All Questions in order for REVIEW Only

All Questions in order for review

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Category: Registry Rules & Scope

1. You have just come back from being off and your client’s pill box is empty. What do you do?

A. Sit down at the table and carefully count out the number of pills needed for each dose.

B. After you are done filling the pillbox, call Silver Lining at 215-885-7701 and report what you did.

C. Call 911.

D. Call the family and scream at them for not being on top of things.

E. Call Silver Lining at 215-885-7701 for direction on what to do.

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Category: Registry Rules & Scope

2. When it comes to a client with Diabetes, the Direct Care Worker is NOT allowed to do these EXCEPT…

A. Advise the client of the reading.

B. Stick the client’s finger with the lancet.

C. Prepare the insulin injection.

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Category: Registry Rules & Scope

3. The Client’s Pill Box is filled by…

A. The DCW fills it directly from the prescription bottle(s).

B. Anyone but the DCW.

C. There is no pill box; the DCW takes it directly from the prescription bottle(s).

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Category: Registry Rules & Scope

4. Silver Lining is licensed as a…

A. Medical Agency through the PA Department of Health.

B. Medical Agency Licensed by the Federal Government.

C. Non-medical Registry through the PA Department of Health.

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Category: Registry Rules & Scope

5. What are the consequences when a DCW does NOT keep their PA State mandated credentials up-to-date?

A. They win the lottery.

B. They don’t receive any referrals for work and they are not paid until their file is in compliance.

C. They win a trip to the PA Department of Health.

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Category: Registry Rules & Scope

6. How do you remain active on the registry?

A. Ignore courtesy letters about personnel items that will be expiring in the near future.

B. Keep your personnel file up to date by sending in items that have expired, such as your car insurance, driver's license, green card and/or TB Rule Out documentation.

C. Accept an assignment and don’t show up for the assignment and don’t call the office.

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Category: Registry Rules & Scope

7. Direct Care Workers are NOT allowed to do the following EXCEPT…

A. Empty and change a Colostomy Bag.

B. Give a Suppository.

C. Perform Wound Care.

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Category: Registry Rules & Scope

8. Direct Care Workers are allowed to do the following EXCEPT:

A. Empty and change a Foley Catheter Bag.

B. Remind the client to take their medication(s).

C. Put eye drops in the client’s eye(s).

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Category: Registry Rules & Scope

9. Independent Contractors are responsible for the following:

A. Keeping their own records and paying their own taxes.

B. Giving medication out of the prescription pill bottle.

C. Gardening, painting and shoveling snow at a client's home.

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Category: Registry Rules & Scope

10. What is a registry?

A. An organization that hires employees.

B. An organization that rosters Independent Contractors.

C. A facility where residents live.

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Category: Registry Rules & Scope

11. Which of these is a DCW allowed to do with a client's medications?

A. Fill the weekly pill box from the prescription bottles

B. Give an insulin shot when the client is running late

C. Put prescription drops in the client's eyes

D. None of these

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Category: Confidentiality & Boundaries

12. Direct Care Workers are NOT permitted to do this when providing care for the client.

A. Arrive on time.

B. Be respectful to the client and the client's family.

C. Assume Guardianship or be the Power of Attorney for a client.

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Category: Confidentiality & Boundaries

13. Direct Care Workers are permitted to do this when running errands for the client.

A. Use the client’s Credit Card.

B. Write out a check for the client.

C. Take cash from the client and bring back a receipt.

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Category: Confidentiality & Boundaries

14. Which of these is okay to share on your personal social media?

A. Your client's first name only, never the last name

B. A photo of the client's house, as long as the client isn't in it

C. A story about your shift that doesn't use any names

D. None of these

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Category: Confidentiality & Boundaries

15. A neighbor stops you on the street and asks how the woman you work for down the block is doing. What do you say?

A. That she is doing fine — you did not say what is wrong with her

B. That you are not able to talk about anyone you work with, and change the subject

C. Whatever you know, if the neighbor is a friend of the family

D. Give them the client’s phone number so they can ask her themselves

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Category: Confidentiality & Boundaries

16. You had a hard shift and want to post about it on Facebook. What is allowed?

A. It is fine as long as you do not use the client’s name

B. It is fine if your account is set to private

C. It is fine if you post a photo without any description

D. Nothing about a client goes online — no names, no details, no photos, no matter your privacy settings

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Category: Confidentiality & Boundaries

17. Your client’s adult daughter calls you and asks what her mother ate today and whether she seemed confused. You have never been told whether she is allowed that information. What do you do?

A. Answer all her questions — she is family

B. Tell her you will have the office call her, then let your coordinator know she called

C. Refuse to speak with her at all and hang up

D. Answer only if she is the one paying for the services

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Category: Confidentiality & Boundaries

18. Where is it acceptable to discuss a client’s care?

A. In the elevator or lobby of the client’s building, as long as you keep your voice down

B. With another Silver Lining caregiver, anywhere, because you both work for the same registry

C. At home with your own family, since they do not know the client

D. Only with the Silver Lining staff who need to know, and only somewhere private

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Category: Confidentiality & Boundaries

19. Your client’s mail and bank statements are sitting open on the kitchen table. What do you do?

A. Read through it so you understand what is going on with her

B. Open and sort the mail as a favor

C. Take a photo of anything that looks important, in case the office needs it

D. Leave it alone — it is not yours to read, open, or photograph

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Category: Confidentiality & Boundaries

20. Your client tells you something private and asks you to promise not to tell anyone — but what she said makes you think she is not safe. What do you do?

A. Promise to keep it to yourself, because she trusted you

B. Say nothing to anyone, since she asked you not to

C. Ask her neighbor what they think you should do

D. Tell her kindly that this is something you have to pass on because you care about her safety, then call your coordinator

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Category: Confidentiality & Boundaries

21. Can you take photos inside a client’s home?

A. Yes, as long as you delete them afterward

B. Yes, as long as the client is not in the picture

C. Yes, to help you remember where things belong

D. No — not of the client and not of the home, unless Silver Lining has asked you to and it has been arranged in advance

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Category: Confidentiality & Boundaries

22. You work with two clients who live in the same building. One asks how the other one is getting along. What do you say?

A. Share a little, since they already know each other

B. Share it as long as you do not use the other client’s name

C. Share it because the other client asked directly

D. Nothing — you never discuss one client with another

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Category: Confidentiality & Boundaries

23. Your client is not permitted to sign her home care papers over to you or name you in her will, and you may not act as her power of attorney or guardian. Why not?

