PCA Study Guide - Detalles

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1) Chapter 1 Visualizar

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Body language is: A. away of communicating feelings by using the body, facial expressions and the eyes. B. only used by clients to tell their doctors what is causing them problems. C. only used by persons who are deaf and mute. D. the newest dance craze.

A. away of communicating feelings by using the body, facial expressions and the eyes.

When you work in the home, you will be: A. responsible for making decisions without any help. B. working under the supervision of a professional supervisor. C. away from your office and have no way to contact your employer. D. responsible for calling the physician with information.

B. working under the supervision of a professional supervisor.

True or False? A PCA may cut nails

False

As Personal Care Assistant, it is your responsibility to: A. plan the client's care. B. do only the tasks that the registered nurse or therapist assigns to you. C. try to do your best, but not ask for any help. D. compare assignments with your co-workers.

B. do only the tasks that the registered nurse or therapist assigns to you.

True or False? A PCA may give a tubal feeding

False

As a Personal Care Assistant, you: A. work alone. B. work as part of the health care team. C. may become the leader of the health care team. D. will never get any further training after orientation.

B. work as part of the health care team.

B. working under the supervision of a professional supervisor.

True or False? In the home it is important to be a good listener

True

True or False? Always tell the patient what you are going to do before starting a procedure.

True

Which of the following is most appropriate practice to promote good skin care in the elderly: A. keep the skin clean and well moisturized. B. apply alcohol to bare areas of the skin. C. wash daily with scented soaps. D. all of the above.

A. keep the skin clean and well moisturized.

True or False? You only communicate through words.

False

Which of the following is important in communicating with people: A. courtesy. B. tact. C. listening. D. all of the above.

D. all of the above.

PCA care for a conscious patient should be preceded by: A. asking the patient for his permission to go ahead with the procedure. B. telling the patient you would like to have his cooperation. C. giving an explanation of what is going to be done. D. explanation to the patient that the doctor ordered this done.

C. giving an explanation of what is going to be done.

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? A. Tell Mr. Good way how she is feeling. B. Find out if other PCAs have felt this way. C. Try to pretend that Mr. Goodway is someone she likes. D. Talk with the agency supervisor about the situation.

D. Talk with the agency supervisor about the situation.

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? A. Ask the other PCAs who care for the patient if they took the five dollars. B. Ask the patient why the PCA is being accused. C. Offer to give the patient five dollars. D. Notify the agency supervisor.

D. Notify the agency supervisor.

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

True

True or False? 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.

False

True or False? A PCA may give insulin

False

True or False? A PCA may apply a hot pack

False

True or False? 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.

False

The patient tells you he has not moved his bowels in three days: What should you do? A. Tell him not to worry about it. B. Tell him to take a laxative. C. Report it to the nursing supervisor. D. Pretend you didn't hear him.

C. Report it to the nursing supervisor.

True or False? Passive range of motion exercises are for the prevention of contractures in patients with paralyzed limbs.

True

Hich of these actions is the Personal Care Assistant permitted to take in relation to drugadministration? A. Recording and reporting the patient's reaction to the medication. B. Handing out nonprescription medications to the patient who asks for them. C. Adjusting the dosage of medications given to the patient. D. Adjusting the times medications are given to fit into the patient's activities schedule.

A. Recording and reporting the patient's reaction to the medication.

True or False? A PCA may reinforce a dressing

True

When a patient complains of pain, what should the Personal Care Assistant do first? A. Ask the patient to describe the pain. B. Call the patient's doctor. C. Offer the patient some warm tea. D. Change the patient's position.

A. Ask the patient to describe the pain.

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? A. ''The pills are very expensive." B. "These pills are different shape from the pills I used to take." C. "I have a rash on my stomach since I've been taking these pills." D. ''I can't take these pills unless I have really cold water to drink."

C. "I have a rash on my stomach since I've been taking these pills."

Mrs. Rand, who has diabetes and takes insulin regularly, tells the Personal Care Assistant that she feels very nervous and jittery. What should the PCA do immediately? A. Take her temperature. B. Find out when she has her next doctor's appointment. C. Have her lie down in bed. D. Give her a glass of orange juice.

