Personal Care Assistant Competency Test
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Questions and Answers

As a Personal Care Assistant, you will never get any further training after orientation.

False

When you work in the home, you will be:

  • Working under the supervision of a professional supervisor (correct)
  • Away from your office and have no way to contact your employer
  • Responsible for calling the physician with information
  • Responsible for making decisions without any help
  • It is your responsibility as a Personal Care Assistant to plan the client's care.

    False

    In the home, it is important to be a good listener.

    <p>True</p> Signup and view all the answers

    You only communicate through words.

    <p>False</p> Signup and view all the answers

    Which of the following is important in communicating with people?

    <p>All of the above</p> Signup and view all the answers

    Body language is:

    <p>A way of communicating feelings by using the body, facial expressions and the eyes.</p> Signup and view all the answers

    If you do not chart a task that you do for a patient, legally, it was not done.

    <p>True</p> Signup and view all the answers

    If the patient has a new area of skin breakdown, and the nurse is coming in two days, you do not need to report the skin breakdown to your supervisor.

    <p>False</p> Signup and view all the answers

    A rapid pulse and shortness of breath in a patient usually indicates the patient is excited and does not need to be reported to the nurse.

    <p>False</p> Signup and view all the answers

    The patient tells you he has not moved his bowels in three days. What should you do?

    <p>Report it to the nursing supervisor.</p> Signup and view all the answers

    Which of these actions is the Personal Care Assistant permitted to take in relation to drug administration?

    <p>Recording and reporting the patient's reaction to the medication.</p> Signup and view all the answers

    When a patient complains of pain, what should the Personal Care Assistant do first?

    <p>Ask the patient to describe the pain.</p> Signup and view all the answers

    A patient's prescription for heart pills has recently been changed. The home health PCA should notify the agency supervisor immediately if the patient makes which of these comments?

    <p>I have a rash on my stomach since I've been taking these pills.</p> Signup and view all the answers

    Mrs. Rand, who has diabetes and take insulin regularly, tells the Personal Care Assistant that she feels very nervous and jittery. What should the PCA do immediately?

    <p>Find out when she has her next doctor's appointment.</p> Signup and view all the answers

    Always report a pulse rate if the beats per minute are under 60 or over 100.

    <p>True</p> Signup and view all the answers

    The temperature of an unconscious patient should be taken orally since they are not moving about.

    <p>False</p> Signup and view all the answers

    Recording a patient's “TPR” or vital signs is not important as long as you remember what they were.

    <p>False</p> Signup and view all the answers

    For which, if any, of these body areas is 99.6 degrees F. a normal temperature?

    <p>Mouth.</p> Signup and view all the answers

    When taking a patient's pulse, you should take it for:

    <p>One full minute.</p> Signup and view all the answers

    When a patient's respirations are being counted, it is best that the patient:

    <p>Tries to breathe evenly.</p> Signup and view all the answers

    Hand washing is the single best way to decrease the transfer of pathogens.

    <p>True</p> Signup and view all the answers

    Gloves should be worn when handling items soiled by body fluids.

    <p>True</p> Signup and view all the answers

    The catheter drainage bag must be lower than the bladder, but not on the floor.

    <p>True</p> Signup and view all the answers

    During a visit, you need to wash your hands after removing gloves:

    <p>All of the above.</p> Signup and view all the answers

    In what situation should gloves be used?

    <p>All of the above.</p> Signup and view all the answers

    Diarrhea can cause dehydration and other serious complications and should be reported.

    <p>True</p> Signup and view all the answers

    If a person complains of pain, it is important to have the patient describe the pain and then report it to the nurse and record it in your notes.

    <p>True</p> Signup and view all the answers

    It's normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach or legs.

    <p>False</p> Signup and view all the answers

    If you notice the patient's catheter is not draining, the first thing you should do is:

    <p>Call your supervisor.</p> Signup and view all the answers

    Which of the following is not recommended for promoting good daily bowel habits:

    <p>Laxatives.</p> Signup and view all the answers

    Mrs. Morris has not had a bowel movement for three days. She has always given herself an enema if she does not have a good bowel movement for that long a time. Mrs. Morris asks the Personal Care Assistant to give her an enema. What should the PCA do?

    <p>Contact the agency supervisor to discuss the situation.</p> Signup and view all the answers

    Bedrails should never be used to secure vest restraints.

    <p>True</p> Signup and view all the answers

    Smoking in bed is fine for anyone who is not confused.

