Home Health Aid- Midterm Review Questions & Answers

When was the Medicare program created? - ANSWERS1965 How many hours of training are needed before an HHA can work? - ANSWERS75 hours Under whose supervision does an HHA work? - ANSWERSskilled professional, may be a nurse, a physical therapist, a speech language pathologist or occupational therapist What are some patient tasks that is outside the scope of practice for an HHA? - ANSWERS• HHAs do not administer medications unless trained and assigned to do so. • HHAs do not insert or remove tubes or obiects (other than a thermometer) into or from a client's body. • HHAs do not honor a request to do something outside the scope of practice, not listed in the job description, or not on the assignment sheet. • HHAs do not perform procedures that require sterile technique. • HHAs do not diagnose illnesses or prescribe treatments or medications. • HHAs do not tell the client or the family the diagnosis or the medical treatment plan. Why is it best to involve clients in their own care planning? - ANSWERSThey are more likely to participate in and continue treatment it provides person-centered care Occupational therapist - ANSWERSHelps clients learn to adapt to disabilities Social worker - ANSWERSDetermines clients' needs and helps them get Support services, such as counseling, meal services, and financial assistance Home Health Aide - ANSWERSPerform assigned asks such as measuring vital signs provides or assists with personal care such as bathing in the home Dietician - ANSWERSAssesses a client's nutritional status and develops a treatment plan to improve health and manage illness Why is it important to consider a client's cultural background when communicating with him? - ANSWERSIt shows respect & interest & promotes person centered care What is an active listener? - ANSWERSA person focusing on the person sending the message What is the three-step communication process? How does it work? - ANSWERS1st step- the sender sends a message 2nd step- the receiver receives the message 3rd Step- Providing feedback Why is accurate documentation important? - ANSWERS• It is the only way to guarantee clear and complete communication between all the members of the care team. • Documentation is a legal record of every part of a client's treatment. Medical charts can be used in court as legal evidence. • Documentation helps protect home health aides and their employers from liability by proving what they did during every visit with clients. • Documentation provides an up-to-date record of the status and care of each client. What is the chain of infection? - ANSWERSDescribes how disease is transmitted from one human being to another List and describe the steps in the chain of infection - ANSWERS1: Causative Agent - pathogenic microorgonism that causes disease 2: Reservoir- where the pathogen lives & multiplies 3: Portal of Exit- any body apening an an infected person that alows pathogens to leave. 4: Mode of Transmission- describes now the pathogen travels 5: Portals of Entry- any body opening an an uninfected person that allows pathogens 6: Susceptible Host- an uninfected person who would become ill. What is the single most important thing to do to prevent the spread of infection? - ANSWERSHand washing For how long should you use friction when washing hands? - ANSWERS20 seconds Proper order to DON (put on) PPE - ANSWERSwash hands, Gown, mask, goggles, gloves Proper order to DOFF (take off) PPE - ANSWERSGloves, goggles, gown, mask, wash hands What is the first step an HHA should take when cleaning up a spill? - ANSWERSput on golves How can blood-borne pathogens be transmitted? - ANSWERSEntering the bloodstream, infected semen or vaginal secretions contact mucous membranes, sexual contact with someone carrying a bloodborne disease, sharing infected drug needles, Infected pregnant women may transmit to their babies in the womb or at birth What are examples of body fluids? - ANSWERSTears, saliva, sputum, urine, feces, semen, vaginal secretions, pus other wound drainage What are some ways to prevent falls? - ANSWERS•Avoid waxing floors, and use mats or rugs with a nonslip backing where appropriate. •Have clients wear nonskid, sturdy shoes. Make sure shoelaces are tied. •Have clients wear clothing that is not too long and does not drag on the floor. •Keep personal items that are used often close to clients. •Immediately clean up spills on the floor. •Mark uneven flooring or stairs with tape of a contrasting color to indicate a hazard. •Improve lighting where needed •Lock wheels and move footrests out of the way before helping clients into or out of wheelchairs. •Lock bed wheels before helping clients into and out of bed or when giving care. •Before giving care, you will often need to raise adjustable beds to make your job easier and safer. After completing care, return beds to their lowest position. •When possible, get help when moving cli-ents. Keep clients' walking aids, such as canes or walkers, within their reach. •Offer help with elimination needs often. •Respond to requests for help immediately. •Leave furniture in the same place as you found it. How often should a client in bed be repositioned? - ANSWERSEvery 2 hour How often should a client in a wheelchair be repositioned? - ANSWERSEvery hoir 1f a client has a strong and weak side, which side moves first? - ANSWERSstronger side How does a client use a cane? - ANSWERSPlacing cane about 6 inches or comfortable distance, in front of stronger leg. Brings weaker leg even with the cone, brings stronger leg foward, slightly ahead of the cane. What parts of the body should be washed daily? - ANSWERSFace, hands, axillae, perineum