a direct care worker wash his or her hands? *

Before and after each contact with a consumer

At the beginning and end of the visit

At least once before the visit

At least once after the visit

12) The basic measure for preventing spread of disease is: *

Washing hands frequently

Dragging soiled clothing on the floor on way to the washing machine

Keeping bed linens clean

Flushing the toilet frequently

13) Which one of the following would NOT spread communicable diseases? *

Droplets from the nose and mouth

The use of universal precautions

Direct contact with feces (bowel movement)

Open wounds that are draining blood

14) The major recommendation of universal precautions is to minimize contact with which one of the following? *

Consumer’s linen

Consumer’s personal belongings

Blood and body fluids

Consumer’s skin

15) 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: *

Call 911

Contain the fire

Remove the consumer from the room

Extinguish the fire

16) 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: *

Change the position of the arm

Help the person get off the floor

Call for medical help

Tell the person to quit crying

17) A direct care worker must report "critical incidents"—any changes in a client’s behavior/condition or any accidents involving the client or worker. When reporting, the worker should: *

Tell the supervisor as soon as the worker becomes aware of incident

Wait until they get back to the office and have time to write it up

Leave a note

Call the family

18) Each homecare client has a record kept at home, noting all services, interventions, and observations. The caregiver sees “prepare lunch” hasn't been recorded for days while they were off. The caregiver should: *

Ignore it and only record what they do that day

Fill it in

Tell the supervisor

Call the person who worked those days

19) Caregiver provided several services during one home visit. The caregiver documented that only one service was done. When the supervisor reviews the consumer’s service record, which statement will the supervisor be most likely to make? *

I assume all the services were done

Did the consumer refuse the other services?

Were the other services discontinued?

If it’s not documented, it didn’t happen.

20) A direct care worker slaps a consumer. This is an example of: *

Neglect

Verbal Abuse

Physical abuse

Restraint

21) Abuse includes causing injury, unreasonable confinement, intimidation, punishment with harm, pain, or mental anguish, and/or a caretaker depriving necessary goods or services for health. *

True

False

22) For older persons, abuse and neglect is reported to: *

The family

Local Area Agency on Aging

The Human Relations Commission

The person’s church

23) A consumer complains to the direct care worker that another worker neglected her. The direct care worker should: *

Stand up for the other worker

Report the complaint

Listen to the complaint but do nothing

Tell the consumer she is just confused

24) An angry consumer curses loudly at the direct care worker. It would be BEST for the direct care worker to: *

Put the consumer to bed immediately

Curse back

Ask the consumer what is bothering him or her

Restrain the consumer in case he or she becomes violent

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

Restrain the consumer

Call the family

Talk to the consumer in a soothing voice about familiar things

Leave the consumer alone

26) When a consumer starts to share spiritual beliefs with the direct care worker, the direct care worker should: *

Listen to what the consumer has to say

Tell the consumer to stop talking

Start to talk about personal beliefs

Report it to the family

27) Upon arrival at the consumer’s home, the direct care worker hears screaming and yelling coming from the house, but it is only the voice of the consumer. First, the direct care worker should: *

Leave and come back another day

Use their cell phone to call the consumer to confirm if arrival is OK

Go to the neighbor’s house to wait until the screaming stops

Call the police

28) The direct care worker notices that the consumer has multiple sizes of guns lying around the house and doesn’t know if they are loaded or not. The direct care worker is afraid of guns. What should the worker do first? *

Tell the consumer to get rid of the guns

Peek in the window and leave

Discuss the situation with their supervisor

Call the family

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

Test the temperature of the water

Help the consumer to undress

Tell the consumer what the worker is going to do

Close the bathroom door and windows

30) When shaving a consumer’s face with a blade shaver (razor blade) it is important to FIRST: *

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

Leave the skin dry

Apply only water

Rub the face vigorously

31) When helping the consumer to dress, which of the following is NOT correct? *

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

Check that the consumer has shoes with non-slip soles

Never let the consumer pick out the clothes

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

32) Which of the following is NOT correct regarding elastic stockings? *

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

Turn 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

33) When giving the consumer a bed bath, it is good to: *

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

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

Next, wash chest & abdomen, legs and feet

Finish by washing back, buttocks, and perineum

All of the above

34) Which of the following is FALSE? *

Respect the consumer’s dignity when washing him by draping as much as possible when not washing a particular area

Bathing is a good time to check for any possible bed sores

Always use soap on the consumer’s face, even if they complain

Always rinse and pat dry after washing a specific area

35) The consumer prefers tub baths instead of a shower. The direct care worker should: *

Assist consumer into the tub using fall prevention techniques

Ensure water temperature is safe and comfortable

Wash the consumer’s body parts that they cannot

Protect consumer from unnecessary exposure and chilling

All of the above

36) Hair care consists of: *

Brushing the hair and spraying it with lots of perfume

Brushing and/or combing from the scalp toward the hair ends

Wetting the hair

Wrapping a warm towel around the head

37) Common sites for pressure sores are: *

Elbow, shoulder

Hips, sacrum, coccyx, buttocks

Heels, ankles

All of the above

38) A consumer’s dentures should be stored in: *

Tissues

A denture cup

Napkins

The dresser drawer

39) If a consumer can’t do his or her oral hygiene, the direct care worker should: *

