Care Giver Competency Quiz

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1 / 50

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?

You call your Coordinators work telephone and leave a message.

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

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.

2 / 50

What is NOT a risk factor for a TIA?

Smoking.

Dysphagia.

Diabetes.

3 / 50

What is NOT true about bedsores?

Bedsores are not a serious problem for seniors.

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

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

4 / 50

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

Tai Chi.

Aerobics.

Roller Blading.

5 / 50

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

The skin on the buttocks is slightly red.

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

The skin on the buttocks is severely damaged.

6 / 50

What is Dysphagia?

When you can blow bubbles after you take a drink.

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

Difficulty swallowing.

7 / 50

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

Parkinson’s disease.

Dementia/Alzheimer’s.

Car Accident.

8 / 50

Activity therapy is…

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

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

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

9 / 50

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

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

Call the hospital.

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

10 / 50

Agitation means the following:

When a client is dancing and singing.

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

When a client is quietly looking at a photo album.

11 / 50

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

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

Arrive on time.

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

12 / 50

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

They will need more care as the disease progresses.

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

They will eventually recover.

13 / 50

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

Use the client’s Credit Card.

Write out a check for the client.

Take cash from the client and bring back a receipt.

14 / 50

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

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

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

Place the dirty linens in a hamper or basket.

15 / 50

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

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

Leave the client alone and go pick up the prescription.

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

16 / 50

Independent Contractors are responsible for the following:

Giving medication out of the prescription pill bottle.

Keeping their own records and paying their own taxes.

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

17 / 50

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

Speak to the client in a low, calming voice.

Give the client physical space.

Yell at the client and tell them to calm down.

18 / 50

Reminiscence therapy is…

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

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

encouraging the client to remember and talk about the past.

19 / 50

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

Ignore the client after the third time.

Try to silence or stop the client.

Respond to the client with patience.

20 / 50

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

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

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

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

21 / 50

What is a symptom of the 1^st stage of a bedsore?

The skin is broken.

The client complains that they are in excruciating pain.

The area looks red and warm to the touch.

22 / 50

What is NOT true about a TIA?

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

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

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

23 / 50

What is NOT a sign of Dysphagia?

Weight Gain.

“Cheeking” foods instead of swallowing them.

Gurgling sounds or voice during and after meals.

24 / 50

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

Newspapers, magazines and television.

Calendars, clocks, signs and lists.

Picture books, Word and Counting Flash cards.

25 / 50

What thing should the DCW NOT do to prevent dehydration?

Limit fluids because the client is incontinent.

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

Encourage 64 ounces of fluids per day.

26 / 50

What is NOT true about Falls?

Falls are the most common cause of traumatic brain injuries.

Each year at least 10,000 older people are hospitalized because of a fall injury.

One out of five falls causes a serious injury such as broken bones or a head injury.

27 / 50

Validation therapy means what?

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

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

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

28 / 50

Sundowning means the following:

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

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

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

29 / 50

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

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

You received an acknowledgment message from Silver Lining.

You hope and pray that it was received.

30 / 50

What can cause a bedsore?

Turning a bed bound client every two hours.

Leaving a client in a wet incontinence product every day.

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

31 / 50

A Swallowing Study is performed by who…

A Registered Nurse.

Physical Therapist.

A Speech Language Pathologist.

32 / 50

How do you remain active on the registry?

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.

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

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

33 / 50

How do you reach the Payroll Department at Silver Lining?

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

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

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

34 / 50

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

Stay calm.

Yell at the client to stop the behavior.

Try to distract the client.

35 / 50

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

Remove your gloves.

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

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

36 / 50

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

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

Bedding that is damp or unclean encourages infection and disease.

Microorganisms thrive in moist, warm environments.

37 / 50

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

Serve steaming or very hot foods or drink.

Be flexible about bathing and showering.

Discourage fluids because a client is incontinent.

38 / 50

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

Text the Coordinators work cell.

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

Call the Coordinators work cell and leave a message.

39 / 50

How do you send in your timesheets to Silver Lining?

Email the timesheet to Hey@slhomecare.com

Email the timesheet to Time@slhomecare.com

Email the timesheet to Timesheets@slhomecare.com

40 / 50

Who is at risk for bedsores?

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

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

A senior marathon runner.

41 / 50

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

Give a Suppository.

Perform Wound Care.

Empty and change a Colostomy Bag.

42 / 50

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

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

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

Ensure the client is sitting upright as possible while eating.

43 / 50

What conditions make you more likely to fall?

Vitamin C deficiency.

Perfect vision.

Lower body weakness.

44 / 50

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

Hiccups.

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

Slurred speech.

45 / 50

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

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

Have the client lie in the supine position in bed.

Leave the stocking twisted on the client’s leg.

46 / 50

Direct Care Workers are allowed to do the following EXCEPT:

Empty and change a Foley Catheter Bag.

Put eye drops in the client’s eye(s).

Remind the client to take their medication(s).

47 / 50

What is a registry?

An organization that rosters Independent Contractors.

A facility where residents live.

An organization that hires employees.

48 / 50

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

They win the lottery.

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

They win a trip to the PA Department of Health.

49 / 50

What areas CAN'T a bedsore happen on?

The buttocks area.

The face.

Heels of the feet.

50 / 50

What is the most common cause of death in Alzheimer’s clients?

COVID.

Flu.

Aspiration pneumonia due to Dysphagia.

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