HHA Home Health Care Study Guide Questions & Answer

Body language - ANSWERSNonverbal communication Elements of good communication - ANSWERSMake clear message -Provide and seek confirmation -be active participant -be mindful of nonverbal messages -importance of touch eye contact sender/receiver/message/confirmation Who report to if change in condition of client - ANSWERSNurse Terms of endearment - ANSWERSWords/phrases used to address a person that speaker feels affection ie, honey, babe Should we use terms of endearment? - ANSWERSNo. Some may find it demeaning, insulting and belittling If suspect abuse? - ANSWERSReport concerns to supervisor What should you report? - ANSWERSAny changes or concerns Changes in: -mood -mental awareness -level of independence -behavior -vital signs -urine/bowel movements -skin color/condition -appetite -sleep habits -comfort level How use senses to gather information? - ANSWERSObjective observation Ex.Blood pressure, pulse, skin is hot and dry Legal document - ANSWERSFormal accounting of care that can be used as evidence should legal problem or dispute arise Ex. Medical records Living will Advance Directives Correction on legal document? - ANSWERSDraw a single line through, correct and initial Follow employers policy Information on label - ANSWERSServing size, calories, nutrients supplied, ingredients Safest way to transfer bed to wheelchair? - ANSWERSTransfer belt and pivot transfer Lifting heavy object - ANSWERSdecide which side of object to face for most balanced load, stand close to object with feet apart, keep back straight, bend knees and grip, lift with legs, arms, shoulders (not back/stomach), keep load close to your body and don't twist while holding; when putting object down, keep back straight and lower object by bending knees How prepare client for meal? - ANSWERSassist to use bathroom and wash hands -provide mouth care for better taste, clean dentures, ensure placement of dentures -assist w/glasses, hearing aid -create comfy, pleasurable environ, neat, clean, odor free, good lighting -comfy, upright position w/head up and hips at 90 degree angle, feet flat on floor, elbows or forearms on table for support -assist w/clothing protector, dont call it a bib Why wash hands? - ANSWERSMost important thing you can do to control spread of microbes OSHA Occupational Safety And Health Administration - ANSWERSGovernment agency that insures a safe work environment What should you do in a fire? - ANSWERSR. A. C. E rescue, alarm, contain, extinguish What if trapped in a fire situation? - ANSWERSRemain calm and use good judgement, keep doors closed,call 911,Open window signal help How do some people act when they are ill - ANSWERSAngry, upset and hostile feel like burden fear,frustration,fatigue,depressed Why important to give client opportunities to talk - ANSWERSCommunication is one of 5 principles of care helps identify client needs listening is key ability ensures respect and reduce feelings of loneliness and sadness What is dehydration? - ANSWERSNot enough fluids water loss greater than water intake Symptoms dehydration? - ANSWERSconfusion -poor skin turgor (skin does not return to normal shape when squeezed/pinched -passing small amts of dark urine -constipation -drowsiness -very dry skin or chapped lips -elevated temperature what is the universal sign for chocking - ANSWERShold neck with hands-Clutching the throat gasping, coughing, gagging, and bluish lips or skin what are the signs and symptoms of heart attack? - ANSWERSchest pain, discomfort, pressure or squeezing lasting longer than 3-5 min not relieved by resting, changing positions, taking nitroglycerin or goes away and comes back -discomfort or pain that spreads to one or both arms, the back, shoulder, neck, jaw or upper stomach -dizzy, lightheaded, loss of consc. -trouble breathing, noisy breathing, short of breath, faster than normal breathing -faster or slower heartbeat than normal -irregular heartbeat -nausea -pale, ashy, slightly bluish skin -cold sweat -feeling anxiety or doom -extreme fatigue what is a DNR order? - ANSWERSwhen a persons chooses to forego life-sustaining treatments at end of life. Do Not Resuscitate what is health care proxy? - ANSWERSdurable power of attorney giving responsibility to specific person. Patient Bill of Rights - ANSWERSright to exercise ones rights right to privacy and confidentiality right to information right to choose right to notification of change protection of personal funds grievance rights transfer and discharge rights right to be free from restraints and abuse what do you do if you suspect a poisoning incident has happened? - ANSWERSrecognize emergency check scene and person, call poison control, care report and record what happens during a seizure/convulsion? what you should do? - ANSWERSuncontrolled body movements caused by contraction of the muscle. protect from injuries, do not hold, when seizure done turn to the side,arm up how do you controlled heavy bleeding? - ANSWERSgloves on, cover wound with sterile dressing and press apply pressure as more covering if needed how would you help if someone is burned? - ANSWERSif caused by heat, cool it w/running water if chemical, flush w/running water if liquid or brush off using gloves then flush w/water turn power off at source unless you cant, then dont touch person or wires cover loosely w/sterile, dry dressing reassure and monitor for shock call 911 if trouble breathing or signs of burn around mouth/nose if burn covers more rhan 1 body part or large area if head, neck, hands, feet, genitals are burned if burns on muscle or bone structures if younger than 5 or ilder than 60 if caused by chemicals, explosion or electricity what is normal behavior of a baby? - ANSWERSsleep 20 min to 4 hrs cry when wet,hungry,discomfort. frighten, anxious new situations. comfort sucking.