Ignore the consumer

Give them gum

Brush their teeth for them

Give them some mouthwash and tell them to spit it out

40) Shampooing a consumer who is confined to bed includes: *

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

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

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

All of the above

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

Place a cushion in the back of the wheelchair

Use a foot stool

Lock the wheels on the wheelchair

Raise the bed to a high position

42) “Ambulate with assistance” means: *

Walk with the consumer twice a day

The consumer can use a wheelchair with help

Take the consumer’s blood pressure

The consumer can walk with help

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

The direct care worker needs to think about what to do next

The consumer may have something to say

The consumer may feel dizzy from standing up

The direct care worker wants to take the consumer’s pulse

44) Which statement is FALSE when transferring the 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 consumer to dangle his/her legs while sitting at side of bed

Bring the chair or wheelchair to the bedside at a 90-degree angle

45) The direct care worker who assists with meal preparation for a consumer with no dietary restrictions should:

Know the consumer’s likes and dislikes

Cook what the direct care worker likes

Prepare only finger food

Prepare only liquids

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

Prepare the meal and leave the consumer alone

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

Not worry about it

Call the supervisor

47) The consumer is on a low sodium diet and should AVOID: *

Bread

Bacon

Fresh fruits

Ice cream

48) The consumer had a doctor’s visit since the worker’s last visit and tells the worker “I have to eat foods that are high-iron”. Knowing the consumer’s preferences, the worker suggests one of the following: *

Cake, candy, potato chips

Skim milk, rice, broth

Green leafy vegetables, liver, peanut butter

Cheese, fruit, bacon

49) Providing well balanced meals that limit fatty foods would help the consumer who has one of the following illnesses: *

Dementia

Circulatory problems

Asthma

Foot fungus

50) When assisting the consumer with using the bathroom in their home, the direct care worker should: *

Provide privacy but remain nearby for safety or assistance if needed

Leave the consumer alone

Only check to see that there’s enough toilet tissue

Make sure the consumer flushes before and after

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

Hand the bedpan to the consumer and leave the room

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

Only check to see if the bedpan is nearby

Tell the consumer “Get the bedpan yourself”

52) The consumer must use a urinal while in bed. The direct care worker should do all of the following but ONE – select the one that the worker should not do: *

Assist the consumer with placement of urinal

Provide privacy but remain nearby to assist

Assist consumer with hand washing

Remove urinal and leave it set on the floor

53) The direct care worker finds a consumer’s medication on the living room floor. The direct care worker should:

Throw the medication in the waste basket

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

Flush the medication down the toilet

Call their supervisor

54) The consumer has severe arthritis. The consumer’s medications come in child proof bottles. The direct care worker should: *

Assist the consumer by opening the bottles and assisting as needed

Hand a consumer a pair of pliers

Tell the consumer to order non-child proof bottles the next time

See how long it takes the consumer to figure it out

55) When a consumer offers the direct care worker a tip for the services. The direct care worker should: *

Accept and then return it to consumer’s family member

Refuse and act shocked

Refuse in a firm, courteous manner

Accept the tip and share it with other direct care workers

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

Accept the money and thank the consumer

Share the money with the other direct care worker who helps

Politely refuse the gift

Use the money to buy a gift for the consumer

57) The Heimlich maneuver (abdominal thrust) should be used if the consumer is: *

Confused

Diabetic

Vomiting

Choking

58) The direct care worker has many responsibilities. Which one below is NOT one of the responsibilities? *

Fall prevention

Light housekeeping

Making decisions for a consumer who is capable of making decisions

Assisting the consumer with activities of daily living

59) The consumer had a stroke and must stay in bed while the bed is changed. Which procedure is the best choice? *

Keep consumer covered, position him on his side, back facing away, roll bottom linens close to him toward center of bed, place clean bottom linens

Log roll him to one side, pull soiled linens out from under him, put clean linens on bed by sliding everything under him while he’s on his side, tu

Remove the pillows so his head is flat, pull the sheets out from under him, slide the sheet under his buttocks and pull up to his shoulders, then p

Try to lift him into a chair so it’ll be easier to make the bed

60) It is important to smooth out wrinkles on the consumer’s bed because: *

It will look nice and help the consumer sleep better

It will be easier to keep clean

It helps decrease the risk for skin irritation and bed sores

The consumer’s cat likes it that way

61) Annual TB education is available at www.agoodfriendinhomecare.com/annual-tb-education. All caregivers must be educated on the signs, symptoms, and risk factors of TB. Please confirm your acknowledgment by selecting 'I Agree' below, indicating that you have received your annual TB education from A Good Friend in Home Care. *

I Agree

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