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PCA Test

Employee
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Please read each question carefully and select the proper true or false response
Preventing Emergency Situations and What to do in an Emergency
1. You should call 911 when the individual falls
TRUE
FALSE
 
2. You should call 911 when the individual is complaining of chest pain
TRUE
FALSE
 
3. You should call 911 when the individual is choking
TRUE
FALSE
 
4. You should call 911 when the individual complains about a family member
TRUE
FALSE
 
5. You should call 911 when the individual loses consciousness
TRUE
FALSE
 
6. You should call 911 when the individual is having trouble breathing
TRUE
FALSE
 
   
Emergency Proceedures
1. When there is an emergency you should take the individual to the hospital in your own car
TRUE
FALSE
 
2. When there is an emergency you should lift an individual up to a chair after a fall
TRUE
FALSE
3. When there is an emergency you should immediately report the incident to your supervisor and care manager
TRUE
FALSE
 
4. When there is an emergency you should never let an individual smoke near oxygen
TRUE
FALSE
 
5. When there is an emergency you should look for all accessible exits in case of fire
TRUE
FALSE
 
6. When there is an emergency you should wait in the emergency room with individuals with dementia or Alzheimer's so you can assist hospital staff. Clear this with your agency
TRUE
FALSE
 
7. When there is an emergency you should encourage individual to use cane or walker to prevent falls
TRUE
FALSE
 
8. When there is an emergency you should let the individual navigate around furniture and clutter to get to the bathroom
TRUE
FALSE
 
9. When there is an emergency you should let the individual turn the lights down low when walking
TRUE
FALSE
10. When there is an emergency you should let the individual try to get up on their own after falling.  You do not need to report falls when the individuals seems okay
TRUE
FALSE
 
 
Universal Precautions
1. When caring for an individual you should always wear gloves when you touch urine or stool
TRUE
FALSE
2. When caring for an individual you should always wear gloves when an individual is toileting
TRUE
FALSE
3. When caring for an individual you should always wear gloves when handling laundry
TRUE
FALSE
4. When caring for an individual you should always wear gloves when it's cold outside
TRUE
FALSE
5. When caring for an individual you should always wear gloves when taking out the garbage
TRUE
FALSE
6. When caring for an individual you should always wash your hands after changing the individual's Depends
TRUE
FALSE
7. When caring for an individual you should always wash your hands after toileting
TRUE
FALSE
8. When caring for an individual you should always wash your hands after you have used your cell phone
TRUE
FALSE
9. When caring for an individual you should always wash your hands after taking out the garbage
TRUE
FALSE
10. When caring for an individual you should always wash your hands after cleaning and disinfecting surfaces
TRUE
FALSE
 
 
Communication
1. To communicate well with an individual you should allow the person to tell you what he or she needs or wants
TRUE
FALSE
2. To communicate well with an individual you should tell the person your life story and your problems
TRUE
FALSE
3. To communicate well with an individual you should ask questions if you don't understand
TRUE
FALSE
4. To communicate well with an individual you should pay attention to the individual's body language such as facial expressions, tone of voice or body posture
TRUE
FALSE
5. To communicate well with an individual you should spend time on your cell phone
TRUE
FALSE
6. To communicate well with an individual with Alzheimer's disease or dimentia don't use too many words or long explainations because it can be too confusing
TRUE
FALSE
7. If you see an individual who is unable to speak you should just smile and go about your business
TRUE
FALSE
8. To communicate well with an individual you should contact your supervisor and care manager if you notice a difference in the individual's ability to move, gesture or any pained facial expression
TRUE
FALSE
9. To communicate well with an individual you should interrupt the individual if they are taking too long to tell you what they need and tell him/her to get to the point
TRUE
FALSE
10. To communicate well with an individual you should let the individual know how you feel about politics and religion
TRUE
FALSE
 
