STEP 2: PCA CERTIFICATION TEST

PCA CERTIFICATION TEST (ENGLISH)

First Name

Last Name

Employee Cell Phone

Date

SECTION 1: UNIVERSAL PRECAUTIONS

GLOVES

When you are caring for individual, you should always wear gloves when:

1. You touch urine or stool.

True

False

2. An individual is toileting

True

False

3. Handling laundry

True

False

4. It’s cold outside

True

False

5. Taking out the garbage.

True

False

HAND WASHING

When should you wash your hands

6. After changing the individual’s Depends

True

False

7. After toileting the individual

True

False

8. After using your cell phone

True

False

9. Before handling food

True

False

10. After cleaning and disinfecting surfaces.

True

False

SECTION 2: COMMUNICATION

To communicate well, it is important to

1. Allow the individual to express what he/she needs or wants.

True

False

2. Tell the individual your life story and your problems

True

False

3. Ask questions if you don’t understand

True

False

4. Spend time on your cell phone

True

False

5. With individuals with dementia or Alzheimer’s disease, don’t use too many words or long explanations because this may be confusing.

True

False

6. Some individuals may not be able to speak so you just smile and go about your business.

True

False

7. Contact your supervisor if you notice a difference in the individual’s ability to move, gestures, pained facial expressions.

True

False

8. Interrupt the individual if they are taking too long to tell you what they need and tell him/her to get to the point.

True

False

9. You should let the individual know how you feel about politics and religion.

True

False

10. Sometimes movements, gestures, facial expressions and shifts in the client’s body may tell you that something maybe going on that they aren’t telling you.

True

False

SECTION 3.CHANGES IN INDIVIDUAL’S CONDITION

When there are changes in an individual’s condition

1. You should report changes immediately to your supervisor. Do not leave a voicemail. Speak to a live individual.

True

False

2. If you see red spots on the individual’s skin, it is ok to wait to report it until it gets worse.

True

False

3. A sudden change of appetite should be reported immediately to your supervisor.

True

False

4. If the individual has difficulty urinating, constipation or frequent diarrhea, you can wait to see if it will get better.

True

False

5. If the individual begins to yell a lot, say mean things and is angry all the time you should report this to your supervisor.

True

False

6. You notice that the individual is starting to sleep a lot more. You don’t need to report this to your supervisor since the individual is tired. You put the individual in bed for naps more often.

True

False

7. Individuals who cannot change position in bed or in a chair should be repositioned every two hours.

True

False

8. Skin care after toileting is very important because urine and fecal matter may cause redness and rashes.

True

False

9. It is important for an individual to drink enough fluids to prevent dehydration unless there is a fluid restriction in the individual’s care plan.

True

False

10. Older people scanned tear very easily, and it is important to prevent bumps and scrapes.

True

False

SECTION 4. POSITIONING

Why is proper positioning, so important?

1. To relieve the pressure on various body parts.

True

False

2. The individual the television.

True

False

3. To help the individual will be comfortable.

True

False

4. To prevent health problems from being in a bed too long.

True

False

5. To prevent bad sores.

True

False

WHAT ARE THE PROCEDURES FOR PROPER POSITIONING?

6. Have all necessary assistive equipment ready.

True

False

7. Make sure the individual is safe and comfortable.

True

False

8. Stretch over the individual and use the client’s arm to pull the individual across the bed.

True

False

9. Reposition the individual every two hours.

True

False

10. Take note of redness or irritation on the skin so you can report it if it gets worse.

True

False

SECTION 5. LIFTING

What are the Proper Procedures for Lifting?

