Connecticut Homemaker-Companion
Agency Administrator Exam Practice
Questions And Correct Answers (Verified
Answers) Plus Rationale | Instant Download
Pdf.
Practice Question Bank & Answer Rationale
THIS PACK CONTAINS
150 exam-style multiple-choice questions. Each question includes the correct answer and a complete
rationale for focused revision.
COVERAGE
This exam assesses the knowledge and application skills required to administer a homemaker-companion
agency in Connecticut, covering regulatory compliance, client care planning, personnel management, and
business operations. It emphasizes Connecticut-specific statutes, Medicaid waiver programs, and best
practices for non-medical home care. The questions are designed to test critical thinking and regulatory
interpretation at a professional level.
STUDY GUIDE
Recommended duration: 2 hours. Passing target: 80%.
HIGHP - Page 1 of 52
,1. Under Connecticut law, which of the following is a requirement for obtaining a
homemaker-companion agency license?
[ ] A. A registered nurse must be on staff at all times.
[ ] B. The agency must provide skilled nursing services.
[ ] C. The agency must have a written plan of care for each client.
[ ] D. The agency must be owned by a licensed physician.
CORRECT: C. The agency must have a written plan of care for each client.
Connecticut General Statutes require homemaker-companion agencies to develop and maintain a written
plan of care for each client, ensuring services are tailored to individual needs. Options A, B, and D are
incorrect because homemaker-companion agencies provide non-medical services and do not require a nurse
on staff, skilled nursing, or physician ownership.
2. A homemaker-companion agency administrator is reviewing the Connecticut Medicaid
waiver program for home care. Which of the following services is typically covered under
the waiver?
[ ] A. Skilled nursing care
[ ] B. Physical therapy
[ ] C. Homemaker and companion services
[ ] D. Hospice care
CORRECT: C. Homemaker and companion services
Connecticut's Medicaid waiver programs, such as the Home Care Program for Elders, cover homemaker and
companion services to help individuals remain in their homes. Skilled nursing, physical therapy, and hospice
care are not typically covered under homemaker-companion waivers, as they are medical services provided
under other programs.
3. Which of the following is a key element of a client's plan of care for
homemaker-companion services?
[ ] A. Medication administration schedule
[ ] B. Frequency and duration of services
[ ] C. Physical therapy exercises
[ ] D. Physician's orders for skilled nursing
CORRECT: B. Frequency and duration of services
A plan of care for homemaker-companion services must specify the frequency and duration of services to
ensure appropriate scheduling and resource allocation. Medication administration, physical therapy, and
skilled nursing orders are not within the scope of homemaker-companion agencies, which provide
non-medical support.
HIGHP - Page 2 of 52
,4. An agency administrator is developing a training program for homemaker-companion
staff. Which topic is essential to include to meet Connecticut requirements?
[ ] A. Advanced cardiac life support
[ ] B. Infection control and universal precautions
[ ] C. Medication administration
[ ] D. Wound care dressing changes
CORRECT: B. Infection control and universal precautions
Connecticut requires homemaker-companion staff to receive training in infection control and universal
precautions to prevent the spread of illness. Advanced cardiac life support, medication administration, and
wound care are advanced medical skills not required for homemaker-companion personnel.
5. Which of the following best describes the role of a homemaker-companion aide?
[ ] A. Providing skilled nursing care under physician orders
[ ] B. Assisting with activities of daily living and light housekeeping
[ ] C. Administering medications and monitoring vital signs
[ ] D. Performing physical therapy exercises
CORRECT: B. Assisting with activities of daily living and light housekeeping
Homemaker-companion aides assist with activities of daily living (ADLs) such as bathing, dressing, and light
housekeeping, but do not provide skilled nursing, administer medications, or perform therapy. These tasks
are outside their scope of practice and require licensed professionals.
6. An agency administrator is evaluating a potential client referral. Which factor would
disqualify the client from receiving homemaker-companion services under Connecticut
regulations?
[ ] A. The client requires assistance with bathing.
[ ] B. The client needs help with grocery shopping.
[ ] C. The client requires wound care dressing changes.
[ ] D. The client needs companionship and meal preparation.
CORRECT: C. The client requires wound care dressing changes.
Homemaker-companion agencies are prohibited from providing skilled nursing services such as wound care.
Clients requiring wound care would need a home health agency. Assistance with bathing, grocery shopping,
and companionship are appropriate services for homemaker-companion agencies.