A. Pennsylvania regulation forbids anyone connected to a home care registry from becoming a client’s power of attorney or guardian

B. It is allowed if the client has no family

C. It is allowed if a lawyer draws up the paperwork

D. It is allowed for medical decisions but not financial ones

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Category: Confidentiality & Boundaries

24. Your client hands you $100 for your birthday. What do you do?

A. Accept it — she gave it freely and would be hurt if you refused

B. Accept it, but do not mention it to anyone

C. Accept it as long as it is under a certain amount

D. Thank her warmly, explain that you are not permitted to accept gifts, and let your coordinator know it was offered

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Category: Confidentiality & Boundaries

25. Your client notices you are short on gas money and offers to lend you $50 until payday. What do you do?

A. Accept and pay it back next week

B. Accept, as long as you pay it back the same day

C. Accept — she insisted, and refusing would be rude

D. Thank her and decline, and let your coordinator know she offered

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Category: Confidentiality & Boundaries

26. Your client asks you to run to the pharmacy and hands you her debit card. What do you do?

A. Use the card and keep the receipt

B. Use the card, but only for small amounts

C. Ask a family member for permission first, then use it

D. Explain that you are not permitted to use her card, take cash instead, bring back the receipt and the change, and let your coordinator know

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Category: Recognizing & Reporting Changes

27. Parkinson's disease can cause a masked face, what is that?

A. Client always has a smile

B. Clients always have serious facial expressions

C. Clients are always looking in the distance

D. Clients can change their expressions

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Category: Recognizing & Reporting Changes

28. All Parkinson's clients will have the same symptoms.

A. TRUE

B. FALSE

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Category: Recognizing & Reporting Changes

29. Which symptom must be present for doctors to diagnose Parkinson's disease?

A. Difficulty walking

B. Tremors or shaking

C. Small handwriting

D. Slowness of movement (bradykinesia)

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Category: Recognizing & Reporting Changes

30. Parkinson's disease progresses over time; clients will often need what?

A. Physical therapy (walking difficulties)

B. Speech therapy (help with swallowing)

C. Different medications to help new symptoms

D. None of these

E. All of these

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Category: Recognizing & Reporting Changes

31. What common symptoms are seen in PD? (Parkinson's disease)

A. Moving stiffness, joint pain

B. Loss of smell

C. Trouble sleeping

D. All of these

E. None of these

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Category: Recognizing & Reporting Changes

32. How is Parkinson's disease diagnosed?

A. Blood test

B. X-ray or MRI

C. Rule out other diseases

D. A skin biopsy

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Category: Recognizing & Reporting Changes

33. What is NOT true about a TIA?

A. Approximately 15% of all strokes are foretold by a TIA.

B. Everyone that has a TIA will have a stroke within a month.

C. About 1/3 of people who have a TIA go on to have a more severe stroke within one year.

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Category: Recognizing & Reporting Changes

34. What is NOT a common warning signal that a TIA has occurred?

A. Slurred speech.

B. Hiccups.

C. Weakness, numbness or paralysis on one side of the body.

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Category: Recognizing & Reporting Changes

35. What is NOT a risk factor for a TIA?

A. Smoking.

B. Dysphagia.

C. Diabetes.

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Category: Recognizing & Reporting Changes

36. What is a TIA?

A. A temporary blockage of blood flow to the brain.

B. A temporary blockage of blood flow to the heart.

C. A temporary blockage of blood flow to the lower extremities.

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Category: Recognizing & Reporting Changes

37. Which changes in your client should you report to Silver Lining, even if they seem small?

A. New confusion, appetite loss, swelling, or changes in the skin

B. Only changes that the family has also noticed

C. Only changes bad enough to need an ambulance

D. None — noticing changes is the nurse's job, not the DCW's

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Category: Recognizing & Reporting Changes

38. You notice your client's ankles look more swollen than they did last week. What do you do?

A. Rub the ankles and put on tighter socks

B. Report it to your coordinator the same day — describe what you see, and don't try to diagnose it

C. Tell the client to drink less water

D. Wait a week to see whether it goes away on its own

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Category: Communication & Documentation

39. Being late to your cases may result in removal from the registry unless you do the following. Which one is NOT true?

A. Call Silver Lining at 215-885-7701 and notify the office so that the client/DCW can be notified.

B. Call Silver Lining at 215-885-7701 and notify the office so that your schedule can be updated. An incorrect timesheet will hold up your pay.

C. Don’t call Silver Lining and don’t put the actual time that you arrived on the timesheet.

D. Put the actual time that you arrived so you are not committing insurance fraud.

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Category: Communication & Documentation

40. The following are the best ways to communicate with a client who is a little hard of hearing EXCEPT…

A. Speak to the client in a loud voice 3 inches from their face.

B. Speak in a medium, calm voice in a room with little background noise and distraction.

C. Speak slower, using the same words and phrases as often as needed.

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Category: Communication & Documentation

41. What is the proper protocol for calling out for your case?

A. Text anyone from Silver Lining and hope they get the message.

B. Text your coordinator 10 minutes prior to your start time of the case.

C. Call 215-885-7701 and speak to your coordinator or another LIVE person so that you know that your client will be covered and you will not be committing client neglect or job abandonment.

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Category: Communication & Documentation

42. When your client goes on Hospice, the DCW needs to do what?

A. Give the client medication(s) from the comfort pack.

B. Call the hospital.

C. Call Silver Lining and speak to their coordinator about the procedures for future care to their client.

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Category: Communication & Documentation

43. What is the correct protocol for picking up a prescription for yourself when you are on a live-in assignment?

A. Leave the client alone and go pick up the prescription.

B. Take the client with you even though they don’t want to go out.

C. Call Silver Lining and get direction from your Coordinator or the Coordinator on Call.

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Category: Communication & Documentation

44. It is the weekend and you are scheduled to work. You get sick and are unable to go to your assignment. What do you do?

A. You call 215-885-7701 and wait for the answering service to take your name and telephone number and you wait for a return call from the Coordinator on call.

B. You go back to bed and pull the covers over your head.

C. You call your Coordinators work telephone and leave a message.

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Category: Communication & Documentation

45. How do you know when your timesheet or documentation has been received in the Silver Lining office?

A. You hope and pray that it was received.

B. You received an acknowledgment message from Silver Lining.

C. You didn’t get a received message from Silver Lining and you did not call to double check.

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Category: Communication & Documentation

46. How do you reach your Coordinator Monday to Friday from 9 am to 4 pm?

A. Call 215-885-7701 and ask for your Coordinator.

B. Call the Coordinators work cell and leave a message.

C. Text the Coordinators work cell.

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Category: Communication & Documentation

47. How do you reach the Payroll Department at Silver Lining?

A. Call 215-806-5190 and ask to speak to Payroll.

B. Call 302-477-1929 and ask to speak to Payroll.

C. Call 215-885-7701 and ask to speak to Payroll.

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Category: Communication & Documentation

48. How do you send in your timesheets to Silver Lining?

A. Email the timesheet to Timesheets@slhomecare.com

B. Email the timesheet to Time@slhomecare.com

C. Email the timesheet to Hey@slhomecare.com

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Category: Infection Control & Universal Precautions

49. How soon can signs (symptoms) of Scabies appear?

A. The first week after contact

B. It could take 4 to 8 weeks after contact

C. A rash appears in the arm pit, belt line, waist, buttocks

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Category: Infection Control & Universal Precautions

50. Scabies are spread by

A. Scabies mites

B. Direct, prolonged, skin to skin contact

C. Spread in crowded conditions (especially in institutions)

D. All of these

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Category: Infection Control & Universal Precautions

51. What is the most common symptom of Scabies?

A. Dry scaly skin area

B. Intense itchy and pimple-like rash

C. Large, discolored areas on the legs

D. None of these

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Category: Infection Control & Universal Precautions

