Competency Evaluation - Personal Care Worker

HR-022 | Competency Evaluation - Personal Care Worker or Enrolled Nurse

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PART I - Observation and Reporting

1. Mr Smith tells you he feels as if he is going to vomit after taking his new medicine the doctor ordered, so he is not taking it. You should:*

a. Tell him he must take it if he wants to get well
b. Tell his wife to make him take it
c. Call the supervisor about what he should do
d. All of the above

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2. If you make a mistake on your daily care notes you should:*

a. Use white-out and write over the mistake
b. Cover up the mistake with a black felt pen
c. Draw a single line through the mistake and write error above it
d. Just leave the mistake and no one will notice

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3. When reporting or recording information it is important to:*

a. Report and record exactly how you feel about the situation
b. Report and record exactly what you see
c. Report and record what the family feels is wrong
d. Report and record what the nurse feels is wrong

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4. When reporting a change in the client's condition you need to tell the supervisor all of the following EXCEPT:*

a. Exactly what has changed about the client
b. Any complaints or problems that the client has expressed (pain, stress, etc.)
c. Why you were late today
d. Any changes in the client's behaviour (appetite, sleeping, habits, etc.)

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5. You should write a note in the daily care record at least:*

a. Weekly
b. Hourly
c. Every few days
d. Every shift

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6. The primary action for an unconscious person is:*

a. Assessment of consciousness
b. Maintenance of a patent airway
c. Initiation of IV therapy
d. None of the above

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7. Mr Jones’ pulse rate is usually 64-70. When you took it today, it was 52. You should:*

a. Wait 30 minutes and recheck it
b. Tell the patient to go to the doctor
c. Call the supervising nurse immediately
d. Have the patient take their own pulse

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PART II - Infection Control

8. Good hand washing technique is important because:*

a. It prevents the spread of germs
b. It is required by the health department
c. It's good for the client's morale

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9. Wearing disposable gloves while changing bed linens:*

a. Means your client has an incurable disease
b. Protects both you and your client from the spread of germs
c. Is never necessary unless the client has AIDS

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10. When handling dirty linens and clothing it is best to:*

a. Put the dirty linens and clothing on the floor
b. Shake linens and clothing before washing them
c. Place dirty linens and clothing in clothes hamper or plastic bag until they can be washed

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11. When cleaning up a spill that possibly contains blood, you should:*

a. Wear gloves
b. Use soap and water followed by a bleach solution or other approved disinfectant
c. Dispose of the paper towel in a plastic bag and seal it
d. All of the above

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12. When considering your role in reducing the spread of germs, you would do all of the following EXCEPT:*

a. Cover nose and mouth when sneezing or coughing
b. Go to work even when you are ill
c. Wash hands after handling soiled items such as linens, clothing, garbage, etc.
d. To protect yourself, clean and cover cuts and breaks in the skin

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13. The perineal area is washed:*

a. From front to back
b. From back to front
c. It doesn't matter

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PART III - Basic Elements in Body Functioning

14. A two (2) kilogram weight gain in two days:*

a. Is normal and nothing to be worried about
b. Shows that the patient has been eating too many sweets
c. Should be reported to the supervising nurse

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15. Mrs Smith’s catheter bag contains a very large amount of dark red urine. You should:*

a. Encourage her to drink more fluids
b. Empty the bag
c. Call your supervising nurse as soon as possible

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16. A red spot over the patient’s hip joint:*

a. Might develop into a bedsore
b. Is a normal sign of old age
c. Should be treated with a heat lamp

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17. When observing the patient’s bowel habits, the following should be reported to the nurse immediately:*

a. Symptoms of pain, abdominal swelling, or cramping
b. Patient not passing gas
c. Bowel movements occurring every other day

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18. The following are normal changes that occur with aging EXCEPT: *

a. Decreased muscle tone
b. Dry skin
c. High blood pressure

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PART IV - Maintenance of a Clean, Safe and Healthy Environment

