Care Giver Competency Quiz

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1 / 50

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

Slurred speech.

Hiccups.

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

2 / 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.

3 / 50

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

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

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

Call the hospital.

4 / 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.

5 / 50

How do you send in your timesheets to Silver Lining?

Email the timesheet to Time@slhomecare.com

Email the timesheet to Timesheets@slhomecare.com

Email the timesheet to Hey@slhomecare.com

6 / 50

Agitation means the following:

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

When a client is quietly looking at a photo album.

When a client is dancing and singing.

7 / 50

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

Write out a check for the client.

Use the client’s Credit Card.

Take cash from the client and bring back a receipt.

8 / 50

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

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.

Remove your gloves.

9 / 50

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

Picture books, Word and Counting Flash cards.

Newspapers, magazines and television.

Calendars, clocks, signs and lists.

10 / 50

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

Place the dirty linens in a hamper or basket.

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

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

11 / 50

What can cause a bedsore?

Turning a bed bound client every two hours.

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

Leaving a client in a wet incontinence product every day.

12 / 50

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

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

Ensure the client is sitting upright as possible while eating.

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

13 / 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.

Microorganisms thrive in moist, warm environments.

Bedding that is damp or unclean encourages infection and disease.

14 / 50

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

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

The skin on the buttocks is slightly red.

The skin on the buttocks is severely damaged.

15 / 50

What should you do to prevent a fall?

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

Wear flip flops all the time.

Get rid of things the client could trip over.

16 / 50

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

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.

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

17 / 50

What is a registry?

A facility where residents live.

An organization that hires employees.

An organization that rosters Independent Contractors.

18 / 50

What areas CAN'T a bedsore happen on?

Heels of the feet.

The face.

The buttocks area.

19 / 50

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

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

They will eventually recover.

They will need more care as the disease progresses.

20 / 50

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

The area looks red and warm to the touch.

The client complains that they are in excruciating pain.

The skin is broken.

21 / 50

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

Give the client physical space.

Speak to the client in a low, calming voice.

Yell at the client and tell them to calm down.

22 / 50

What is a TIA?

A temporary blockage of blood flow to the heart.

A temporary blockage of blood flow to the lower extremities.

A temporary blockage of blood flow to the brain.

23 / 50

What conditions make you more likely to fall?

Lower body weakness.

Perfect vision.

Vitamin C deficiency.

24 / 50

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

Flu.

Aspiration pneumonia due to Dysphagia.

COVID.

25 / 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.

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

Arrive on time.

26 / 50

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

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

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

Give the client tasks that they can’t accomplish.

27 / 50

What is NOT true about a TIA?

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

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.

28 / 50

A Swallowing Study is performed by who…

A Registered Nurse.

Physical Therapist.

A Speech Language Pathologist.

29 / 50

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

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

They win the lottery.

They win a trip to the PA Department of Health.

30 / 50

Sundowning means the following:

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.

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

31 / 50

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

Be flexible about bathing and showering.

Discourage fluids because a client is incontinent.

Serve steaming or very hot foods or drink.

32 / 50

What thing should the DCW NOT do to prevent dehydration?

Limit fluids because the client is incontinent.

Encourage 64 ounces of fluids per day.

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

33 / 50

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

Roller Blading.

Tai Chi.

Aerobics.

34 / 50

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

Yell at the client to stop the behavior.

Try to distract the client.

Stay calm.

35 / 50

Activity therapy is…

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

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

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

36 / 50

Who is at risk for bedsores?

A senior marathon runner.

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

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

37 / 50

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

Empty and change a Colostomy Bag.

Give a Suppository.

Perform Wound Care.

38 / 50

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

Parkinson’s disease.

Car Accident.

Dementia/Alzheimer’s.

39 / 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.

40 / 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.

41 / 50

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

Putting railings on both sides of the stairs.

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

Keeping the lights dim throughout the house.

42 / 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).

43 / 50

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…

Not have a feeding tube inserted.

Stop feeding the client.

Consider an evaluation for Hospice Care.

44 / 50

What is NOT a risk factor for a TIA?

Diabetes.

Dysphagia.

Smoking.

45 / 50

How do you remain active on the registry?

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

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.

46 / 50

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

Have the client lie in the supine position in bed.

Leave the stocking twisted on the client’s leg.

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

47 / 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.

48 / 50

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

Leave the client alone and go pick up the prescription.

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

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

49 / 50

How do you reach the Payroll Department at Silver Lining?

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

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

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

50 / 50

What is NOT a sign of Dysphagia?

Gurgling sounds or voice during and after meals.

“Cheeking” foods instead of swallowing them.

Weight Gain.

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