52. What important things should be done in your client's home to keep from spreading C-diff or causing re-infection?

A. All visitors should wash their hands upon arrival.

B. Be sure to wash your hands after using the bathroom.

C. If your client has a prescription post-hospital be sure to remind your client to take the medication as ordered.

D. All of these

E. None of these

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Category: Infection Control & Universal Precautions

53. What is most important in managing C.diff in the client's home?

A. Always wearing gloves when assisting your client

B. Be sure all items the client uses are cleaned (disinfected)

C. All soiled items must be washed separately in hot water

D. All of these

E. None of these

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Category: Infection Control & Universal Precautions

54. What symptoms are most common in C.diff?

A. Fever, abdominal pain

B. Loss of appetite

C. Watery diarrhea

D. All of these

E. None of these

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Category: Infection Control & Universal Precautions

55. What role do antibiotics play in the development of C.diff infections?

A. They prevent C.diff infection by killing bacteria

B. They can kill good bacteria, allowing C.diff to grow

C. They cause C.diff infection by directly spreading it

D. They make symptoms of C.diff infections worse

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Category: Infection Control & Universal Precautions

56. What are the main symptoms of a C-diff?

A. Cough and fever

B. Severe abdominal pain and diarrhea

C. Skin rashes and headaches

D. Vomiting and fatigue

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Category: Infection Control & Universal Precautions

57. How is C-diff commonly transmitted in healthcare settings?

A. Through air droplets

B. Through contaminated food or water

C. By contact with contaminated surfaces or equipment

D. By mosquito bites

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Category: Infection Control & Universal Precautions

58. You think your client may have bed bugs. What is the best way to check?

A. Ask your client if they noticed any itching in their lower legs.

B. Look along the seams of the mattress and the bed frame for live bugs, shed skins, and rusty or dark spots.

C. Wait a few days to see if bite marks appear on the client's arms.

D. Check whether the client has been sleeping poorly.

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Category: Infection Control & Universal Precautions

59. If bed bugs are found in a client's home, what should be done?

A. Nothing, not a problem

B. Hope they go away and say nothing

C. Report to Silver Lining immediately

D. Call your friend and ask them

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Category: Infection Control & Universal Precautions

60. Bed bugs can be found

A. Only in the United States

B. Only in Europe

C. Only in Africa

D. Around the globe

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Category: Infection Control & Universal Precautions

61. Bed Bugs cause skin irritation/rashes.

A. TRUE

B. FALSE

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Category: Infection Control & Universal Precautions

62. Bed bugs only feed on:

A. Tissue of animals

B. Blood from humans and animals

C. Other parasitic insects

D. Other bed bugs

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Category: Infection Control & Universal Precautions

63. Where are bed bugs most often found?

A. In the bathroom

B. In the closet

C. Around the bed, usually in seams

D. In old luggage

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Category: Infection Control & Universal Precautions

64. When is the best time to get your flu vaccine for the Philadelphia Area?

A. Early spring

B. Mid-summer

C. Mid-winter, after flu season starts

D. September or October — ideally by the end of October

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Category: Infection Control & Universal Precautions

65. What are some of the possible side effects from the flu vaccine?

A. No side effects have been noted

B. Mild side effects such as soreness, redness, tenderness

C. Large red swelling at injection site

D. None of these

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Category: Infection Control & Universal Precautions

66. What type of flu vaccines are available for seniors?

A. A regular flu vaccine for those over 6 months

B. A high dose for those over 65 years

C. A special flu vaccine that only needs to be given every five years

D. None of these

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Category: Infection Control & Universal Precautions

67. Why is it important to get the flu vaccine yearly?

A. Flu vaccine is updated season to season

B. A person’s immune protection declines over time

C. Annual vaccination is needed for optimal protection

D. All of these

E. None of these

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Category: Infection Control & Universal Precautions

68. What is the best way to protect against getting the flu?

A. Staying in your home all winter

B. Wearing a mask whenever you go out

C. Getting the flu vaccine every year

D. Never eating out during the flu season

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Category: Infection Control & Universal Precautions

69. How is shingles diagnosed?

A. By X-ray

B. Skin biopsy or blood test

C. Health care professional by clinical examination

D. By urine test

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Category: Infection Control & Universal Precautions

70. Who should get the shingles vaccine?

A. No one, the vaccine is ineffective.

B. Everyone, the vaccine prevents shingles in everyone.

C. Adults 50 and older, and adults 19 and older with a weakened immune system.

D. Only people under 40 years old.

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Category: Infection Control & Universal Precautions

71. Your client has shingles. What can happen to someone who has never had chickenpox or the chickenpox vaccine?

A. Nothing — shingles cannot spread to another person in any way.

B. They can catch the virus from the blister fluid and develop chickenpox — not shingles.

C. They will catch shingles directly from the client.

D. They can only catch it if the client coughs near them.

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Category: Infection Control & Universal Precautions

72. Can shingles cause long-term problems?

A. No, long-term problems

B. Yes, it can cause nerve pain (PHN)

C. Yes, it can cause lung infections

D. Yes, it can cause brain damage

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Category: Infection Control & Universal Precautions

73. Following the doctor's treatment plan for shingles, it is important to

A. Ignore the instructions the doctor gave

B. Plan to do some of the instructions

C. Start the medication as soon as possible

D. Listen to your client complain about pain

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Category: Infection Control & Universal Precautions

74. Can shingles be prevented, and if so, how?

A. Yes, by avoiding exposure to the sun

B. Yes, through the shingles vaccine

C. No, it cannot be prevented

D. Yes, by taking vitamins regularly

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Category: Infection Control & Universal Precautions

75. Who is at higher risk for developing shingles?

A. People who have never had chickenpox

B. Children under 10 years old

C. Older adults and people with weakened immune systems

D. People who live in cold climates

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Category: Infection Control & Universal Precautions

76. What are the common symptoms of shingles?

A. High fever and joint pain

B. Red, itchy rash with blisters, often in a band

C. Severe headache and sore throat

D. Abdominal pain and nausea

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Category: Infection Control & Universal Precautions

77. What virus causes shingles?

A. Skin infection caused by bacteria

B. Viral infection caused by Epstein-Barr virus

C. Viral infection caused by the varicella-zoster virus

D. Fungal infection caused by mold

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Category: Infection Control & Universal Precautions

78. The DCW doesn’t have to wash their hands EXCEPT when…

A. They remove their gloves after assisting the client.

B. They read a newspaper to the client.

C. They answer the client’s telephone when requested by the client.

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Category: Infection Control & Universal Precautions

79. A client who has had scabies before is exposed again. How soon can symptoms appear?

A. In 1 to 4 days — much sooner than the first time.

B. Not for at least 4 to 8 weeks, the same as the first time.

C. Never — a person can only get scabies once.

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Category: Infection Control & Universal Precautions

80. Your client is recovering from C. diff. What is the RIGHT way to clean your hands?

A. Wash with soap and water and wear gloves — alcohol hand sanitizer does NOT kill C. diff spores

B. Use plenty of alcohol hand sanitizer — it kills germs on contact

C. A quick rinse under warm water is enough

D. Wearing gloves means you don't need to wash

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Category: Infection Control & Universal Precautions

