Employee-In-Service Form

* = Required Information

Name *

Email Address *

HomeCentris Agency ( Select One) *

Central Pennsylvania

Greater Philadelphia

CONFIDENTIALITY

1. The meaning of confidentiality is: *

Share information with my friends	Private and secret
Open and public	Tell anyone who asks

2. Mr. Smith confides to the direct care worker that he is not happy with one of his childres's drug use and doesn't want anyone to know. The worker should: *

Assure Mr. Smith that the conversation is private	Tell the worker's friends
Share the story with the worker's family	Write the story down

3. The Health Insurance Portability and Accountability Act ("HIPAA") is a law that concerns *

Children in foster homes	Who can know or share a person’s personal health information
Insurance companies	Pets

CONSUMER CONTROL AND THE INDEPENDENT LIVING PHILOSOPHY

1. Mr Jones tells the direct care worker that she would like her hot dog fried, not put in microwave. The direct care worker has never fried a hot dog. The direct care worker should: *

Ignore the request and microwave the hot dog	Ask Mrs. Jones to explain exactly how she used to do it and follow the directions
Prepare something elese	Tell Mrs. Jones "no, I'll cook it my way"

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: *

Not allow Mr. Jim to go outside	Tell Mr. Jim “you’re not allowed out while I’m here”
Call his family	Accompany Mr. Jim for a short walk with the use of his walker

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: *

Tell Miss English she looks funny	Take one of the sweaters off Miss English and hide it
Respect Miss English’s choice	Call her family and tell them she’s acting funny

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 *

“I am too busy”	“Write it yourself”
“It is not part of my job”	“Let’s set a time when I can help you some time today.”

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: *

Not do the laundry	Ask Mrs. Tune to explain how to use it or ask to see the “how to operate” instructions
Take the clothes to the closest Laundromat	Leave it for the next worker to do

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 cares. The direct care worker should: *

Tell Mr. Smith that they care	Look in the communication log to see what’s been written about his pain
Call their supervisor to report Mr. Smith’s complaint	All of the above

2. While helping Mrs. Spratt prepare her meals, the direct care worker notices that Mrs. Spratt keeps dropping things with her right hand, 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: *

Tell Mrs. Spratt to sit up straight and quit dropping things	Call the supervisor to explain Mrs. Spratt’s behavior
Ask Mrs. Spratt to go lay down until she feels better	Call the family

BASIC INFECTION CONTROL

1. How many times during a home visit should a direct care worker wash his or her hands? *

Before and after each contact with a consumer	At the beginning and end of the visit
At least once before the visit	At least once after the visit

2. The basic measure for preventing spread of disease is: *

Washing hands frequently	Dragging soiled clothing on the floor on way to the washing machine
Keeping bed linens clean	Flushing the toilet frequently

UNIVERSAL PRECAUTIONS

1. Which one of the following would NOT spread communicable diseases? *

Droplets from the nose and mouth	The use of universal precautions
Direct contact with feces (bowel movement)	Open wounds that are draining blood

2. The major recommendation of universal precautions is to minimize contact with which one of the following? *

Consumer’s linen	Consumer’s personal belongings
Blood and body fluids	Consumer’s skin

HANDLING OF EMERGENCIES

1. A direct care worker discovers a small fire in the wastebasket in a room where the consumer is sitting. The direct care worker should FIRST: *

Call 911	Contain the fire
Remove the consumer from the room	Extinguish the fire

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 is bent in an awkward position. The direct care worker should: *

Change the position of the arm	Help the person get off the floor
Call for medical help	Tell the person to quit crying

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 an accident that happens to the consumer or the worker while working with the consumer. When reporting a “critical incident”, the worker should: *

Tell the supervisor as soon as the worker becomes aware of incident	Wait until they get back to the office and have time to write it up
Leave a note	Call the family

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: *

Ignore it and only record what they do that day	Fill it in
Tell the supervisor	Call the person who worked those days

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? *

I assume all the services were done	Did the consumer refuse the other services?
Were the other services discontinued?	If it’s not documented, it didn’t happen.

