PCHA Exam Review
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1. What is ADL activity of daily living, includes eating, bathing, ambulation, transferring in and out
of bed, toileting, self administrating drugs
2. What is IADL Instrumental activities of daily living, doing laundry, keeping clean seasonal cloth-
ing, securing and using transportation, managing finances and personal posses-
sions, engaging in activities
3. Signs of pressure heat, redness, tenderness, discomfort, feeling of burning, darkened area after 20
ulcers minutes pressure ulcer forms
4. Stage 1 Pressure nonblanchable erythema of intact skin, discoloration of skin, warmth to the touch
Ulcer or hardness
5. Stage 2 pressure partial thickness skin loss involving epidermis and dermis, ulcer is superficial-pre-
ulcer sents as an abrasion, blister or shallow crater
6. Stage 3 pressure full thickness skin loss involving damage or necrosis of subcutaneous tissue that
ulcer may extend down to but not through underlying fascia
7. Stage 4 pressure full thickness skin loss with extensive destruction, tissue necrosis or damage to
ulcer muscle or bone or supporting structures
8. How to prevent re position every 2 hours, provide good skin care, apply lotion to dry skin, clean
pressure ulcers bed linens with no wrinkles, use pillows to keep skin from skin contact
9. Wound assess- location of wound, size of wound, dressings, drainage such as color smell and
ment check list amount, tunneling, stage of wound, pressure reducing devices
10. Client assess- Evaluation of patient's health status and needs. What are they capable of doing?,
ment dignity issues, adult games, who were they before when they were young
11. Internal controls methods and procedures adopted by a business to control its operations and
system protect its assets from waste and fraud, promotes operational efficiencies
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12. Prevention is... KEY
13. When should a Within 60 days prior to admission or within 30 days after admission
resident be evalu-
ated by a Dr.
14. What does a medical diagnosis, medical information, special health and dietary needs, aller-
general physical gies, immunizations, history, medication regimen, body positioning
exam include?
15. What are the dif- mental stimulation, socialization, creative, productive, spiritual, emotional, physical,
ferent types of personal care, sensory
activities?
16. Why do an evalu- effectiveness, benefits vs. costs, document residents progress, is a certain activity
ation? working? improve staff morale to see residents happy
17. What activities to long explanations, busy work without a purpose, things that require extensive use
avoid with mem- of memory, childlike activities
ory impaired res-
idents?
18. What is accrual revenues are recognized when earned and expenses are recognized when in-
basis accounting curred
19. What is cash ba- Record revenues when we receive cash and expenses at the time we pay cash
sis of accounting?
20. Accounting? a service activity to provide quantitative information about personal care homes,
the info is primarily financial in nature and is intended to be useful in making
business decisions.
21. Why do we bud- financial viability, expenses vs. revenue- Are we making money?
get?