7. Which of the following is a documentation requirement for homemaker-companion
agencies in Connecticut?
[ ] A. Daily nursing notes signed by a registered nurse
[ ] B. A record of services provided and hours worked for each client
HIGHP - Page 3 of 52
, [ ] C. Monthly physician progress notes
[ ] D. Annual physical therapy assessments
CORRECT: B. A record of services provided and hours worked for each client
Connecticut regulations require homemaker-companion agencies to maintain records of services provided
and hours worked for each client to ensure accountability and proper billing. Nursing notes, physician
progress notes, and therapy assessments are not required for non-medical homemaker-companion services.
8. An administrator is conducting a quality assurance review. Which outcome measure is
most appropriate for evaluating the effectiveness of homemaker-companion services?
[ ] A. Reduction in hospital readmission rates
[ ] B. Improvement in client's ability to perform activities of daily living
[ ] C. Decrease in medication errors
[ ] D. Increase in physical therapy attendance
CORRECT: B. Improvement in client's ability to perform activities of daily living
The primary goal of homemaker-companion services is to help clients maintain independence in activities of
daily living (ADLs). Therefore, improvement in ADL performance is a key outcome measure. Hospital
readmissions, medication errors, and therapy attendance are more relevant to skilled medical or rehabilitation
services.
9. Which of the following is a permissible task for a homemaker-companion aide in
Connecticut?
[ ] A. Administering oral medications
[ ] B. Changing a sterile dressing
[ ] C. Assisting with ambulation
[ ] D. Performing range-of-motion exercises
CORRECT: C. Assisting with ambulation
Homemaker-companion aides may assist with ambulation as part of activities of daily living support.
Administering medications, changing sterile dressings, and performing range-of-motion exercises are skilled
tasks that require licensed professionals and are not within the scope of homemaker-companion services.
10. An agency administrator is reviewing a client's care plan and notices that the client's
needs have changed. What is the appropriate action?
[ ] A. Continue with the existing plan until the next scheduled review.
[ ] B. Reassess the client and update the plan of care as needed.
[ ] C. Refer the client to a skilled nursing facility.
[ ] D. Discharge the client from services immediately.
HIGHP - Page 4 of 52
Agency Administrator Exam Practice
Questions And Correct Answers (Verified
Answers) Plus Rationale | Instant Download
Pdf.
Practice Question Bank & Answer Rationale
THIS PACK CONTAINS
150 exam-style multiple-choice questions. Each question includes the correct answer and a complete
rationale for focused revision.
COVERAGE
This exam assesses the knowledge and application skills required to administer a homemaker-companion
agency in Connecticut, covering regulatory compliance, client care planning, personnel management, and
business operations. It emphasizes Connecticut-specific statutes, Medicaid waiver programs, and best
practices for non-medical home care. The questions are designed to test critical thinking and regulatory
interpretation at a professional level.
STUDY GUIDE
Recommended duration: 2 hours. Passing target: 80%.
HIGHP - Page 1 of 52
,1. Under Connecticut law, which of the following is a requirement for obtaining a
homemaker-companion agency license?
[ ] A. A registered nurse must be on staff at all times.
[ ] B. The agency must provide skilled nursing services.
[ ] C. The agency must have a written plan of care for each client.
[ ] D. The agency must be owned by a licensed physician.
CORRECT: C. The agency must have a written plan of care for each client.
Connecticut General Statutes require homemaker-companion agencies to develop and maintain a written
plan of care for each client, ensuring services are tailored to individual needs. Options A, B, and D are
incorrect because homemaker-companion agencies provide non-medical services and do not require a nurse
on staff, skilled nursing, or physician ownership.
2. A homemaker-companion agency administrator is reviewing the Connecticut Medicaid
waiver program for home care. Which of the following services is typically covered under
the waiver?
[ ] A. Skilled nursing care
[ ] B. Physical therapy
[ ] C. Homemaker and companion services
[ ] D. Hospice care
CORRECT: C. Homemaker and companion services
Connecticut's Medicaid waiver programs, such as the Home Care Program for Elders, cover homemaker and
companion services to help individuals remain in their homes. Skilled nursing, physical therapy, and hospice
care are not typically covered under homemaker-companion waivers, as they are medical services provided
under other programs.
3. Which of the following is a key element of a client's plan of care for
homemaker-companion services?