    <p>False</p> Signup and view all the answers

    Every patient is the same and has the same needs and wants

    <p>False</p> Signup and view all the answers

    It is all right to use any item in the home without asking as long as it is for the patient's personal care.

    <p>False</p> Signup and view all the answers

    You may use the telephone in the patient's home without asking permission.

    <p>False</p> Signup and view all the answers

    A neighbor has asked you some questions about the patient you are presently taking care of. “Mrs. Cooler is dying, isn't she?” How will you answer her?

    <p>I am sorry, but I cannot discuss Mrs. Cooler.</p> Signup and view all the answers

    Which of these statements about the elderly is true?

    <p>They can learn new things.</p> Signup and view all the answers

    When working with person who are disabled, the general goal of care is to:

    <p>Promote maximum self-care and independence within the limits of the person's ability.</p> Signup and view all the answers

    It is Mrs. Morris' usual time for lunch, but she says she is not hungry yet. This is the first time that Mrs. Morris has made this type of statement. What should the home health PCA do?

    <p>Tell Mrs. Morris to let the PCA know when she wants to eat, and remind her that it is important that she have lunch.</p> Signup and view all the answers

    The ability to make observations is even more important when working with infants and young children than it is when working with adults. The chief reason for this is that infants and young children:

    <p>False</p> Signup and view all the answers

    It is important to keep a patient covered during a bed bath except for the part being washed.

    <p>True</p> Signup and view all the answers

    Massaging of bony prominences helps to prevent skin breakdown by increasing the blood supply to the area.

    <p>True</p> Signup and view all the answers

    When giving peri-care to a patient after a BM, wash using a front to back motion in order not to spread fecal material to other areas.

    <p>True</p> Signup and view all the answers

    When giving the patient a bath, if the water is too hot, it can injure (burn) the person's skin. If it is too cold, it can chill the person. Therefore you should test the Water Temperature before beginning the bath by:

    <p>Finding out if the water is warm (not hot or cold) to the touch on the inside of your wrist.</p> Signup and view all the answers

    Which of the following is most appropriate practice to promote good skin care in the elderly:

    <p>Keep the skin clean and well moisturized.</p> Signup and view all the answers

    If dentures are not worn when sleeping, where should you store them?

    <p>Place in a clean container in clean water.</p> Signup and view all the answers

    An elderly male patient occasionally wets his trousers. What should the home health PCA do?

    <p>Encourage him to go to the bathroom at least every two hours.</p> Signup and view all the answers

    In giving foot care to a patient who has diabetes, the Personal Care Assistant may take which of these actions?

    <p>Clean under the toenails.</p> Signup and view all the answers

    Always transfer a patient towards his good side.

    <p>True</p> Signup and view all the answers

    There is no need to be near an object to pick it up, just reach.

    <p>False</p> Signup and view all the answers

    It's best to use a gait belt if a patient is unsteady.

    <p>True</p> Signup and view all the answers

    A patient lying on his back has slid down in bed and needs help in moving up again. To start this, the patient should, if possible:

    <p>Raise himself on his elbows.</p> Signup and view all the answers

    Before helping a patient into or out of a wheelchair, which of these actions are necessary?

    <p>Lock the brakes and fold the foot pieces up.</p> Signup and view all the answers

    When assisting a patient to walk with his walker, you should:

    <p>A and B.</p> Signup and view all the answers

    Reinforce a dressing.

    <p>True</p> Signup and view all the answers

    Apply a hot pack.

    <p>True</p> Signup and view all the answers

    Give and enema.

    <p>False</p> Signup and view all the answers

    Administer medication.

    <p>False</p> Signup and view all the answers

    Change a sterile dressing.

    <p>False</p> Signup and view all the answers

    Assist with change of a colostomy bag.

    <p>True</p> Signup and view all the answers

    Give a rectal suppository.

    <p>False</p> Signup and view all the answers

    Give a tubal feeding.

    <p>True</p> Signup and view all the answers

    Give insulin.

    <p>False</p> Signup and view all the answers

    Cut Nails.

    <p>True</p> Signup and view all the answers

    As a Personal Care Assistant, you:

    <p>Work as part of the health care team.</p> Signup and view all the answers

    As a Personal Care Assistant, it is your responsibility to:

    <p>Do only the tasks the Registered Nurse or therapist assigns to you.</p> Signup and view all the answers

    Always tell the patient what you are going to do before starting a procedure.