81. What do universal precautions mean for a DCW?

A. Take extra care only when a client looks sick

B. Precautions only matter in hospitals and nursing homes

C. Wear gloves only during flu season

D. Treat everyone's blood and body fluids as if they could be infectious, every single time

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Category: Infection Control & Universal Precautions

82. When must you wear gloves?

A. Any time you might touch blood, body fluids, or broken skin

B. Only when you can see blood

C. Only when you have a cut on your own hand

D. Gloves are optional once you know a client well

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Category: Infection Control & Universal Precautions

83. How should you handle soiled bed linens?

A. Shake them out first so crumbs don't travel

B. Carry them against your body so nothing drops

C. Hold them away from your clothes, never shake them, and put them straight into the hamper

D. Leave them in a pile on the floor until laundry time

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Category: Emergencies & Home Safety

84. What should one do if someone thinks they are having a TIA?

A. Lie down and take a baby aspirin.

B. Get them medical help immediately.

C. Wait to see if their symptoms get worse.

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Category: Emergencies & Home Safety

85. Doing what things will not make the client’s home safer?

A. Using non-slip mats in the bathtub and shower floors.

B. Keeping the lights dim throughout the house.

C. Putting railings on both sides of the stairs.

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Category: Emergencies & Home Safety

86. You find your client on the floor and they do not respond when you speak to them or touch their shoulder. What do you do FIRST?

A. Call 911

B. Call Silver Lining at 215-885-7701

C. Try to get them into bed so they're comfortable

D. Call the family to ask what they want you to do

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Category: Emergencies & Home Safety

87. Which of these situations is a 911 call, not a call to the office?

A. Your timesheet didn't go through

B. You are running low on gloves

C. Your client has chest pain and trouble breathing

D. You have a question about tomorrow's schedule

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Category: Emergencies & Home Safety

88. What does B.E. F.A.S.T. help you remember?

A. The steps for making an occupied bed

B. The warning signs of a stroke — Balance, Eyes, Face, Arm, Speech, Time to call 911

C. The rules for kitchen fire safety

D. The order for putting on protective equipment

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Category: Emergencies & Home Safety

89. One side of your client's face is drooping and their speech is slurred. What do you do?

A. Call 911 right away and note the time the symptoms started

B. Help them lie down and check on them in an hour

C. Give them a glass of water and see if the speech clears

D. Call the family and describe what you see

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Category: Emergencies & Home Safety

90. Your client had stroke-like symptoms for ten minutes, then felt completely normal again. What do you do?

A. Nothing — it passed, so it wasn't a stroke

B. Write it down and watch for it tomorrow

C. Mention it to the family at the end of your shift

D. Get medical help now — a spell that passes (TIA) can come before a bigger stroke, often within the first 48 hours

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Category: Emergencies & Home Safety

91. A grease fire starts in a pan on the stove. What do you do?

A. Pour water on it quickly

B. Slide a lid over the pan and turn off the burner

C. Carry the pan to the sink

D. Fan the flames away from the wall with a towel

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Category: Emergencies & Home Safety

92. Smoke is filling the kitchen and the fire is spreading. What is the right order of actions?

A. Get the client and yourself out of the house, then call 911 from a safe place

B. Call 911 from the kitchen, then start fighting the fire

C. Call the office for direction, then decide

D. Gather the client's medications and papers, then leave

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Category: Emergencies & Home Safety

93. Your client's sleeve catches fire at the stove. What should they do — and you help them do?

A. Run to the bathroom and turn on the shower

B. Wave the arm to put the flames out

C. Stop, drop and roll — or smother the flames with a towel or blanket

D. Pull the shirt off over their head

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Category: Emergencies & Home Safety

94. Your client uses oxygen at home. Which rule must always be followed?

A. No smoking and no open flames anywhere near the oxygen

B. Candles are fine if they are across the room

C. Turn the flow up when the client feels tired

D. Store the spare tank next to the heater so it stays warm

95 / 206

Category: Emergencies & Home Safety

95. The power goes out and your client's oxygen concentrator stops running. What do you do?

A. Wait for the power to come back on

B. Unplug the machine and plug it back in a few times

C. Leave to find somewhere to charge the machine

D. Switch to the backup tank if there is one, call the oxygen company, and call 911 if the client has any trouble breathing

96 / 206

Category: Emergencies & Home Safety

96. Your client is choking and cannot cough, speak or breathe. What do you do?

A. Give them sips of water to wash it down

B. Call 911, and give abdominal thrusts if you have been trained to do them

C. Pat them on the back and wait for it to pass

D. Help them lie down and rest

97 / 206

Category: Emergencies & Home Safety

97. Your client with diabetes is suddenly shaky, sweaty and confused, but can still swallow. What do you do?

A. Give them fast-acting sugar like juice, stay with them, and report it

B. Give them their insulin right away

C. Have them walk around until it passes

D. Help them lie down for a nap

98 / 206

Category: Emergencies & Home Safety

98. Your client cut their arm and it is bleeding heavily. What do you do?

A. Rinse it under water and watch it for a while

B. Tie a belt around the arm as a tourniquet first

C. Put on gloves, press firmly on the wound with a clean cloth, and call 911

D. Give them something for the pain and call the family

99 / 206

Category: Emergencies & Home Safety

99. Which of these is safe when a space heater is being used?

A. Drying wet gloves on top of it

B. Keeping it at least three feet from anything that can burn

C. Running its cord under a rug so no one trips

D. Leaving it running while everyone is asleep

100 / 206

Category: Emergencies & Home Safety

100. You and your client both start feeling headachy and dizzy at the same time on a winter day, and there is no illness going around. What do you do?

A. Get everyone outside and call 911 — it could be carbon monoxide

B. Open a window a crack and carry on

C. Take something for the headache and rest

D. Turn the furnace up in case you are both cold

101 / 206

Category: Emergencies & Home Safety

101. A tornado warning is issued while you are on shift. What do you do?

A. Drive home quickly before it hits

B. Go to the porch to see how close it is

C. Take shelter yourself and call the client's family to come over

D. Stay with your client, move to an interior room away from windows, and let the office know when it is safe

102 / 206

Category: Emergencies & Home Safety

102. It is your first day with a new client. What should you locate right away in case of an emergency?

A. The television remote and thermostat

B. The house address and phone, the exits, and where the client's medication list is kept

C. The neighbors' names

D. Nothing — you can find things when you need them

103 / 206

Category: Emergencies & Home Safety

103. You called 911 for your client and they are now safe with the paramedics. What else must you do?

A. Call Silver Lining at 215-885-7701 and report what happened

B. Nothing — your part is done

C. Ride along to the hospital without telling anyone

D. Wait until your next shift to mention it

104 / 206

Category: Falls, Body Mechanics & Transfers

104. When making a client’s bed, DON’T do this to prevent injury.

A. Bend from the waist.

B. Use a wide stance.

C. Bend your knees.

105 / 206

Category: Falls, Body Mechanics & Transfers

105. When it comes to good eye health it is the best protocol to do all of these EXCEPT…

A. Have a yearly eye exam.

B. Use your deceased partner's glasses.

C. Update your glasses if your prescription has changed.

106 / 206

Category: Falls, Body Mechanics & Transfers

106. Which statement is NOT true? Many individuals who fall, even if they are not injured…

A. Become afraid of falling.

B. Become stronger.

C. Cut down on their everyday activities.

107 / 206

Category: Falls, Body Mechanics & Transfers

107. What can you do to help prevent falls?

A. Ask another person to watch you walk and ask them to tell you if you have good balance.

B. Ask your healthcare provider to evaluate your risk for falling.

C. Ask your healthcare provider about taking vitamin C supplements.

108 / 206

Category: Falls, Body Mechanics & Transfers

108. What type of exercise is good for an elderly client to improve balance and strengthen their legs to help prevent falls?