[ ] A. Medication administration schedule
[ ] B. Frequency and duration of services
[ ] C. Physical therapy exercises
[ ] D. Physician's orders for skilled nursing
CORRECT: B. Frequency and duration of services
A plan of care for homemaker-companion services must specify the frequency and duration of services to
ensure appropriate scheduling and resource allocation. Medication administration, physical therapy, and
skilled nursing orders are not within the scope of homemaker-companion agencies, which provide
non-medical support.
HIGHP - Page 2 of 52
,4. An agency administrator is developing a training program for homemaker-companion
staff. Which topic is essential to include to meet Connecticut requirements?
[ ] A. Advanced cardiac life support
[ ] B. Infection control and universal precautions
[ ] C. Medication administration
[ ] D. Wound care dressing changes
CORRECT: B. Infection control and universal precautions
Connecticut requires homemaker-companion staff to receive training in infection control and universal
precautions to prevent the spread of illness. Advanced cardiac life support, medication administration, and
wound care are advanced medical skills not required for homemaker-companion personnel.
5. Which of the following best describes the role of a homemaker-companion aide?
[ ] A. Providing skilled nursing care under physician orders
[ ] B. Assisting with activities of daily living and light housekeeping
[ ] C. Administering medications and monitoring vital signs
[ ] D. Performing physical therapy exercises
CORRECT: B. Assisting with activities of daily living and light housekeeping
Homemaker-companion aides assist with activities of daily living (ADLs) such as bathing, dressing, and light
housekeeping, but do not provide skilled nursing, administer medications, or perform therapy. These tasks
are outside their scope of practice and require licensed professionals.
6. An agency administrator is evaluating a potential client referral. Which factor would
disqualify the client from receiving homemaker-companion services under Connecticut
regulations?
[ ] A. The client requires assistance with bathing.
[ ] B. The client needs help with grocery shopping.
[ ] C. The client requires wound care dressing changes.
[ ] D. The client needs companionship and meal preparation.
CORRECT: C. The client requires wound care dressing changes.
Homemaker-companion agencies are prohibited from providing skilled nursing services such as wound care.
Clients requiring wound care would need a home health agency. Assistance with bathing, grocery shopping,
and companionship are appropriate services for homemaker-companion agencies.
7. Which of the following is a documentation requirement for homemaker-companion
agencies in Connecticut?
[ ] A. Daily nursing notes signed by a registered nurse
[ ] B. A record of services provided and hours worked for each client
HIGHP - Page 3 of 52
, [ ] C. Monthly physician progress notes
[ ] D. Annual physical therapy assessments
CORRECT: B. A record of services provided and hours worked for each client
Connecticut regulations require homemaker-companion agencies to maintain records of services provided
and hours worked for each client to ensure accountability and proper billing. Nursing notes, physician
progress notes, and therapy assessments are not required for non-medical homemaker-companion services.
8. An administrator is conducting a quality assurance review. Which outcome measure is
most appropriate for evaluating the effectiveness of homemaker-companion services?
[ ] A. Reduction in hospital readmission rates
[ ] B. Improvement in client's ability to perform activities of daily living
[ ] C. Decrease in medication errors
[ ] D. Increase in physical therapy attendance
CORRECT: B. Improvement in client's ability to perform activities of daily living
The primary goal of homemaker-companion services is to help clients maintain independence in activities of
daily living (ADLs). Therefore, improvement in ADL performance is a key outcome measure. Hospital
readmissions, medication errors, and therapy attendance are more relevant to skilled medical or rehabilitation
services.
9. Which of the following is a permissible task for a homemaker-companion aide in
Connecticut?
[ ] A. Administering oral medications
[ ] B. Changing a sterile dressing
[ ] C. Assisting with ambulation
[ ] D. Performing range-of-motion exercises
CORRECT: C. Assisting with ambulation
Homemaker-companion aides may assist with ambulation as part of activities of daily living support.
Administering medications, changing sterile dressings, and performing range-of-motion exercises are skilled
tasks that require licensed professionals and are not within the scope of homemaker-companion services.
10. An agency administrator is reviewing a client's care plan and notices that the client's
needs have changed. What is the appropriate action?
[ ] A. Continue with the existing plan until the next scheduled review.
[ ] B. Reassess the client and update the plan of care as needed.
[ ] C. Refer the client to a skilled nursing facility.
[ ] D. Discharge the client from services immediately.
HIGHP - Page 4 of 52