    <p>True</p> Signup and view all the answers

    PCA care for a conscious patient should be preceded by:

    <p>Asking the patient for his/her permission to go ahead with the procedure.</p> Signup and view all the answers

    Miss Harris, a Personal Care Assistant, is assigned to care for Mr. Goodway. Miss Harris notices that she feels very angry when she is with Mr. Goodway. What should Miss Harris do because she feels this way?

    <p>Talk with the agency supervisor about the situation.</p> Signup and view all the answers

    A patient accuses a Personal Care Assistant of stealing five dollars. The PCA has not taken the patient's money, but the patient does not believe this. What should the PCA do?

    <p>Notify the agency supervisor.</p> Signup and view all the answers

    Part of your duties as a Personal Care Assistant are to assure a safe home environment. This includes:

    <p>All of the above.</p> Signup and view all the answers

    A patient is receiving oxygen through a nasal cannula. What safety precautions should the Personal Care Assistant take?

    <p>Allow no smoking in the patient's room.</p> Signup and view all the answers

    For an injury with profuse bleeding, apply pressure and call for assistance.

    <p>True</p> Signup and view all the answers

    If the patient begins to have a seizure, your first responsibility is to prevent the patient from injuring himself.

    <p>True</p> Signup and view all the answers

    If the patient falls and complains of pain in his hip, you should help him/her to get up and walk to the bed.

    <p>False</p> Signup and view all the answers

    A patient is choking on some object that is caught in his/her airway. Before first-aid measures are applied, find out:

    <p>If the patient can speak or cough.</p> Signup and view all the answers

    While giving a bath on a shower chair, the patient suddenly gasps and becomes unresponsive. The PCA should:

    <p>Lower the patient to the floor, call for the family to call 911, determine if CPR is needed and initiate if indicated.</p> Signup and view all the answers

    For which of these emergencies is a knowledge of pressure points essential?

    <p>Bleeding</p> Signup and view all the answers

    The telephone numbers of all the following are important to a patient. Which number must the Person Care Assistant have next to the telephone?

    <p>The emergency medical squad.</p> Signup and view all the answers

    Signup and view all the answers

    Study Notes

    Personal Care Assistant (PCA) Competency Test Study Notes

    • Role of the Personal Care Assistant (PCA): A PCA may perform certain duties. The test covers which tasks a PCA can legally perform.
    • Competency Test Questions: The test includes multiple choice questions about the duties of a PCA. Some questions ask about essential caregiving responsibilities, while others focus on communication, observation, reporting, documentation, infection control, body functions and changes, emergency procedures, human development, personal care, and nutrition.
    • Communication: Excellent communication skills are vital, and include courtesy, tact, and active listening.
    • Observation, Reporting, and Documentation: Accurate observation and clear documentation are crucial. Failing to document a task is considered not performing it, therefore record everything. Reporting any changes or concerns to a supervisor is imperative.
    • Infection Control: Proper hygiene, hand washing, and glove use are critical to preventing the spread of infections, as well as proper handling of contaminated items, to maintain a safe environment.
    • Body Functions and Changes: Understanding and reporting changes in a patient's body functions, like bowel movements, pain, or unusual reactions to medications, are essential duties.
    • Emergency Procedures: Knowledge of how to handle emergency situations, such as choking, seizures, or injuries, is critical.
    • Human Development: The test includes questions to ensure understanding of diverse patient needs, respecting patient beliefs, promoting self-care, and understanding the patient's general well-being.
    • Personal Care: Appropriate practices, for example, hygiene, personal care, and denture care, are evaluated.
    • Nutrition: Knowledge of nutrition and appropriate nutritional care for patients is tested.
    • Cultural Differences: The test assesses the ability to respond appropriately to patients' religious beliefs and cultural differences. Respecting a patient's beliefs and preferences is essential.
    • Emergency Procedures: Accurate assessment of patient condition and clear communication to supervisors and emergency responders is a crucial component of emergency preparedness.
    • Safe Transfer Techniques and Ambulation: Correct protocols for assisting patients with movement and ambulation.
    • Normal Range of Motion: The test addresses the necessity of passive range of motion exercises for patients with physical limitations.
    • Nutrition: The exam covers the importance of appropriate food choices and balanced meals for patients.
    • Cultural Differences: The exam includes questions on understanding and respecting patient religious beliefs and cultural differences.

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    Description

    Prepare for the Personal Care Assistant (PCA) competency test with this comprehensive quiz. It covers essential PCA duties, communication skills, documentation protocols, and infection control measures. Assess your knowledge of caregiving responsibilities and ensure you are ready for the certification.

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