D. Give her a glass of orange juice.

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

True

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

False

True or False? Recording a patient's "TPR" or vital signs is not important as long as you remember what they were.

False

For which, if any, of these body areas is 99.6 degrees F. a normal temperature? A. Neilla. B. Mouth. C. Rectum. D. None of the above.

C. Rectum

When taking a patient's pulse, you should take it for: A. 15 seconds. B. one full minute. C. 5 seconds. D. two minutes.

B. one full minute.

When a patient's respirations are being counted, it is best that the patient: A. tries to breath evenly. B. tries to breathe as deeply as he can. C. sits up straight. D. not be aware that the respirations are being counted.

D. not be aware that the respirations are being counted.

True or False? Hand washing is the single best way to decrease the transfer of pathogens.

True

True or False? Gloves should be worn when handling items soiled by body fluids.

True

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

True

During a visit, you need to wash your hands after removing gloves: A. before you give physical care to the patient. B. after you pet the dog. C. before you leave the patient's home. D. all of the above.

D. all of the above.

In what situation should gloves be used? A. The patient is vomiting. B. The patient has been incontinent of stool. C. The patient has drainage wound. D. All of the above.

D. all of the above.

True or False? Diarrhea can cause dehydration and other serious complications and should be reported.

True

True or False? 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.

True

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

False

True or False? A PCA may assist with change of a colostomy bag

True

If you notice the patient's catheter is not draining, the first thing you should do is: A. call your supervisor. B. empty the drainage bag. C. check the tubing to see if it is kinked. D. do nothing, this is the nurse's problem.

C. check the tubing to see if it is kinked.

True or False? A PCA may administer medication

False

Which of the following is not recommended for promoting good daily bowel habits: A. plenty of water. B. laxatives. C. exercise. D. well balanced meals.

B. laxatives.

Foods on a liquid diet would include: A. chicken, eggs and toast. B. chopped and strained foods. C. broth, tea and jello. D. lightly seasoned foods.

C. broth, tea and jello.

Mrs. Morris has not had a bowel movement for three days. She has always given herself an enema if she does not have a bowel movement for that long a time. Mrs. Morris asks the Personal Care Assistant to give her an enema. What should the PCA do? A. Give Mrs. Morris an enema. B. Tell Mrs. Morris to wait another day. C. Suggest that Mrs. Morris take a laxative first. D. Contact the agency supervisor to discuss the situation.

D. Contact the agency supervisor to discuss the situation.

True or False? Bedrails should never be used to secure vest restraints.

True

True or False? Smoking in bed is fine for anyone who is not confused.

False

True or False? A PCA may give a rectal suppository

False

Part of your duties as a Personal Care Assistant are to assure a safe home environment. This includes: A. proper infection control with good hand washing. B. electrical and fire safety. C. moving things which may cause the patient to fall D. all of the above.

D. all of the above.

A patient is receiving oxygen through a nasal cannula. What safety precautions should the Personal Care Assistant take? A. Keep the television set at least 5 feet from the oxygen tank. B. Do not permit the patient to drink soda. C. Allow no smoking in the patient's room. D. Do not use any lotions that contain oil in the patient's room.

C. Allow no smoking in the patient's room.

The Personal Care Assistant should be sure to take which of these actions when caring for a newborn baby? A. Support the baby's head and neck when picking the baby up. B. Clean the inside of the baby's ears with cotton swabs. C. Use petroleum jelly to keep the area around the baby's naval moist. D. Hold the baby only at feeding and bathing times.

A. Support the baby's head and neck when picking the baby up.

True or False? For an injury with profuse bleeding, apply pressure and call for assistance.

True

True or False? A PCA may cut nails

False

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

True

True or False? If the patient falls and complains of pain in his hip, you should help him to get up and walk to the bed.

False

True or False? A PCA may give an enema

False

A patient is choking on some object that is caught in his airway. Before first-aid measures are applied, find out: A. if the patient's pulse rate is over 80. B. if the patient can swallow clear fluids. C. if the patient can speak or cough. D. What medications the patient has taken in the past 24 hours.

