PCHA TEST QUESTIONS & ANSWERS
ALREADY PASSED!!
ADL - activity of daily living. includes eating, drinking, bathing, ambulating, transferring in and out of
bed, toileting, self administering drugs
IADL - instrumental activities of daily living. doing laundry, shopping, keeping clean, seasonal clothing,
securing and using transportation, managing finances, personal possessions, engaging in activities
signs of pressure ulcers - heat, redness, tenderness, discomfort, feeling of burning, darkened area after
20 minutes pressure ulcer forms
stage 1 pressure ulcer - nonblanchable erythema of intact skin, discoloration of skin, warmth to the
touch, or hardness
stage 2 pressure ulcer - partial thickness skin loss involving epidermis and dermis. ulcer is superficial-
presents as an abrasion, blister or shallow crater
stage 3 pressure ulcer - full thickness skin loss involving damage or necrosis of subcutaneous tissue that
may extend down to but not through underlying fascia. Ulcer presents with or without undermining or
adjacent tissue
stage 4 pressure ulcer - full thickness skin loss with extensive destruction, tissue necrosis or damage to
muscle or bone or supporting structures
how to prevent pressure ulcers - re position every 2 hours, provide good skin care, apply lotion to dry
skin, clean bed linens with no wrinkles, use pillows to keep skin from skin contact
wound assessment check list - location of wound, size of wound, dressings, drainage such as color smell
and amount, tunneling, stage of wound, pressure reducing devices
, client assessment - what are they capable of doing? dignity issues, adult games, who they were before
when they were young
internal controls system - methods and procedures adopted by a business to control its operations and
protect its assets from waste and fraud, promotes operational efficiencies
prevention is - KEY
a resident should be evaluated by a dr how many days prior to admission and how many days after - 60
prior, and 30 days after
a general physical exam includes - medical diagnosis, medical information, special health needs and
dietary needs, allergies, immunizations, history, medication regimen, body positioning
types of activities - mental stimulation, socialization, creative, productive, spiritual, emotional, physical,
personal care, sensory
why do an evaluation - effectiveness, benefits vs. costs, document residents progress, is a certain activity
working? improve staff morale to see residents happy
activities to avoid for memory impaired - long explanations, busy work without a purpose, things that
require extensive use of memory, childlike activities
Accrual Basis Accounting - accounting basis in which revenues are assigned to the accounting period in
which earned regardless if whether or not received in cash expensive incurred in earning the revenues
are deducted from the revenues regardless of whether or not cash has been disbursed in their payment
Cash Basis of Accounting - accounting in which revenues are reported as being earned in the accounting
period in which cash is received and expenses are deducted from revenues in the accounting period in
which cash is disbursed for their payment
ALREADY PASSED!!
ADL - activity of daily living. includes eating, drinking, bathing, ambulating, transferring in and out of
bed, toileting, self administering drugs
IADL - instrumental activities of daily living. doing laundry, shopping, keeping clean, seasonal clothing,
securing and using transportation, managing finances, personal possessions, engaging in activities
signs of pressure ulcers - heat, redness, tenderness, discomfort, feeling of burning, darkened area after
20 minutes pressure ulcer forms
stage 1 pressure ulcer - nonblanchable erythema of intact skin, discoloration of skin, warmth to the
touch, or hardness
stage 2 pressure ulcer - partial thickness skin loss involving epidermis and dermis. ulcer is superficial-
presents as an abrasion, blister or shallow crater
stage 3 pressure ulcer - full thickness skin loss involving damage or necrosis of subcutaneous tissue that
may extend down to but not through underlying fascia. Ulcer presents with or without undermining or
adjacent tissue
stage 4 pressure ulcer - full thickness skin loss with extensive destruction, tissue necrosis or damage to
muscle or bone or supporting structures
how to prevent pressure ulcers - re position every 2 hours, provide good skin care, apply lotion to dry
skin, clean bed linens with no wrinkles, use pillows to keep skin from skin contact
wound assessment check list - location of wound, size of wound, dressings, drainage such as color smell
and amount, tunneling, stage of wound, pressure reducing devices
, client assessment - what are they capable of doing? dignity issues, adult games, who they were before
when they were young
internal controls system - methods and procedures adopted by a business to control its operations and
protect its assets from waste and fraud, promotes operational efficiencies
prevention is - KEY
a resident should be evaluated by a dr how many days prior to admission and how many days after - 60
prior, and 30 days after
a general physical exam includes - medical diagnosis, medical information, special health needs and
dietary needs, allergies, immunizations, history, medication regimen, body positioning
types of activities - mental stimulation, socialization, creative, productive, spiritual, emotional, physical,
personal care, sensory
why do an evaluation - effectiveness, benefits vs. costs, document residents progress, is a certain activity
working? improve staff morale to see residents happy
activities to avoid for memory impaired - long explanations, busy work without a purpose, things that
require extensive use of memory, childlike activities
Accrual Basis Accounting - accounting basis in which revenues are assigned to the accounting period in
which earned regardless if whether or not received in cash expensive incurred in earning the revenues
are deducted from the revenues regardless of whether or not cash has been disbursed in their payment
Cash Basis of Accounting - accounting in which revenues are reported as being earned in the accounting
period in which cash is received and expenses are deducted from revenues in the accounting period in
which cash is disbursed for their payment