19. Wrinkles in the client's bed linen may cause:*

a. No problems
b. The linens to wear out
c. Contractures
d. Pressure injuries

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20. Which one of the following statements is NOT true:*

a. Puddles of water or other liquids should be mopped up immediately to avoid falls
b. Always be sure electrical cords are not lying in walk areas
c. If someone in a house uses a cane or walker, it is a good idea to cushion the floor by using lots of throw rugs
d. Cleaning supplies and other dangerous substances should be kept in a safe, secure cabinet or area

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21. Before transferring a patient from the bed to a wheelchair, it is always necessary to:*

a. Put a pillow in the seat
b. Put a blanket over the seat and back
c. Lock the wheelchair brakes
d. Unlock the wheelchair brakes

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22. You discover cockroaches in the client's home, you should:*

a. Remove the client from the home
b. Make sure to remove the garbage daily
c. Call the office to report the situation
d. Both B and C

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23. Regardless of the type of bath given to the elderly, the temperature of the water is important because:*

a. You cannot get them clean unless it is hot enough
b. You have to put your hands in it
c. Elderly skin is more delicate and burns easily
d. We have to keep the family happy

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24. Prior to assisting the patient into the tub or shower, as a safety factor, you should check for:*

a. A rubber mat for the tub or shower
b. All needed supplies within your reach
c. Comfortable water temperature
d. All of the above

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PART V - Recognising Emergencies and Knowledge of Emergency Procedures

25. Mrs Smith lives alone and is homebound. When you arrive at the home, the door is locked and, although it is the middle of the day, you can see the lights turned on in the living room. When you knock, you can hear a low moan coming from somewhere in the house. You should:*

a. Come back at your next scheduled shift or visit
b. Get to the nearest telephone and call the office
c. Break a window and climb in
d. Keep knocking until she opens the door

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26. Fire safety instruction is important because:*

a. The supervisor says it is
b. The client will think you are great
c. It prepares you to know proper emergency action in case of fire
d. It will look good on your record

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27. While cooking dinner you accidentally spill boiling water on your hand. You should:*

a. Cover the area with Vaseline or butter
b. Apply cold water to the area if there is no break in the skin and notify the supervisor
c. Scold the patient for being in the kitchen and distracting you
d. Massage the area with quick hard strokes

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28. Your client suddenly complains of intense squeezing pain in the chest that goes down the arm. The client is sweating and holding his chest. You should:*

a. Have the client take a nap
b. Ignore him, it will go away
c. Telephone for emergency help (000)
d. Leave a message with the doctor's office

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29. A stranger comes to the door claiming that their car broke down and asks to use the phone. You should:*

a. Not allow them into the house, but offer to call the police for them
b. Let them into the house to use the telephone
c. Go out to the car and see if you can fix the problem
d. Let them into the house and you can call the tow truck

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PART VI - Physical, Emotional, and Developmental Needs - Respect for Privacy and Property

30. When performing any procedure in which a body part is exposed, keep the patient covered with a blanket as much as possible:*

a. This is important because the patient has the right to dignity and privacy
b. It is not necessary to do this because it is easier to give care without having blankets getting in the way
c. It is better to just turn up the heat to keep the patient warm
d. Refuse the money and tell the client you are not allowed to accept gifts

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31. Mr Dodd is eating lunch when you arrive. Your assignment is to take his vital signs and assist him in and out of the bathtub. Which of the following answers is correct?*

a. Tell him to finish his lunch later because you have more patients to see today
b. Tell him you are cancelling the visit and leave
c. Allow him to finish his lunch, rest for at least ten (10) minutes, then take the vital signs, and do the bath

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32. A client, Miss Green, tells you she is very upset with you and demands you tell her the supervisor's name so she can call and report you. The correct action is:*

a. Tell her you are doing the best you can
b. Leave her home and go to the next client
c. Refuse to see her again
d. Give her the supervisor's name and phone number