C. if the patient can speak or cough.

While giving a bath on a shower chair, the patient suddenly gasps and becomes unresponsive. The Personal Care Assistant should: A. call for family assistance and continue with the bath. B. leave the patient and call 911. C. lower the patient to the floor, call for the family to call 911, determine if CPR is needed and initiate it if indicated. D. tell the family to stay with the patient while you call 911 and the supervisor.

C. lower the patient to the floor, call for the family to call 911, determine if CPR is needed and initiate it if indicated.

For which of these emergencies is a knowledge of pressure points essential? A. Health stroke. B. Burns. C. Food poisoning. D. Bleeding.

D. Bleeding.

The telephone numbers of all of the following are important to a patient. Which number must the Personal Care Assistant have next to the telephone? A. The patient's clergyman. B. The drugstore. C. The emergency medical squad. D. The next-door neighbor.

C. The emergency medical squad.

True or False? Every patient is the same and has the same needs and wants.

False

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

False

True or False? You may use the telephone in the patient's home without asking permission.

False

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? A "Mrs. Cooler is doing as well as can be expected." B. "I am sorry, but I cannot discuss Mrs. Cooler." C. "Yes, it's too bad, but she's very ill." D. "How did you know about Mrs. Cooler and her illness?"

B. "I am sorry, but I cannot discuss Mrs. Cooler."

True or False? A PCA change a sterile dressing

False

Which of these statements about the elderly is true? A. They cannot change. B. They can learn new things. C. They want to become dependent on others. D. They do not enjoy meeting new people.

B. They can learn new things.

When working with person who are disabled, the general goal of care is to: A provide constant supervision. B. provide total care. C. promote maximum self-care and independence within the limits of the person's ability. D. promote the complete return of the person's abilities.

C. promote maximum self-care and independence within the limits of the person's ability.

It is Mrs. Morris's 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? A. Insist that Mrs. Morris eat at this time. B. Tell Mrs. Morris to let the PCA know when she wants to eat, and remind her that it is important that she have lunch. C. Tell Mrs. Morris that if she does not eat by herself, she will have to be fed; D. Tell Mrs. Morris that it took a lot to time to prepare the food and that she should eat it while it is fresh.

B. Tell Mrs. Morris to let the PCA know when she wants to eat, and remind her that it is important that she have lunch.

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: A do not like to be told what to do. B. are usually sicker than adults. C. enjoy human contact more than adults. D. cannot explain how they feel

D. cannot explain how they feel

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

True

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

True

True or False? 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.

True

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: A. adjusting both the Hot and Cold Water so as to mix them. B. using the patients' thermometer and read the temperature. C. asking the patient to tell you if it is too hot or too cold. D. finding out if the water is warm (not hot or cold) to the touch on the inside of your wrist.

D. finding out if the water is warm (not hot or cold) to the touch on the inside of your wrist.

If dentures are not worn when sleeping, where should you store them? A. Wrap in a washcloth. B. Put in a sterile container. C. Wrap in a gauze pad. D. Place in a clean container in clean water.

D. Place in a clean container in clean water.

An elderly male patient occasionally wets his trousers. What should the home health PCA do? A. Give him fluids with his meals only. B. Avoid giving his coffee and tea. C. Tell him if he urinates on himself he will have to be put in diapers. D. Encourage him to go to the bathroom at least every two hours.

D. Encourage him to go to the bathroom at least every two hours.

In giving foot care to a patient who has diabetes, the Personal Care Assistant may take which of these actions? A Clean under the toenails. B. Cut the toenails. C. Soak the patient's feet for more than 5 minutes in a basin of warm water. D. Put lotion on the patient's feet before drying them.

C. Soak the patient's feet for more than 5 minutes in a basin of warm water.

True or False? Always transfer a patient towards his good side.

True

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

False

True or False? It's best to use a gait belt if a patient is unsteady.

True

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: A. raise himself on his elbows. B. separate his legs widely. C. arch his back. D. flex his knees and push with his heels.

