0% DCW Initial Competency Test You must score 70% to pass the test. 1 / 50 1. Loss of appetite in elderly participants can lead to: A. weight loss B. poor nutrition C. a weakened immunity system. D. All of the above 2 / 50 2. Which is not the warning signs of heart attack? A. Sweating B. Nausea or vomiting C. Chest discomfort D. Fever 3 / 50 3. Some of the ways to deal with difficult behaviors are: A. Remain calm, speak slowly and clearly. B. Try to distract participant's attention and redirect behavior. C. Allow consumer to express feelings (if talking reduces agitation) D. All of the above 4 / 50 4. The number one way to reduce the spread of infection is_________. A. Through frequent and proper hand washing. B. By making the consumer perform their own self- care. C. By wearing PPE. D. By not touching a consumer unless medically indicated. 5 / 50 5. Which is NOT necessary when dealing with dental issues: A. Removing plague daily B. Flossing every day C. Gently brushing the gums frequently. D. All of the above are necessary. 6 / 50 6. If a participant is afraid to go into the shower: A. Talk to the participant and tell her how nice it feels to freshen up. B. Consider a bath or sponge bath. C. Take your time and let the person get used to being in the bathroom with you. D. All of the above. 7 / 50 7. Which statement is NOT true: A. Studies show a correlation between poor oral health and diabetes. B. Poor oral health can result in heart disease. C. Good oral health can lead to lower incidents of pneumonia. D. There is no connection between the mouth and the rest of the body when it comes to infection. 8 / 50 8. Which of the following is not a potential sign of abuse? A. Bruises. B. Confining a person. C. Caregiver being involved in conversations. D. Physical signs of being punished or restrained. 9 / 50 9. Which of the following is not a safety tip for elderly toilet use? A. Never lift the participants outright. B. Hold on to their trunk and hips to keep them stable. C. Encourage them to move on their own as much as possible. D. Always bend at the waist when supporting them as they lower or raise themselves. 10 / 50 10. HIPAA laws are designed to protect the _____. A. Consumer B. Agency C. Family 11 / 50 11. When transferring a participant A. Always keep him informed of what you are doing. B. Don’t tell him what you’re doing. C. Reassure them only if they have dementia. D. Never use a gait belt. 12 / 50 12. If a client you care for must rely on others for help with their daily life, they may feel frustrated and helpless at times. This may cause a behavioral change. What is one way to help the client cope with? A. Ask them if they want to talk about what is angering them. B. Tell them to get over it. C. Give them a bath to calm down. D. None of the above. 13 / 50 13. The family is ______ A. Always allowed to view the HIPAA file B. Never allowed to view HIPAA file C. Only allowed to se the HIPAA file by court order D. Allowed to see the file if designated by the participant 14 / 50 14. To safely care for a participant who might become aggressive: A. Review the care plan. B. Take the time to get to know the person C. Be flexible with your care D. All of the above. 15 / 50 15. A direct care worker kept making sexually suggestive comments to a participant. Such inappropriate comments are an example of ____________. A. Praise. B. Discrimination. C. Harrassment. D. None of the above. 16 / 50 16. If you notice any changes in the participant you should ______. A. Ignore them; it is the family’s problem. B. Document and report the changes to your agency/employer. C. Stick to the care plan no matter what. D. Change the care plan but don’t report it to the agency. 17 / 50 17. It is important to allow participants to enjoy as much independence as is safe for them. A. True B. False 18 / 50 18. What does HIPAA stand for? A. Health Inspection Portability and Account Act B. Heart Insurance Portability and Accountability Act C. Health Insurance Portability and Accountability Act 19 / 50 19. When approaching a participant: A. Approach them from the front. B. Approach them from the back. C. Approach them from a 45-degree angle. D. Sneak up on them so they don’t see you. 20 / 50 20. You see a direct care worker sneeze into his hands. He then starts sweeping the kitchen floor. What did he do wrong? A. He did not wash his hands after sneezing into them. B. He swept the kitchen floor, a task direct care workers are not supposed to do. C. He covered his mouth while sneezing. D. None of the above. 21 / 50 21. When bathing a person with dementia, it’s best to A. Do it quickly to get it over with. B. Take your time and go at their pace. C. Set a time limit on how long it takes. D. Always bathe them at the same time every day. 22 / 50 22. If a participant occasionally has accidents, you should leave them in their soiled clothes to teach them a lesson? A. True B. False 23 / 50 23. What is the first thing you should do when a fire breaks out? A. Remove any consumers or other persons near the fire. B. Call 911. C. Summon a supervisor to help with the fire. 24 / 50 24. As an agency, we promote ____ A. Participant's choice. B. Participant's independence. C. Participant's right to live with dignity. D. All of the above. 25 / 50 25. You should encourage your diabetic participant to eat these foods. A. White bread. B. High sugar baked goods. C. Red meats. D. None of the above. 26 / 50 26. You see one of the other direct care worker assisting a participant bathe. With what kind of activities is the direct care worker helping the participant with? A. ADL B. IADL C. Cannot be determined D. None of the above 27 / 50 27. Under what conditions must you report abuse to a supervisor? A. You must report only when a consumer requests that you report the abuse. B. You must report all cases of suspected abuse. C. You must report only when you can prove that there has been abuse. D. None of the above. 