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Competency Evaluation - Home Care Worker

HR-020 | Competency Evaluation - Home Care Worker

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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:*

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:*

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:*

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:*

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
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:*

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:*

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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PART II - Infection Control

7. Good hand washing technique is important because:*

7. 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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8. Wearing disposable gloves while changing soiled bed linens:*

8. Wearing disposable gloves while changing soiled 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

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

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

10. 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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11. When considering the Home Care Worker's role in reducing the spread of germs, the Home Care Worker would do all of the following EXCEPT:*

11. When considering the Home Care Worker's role in reducing the spread of germs, the Home Care Worker 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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12. The role of the Home Care Worker is to provide assistance with tasks such as:*

12. The role of the Home Care Worker is to provide assistance with tasks such as:

a. Cleaning bathrooms, kitchens, vacuuming
b. Changing linen
c. Personal care such as bathing
d. A and B only

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PART III - Housekeeping Skills

13. The client/participant's bedroom has a polished hardwood floor, which is the best method of cleaning:*

13. The client/participant's bedroom has a polished hardwood floor, which is the best method of cleaning:

a. Mop it with a dust mop
b. Sweep it with a stiff bristle broom
c. Scrub it with a strong detergent
d. Don't clean it at all

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14. Immediately after washing dishes in hot soapy water they should be:*

14. Immediately after washing dishes in hot soapy water they should be:

a. Boiled for 5 minutes
b. Dried
c. Rinsed with hot water and dried
d. Put away in the cupboard

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15. In washing dishes, you accidentally break a clean dish, after cleaning up the broken pieces you should:*

15. In washing dishes, you accidentally break a clean dish, after cleaning up the broken pieces you should:

a. Continue your shift and forget it
b. Call the office to report it
c. Buy a new dish and replace it
d. Try to glue the dish back together

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16. All of the following activities the Home Care Worker should routinely perform, EXCEPT:*

16. All of the following activities the Home Care Worker should routinely perform, EXCEPT:

a. Changing the client's bed linens
b. Cleaning the kitchen sink
c. Rearranging the furniture
d. Vacuuming the carpets

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PART IV - Maintenance of a Safe and Healthy Environment

17. Wrinkles in the client/participant's bed linen may cause:*

17. Wrinkles in the client/participant's bed linen may cause:

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

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

18. 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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19. When caring for a client/participant where there are children in the home, which of the following would be dangerous:*

19. When caring for a client/participant where there are children in the home, which of the following would be dangerous:

a. Keeping the clean bedpan next to the bed
b. Keeping medication bottles on the bedside table
c. Washing the kitchen floor
d. Dusting the living room furniture

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20. You discover cockroaches in the client/participant's home, you should:*

20. You discover cockroaches in the client/participant's home, you should:

a. Remove the client/participant 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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21. To prevent fires in the home, which of the following is NOT correct:*

21. To prevent fires in the home, which of the following is NOT correct:

a. Have a house without carpeted floors
b. Never use frayed electrical cords
c. Have a smoke detector on each level of the house
d. Never leave a frying pan containing oil unattended and cooking on the stove

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PART V - Recognising Emergencies and Knowledge of Emergency Procedures

22. 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:*

22. 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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23. Fire safety instruction is important because:*

23. 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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24. While making a cup of tea for the client/participant you accidentally spill boiling water on your hand. You should:*

24. While making a cup of tea for the client/participant 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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25. Your client/participant suddenly complains of intense squeezing pain in the chest that goes down the arm. The client/participant is sweating and holding his chest. You should:*

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

a. Have the client/participant 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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26. A stranger comes to the door claiming that their car broke down and asks to use the phone. You should:*

26. 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

27. The client/participant offers you money. You should:*

27. The client/participant offers you money. You should:

a. Take it because you need the cash
b. Consider it a loan that you will pay back
c. Take it and politely say "Thank you"
d. Refuse the money and tell the client/participant you are not allowed to accept gifts

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28. In which of the following situations would the Home Care Worker and the Company be responsible for the damages of the broken lamp:*

28. In which of the following situations would the Home Care Worker and the Company be responsible for the damages of the broken lamp:

a. The client/participant's wife knocked over the lamp while attempting to show the Home Care Worker where the outlet was located
b. The Home Care Worker knocked over the lamp while vacuuming
c. The client/participant's dog bumped the table, knocking over the lamp
d. The client/participant turned quickly while waving his arms and tipped the lamp over

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29. A client/participant, 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:*

29. A client/participant, 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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30. 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:*

30. 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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31. When caring for a client/participant who is from another culture different from yours, remember that:*

31. When caring for a client/participant who is from another culture different from yours, remember that:

a. The client/participant lives in Australia now and should change their ways to conform to our culture
b. The client/participant'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 Meal Preparation

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

32. 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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33. The best example of a low fat breakfast is:*

33. The best example of a low fat breakfast is:

a. Bacon, eggs, toast with butter, coffee with cream
b. Oatmeal with skim milk, orange juice, fruit
c. Sausage and cheese omelette, and bagel and cream cheese

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34. Very good sources of protein are:*

34. 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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35. Which of the following statements is CORRECT:*

35. Which of the following statements is CORRECT:

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

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36. It would be UNSAFE to:*

36. 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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PART VIII - Communication Skills and Teamwork

37. You can use communication skills when:*

37. You can use communication skills when:

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

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38. Communication includes:*

38. Communication includes:

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

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39. If a client/participant is hard of hearing, you should:*

39. If a client/participant 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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40. Your client/participant has expressed some religious beliefs you don't agree with, you should:*

40. Your client/participant 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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41. Ways to foster communication include all EXCEPT:*

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

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

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

44. 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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