D. flex his knees and push with his heels.

Before helping a patient into or out of a wheelchair, which of these actions are necessary? A Have the brakes unlocked and leave the foot pieces down. B. Lock the brakes and fold the foot pieces up. C. Have the brake unlocked and the foot pieces up. D. Lock the brakes and leave the foot pieces down.

B. Lock the brakes and fold the foot pieces up.

When assisting a patient to walk with his walker, you should: A. clear a pathway and remove all safety hazards. B. stay close to the patient's side. C. stand on the other side of the room. D. A and B

D. A and B

A patient who has been on bed rest is to get up in a chair. The Personal Care Assistant helps the patient to sit on the edge of the bed. The patient says, "I am dizzy." What should the PCA do? A. Rub the patient's feet. B. Help the patient to a standing position and see if the dizziness goes away. C. Put a cool compress on the patient's head. D. Support the patient in a sitting position and wait a minute or so to see if the dizziness goes away.

D. Support the patient in a sitting position and wait a minute or so to see if the dizziness goes away.

Patient has had a stroke and has a right-sided weakness. The patient can walk with a little assistance. It is best for the Personal Care Assistant to assist the patient by walking in which of these positions? A. Directly in front of the patient. B. Directly in back of the patient. C. On the patient's left side. D. On the patient's right side.

D. On the patient's right side.

Mr. Sticke is 76 years old, needs help with bathing, and has a foley catheter in place. He has great difficulty walking and uses a wheelchair. When helping Mr. Sticke from the bed to the wheelchair, which of these actions is essential. A. Place the foot supports of the wheelchair so that he can step up on them. B. Have a blanket draped in the wheelchair. C. Have the brakes Ol!- the wheelchair in a locked position. D. Place a pillow on the seat of the wheelchair.

C. Have the brakes Ol!- the wheelchair in a locked position.

True or False? During range of motion exercises, if you feel resistance or the patient complains of pain, you should continue anyway.

False

True or False? It's best to have a pillow between the legs of a patient with a new hip replacement.

True

To prevent bedsores in the elderly, you should: A. change the patient's position every two hours if they are unable to do so themselves. B. get the patient out of bed if they are allowed to do so. C. ensure adequate nutrition with special emphasis on protein intake. D. all of the above.

D. all of the above.

Which of these statements describes good body mechanics? A. Carry heavy objects as far away from the body as possible. B. Bend the knees when lifting an object off the floor. C. Bend over at the waist when lifting an object from the floor. D. Lift rather than push a heavy object.

B. Bend the knees when lifting an object off the floor.

When caring for a patient who is on bed rest, what should the PCA do to prevent bedsores? A. Keep the top sheets well tucked in. B. Keep the bottom sheet free of wrinkles. C. Use only sheets that are 100%, cotton on the patient's bed. D. Use only woolen blankets to cover the patient.

B. Keep the bottom sheet free of wrinkles.

True or False? Soy sauce is good to spice up a low salt diet

False

True or False? A regular diet is a well balanced diet with no restrictions.

True

True or False? Bread and potatoes are a good source of protein.

False

Foods that are high in vitamin C include: A. oranges, tomatoes and watermelon. B. potatoes, raisins and bananas. C. liver, beef and chicken. D, cheese, milk and cottage cheese.

A. oranges, tomatoes and watermelon.

If there is 50cc left in glass and the glass holds 150cc you should record the intake as: A. 90 cc. B. 120 cc. C.100 cc. D. 50 cc.

C.100 cc.

Milk is a good source of calcium. Which of these foods is also high in calcium? A. Cheese. B. Bananas. C. Orange juice. D. Raisins.

A. Cheese.

When patients do not have enough fluids, they may develop which of these problems? A. Diarrhea. B. Swelling. C. Constipation. D. Dandruff

C. Constipation.

If a patient is to have a fluid intake record kept, the right time to record the patient's fluid is: A. when the fluids are served to the patient. B. when the patient has drank the fluids. C. every 2 hours. D. after each meal.

B. when the patient has drank the fluids.

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