RECOGNIZING AND REPORTING ABUSE AND NEGLECT

1. A direct care worker slaps a consumer. This is an example of: *

Neglect	Verbal abuse
Physical abuse	Restraint

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. *

True

False

3. For older persons, abuse and neglect is reported to: *

The family	Local Area Agency on Aging
The Human Relations Commission	The person’s church

4. For children, abuse and neglect is reported to: *

Pennsylvania’s Child Abuse Hotline	The family
The Human Relations Commission	The child’s church

5. A consumer complains to the direct care worker that another worker neglected her. The direct care worker should: *

Stand up for the other worker	Report the complaint
Listen to the complaint but do nothing	Tell the consumer she is just confused

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: *

Put the consumer to bed immediately	Curse back
Ask the consumer what is bothering him or her	Restrain the consumer in case he or she becomes violent

2. A confused consumer begins to cry out suddenly. What should the direct care worker do FIRST: *

Restrain the consumer	Call the family
Talk to the consumer in a soothing voice about familiar things	Leave the consumer alone

3. When a consumer starts to share spiritual beliefs with the direct care worker, the direct care worker should: *

Listen to what the consumer has to say	Tell the consumer to stop talking
Start to talk about personal beliefs	Report it to the family

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: *

Leave and come back another day	Use their cell phone to call the consumer to confirm if arrival is OK
Go to the neighbor’s house to wait until the screaming stops	Call the police

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? *

Tell the consumer to get rid of the guns	Peek in the window and leave
Discuss the situation with their supervisor	Call the family

BATHING, SHAVING, GROOMING & DRESSING

1. The direct care worker is going to bathe the consumer. What should the direct care worker do FIRST: *

Test the temperature of the water	Help the consumer to undress
Tell the consumer what the worker is going to do	Close the bathroom door and windows

2. When shaving a consumer’s face with a blade shaver (razor blade) it is important to FIRST: *

Soften the beard and skin with a warm washcloth for a few minutes	Leave the skin dry
Apply only water	Rub the face vigorously

3. When helping the consumer to dress, which of the following is NOT correct? *

Encourage the consumer to put on comfortable, safe and attractive clothes	Check that the consumer has shoes with non-slip soles
Never let the consumer pick out the clothes	Spread shoes as far open as possible for ease of the foot

4. Which of the following is NOT correct regarding elastic stockings? *

It is better to put them on the consumer while they are lying down	Turn the stocking inside out first
Position the stocking over the heel and foot	Grab and pull the stocking quickly up the rest of the leg

5. When giving the consumer a bed bath, it is good to: *

Start by washing the face, including, eyes, ears and neck	Proceed to wash arms, forearms, hands, including fingers & nails
Next, wash chest & abdomen, legs and feet	Finish by washing back, buttocks, and perineum
All of the above

6. Which of the following is FALSE? *

Respect the consumer’s dignity when washing him by draping as much as possible when not washing a particular area	Bathing is a good time to check for any possible bed sores
Always use soap on the consumer’s face, even if they complain	Always rinse and pat dry after washing a specific area

7. The consumer prefers tub baths instead of a shower. The direct care worker should: *

Assist consumer into the tub using fall prevention techniques	Ensure water temperature is safe and comfortable
Wash the consumer’s body parts that they cannot	Protect consumer from unnecessary exposure and chilling
All of the above

HAIR, SKIN, & MOUTH CARE

1. Hair care consists of: *

Brushing the hair and spraying it with lots of perfume	Brushing and/or combing from the scalp toward the hair ends
Wetting the hair	Wrapping a warm towel around the head

2. Common sites for pressure sores are: *

Elbow, shoulder	Hips, sacrum, coccyx, buttocks
Heels, ankles	All of the above

3. A consumer’s dentures should be stored in: *

Tissues	A denture cup
Napkins	The dresser drawer

4. If a consumer can’t do his or her oral hygiene, the direct care worker should: *

Ignore the consumer	Give them gum
Brush their teeth for them	Give them some mouthwash and tell them to spit it out

5. Shampooing a consumer who is confined to bed includes: *

Head and shoulders are moved to edge of bed if position is allowed	Plastic or rubber trough is placed under head and drains into basin
Multiple towels may be used to help position the head and shoulders	All of the above

ASSISTANCE WITH AMBULATION AND TRANSFERRING

1. To transfer a consumer from the bed to a wheelchair safely, the direct care worker should: *

Place a cushion in the back of the wheelchair	Use a foot stool
Lock the wheels on the wheelchair	Raise the bed to a high position

2. “Ambulate with assistance” means: *

Walk with the consumer twice a day	The consumer can use a wheelchair with help
Take the consumer’s blood pressure	The consumer can walk with help

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: *

The direct care worker needs to think about what to do next	The consumer may have something to say
The consumer may feel dizzy from standing up	The direct care worker wants to take the consumer’s pulse

4. Which statement is FALSE when transferring the consumer from the bed to a chair? *

Assess the consumer’s ability to help	Inform the consumer about the transfer and what he/she needs to do
Allow consumer to dangle his/her legs while sitting at side of bed	Bring the chair or wheelchair to the bedside at a 90 degree angle

5. Which of the following is FALSE? *

When transferring consumer from bed to chair, pivot the consumer so the consumer’s back is toward the chair	Tell client to place hands on the arm supports of wheelchair
Leave the brakes of wheelchair off while consumer is in it so the feel more independence	To ensure safety, always keep brake on while consumer is trying to sit in the chair

