Deck 33: Caring for People in the Home Environment

Question 1

The primary reason a person is provided with home health care is because:

A) it is the least expensive way to care for people.
B) it is appropriate for those who are not critically ill.
C) it is possible for care to be provided in the person's home.
D) the person's insurance will not pay for care provided in a hospital.

Answer 1

it is possible for care to be provided in the person's home.

Question 2

The nursing assistant providing home health care can expect that all the clients will be:

A) elderly.
B) living alone.
C) homebound.
D) needing total care.

Answer 2

homebound.

Question 3

When helping a home health client bathe, the nursing assistant notices a reddened area of broken skin on the person's left heel. The nursing assistant will report the situation to the client's:

A) doctor.
B) case manager.
C) social worker.
D) home health nurse.

Answer 3

case manager.

Question 4

It is essential that a home health aide must:

A) be a good communicator.
B) like working with the elderly.
C) be willing to work long hours.
D) work within the job description.

Question 5

When assigned a client who lives in an area of town known as being unsafe, the home health aide will stay personally safe by: (Select all that apply)

A) parking in a well-lit area.
B) leaving valuable jewelry at home.
C) being aware of the surroundings.
D) refusing to visit without a security escort.
E) visiting during the daylight hours when possible.

Question 6

Which action by the home health aide shows a need for more education about how to keep from spreading germs between the homes of various clients?

A) Putting a urine specimen into a sealed storage bag before putting it into the tote bag
B) Washing hands with an alcohol-based hand rub before getting out the stethoscope
C) Disinfecting the stethoscope after using it to take a blood pressure
D) Placing the tote bag on the client's clean kitchen table

Question 7

When a commercial disinfectant solution isn't available to clean equipment, the home health aide may use a bleach/water solution made of:

A) 1 cup bleach to 10 cups water.
B) 1 cup bleach to 1 cup water.
C) 1 cup water to 1/2 cup bleach.
D) 1 cup water to 10 cups bleach.

Question 8

When a client uses a needle to deliver daily doses of insulin, the home health aide will most likely be responsible for:

A) informing the client of OSHA rules about the disposal of sharps like needles.
B) helping the client use the needle appropriately to deliver the insulin.
C) teaching the client how to dispose of the needles appropriately.
D) disposing of the sharps container when it becomes full.

Question 9

In order to avoid being bitten by a pet dog when visiting a client, the home health aide initially:

A) distracts the animal with a food treat.
B) calls the client before entering the home.
C) insists the animal be confined to a separate room.
D) requires that the dog be placed on a leash during the visit.

Question 10

When a home health aide sees a client's child repeatedly strike the client, the aide first:

A) calls 911.
B) attempts to calm the child down.
C) notifies the home health agency of the situation.
D) threatens to call the police if the attack does not stop.

Question 11

The primary care provider for a person diagnosed with late-stage Alzheimer disease has asked for some assistance to leave the home to run some errands and go to some physician appointments. What is the term used to describe this kind of care?

A) Acute care
B) Respite care
C) Palliative care
D) Long-term care

Question 12

The home health aide has reported to the case manager that one of their clients appears to have developed some swallowing issues and is beginning to look malnourished. The case manager will likely ask for a consult from which member of the home health care team to assess for a potential swallowing problem?

A) Physical therapist
B) Occupational therapist
C) Speech therapist
D) Registered dietician

Question 13

During the morning assessment of the home health care client, the nursing assistant has collected the following data. Which data, collected by the nursing assistant, should be reported to the case manager immediately? Select all that apply.

A) Vital signs, temp 101.3°F, P 112, R 26, BP 120/78
B) Client's mental status has changed and client is difficult to rouse.
C) Urine output during overnight hours is 400 mL.
D) Client refused the offer to have a bath today.
E) Client requests ice cream for breakfast.

Question 14

A family member calls the agency to report that the home health aide did not come to the client's home as scheduled and did not call to inform them. In legal terms, this situation is referred to as what?

A) Nonmaleficence
B) Beneficence
C) Autonomy
D) Abandonment

Question 15

The home health aide preparing to cook lunch for the client finds that the refrigerator appears to not be working since everything inside the refrigerator is warm and moist. When there appears to be no food in the house that is safe for the client to eat what should the nursing assistant do first?

A) Get in the car and drive to a fast-food restaurant to buy lunch for the client.
B) Cook some eggs since many people eat eggs that have been left out on the countertop.
C) Take everything out of the refrigerator, wash and clean the inside, plug it back in the socket and see if that helps get it running.
D) Report this to the case manager so they can call the family and ask them to provide food for the client's lunch.

Question 16

The home health aide examines the cupboard and observes that there are outdated cans and boxes of food present. The leftovers and raw chicken are in the refrigerator without dates. The milk is outdated. The client stated that the food is still good. What action is appropriate for the nursing assistant to take?

A) Use the undated food that the client stated was still good to cook for the client.
B) Remove all outdated or undated leftovers or spoiled food and dispose of them.
C) Make a shopping list of needed items and shop for the client after work.
D) Cook the raw chicken because the heat will kill any harmful bacteria.

Question 17

The nursing assistant provides a morning assessment of the older adult home health client. The client recently had pacemaker surgery, and the pacemaker is set at 60 beats per minute. Which data, collected by the nursing assistant, should be reported to the case manager immediately? Select all that apply.

A) Vital signs, temp 97.4°F, P 60, R 26, BP 110/70
B) Client is hallucinating and sees children playing in strawberries.
C) Urine has a strong odor and is cloudy.
D) Client has urgency and frequency of urination.
E) The pacemaker dressing is dry and intact.

Question 18

The home health aide assists the client with a bath and light housekeeping. What method should the nursing assistant employ to decrease the spread of pathogens?

A) Set the wet bed linens on the floor because no bags are available.
B) Shake the linens to straighten out any wrinkles.
C) Wash the linens in hot water and use bleach and detergent.
D) Don clean gloves before changing the wet bed linens.

Question 19

The home health client trips over a small rug in the living room and is unharmed. What action should the nursing assistant take first?

A) Use two-way tape on the back of the rug.
B) Remove the rug from the floor.
C) Place a furniture leg on the rug to hold it in place.
D) Chart the incident about the near fall.

Question 20

The home health aide prepares to assist the client to take a shower. What action should the nursing assistant take first?

A) Inspect the shower, grab bar, and shower chair.
B) Place a nonslip bathmat on the shower floor.
C) Adjust the temperature using a bath thermometer.
D) Gather all bathing supplies requested by the client.