A. Tai Chi.

B. Roller Blading.

C. Aerobics.

109 / 206

Category: Falls, Body Mechanics & Transfers

109. What should you do to prevent a fall?

A. Wear flip flops all the time.

B. Get rid of things the client could trip over.

C. Never hold on to the railing when going up or down steps.

110 / 206

Category: Falls, Body Mechanics & Transfers

110. What conditions make you more likely to fall?

A. Lower body weakness.

B. Vitamin C deficiency.

C. Perfect vision.

111 / 206

Category: Falls, Body Mechanics & Transfers

111. What is NOT true about Falls?

A. Falls almost never send an older person to the hospital.

B. About 1 in 3 falls causes an injury that needs medical care.

C. Falls are the most common cause of traumatic brain injuries.

112 / 206

Category: Falls, Body Mechanics & Transfers

112. You are ready to help your client move from the bed to a wheelchair. What should you do with the wheelchair first?

A. Place it a few feet away so the client has room to walk

B. Lock both wheel brakes and move the footrests out of the way

C. Leave it unlocked so you can roll it closer while the client stands

D. Ask the client to hold the armrests to keep it steady

113 / 206

Category: Falls, Body Mechanics & Transfers

113. What is the safest way to use your body when helping a client move or stand?

A. Keep your feet together and bend from the waist

B. Reach your arms out and lean toward the client

C. Keep a wide stance, bend your knees, and keep the client close to your body

D. Twist at the waist while you lift

114 / 206

Category: Falls, Body Mechanics & Transfers

114. You are walking with your client and they begin to fall. What should you do?

A. Hold them close and slide them gently down your own body to the floor

B. Grab one arm and pull them upright

C. Step back so they don't pull you down with them

D. Tell them to grab the wall

115 / 206

Category: Falls, Body Mechanics & Transfers

115. Your client slid to the floor but says they feel fine and wants to get up right away. What do you do?

A. Lift them under the arms as quickly as you can

B. Tell them to jump up before their muscles stiffen

C. Leave them there and go call the family

D. Have them stay still while you check for pain or injury, then help them use sturdy furniture to get up slowly

116 / 206

Category: Falls, Body Mechanics & Transfers

116. Your client fell today but was not hurt. Who do you tell?

A. No one, since there was no injury

B. Call Silver Lining at 215-885-7701 and report the fall the same day

C. Only mention it to the family

D. Write it down in case someone asks later

117 / 206

Category: Falls, Body Mechanics & Transfers

117. Your client bumped their head in a fall and takes a blood thinner. They say they feel fine. What do you do?

A. Get medical help — a head bump on a blood thinner can cause hidden bleeding

B. Let them nap and check on them at dinner time

C. Give them something for the headache and watch them

D. Nothing, because they feel fine

118 / 206

Category: Falls, Body Mechanics & Transfers

118. When transferring a client from the bed to a wheelchair, where should the chair be placed?

A. On the client's weaker side, so you can support that side

B. Directly in front of the client, facing them

C. On the client's stronger side, at a slight angle to the bed

D. Wherever there is the most room

119 / 206

Category: Falls, Body Mechanics & Transfers

119. Your client can bear some weight but moves slowly. What is the best way to handle the transfer?

A. Do most of it for them so it goes faster

B. Let them do as much as they safely can, and move together on a count of three

C. Ask them to hurry so they don't tire out halfway

D. Skip the transfer on their slow days

120 / 206

Category: Falls, Body Mechanics & Transfers

120. Before your client stands up after lying in bed, what should they do first?

A. Sit on the edge of the bed for a minute until any dizziness passes

B. Stand up quickly to get the blood moving

C. Keep their eyes closed while they stand

D. Take a few deep breaths while lying flat, then stand right up

121 / 206

Category: Falls, Body Mechanics & Transfers

121. Which footwear is safest for a client who is unsteady on their feet?

A. Loose slippers that are easy to step into

B. Socks, so they can feel the floor

C. Any shoe with a smooth sole that slides easily

D. Non-skid shoes or slippers that close around the heel

122 / 206

Category: Falls, Body Mechanics & Transfers

122. Where should you position yourself when walking with an unsteady client?

A. A few steps ahead, so you can lead the way

B. Slightly behind them, on their weaker side

C. Slightly ahead of them, on their stronger side

D. Directly behind them with both hands on their shoulders

123 / 206

Category: Falls, Body Mechanics & Transfers

123. How do you protect your back when turning during a transfer?

A. Move your feet to turn your whole body instead of twisting at the waist

B. Twist only your shoulders and keep your hips still

C. Keep your feet planted and turn as quickly as you can

D. Hold your breath and tighten your arms while you turn

124 / 206

Category: Falls, Body Mechanics & Transfers

124. Which things in a client's home should you report — and fix, with the client's permission — because they cause falls?