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33. You are caring for Mrs Jones, a terminally ill client. The neighbour stops by to visit and asks you if Mrs Jones is going to die. You should reply:*

a. "Yes, Mrs Jones is terminally ill"
b. "I'm sorry, I can't discuss Mrs Jones' condition"
c. "Isn't it a shame, she's such a nice lady"
d. "It isn't any of your business"

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34. When caring for a client who is from another culture different from yours, remember that:*

a. The client lives in Australia now and should change their ways to conform to our culture
b. The client's response to grief and pain should be the same as yours
c. Family habits and religious practices will affect the way the client responds to the care you provide
d. All people are the same

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PART VII - Nutrition and Fluid Intake

35. Elderly people may not eat a well-balanced diet due to:*

a. Improperly fitting dentures
b. Loss of ability to taste food well
c. Weakness and fatigue
d. All of the above

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36. When the plan of care requires you to increase fluids, the following food would NOT be encouraged:*

a. Milkshakes
b. Gelatine
c. Potato chips
d. Broth

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37. Very good sources of protein are:*

a. Beans, chicken and eggs
b. Green salads
c. Potatoes and noodles
d. Apples and oranges

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38. Which of the following statements is CORRECT:*

a. Clients must always eat at 12 noon
b. All food served to the patient should be lukewarm
c. Before serving the meal, it is important to be sure the patient is comfortable
d. The client must always be fed and is not allowed to feed themselves

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39. It would be UNSAFE to:*

a. Wrap food before refrigerating
b. Thaw turkey in the refrigerator
c. Refreeze food that has been frozen and thawed
d. Cook meat well done

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40. Fibre or roughage in the diet:*

a. Has no effect on the digestive tract
b. Helps food move through the digestive tract
c. Helps people chew food better
d. Adds lots of cholesterol to the diet

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PART VIII - Communication Skills and Teamwork

41. You can use communication skills when:*

a. Explaining your duties to the patient
b. Reporting changes to the supervisor
c. Writing your care notes
d. All of the above

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42. Communication includes:*

a. Spoken words
b. Listening
c. Facial expressions
d. All of the above

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43. If a client is hard of hearing, you should:*

a. Speak slowly and clearly
b. Shout at them
c. Avoid talking to them
d. Use sign language

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44. Your client has expressed some religious beliefs you don't agree with, you should:*

a. Explain how your beliefs are better
b. Tell them they are wrong
c. Listen respectfully
d. Pretend you agree

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45. Ways to foster communication include all EXCEPT:*

a. Interrupting often
b. Avoid using a lot of medical terms
c. Speak slowly and clearly
d. Listen carefully

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46. Which of the following would be the most helpful in resolving a conflict between yourself and a teammate?*

a. Clarify the conflict source
b. Look for agreement
c. Focus on team goals
d. Focus on the issues

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47. Which of the following will help ensure that a resolved conflict does not arise again in the future?*

a. Focus on the issues
b. Reach a mutual agreement not to argue
c. Create a plan for future
d. Remove the person who argues

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48. Which of these is NOT a key feature of a team?*

a. Mutual dependence
b. Mutual purpose
c. Shared responsibility
d. Working in the same department that is called a team

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49. When health care professionals work as a team, it:*

a. Slows everybody down
b. Meets all the client’s needs
c. Hurts the client
d. Adds to healthcare costs

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50. You can help improve your job satisfaction by:*

a. Loving your job
b. Staying on task
c. Working well with others
d. All of the above

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Competency Evaluation - Personal Care Worker

HR-022 | Competency Evaluation - Personal Care Worker or Enrolled Nurse

PART I - Observation and Reporting

PART II - Infection Control

PART III - Basic Elements in Body Functioning

PART IV - Maintenance of a Clean, Safe and Healthy Environment

PART V - Recognising Emergencies and Knowledge of Emergency Procedures

PART VI - Physical, Emotional, and Developmental Needs - Respect for Privacy and Property

PART VII - Nutrition and Fluid Intake

PART VIII - Communication Skills and Teamwork

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