Change in an Individual's Condition
1. You should report changes in condition immediately to your supervisor and the individual's care manager.  Do not leave a voice mail.  Speak to a live individual
TRUE
FALSE
2. If you see red spots on the individual's skin is it okay to wait to report it until it gets worse
TRUE
FALSE
3. A sudden change in appetite should be reported immediately to your supervisor and the care manager
TRUE
FALSE
4. If the individual has difficulty urinating, constipation or frequent diarrhea, you can wait to see if it will get better
TRUE
FALSE
5. If the individual starts yelling and saying mean things and is angry all the time you should report this to your supervisor and the care manager
TRUE
FALSE
6. You notice that the individual is starting to sleep a lot more.  You don't need to report this to your supervisor.  Since the individual is tired, you put the individual in bed for naps more often
TRUE
FALSE
7. Individuals who cannot change position in bed or chair should be repositioned every two hours
TRUE
FALSE
8. A loss of appetite may be due to dentures that don't fit right which may make it hard for the individual to chew food
TRUE
FALSE
9. It is important for an individual to drink enough fluids to prevent dehydration unless there is a fluid restriction in the plan of care
TRUE
FALSE
10. Older people's skin tears very easily and it is important to prevent bumps and scrapes
TRUE
FALSE
   
Positioning
1.  Proper Positioning is important to relieve the pressure on various body parts
TRUE
FALSE
2. Proper Positioning is important to help the individual see television
TRUE
FALSE
3. Proper Positioning is important to help the individual be comfortable
TRUE
FALSE
4. Proper Positioning is important to prevent health problems from being in bed a long time
TRUE
FALSE
5. Proper Positioning is important to prevent bed sores
TRUE
FALSE
6. The proceedure for proper positioning is to have all necessary assistive equipment ready
TRUE
FALSE
7. The proceedure for proper positioning is to make sure the individual is safe and comfortable
TRUE
FALSE
8. The proceedure for proper positioning is to pull the individual across the bed
TRUE
FALSE
9. Reposition the individual every two hours unless the individual is sleeping
TRUE
FALSE
10. Take note of redness or irritation on the skin so you can report it if it gets worse
TRUE
FALSE
11. Get assistance with positioning if the individual is too heavy
TRUE
FALSE
 
   
Lifting
1. When lifting, bend over, grab the individual under the arms and lift
TRUE
FALSE
2. When lifting, stand close to the individual
TRUE
FALSE
3. When lifting, use as many muscle groups as possible for moving the individual to reduce stress on the back
TRUE
FALSE
4. When lifting, squat and stand to lift a heavy individual
TRUE
FALSE
5. Figure out on your own how to use a hoyer lift to lift a heavy individual
TRUE
FALSE
6. When lifting, coordinate your movements with the individual's movements
TRUE
FALSE
7. To change the direction of the individual's movement, twist your body, bend over and lower the individual
TRUE
FALSE
8. When lifting you should keep your back straight, knees and hips flexed with weight distributed on both feet
TRUE
FALSE
9. When you are lifting, you should hold the individual about 12 inches away from you
TRUE
FALSE
10. Do not attempt to lift and individual who is too heavy for you
TRUE
FALSE
 
   
Transfers
1.  When transfering an individual should be wearing shoes or slippers
TRUE
FALSE
2. The position of the wheelchair is not important as long as the wheels are locked
TRUE
FALSE
3. The individual's commode should be next to the bed so the individual can be transferred easier
TRUE
FALSE
4. When toileting the individual, you should assist the individual to a standing position, help pull down his/her pants and safely place on the toilet
TRUE
FALSE
5. If the individual appears to be steady, you can allow the individual to transfer by him or herself
TRUE
FALSE
 
   
Medication
1. The PCA may take the pills out of the containers and give them to the individual
TRUE
FALSE
2. The PCA never gives the individual injections
TRUE
FALSE
3. The PCA may assist the individual with opening the pill bottle and remind the individual to take the medication as prescribed
TRUE
FALSE
4. The PCA may take some of the individual's pills
TRUE
FALSE
5. The PCA may give the individual medications even though the pills have fallen on the floor
TRUE
FALSE
6. If you drop the med box, do not give the individual the pills and contact your supervisor
TRUE
FALSE
7. It is okay for the PCA to crush medicine and put it in applesauce or pudding if the individual doesn't want to take their pills
TRUE
FALSE
8. If the medications look different or messed up, you should notify your supervisor after you give the medication to the individual
TRUE
FALSE
9. Do not give pills or medicine, like cold medicine, you get from the store
TRUE
FALSE
 