MEAL PREPARATION & FEEDING

1. The direct care worker who assists with meal preparation for a consumer with no dietary restrictions should: *

Know the consumer’s likes and dislikes	Cook what the direct care worker likes
Prepare only finger food	Prepare only liquids

2. The consumer has a history of difficulty with chewing and swallowing. The direct care worker should: *

Prepare the meal and leave the consumer alone	Prepare the meal and stay with the consumer to assist as needed
Not worry about it	Call the supervisor

3. The consumer is on a low sodium diet and should AVOID: *

Bread	Bacon
Fresh Fruits	Ice Cream

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: *

Cake, candy, potato chips	Skim milk, rice, broth
Green leafy vegetables, liver, peanut butter	Cheese, fruit, bacon

5. Providing well balanced meals that limit fatty foods would help the consumer who has one of the following illnesses: *

Dementia	Circulatory problems
Asthma	Foot fungus

TOILETING

1. When assisting the consumer with using the bathroom in their home, the direct care worker should: *

Provide privacy but remain nearby for safety or assistance	Leave the consumer alone
Only check to see that there’s enough toilet tissue	Make sure the consumer flushes before and after

2. The consumer must use a bedpan with assistance while in bed. The direct care worker should: *

Hand the bedpan to the consumer and leave the room	Position the consumer on the bedpan so the body is aligned and supported for comfort
Only check to see if the bedpan is nearby	Tell the consumer “Get the bedpan yourself”

3. The consumer must use a urinal while in bed. The direct care worker should do all of the following EXCEPT: *

Assist the consumer with placement of urinal	Provide privacy but remain nearby to assist
Assist consumer with hand washing	Remove urinal and leave it set on the floor

4. The consumer needs the urinal. What do you do? *

Ignore him	Get the urinal, assist him with placement, keep him covered
Hand him the urinal and walk away	Tell him to wait until done with folding laundry

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: *

Throw the medication in the waste basket	Return the medication to the bottle that it might have been in
Flush the medication down the toilet	Call their supervisor

2. The consumer has severe arthritis. The consumer’s medications come in child proof bottles. The direct care worker should: *

Assist the consumer by opening the bottles and assisting as needed	Hand a consumer a pair of pliers
Tell the consumer to order non-child proof bottles the next time	See how long it takes the consumer to figure it out

3. The direct care worker can assist the consumer with self-administration of medications. It is important for the direct care worker to: *

Tell the consumer when the medications are out-dated	Remind the consumer that he/she is taking the right medication, the right dosage, at the right time
Check to see if the medication is to be taken with food or on an empty stomach	All of the above

MISCELLANEOUS

1. When a consumer offers the direct care worker a tip for the services. The direct care worker should: *

Accept and then return it to consumer’s family member	Refuse and act shocked
Refuse in a firm, courteous manner	Accept the tip and share it with other direct care workers

2. The consumer tells the direct care worker that they aren’t happy with the person who is the consumer’s power of attorney or guardian. The direct care worker should: *

Volunteer to be the consumer’s power of attorney	Listen but refuse in a firm, courteous manner
Tell the family	Write it down

3. A consumer gives the direct care worker $50 as a birthday gift. The direct care worker should: *

Accept the money and thank the consumer	Share the money with the other direct care worker who helps
Politely refuse the gift	Use the money to buy a gift for the consumer

4. The Heimlich maneuver (abdominal thrust) should be used if the consumer is: *

Confused	Diabetic
Vomiting	Choking

5. The direct care worker has many responsibilities. Which one below is NOT one of the responsibilities? *

Fall prevention	Light housekeeping
Making decisions for a consumer who is capable of making decisions	Assisting the consumer with activities of daily living

6. The consumer had a stroke and must stay in bed while the bed is changed. Which procedure is the best choice? *

Keep consumer covered, position him on his side, back facing away, roll bottom linens close to him toward center of bed, place clean bottom linens with center fold nearest him, roll clean bottom linens nearest him and tuck under soiled linen. Log roll him over onto the side facing worker, move to other side of bed, remove soiled linens, unroll bottom sheet and tuck it under mattress, position him and cover him

Log roll him to one side, pull soiled linens out from under him, put clean linens on bed by sliding everything under him while he’s on his side, tuck each side under the mattress, have him move to middle of bed

Remove the pillows so his head is flat, pull the sheets out from under him, slide the sheet under his buttocks and pull up to his shoulders, then pull down towards feet, tuck in the sheet, return the pillow

Try to lift him into a chair so it’ll be easier to make the bed

7. It is important to smooth out wrinkles on the consumer’s bed because: *

It will look nice and help the consumer sleep better	It will be easier to keep clean
It helps decrease the risk for skin irritation and bed sores	The consumer’s cat likes it that way

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