A. Family photos hung in the hallway

B. A firm mattress on the bed

C. Loose throw rugs, electrical cords and clutter in the walkways

D. Bright lights in the stairway

125 / 206

Category: Falls, Body Mechanics & Transfers

125. You need to carry laundry down the basement stairs. What is the safe way to do it?

A. Pile it high and make one trip, hugging the basket so it can't spill

B. Make smaller trips so you can hold the handrail and see every step

C. Rest the basket on one hip and lean back for balance

D. Go quickly while the client is napping so they aren't alone long

126 / 206

Category: Falls, Body Mechanics & Transfers

126. Your client wants to walk to the bathroom at night. What is the most important thing to do first?

A. Turn on the light and make sure the path is clear

B. Carry them so they don't have to walk in the dark

C. Have them slide their feet along the wall for guidance

D. Move furniture closer together so they have things to grab

127 / 206

Category: Falls, Body Mechanics & Transfers

127. Your client uses a walker. Which of these is a safe practice?

A. Pulling on the walker to stand up from a chair

B. Using the walker to go up and down the stairs

C. Hanging heavy shopping bags on the front of it

D. None of these

128 / 206

Category: Personal Care & ADLs

128. Which step is NOT proper protocol for putting Elastic Stockings on your client?

A. The heel of the stocking doesn’t need to be on the heel of the client.

B. After you put the stocking on make sure there are no wrinkles or twists.

C. Wash your hands before and after you put on the Elastic Stockings.

129 / 206

Category: Personal Care & ADLs

129. The following attitudes will help you to give the best possible care to your clients EXCEPT…

A. Do not take their behavior personally.

B. Put yourself in their shoes.

C. Do not follow the goals of the client’s plan of care.

D. Treat your clients as you would like to be treated.

130 / 206

Category: Personal Care & ADLs

130. The following are general principles for helping clients with their ADLs EXCEPT...

A. Promote self-care.

B. Do everything for them.

C. Develop a routine and stick to it.

131 / 206

Category: Personal Care & ADLs

131. What is NOT true about changing bed linens frequently?

A. Sheets that are damp, wrinkled or bunched up may cause a client not to sleep well.

B. Bedding that is damp or unclean encourages infection and disease.

C. Sheets that do not lie flat do not cause pressure sores.

132 / 206

Category: Personal Care & ADLs

132. What can you do to make your client feel attractive and dignified?

A. Soak, File and Paint the clients nails.

B. Don’t wash the client’s hair for three weeks.

C. Let the client put lipstick all over their face.

133 / 206

Category: Personal Care & ADLs

133. Elastic Stockings are used for…

A. Keeping the client’s legs warm.

B. Keeping the client’s shoes from falling off.

C. Preventing swelling and blood clots and improve circulation.

134 / 206

Category: Personal Care & ADLs

134. After the dirty linens are removed, the DCW should NOT do this.

A. Roll the dirty linens from head to the foot of the bed.

B. Have the linens come in contact with the client or the DCW.

C. Place the dirty linens in a hamper or basket.

135 / 206

Category: Personal Care & ADLs

135. If a client cannot get out of bed, you must NOT do the following:

A. Explain to the client that you are going to make the bed with them in the bed.

B. Remove your gloves.

C. Make the bed one side at a time, assisting the client to roll first onto one side and then on to the other.

136 / 206

Category: Personal Care & ADLs

136. Some clients spend much or all of their time in bed. Careful bedmaking is essential. Which statement is NOT true?

A. Place the clean linens on the floor when stripping the dirty linens off the bed.

B. Microorganisms thrive in moist, warm environments.

C. Bedding that is damp or unclean encourages infection and disease.

137 / 206

Category: Personal Care & ADLs

137. When putting on Elastic (Ted) Stockings, the Direct Care Worker should always…

A. Leave the stocking twisted on the client’s leg.

B. Have the client lie in the supine position in bed.

C. Don’t explain to the client what you are doing.

138 / 206

Category: Personal Care & ADLs

138. Your client says they need to use the bathroom. What do you do?

A. Help them right away — making them wait leads to falls and accidents

B. Finish the dishes first so you don't leave a mess

C. Ask them to wait for their scheduled bathroom time

D. Suggest they use a brief so you don't have to stop

139 / 206

Category: Personal Care & ADLs

139. When helping a female client clean up after toileting, which direction do you wipe?

A. Back to front

B. Front to back, to keep germs away from the urinary area

C. Whichever direction is easier for the client

D. Direction doesn't matter if you use enough tissue

140 / 206

Category: Personal Care & ADLs

140. You find that your client's incontinence brief is wet. What do you do?

A. Change it at the next scheduled time

B. Put a second brief over the first for extra protection

C. Change it promptly, wash and dry the skin, and report any redness you see

D. Limit the client's fluids so it happens less often

141 / 206

Category: Personal Care & ADLs

141. What does good daily mouth care look like?

A. Brushing twice a day with a soft brush, and reporting bleeding gums or mouth sores

B. A quick brushing once a week

C. Mouthwash instead of brushing

D. Skipping mouth care for clients who have dentures

142 / 206

Category: Personal Care & ADLs

142. What is the right way to handle your client's dentures?

A. Wash them in very hot water to kill germs

B. Wrap them in a tissue on the nightstand overnight

C. Let them air-dry on the counter

D. Clean them over a towel or a basin of water, and store them in a labeled cup with water or solution

143 / 206

Category: Personal Care & ADLs

143. Which of these are IADLs — the everyday household tasks a DCW helps with?

A. Bathing, dressing and grooming

B. Shopping, cooking, laundry and errands

C. Giving injections and changing wound dressings

D. Physical therapy exercises

144 / 206

Category: Skin Care & Pressure Injuries

144. How can Bedsores be prevented?

A. Shifting the client's weight every 15 to 20 minutes — leaning forward, then to one side, then to the other.

B. Providing all prepackaged and fast food to the client.

C. Letting the client remain in the same position all day.

145 / 206

Category: Skin Care & Pressure Injuries

145. How are Bedsores NOT treated?

A. Surgically removing the limb or body part that the bedsore has infected.

B. Removing pressure on the infected area.

C. Debridement of the infected area.

146 / 206

Category: Skin Care & Pressure Injuries

146. How are Bedsores diagnosed?

A. By taking an x-ray of the area that is red or has an open wound.

B. By taking an MRI of the area that is red or has an open wound.

C. By having a Health Provider inspect the area that is red or an open wound.

147 / 206

Category: Skin Care & Pressure Injuries

147. How often should you inspect the skin for possible bedsores?

A. Every week

B. Every day

C. Every month

148 / 206

Category: Skin Care & Pressure Injuries

148. How does a Bedsore develop?

A. Damage can begin in as little as an hour, and it starts deep under the skin before you can see anything.

B. It develops when the air supply to the skin is cut off.

C. It develops when the incontinent products are too tight.

149 / 206

Category: Skin Care & Pressure Injuries

149. What is a Bedsore?

A. It is a greenish mass that appears on the arm.

B. It is a black mass that appears on the forehead.

C. It is an ulcer that appears on the buttocks area.

150 / 206

Category: Skin Care & Pressure Injuries

150. What is a symptom of the 1st stage of a bedsore?

A. The area looks red and warm to the touch.

B. The client complains that they are in excruciating pain.

C. The skin is broken.

151 / 206

Category: Skin Care & Pressure Injuries

151. What is NOT a symptom of the 4th stage of a bedsore?

A. The skin on the buttocks is slightly red.

B. The skin on the buttocks is severely damaged.

C. There is an open wound that you can see the client’s bone.

152 / 206

Category: Skin Care & Pressure Injuries

152. Who is at risk for bedsores?

A. A senior marathon runner.

B. A senior who doesn’t have diabetes or circulation problems.

C. A senior who is bedridden, unconscious and unable to sense pain.

153 / 206

Category: Skin Care & Pressure Injuries

153. What can cause a bedsore?

A. Turning a bed bound client every two hours.

B. Leaving a client in a wet incontinence product every day.

C. Encouraging an ambulatory client to get up every eight hours and move around.

154 / 206

Category: Skin Care & Pressure Injuries

154. A client wears oxygen through a nasal cannula all day. Where should you check the skin for a pressure sore?

A. Behind the ears and on the bridge of the nose, where the tubing rests.

B. Only the buttocks and heels — pressure sores can't happen on the face.

C. The palms of the hands.

155 / 206

Category: Skin Care & Pressure Injuries

155. What is NOT true about bedsores?

A. Bedsores are ulcers that happen on areas of the skin that are under pressure.

B. Bedsores are not a serious problem for seniors.

C. Bedsores can become deep and extend into the muscle and bone.

156 / 206

Category: Nutrition, Hydration & Swallowing

156. Hydration is very important to good health. Besides water, juice, soda, coffee, tea and milk some foods are also sources of water. What food is NOT a source of water?