   
Caregiver Boundaries
1. You and the individual give each other gifts for holidays, birthdays and other occasions
TRUE
FALSE
2. The individual needs some items at the store so you take the debit card to shop during the indvidual's nap.  You can also buy some items for yourself if the individual says it's okay
TRUE
FALSE
3. You should always get a receipt when using the individual's money to buy things
TRUE
FALSE
4. You can ask a friend to deliver food to you at the individual's home
TRUE
FALSE
5. You are an employee in the individual's home
TRUE
FALSE
6. If the individual goes to a nursing home, you should visit the individual while you are off duty
TRUE
FALSE
7. If you can't find a babysitter and there is no one to replace you, it is okay to bring your children to the individual's home while you are working
TRUE
FALSE
8. You can tell the individual when you are having problems like not having enough money, problems with your boyfriend/girlfriend or your children
TRUE
FALSE
9. If you don't have a car and don't want to take the bus, you can have your boyfriend/girlfriend take you to work at the individual's home
TRUE
FALSE
10. You should never friend the individual on Facebook and never post about him/her such as pictures or comments, good or bad
TRUE
FALSE
 
   
Individuals with Aquired Brain Injury 
 
1. An individual with a brain injury might not understand what you say
TRUE
FALSE
2. An individual with a brain injury might remember everything he/she hears you and others say
TRUE
FALSE
3. An individual with an acquired brain injury might not be able to say what they want to say
TRUE
FALSE
4. An individual with an aquired brain injury might be very focused and totally concentrate on things
TRUE
FALSE
1. If an individual becomes angry tell the individual he/she needs to calm down and stop talking
TRUE
FALSE
2. If an individual becomes angry move fast and stand close to the individual
TRUE
FALSE
3. If an individual becomes angry remain calm and speak softly
TRUE
FALSE
4. If the individual becomes angry you should threaten the individual with negative consequences if he/she doesn't calm down
TRUE
FALSE
5.  If an individual becomes angry you should put the individual in a corner of the room and limit where he/she can move
TRUE
FALSE
 
   
Causes of Agitation and Aggression in Individuals with Dementia or Alzheimer's Disease
 
1. Individuals usually get angry for a reason so it is helpful if you can figure out the reason the indivudal is angry
TRUE
FALSE
2. If the individual starts getting stressed and frustrated try to help before he/she gets upset
TRUE
FALSE
3. Individuals who need PCA services are usually lonely so you should encourage a lot of people to come over and have a lot of loud music in the home to cheer him/her up
TRUE
FALSE
4. If you are a new PCA meeting the individual for the first time and he/she gets upset and says mean things to you, it's just because the individual is unfriendly and grouchy
TRUE
FALSE
5.  The individual may not be able to tell you that he/she is sitting on a wet Depends, has to go to the bathroom and start getting upset and angry
TRUE
FALSE
 
   
Reporting Abuse, Neglect, Exploitation and Abandonment
 
1. For individuals who are 65 and older, you and your agency are legally required to report abuse, neglect, exploitation and abandonment to Protective Services for the Elderly
TRUE
FALSE
2. You should contact your supervisor and the care manager immediately if you see or suspect abuse
TRUE
FALSE
3. You arrive for your shift in the morning and discover that no one has been with the individual since the evening before.  Since the individual is fine there is no need to report this
TRUE
FALSE
4. The individual tells you that a relative has been taking money out of his/her bank account, using the individual's EBT card to buy their own groceries and using the individual's credit card to shop.  This is an example of neglect
TRUE
FALSE
5.  When you arrive for your shift, you see the individual's neighbor yelling, threatening to hit the individual and shove him/her.  This is an example of abuse
TRUE
FALSE
 