28 / 50 28. Which of the following shall an individual do to be considered able to self-administer medications? A. Recognize and distinguish the individual’s medications. B. Know how much and when the medication is to be taken. C. Take or apply the individual’s own medication with or without the use of assistive technology. D. All of the above. 29 / 50 29. Universal Precautions should be practiced on ________. A. Consumers known to have communicable diseases. B. Only consumers showing signs and symptoms of infection. C. Every consumer, every time. D. By not touching a consumer unless medically indicated. 30 / 50 30. At a dinner, a participant does not want to finish the food he is served. Another direct care worker tells him to finish it. What do you do? A. Allow the participant to not finish the food, but tell him that he cannot have desert. B. Explain to the participant that he has to finish the food. C. In private, remind the other direct care worker the participants do not have to finish the food, but that the supervisor should be informed when this happens.the food D. None of the above 31 / 50 31. What is the most important method of preventing the spread of infection? A. Putting lotion on to avoid dry hands. B. Washing your hands often. C. Keeping your hands in your pocket. 32 / 50 32. A participant requested another lamp in his room to his caregiver. The caregiver notices that all the outlets in the participant’s room are occupied. She gets an extension cord so she can plug more items into the outlets. What is wrong in this scenario? A. There are too many plugs in the outlet now and this can cause a fire. B. Participants are not allowed to request changes to their rooms. C. Caregivers are not supposed to go into the participant’s room. D. None of the above 33 / 50 33. Dry mouth: A. Has nothing to do with age, but how much water they drink. B. Can be the result of medications that the participant takes. C. Usually goes away in 1-2 days. D. Is rarely seen in the elderly. 34 / 50 34. It is okay to force a participant to do something when: A. You are up against a time deadline. B. They are not doing what they should. C. They are being aggressive towards you. D. It is never okay to force a participant to do something. 35 / 50 35. Caregiver who need to know information about the participant is ______ A. Given unlimited access to the participant's files B. Only given what is needed to assist in the care C. Never given access to the participant's files D. Must ask the family for permission to access the files 36 / 50 36. Good body mechanics: A. Are only necessary when transferring someone bigger than you. B. Are not necessary when performing a transfer. C. Are always necessary when performing a transfer. D. Can hurt your lower back muscles. 37 / 50 37. As a direct care staff person, Craig is responsible for preparing food for the participants of the Sunny Hill Care Home. What is Craig’s most important food safety precautions? A. Making sure there is a fresh supply of the participant’s favorite snack foods on hand. B. Using low fat cooking oils in place of butter. C. Proper hand washing before handling of food. D. None of the above. 38 / 50 38. Which of the following is not a step in preparing a participant for transfer? A. Get to know the participant. B. Assess the participant. C. Restrain the participant. D. Explain the transfer. 39 / 50 39. _____ helps participants improve their and self-worth by having their feelings and memories acknowledged. A. Reality Orientation B. Validation Therapy C. Reminiscing D. None of the above 40 / 50 40. To prevent fall during bathing, a direct care worker person should: A. Move a sturdy table near the tub to help the participant with balance. B. Place a non-slip safety mat on the bottom of the shower or tub. C. Recommend the participant wear sanitation sandals with rubber soles. D. None of the above. 41 / 50 41. Which one of these is not within the scope of a direct care worker? A. Reminding a participant that it is time to take a medication. B. Opening a medication container for a participant. C. Pouring or placing a specified dosage as instructed by the participant in the participant’s hand. D. A DCW can make decisions about the participant’s medications. 42 / 50 42. All of the following are means to prevent falls in the home EXCEPT: A. Ensure rugs and carpets are secured & make sure chairs and couches are easy to get out of. B. Check for clutter & check for electrical cords or telephone cords getting on the way. C. Tell the consumers they must not fall. D. Make sure there is enough lighting. 43 / 50 43. Barrier cream can be used: A. In place of shampoo. B. In place of conditioner C. If they run out of toothpaste D. To help avoid skin breakdown 44 / 50 44. Shaving with electric razor is good for safety. A. True B. False 45 / 50 45. Bathing a participant with dementia always requires: A. A rigid set of rules to apply to all people. B. A knowledge of your participants personal preferences and past habits. C. That the water is cold. D. That the room is cold. 46 / 50 46. What is the most important document that should be in all client’s records? A. Time sheet/Service sheet. B. Service plan documents. C. The client’s name on each page of the recipient’s records. D. All of the above. 47 / 50 47. All of the following are true about the documentation EXCEPT: A. “If it isn’t written down, it never happened.” B. Goals must be objective and measurable. C. It is accepted practice to use “white out” when correcting a documentation error. D. Only approved abbreviations should be used. 48 / 50 48. Places you should look for any changes in your participant’s skin include: A. In between toes B. In between fingers C. Under the arms D. All of the above 49 / 50 49. Which of the following is an ADL? A. Using a toilet B. Doing Laundry C. Writing letters D. None of the above 50 / 50 50. When dealing with dentures: A. Make sure they are removed at bedtime. B. They should be cleaned after every meal. C. They should be kept wet at night in a case with water. D. All of the above. 0% Restart quiz