A. Butter and Olive Oil

B. Celery and Lettuce

C. Apples, Watermelon and Peaches

157 / 206

Category: Nutrition, Hydration & Swallowing

157. Regardless of whether your client is still feeding him/herself or you are helping them you should do all of these EXCEPT…

A. Have patience.

B. Let your client make choices of what to eat and honor those choices.

C. Show irritation on your face at their slowness.

158 / 206

Category: Nutrition, Hydration & Swallowing

158. What is the FIRST thing to do in the treatment of Dysphagia?

A. Make a doctor’s appointment for the client.

B. Don’t give the client any liquids that are not thickened.

C. Have a feeding tube inserted.

159 / 206

Category: Nutrition, Hydration & Swallowing

159. If swallowing issues present in the early or middle stages of dementia, the DCW or family may not think…

A. The client has a scratchy throat from a cold or allergies.

B. The client hates their cooking.

C. The client has Dysphagia.

160 / 206

Category: Nutrition, Hydration & Swallowing

160. What is a good approach for feeding a client with Dysphagia?

A. Don’t wait for the client to swallow the prior bite of food before giving them another bite.

B. Handfeeding a client each bite one at a time.

C. Don’t give the client any liquids at all.

161 / 206

Category: Nutrition, Hydration & Swallowing

161. The type of Dysphagia diet prescribed depends on what?

A. The cause and extent of the client’s swallowing difficulties.

B. If the client is a vegetarian.

C. If the client doesn’t like vegetables.

162 / 206

Category: Nutrition, Hydration & Swallowing

162. A client can do what without water?

A. Digest their food properly.

B. Only live for a few days.

C. Maintain their fluid balance.

163 / 206

Category: Nutrition, Hydration & Swallowing

163. Once Dysphagia becomes so severe that swallowing is no longer possible for the client, the disease may have progressed to the point that they should…

A. Consider an evaluation for Hospice Care.

B. Stop feeding the client.

C. Not have a feeding tube inserted.

164 / 206

Category: Nutrition, Hydration & Swallowing

164. What is NOT one of the 10 ways to make meals easier with Dysphagia?

A. Serve foods with thicker gravies and sauces to assist with swallowing.

B. Ensure the client is sitting upright as possible while eating.

C. Schedule meals for times of the day when the client is the most tired.

165 / 206

Category: Nutrition, Hydration & Swallowing

165. What is one of the most common immediate causes of death in late-stage Alzheimer's clients?

A. Aspiration pneumonia due to Dysphagia.

B. Flu.

C. COVID.

166 / 206

Category: Nutrition, Hydration & Swallowing

166. A Swallowing Study is performed by whom?

A. A Registered Nurse.

B. A Speech Language Pathologist.

C. Physical Therapist.

167 / 206

Category: Nutrition, Hydration & Swallowing

167. Doctors explain that Dysphagia can occur for a variety of reasons. Which is NOT one of the reasons?

A. Parkinson’s disease.

B. Dementia/Alzheimer’s.

C. Seasonal allergies.

168 / 206

Category: Nutrition, Hydration & Swallowing

168. What is NOT a sign of Dysphagia?

A. Weight Gain.

B. Gurgling sounds or voice during and after meals.

C. “Cheeking” foods instead of swallowing them.

169 / 206

Category: Nutrition, Hydration & Swallowing

169. What is Dysphagia?

A. Difficulty swallowing.

B. When you can blow bubbles after you take a drink.

C. When you cough, choke, or have discomfort after you drink or eat.

170 / 206

Category: Nutrition, Hydration & Swallowing

170. What thing should the DCW NOT do to prevent dehydration?

A. Encourage fluids as directed in the client's care plan.

B. Offer meals or snacks that include soup, celery, lettuce, apples, watermelon and/or peaches.

C. Limit fluids because the client is incontinent.

171 / 206

Category: Nutrition, Hydration & Swallowing

171. How do you know what meals you should prepare for your client?

A. Cook whatever the client asks for

B. Cook the kinds of meals you would eat at home

C. Follow the diet in the client's care plan, and ask the office if something isn't clear

D. Always cook low-salt, low-sugar meals for every senior

172 / 206

Category: Dementia & Difficult Behaviors

172. If a client who has Alzheimer’s or is just confused goes to the bathroom everywhere, do the following EXCEPT…

A. Withhold or discourage fluids.

B. Mark the bathroom with a sign as a reminder of where it is and to use the toilet.

C. Put lids on trash cans or other containers if the client has a habit of urinating in them.

173 / 206

Category: Dementia & Difficult Behaviors

173. When serving food to a client who has Alzheimer’s or Dementia, you should NOT do the following…

A. Use dishes without a pattern.

B. Put only one item of food on the plate at a time.

C. Serve the client food that is steaming hot.

174 / 206

Category: Dementia & Difficult Behaviors

174. When laying out clothes for a client who has Alzheimer’s or Dementia, you should do the following…

A. Choose clothes with lots of buttons to keep the client busy.

B. Put them in the order that they are to be put on.

C. Don’t let the client pick out their own clothes.

175 / 206

Category: Dementia & Difficult Behaviors

175. What is an appropriate response to a violent client?

A. Hit the client back.

B. Block the blows from the client.

C. Leave the client alone in the home.

176 / 206

Category: Dementia & Difficult Behaviors

176. What can cause a client to wander?

A. Too much exercise.

B. Eating too many vegetables.

C. Restlessness, hunger, disorientation, need for toileting, constipation, pain, forgetting where to sit and too much napping.