   
Bathing
1. Safety in the bathroom is very important
TRUE
FALSE
2. It is okay to leave the individual alone in the bathtub or shower if you have to answer the telephone
TRUE
FALSE
3. Never let the indvidual step into the bathtub or shower until you check the water temperature
TRUE
FALSE
4. You should wash the genital area from back to front
TRUE
FALSE
5. Do not cut fingernails or toenails
TRUE
FALSE
 
   
Bathing Individuals with Dementia, Alzheimer's Disease or Cognitive Deficits
1. You should give a bath or shower at a different time every day because they get bored with the same daily routine
TRUE
FALSE
2. Many older people don't like bathing because they are afraid of being too hot
TRUE
FALSE
3. If the individual does not want to bathe, don't argue.  Instead use a calm soothing tone of voice
TRUE
FALSE
4. If the individual does not want to bathe, talk about something the individual likes or something positive and they may change their mind
TRUE
FALSE
5. Tell the individual what you are doing to keep him/her calm
TRUE
FALSE
 
   
How to Give a Bed Bath
1. You do not need to check water temperature since the water is in the basin and it will cool off
TRUE
FALSE
2. Make sure the individual cannot fall out of bed
TRUE
FALSE
3. Report any sores or redness to your supervisor
TRUE
FALSE
4. You should wash the soap off of the individual
TRUE
FALSE
5. Wash the genital area first
TRUE
FALSE
 
   
Washing Hair
1. Ask if they want to wash their hair first.  The individual can wash their own hair if they are able to do it
TRUE
FALSE
2. If the individual doesn't ever want their hair washed they don't have to.  This is easier than trying to convince the individual to wash their hair and stressing over it
TRUE
FALSE
3. You should report any redness, a lot of dandruff or concerns over lice to your supervisor
TRUE
FALSE
4. Many people don't like water in their face so you should face the individual away from direct water to the face
TRUE
FALSE
5. If the individual seems steady in the shower, it is okay to leave and put the dirty clothes in the laundry and fold the clothes from the dryer
TRUE
FALSE
 
   
How to Wash Hair in Bed
1. Make sure you have all of the supplies you need before you get started
TRUE
FALSE
2. You should start pouring water on the individual's head.  Don't worry about the pillows getting wet
TRUE
FALSE
3. Try to keep the floor dry by putting a bucket or large bowl on the floor and put a sheet or towel underneath
TRUE
FALSE
4. If the individual has short hair, instead of pouring water to wet the hair; you can rub a wet washcloth over the hair
TRUE
FALSE
5. Make sure the room temperature is warm and check the temperature of the water before starting
TRUE
FALSE
 
   
Mouth Care
1. Good mouth care is important for general health to prevent gum disease, cavities, toothaches, pain and other health problems
TRUE
FALSE
2. Wearing gloves isn't necessary because you won't be touching the individual's mouth
TRUE
FALSE
3. Brush the teeth really hard to make sure they get clean
TRUE
FALSE
4. Start brushing at the top and move downward because it moves the plaque away from the gums
TRUE
FALSE
5. Report any redness, bleeding or sores to your supervisor
TRUE
FALSE
 
   
Mouth Care for Individual's with Dementia, Alzheimer's Disease or Cognitive Impairment
1. Smile, ask the individual if they want to have their teeth brushed
TRUE
FALSE
2. Tell the individual their teeth are dirty so you have to brush their teeth
TRUE
FALSE
3. If the individual gets upset, ask what is upseting him/her
TRUE
FALSE
4.Tell your supervisor if you see redness, sores, bleeding or broken teeth
TRUE
FALSE
5. If the individual refuses, tell him/her all of the good things about brushing their teeth.  If this doesn't work, try again at another time
TRUE
FALSE
 
   
Dressing
1. Wash your hands before you begin dressing the individual
TRUE
FALSE
2. You should set out a lot of clothes with a variety of shirts, pants, dresses, skirts, suites and ties
TRUE
FALSE
3. If the clothes won't come off, you can push and pull them off
TRUE
FALSE
4.Make sure the individual does not get too tired or dizzy.  Help him/her to sit down if they need to
TRUE
FALSE
5. It is easier to use simple elastivc clothing or clothes with Velcro fasteners
TRUE
FALSE