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Competency Test

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Part 1: Confidentiality/HIPAA

1. The meaning of confidentiality is:*
2. Mr. Smith confides to the direct care worker that he is not happy with one of his children's drug use behaviors and doesn't want anyone to know. The worker should:*
3. The Health Insurance Portability and Accountability Act (HIPAA) is a law that protects:*

Part 2: Consumer Control and the Independent Living Philosophy

1. Mrs. Jones tells the direct care worker that she would like her hot dog fried, not put in the microwave. The direct care worker has never fried a hot dog. The direct care worker should:*
2. Mr. Jim likes to go outside for walks. He is a little unsteady, but he has a walker to assist him. The direct care worker should:*
3. Miss English has decided to wear two sweaters instead of one because she says she is always cold. The two sweaters make her look "funny': The direct care worker should:*

Part 3: Instrumental Activities of Daily Living

1. The direct care worker is busy doing Mr. Clean's light housework. Mr. Clean asks the direct care worker to help him write a letter. What should the direct care worker say?*
2. Mrs. Tune needs assistance doing the laundry. The direct care worker is not familiar with Mrs. Tune's type of washing machine. The direct care worker should:*

Part 4: Recognizing Changes in the Consumer That Need to Be Addressed

1. Mr. Smith tells the direct care worker that he has had pain for three days and no one care. The direct care worker should:*
2. While helping Mrs. Spratt prepare her meals, the direct care worker notices that Mrs. Spratt keeps dropping things with her right hand, she can't hold her fork without shaking, and seems to lean to her right side when sitting at the table. Mrs. Spratt didn't do those things yesterday. The direct care worker should:*

Part 5: Basic Infection Control

1. How many times during a home visit should a direct care worker wash his or her hands?*
2. The basic measure for preventing spread of disease is:*

Part 6: Universal Precautions

1. Which one of the following would NOT spread communicable diseases?*
2. The major recommendation of universal precautions is to minimize contact with which one of the following?*

Part 7: Handling of Emergencies

1. A direct care worker discovers a small fire in the waste basket in a room where the consumer is sitting. The direct care worker should FIRST:*
2.Upon entering the consumer's home, the direct care worker finds the consumer on the floor crying, in pain, and holding their arm which it's bent in an awkward position. The direct care worker should:*
3. Part of a direct care worker's job is to report "critical incidents." An incident can be changes in a consumer's behavior or condition, or accidents that happen to the consumer or the worker while working. When reporting a "critical incident":*

Part 8: Documentation

1. Every consumer receiving homecare services will have a record that is kept at their home. All services, interventions and uncommon observations are to be recorded. The direct care worker notices that "prepare lunch" hasn't been recorded for several days while they were off. The direct care worker should:*
2. The direct care worker provided several services during one home visit. The direct care worker documented that only one service was done. When the supervisor reviews the consumer's service record, which statement will the supervisor be most likely to make?*

Part 9: Recognizing and Reporting Abuse and Neglect

1. A direct care worker slaps a consumer. This is an example of:*
2. Abuse can be infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish and/or willful deprivation by a caretaker of goods or services which are necessary to maintain physical or mental health*
3. For older persons, abuse and neglect are reported to:*
4. For children, abuse and neglect is reported to:*
5. A consumer complains to the direct care worker that another worker neglected her. The direct care worker should:*

Part 10: Dealing with Difficult Behaviors

1. An angry consumer curses loudly at the direct care worker. It would be BEST for the direct care worker to:*
2. A confused consumer begins to cry out suddenly. What should the direct care worker do FIRST:*
3. When a consumer starts to share spiritual beliefs with the direct care worker, the direct care worker should:*
4. Upon arrival at the consumer's home, the direct care worker hears screaming and yelling coming from the house, but it is only the voice of the consumer. First, the direct care worker should:*
5. The direct care worker notices that the consumer has multiple sizes of guns lying around the house and doesn't know if they are loaded or not. The direct care worker is afraid of guns. What should the worker do first?*