177 / 206

Category: Dementia & Difficult Behaviors

177. What is Disruptiveness?

A. It is anything that disturbs others, such as yelling, banging on furniture, slamming doors, etc.

B. It is when the client is singing softly to themselves and tapping their foot.

C. It is when they are napping in a chair instead of their bed.

178 / 206

Category: Dementia & Difficult Behaviors

178. What do you do if the client is having Hallucinations or Delusions?

A. Argue with the client and tell them that they are crazy.

B. Reassure the client that you are there to help and redirect the client to other activities or thoughts.

C. Tell the client that you hear and see what they are hearing and seeing.

179 / 206

Category: Dementia & Difficult Behaviors

179. Alzheimer’s disease generally begins with…

A. Forgetfulness and confusion.

B. A rash over the entire body.

C. A blow to the head.

180 / 206

Category: Dementia & Difficult Behaviors

180. Validation therapy means what?

A. Letting your client believe they live in the past or an imaginary world.

B. Telling your client that her spouse is dead every time they ask where they are.

C. Telling your client that you don’t see the imaginary person that they are talking to.

181 / 206

Category: Dementia & Difficult Behaviors

181. Reality orientation involves the use of what to help the clients remember who and where they are?

A. Calendars, clocks, signs and lists.

B. Newspapers, magazines and television.

C. Picture books, Word and Counting Flash cards.

182 / 206

Category: Dementia & Difficult Behaviors

182. Activity therapy is…

A. Making the client participate in folding laundry when they hate folding laundry.

B. Looking at books with birds in it with the client because they used to be a member of a bird watching club.

C. Listening to rock music even though the client covers his/her ears.

183 / 206

Category: Dementia & Difficult Behaviors

183. Reminiscence therapy is…

A. asking the client to tell you what they had for breakfast today.

B. saying four words to the client and in ten minutes asking the client what the four words were.

C. encouraging the client to remember and talk about the past.

184 / 206

Category: Dementia & Difficult Behaviors

184. If a client is displaying inappropriate Sexual Behavior, the DCW should NEVER…

A. Stay calm.

B. Try to distract the client.

C. Yell at the client to stop the behavior.

185 / 206

Category: Dementia & Difficult Behaviors

185. If a client repeats a word, phrase, question or activity the DCW should…

A. Respond to the client with patience.

B. Ignore the client after the third time.

C. Try to silence or stop the client.

186 / 206

Category: Dementia & Difficult Behaviors

186. If a client with Alzheimer's is violent, the Direct Care Worker should NEVER...

A. Yell at the client and tell them to calm down.

B. Give the client physical space.

C. Speak to the client in a low, calming voice.

187 / 206

Category: Dementia & Difficult Behaviors

187. Agitation means the following:

A. When a client is dancing and singing.

B. When a client is quietly looking at a photo album.

C. When a client throws food, yells and will not sit still.

188 / 206

Category: Dementia & Difficult Behaviors

188. Sundowning means the following:

A. When a client sits down and doesn’t get up as the sun goes down.

B. When a client becomes restless and agitated in the late afternoon, evening or night.

C. When a client wants the lights on all the time as it gets dark outside.

189 / 206

Category: Dementia & Difficult Behaviors

189. Which statement is true about caring for a client with Alzheimer’s?

A. Discourage fluids because a client is incontinent.

B. Be flexible about bathing and showering.

C. Serve steaming or very hot foods or drink.

190 / 206

Category: Dementia & Difficult Behaviors

190. Which statement is NOT true about clients with Alzheimer’s?

A. There is no known cause or cure for Alzheimer’s.

B. They will eventually recover.

C. They will need more care as the disease progresses.

191 / 206

Category: Dementia & Difficult Behaviors

191. When caring for an Alzheimer’s client, the Direct Care Worker should never...

A. Speak to the client in a low, calm voice, in a room with little noise and distraction.

B. Give the client tasks that they can’t accomplish.

C. Encourage an Alzheimer’s client to perform ADL’s as long as they can.

192 / 206

Category: Dementia & Difficult Behaviors

192. When caring for an Alzheimer’s client, the Direct Care Worker should...

A. Always approach the client from the back so that you startle the client.

B. The Direct Care Worker should treat the client with disrespect if the client is being rude to them.

C. Answer the client’s questions even if it is the 10th time that hour that they asked it.

193 / 206

Category: Abuse, Neglect & Reporting

193. You believe your client is being harmed by a family member. No one is in danger this minute. What number do you call in Pennsylvania?

A. 1-800-490-8505 — the statewide abuse hotline, answered 24 hours a day, seven days a week

B. Your coordinator’s cell phone

C. The client’s doctor’s office

D. 911, but only during business hours

194 / 206

Category: Abuse, Neglect & Reporting

194. You suspect abuse and no one is in immediate danger. What is the right order?

A. Tell your coordinator and let the office make the report for you

B. Wait until your shift ends and mention it at the office

C. Ask the client whether she would like you to report it

D. Call the hotline yourself, then call your Silver Lining coordinator

195 / 206

Category: Abuse, Neglect & Reporting

195. How certain do you have to be before you report?

A. You have to see it happen yourself

B. The client has to confirm it to you

C. You have to be sure, or you could be blamed for a false report

D. You only need reasonable cause to suspect it — you do not need proof

196 / 206

Category: Abuse, Neglect & Reporting

196. You report in good faith. The investigation finds nothing. What happens to you?

A. You could be sued by the family

B. You could be taken off the registry for causing trouble

C. You could be billed for the cost of the investigation

D. Nothing — Pennsylvania law protects anyone who reports in good faith, and it is illegal for anyone to punish you for reporting

197 / 206

Category: Abuse, Neglect & Reporting

197. Your client lives alone. She has stopped bathing, the food in her refrigerator has spoiled, and she is not taking her medicine. No one else is involved — she tells you she is fine. Is this reportable?

A. Yes — a person neglecting their own care is reportable in Pennsylvania, and it is the most common kind of report there is

B. No — reports are only for harm caused by another person

C. No — she is an adult and it is her choice

D. Only if she has been diagnosed with dementia

198 / 206

Category: Abuse, Neglect & Reporting

198. You arrive and your client has a fresh injury, she is frightened, and the person she is afraid of is still in the house. What do you do first?

A. Call 911

B. Call the abuse hotline

C. Call your coordinator

D. Get her into your car and drive her to the office

199 / 206

Category: Abuse, Neglect & Reporting

199. You have made the report. What is your role now?

A. Ask the family member about it directly so you understand what happened

B. Look around the home for more evidence

C. Let the neighbors know so they can keep an eye out

D. Write down exactly what you saw and heard, keep caring for your client, and let the investigators do their work

200 / 206

Category: Abuse, Neglect & Reporting

200. How should you write down what you observed?

A. Your opinion about who is responsible, so the investigator knows where to look

B. A general summary written up at the end of the week

C. Nothing in writing — tell somebody instead, so there is no paper trail

D. Exactly what you saw and heard, in plain facts, with the date and time — and no conclusions about who did it or why

201 / 206

Category: Abuse, Neglect & Reporting

201. Which of these makes you think a client may be having money taken from her?

A. A new name has recently been added to her bank account and she cannot explain who put it there

B. She pays her own bills by check every month

C. She gives a small donation to her church

D. Her family visits often

202 / 206

Category: Abuse, Neglect & Reporting

202. A client’s son handles all her money. He refuses to buy the food and medicine she needs, even though she has the money for it. Under Pennsylvania law, what is this?

A. Caretaker neglect

B. Self-neglect

C. Abandonment

D. Nothing reportable — family members decide how to spend family money

203 / 206

Category: Abuse, Neglect & Reporting

203. A family member repeatedly calls your client stupid and worthless, and threatens to “put her in a home” whenever she asks for help. Is this reportable?

A. Yes — this is emotional abuse

B. No — words are not abuse

C. No, unless he also puts his hands on her

D. Only if the client asks you to report it

204 / 206

Category: Abuse, Neglect & Reporting

204. Older adults bruise easily, so not every bruise is a worry. Which of these should make you stop and think?

A. Bruises at different stages of healing, in places that do not get bumped, and an explanation that changes each time you ask

B. One bruise on the shin

C. Thin skin that tears when it catches on furniture

D. A bruise on the back of the hand where an IV was placed at the hospital

205 / 206

Category: Abuse, Neglect & Reporting

205. Your client’s son is the only person caring for her. He leaves for two weeks without telling anyone and without arranging any help. Under Pennsylvania law, what is this?

A. Abandonment

B. Emotional abuse

C. Self-neglect

D. Not reportable, because a Silver Lining caregiver is coming in

206 / 206

Category: Abuse, Neglect & Reporting

206. Your client tells you what has been happening to her, then begs you not to tell anybody. What do you do?

A. Do what she asks — it is her life

B. Wait and report it only if it happens again

C. Ask her family what they think you should do

D. Report it anyway, and tell her gently and honestly that you have to, because keeping her safe comes first

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