Part 11: Bathing, Shaving, Grooming, and Dressing

1. The direct care worker is going to bathe the consumer. What should the direct care worker do FIRST:*
2. When shaving a consumer's face with a blade shaver (razor blade) it is important to FIRST:*
3. When helping the consumer to dress, which of the following is NOT correct?*
4. Which of the following is NOT correct regarding elastic stockings?*
5. When giving the consumer a bed bath, it is good to:*
6. Which of the following is FALSE?*
7. The consumer prefers tub baths instead of a shower. The direct care worker should:*

Part 12: Hair, Skin, and Mouth Care

1. Hair care consists of:*
2. Common sites for pressure sores are:*
3. A consumer's dentures should be stored in*
4. If a consumer can't do his or her oral hygiene, the direct care worker should:*
5. Shampooing a consumer who is confined to bed includes:*

Part 13: Assistance with Ambulation and Transferring

1. To transfer a consumer from the bed to a wheelchair safely, the direct care worker should:*
2. "Ambulate with assistance" means:*
3. It is important for the direct care worker to remain in front of the consumer for a few minutes after they stand up and before helping them to a chair, bed, or start to walk because:*
4. Which statement is FALSE when transferring the consumer from the bed to a chair?*
5. Which of the following is FALSE?*

Part 14: Meal Preparation and Feeding

1. The direct care worker who assists with meal preparation for a consumer with no dietary restrictions should:*
2. The consumer has a history of difficulty with chewing and swallowing. The direct care worker should:*
3. The consumer is on a low sodium diet and should AVOID:*
4. The consumer had a doctor's visit since the worker's last visit and tells the worker 'I have to eat foods that are high-iron". Knowing the consumer's preferences, the worker suggests one of the following:*
5. Providing well balanced meals that limit fatty foods would help the consumer who has one of the following illnesses:*

Part 15: Toileting

1. When assisting the consumer with using the bathroom in their home, the direct care worker should:*
2. The consumer must use a bedpan with assistance while in bed. The direct care worker should:*
3. The consumer must use a urinal while in bed. The direct care worker should do all of the following EXCEPT:*
4. The consumer needs the urinal. What do you do?*

Part 16: Assistance with Self-Administered Medications

1. The direct care worker finds a consumer's medication on the living room floor. The direct care worker should:*
2. The consumer has severe arthritis. The consumer's medications come in child proof bottles. The direct care worker should:*
3. The direct care worker can assist the consumer with self-administration of medications. It is important for the direct care worker to:*

Part 17: Miscellaneous

1. When a consumer offers the direct care worker a tip for the services. The direct care worker should:*
2. The consumer tells the direct care worker they aren't happy with their power of attorney or guardian and asks the direct care worker to become the POA. The direct care worker should:*
3. A consumer gives the direct care worker $50 as a birthday gift. The direct care worker should:*
4. The Heimlich Maneuver (abdominal thrust) should be used if the consumer is:*
5. The direct care worker has many responsibilities. Which one below is NOT one of the responsibilities?*
6. The consumer had a stroke and must stay in bed while the bed is changed. Which procedure is the best choice?*
7. It is important to smooth out wrinkles on the consumer's bed because:*

Part 18: Reading and Writing Skills

Summer Nights

It is nighttime in the summer. Luke, Jake, and Conner look up at the sky. Jake sees the Milky Way. Luke points to the moon. It’s a half moon. Conner looks at all the bright stars. After they study the sky, they collect fireflies in a jar. They hear an owl hoot loudly from a nearby tree. The boys love being outside on summer nights. They sleep in a tent so they can stay out all night. When they are ready to go to bed, they climb into the tent and use the fireflies as a nightlight. They let the fireflies go in the morning so they can catch them again next time they sleep outside.

Part 19: Mathematics Skills

1. What is $7.50 + $ 9.00*
2. What is $13.00 + $10.00*
3. What is 3x5?*
4. What is $4.00 + $6.00*
5. Judy was watching a new TV series that had 12 episodes. She already watched 6 episodes. How many more episodes does Judy have to watch?*
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