1. Bend over, grab the individual under the arm and lift.

True

False

2. Stand close to the individual.

True

False

3. Use as many muscle groups as possible for moving the individual to reduce the stress on the back.

True

False

4. Squat and stand to lift a heavy individual.

True

False

5. Figure out on your own how to use a Hoyer lift to lift a heavy individual.

True

False

6. Coordinate your movement with the individuals movement.

True

False

7. To change the direction of the individual’s movement twist your body bend over and lower the individual.

True

False

8. Keep your back straight, knees and hips flexed, with weight distributed on both feet.

True

False

9. You should stoop and bend over to lift an individual from the toilet to a wheelchair.

True

False

10. It is OK to use a Hoyer lift without training.

True

False

SECTION 6. TRANSFERS

How do you transfer an individual safely?

1. The individual should be wearing secure, fitting shoes or slippers.

True

False

2. The position of the wheelchair is not important as long as wheels are locked.

True

False

3. The individual’s commode should be next to the bed so the individual can be transferred easier.

True

False

4. When toileting the individual, you should assist the individual to a standing position, help the individual pull down her/his pants, and safely place the individual on the toilet.

True

False

5. If the individual has fallen a few times, you can allow the individual to transfer himself/herself.

True

False

SECTION 7. MEDICATION POLICIES

What are the proper procedures for helping an individual to take medication?

1. The PCA may administer medication directly to the individual.

True

False

2. A PCA never gives the individual injections.

True

False

3. The PCA may assist the individual with opening the pill bottle and remind the individual to take the medication as prescribed.

True

False

4. The PCA may take some of the individual’s pills.

True

False

5. The PCA may give the individual medications, even though the pills have fallen on the floor.

True

False

6. If you drop the box, do not give the individual the pills and contact your supervisor.

True

False

7. It is ok for the PCA to crush medicine and put it in applesauce or pudding if the individual doesn’t want to take their pills.

True

False

8. If the medication looks different or messed up, you should notify your supervisor after you give the medication to the individual.

True

False

9. Do not give any pills or medicine like cold medicine, you get from the store.

True

False

10. If the family tells you it’s ok to give the client insulin injections, you should do it.

True

False

SECTION 8. EMERGENCY PROCEDURE

When there is an emergency you should:

1. Take the individual to the hospital in your own car.

True

False

2. Lift an individual up to a car after a fall.

True

False

3. Immediately report the incident to your supervisor.

True

False

4. Never let an individual smoke near oxygen.

True

False

5. Look for all accessible exits in case there is a fire.

True

False

6. Wait in the emergency room with the individual who has dementia or Alzheimer’s disease until the individual is taken to a room. Clear this with your agency.

True

False

7. Encourage the individual to use his/her walker or cane to prevent falls.

True

False

8. Let the individual navigate around furniture and clutter to get to the bathroom.

True

False

9. Let the individual turn the lights off at night when she/he is walking to the bedroom to go to sleep.

True

False

10. Let the individual try to get up on her/his own after falling. You do not need to report falls when the individual seems to be ok.

True

False

SECTION 9. REPORTING ABUSE, NEGLECT, EXPLOITATION AND ABANDONMENT

1. For individuals who are aged 60 and older, you and your agency are legally required to report abuse, neglect, exploitation, and abandonment to Protective Services for the Elderly.

True

False

2. You should contact your supervisor immediately if you see or suspect abuse.

True

False

3. You arrive for your shift in the morning and discovered that no one has been with the individual since the day before. Since the individual is fine, there is no need to report this.

True

False

4. The individual tells you that his/her grandson has been taking money out of his/her bank account, using the EBT card to buy their own groceries and using the individual’s credit card to shop. Since the client can’t do his/her own banking and shopping, there is no need to report this.

True

False

5. When you arrive for your shift, you see the individual’s, neighbor yelling, threatening to hit the individual and shove him/her. This is an example of abuse.

True

False

SECTION 10. CAREGIVER BOUNDARIES

Which of these are considered good boundaries?

1. You and the individual give each other gifts for holidays, birthdays, and other occasions.

True

False

2. The individual needs some items at the store so you take the debit card to shop during the individuals nap. You can also buy some items at the grocery store for yourself if the individual says it’s ok.

True

False

3. You should always get a receipt when using the individual’s money to buy things.

True

False

4. It’s ok for your friend to deliver food for you at the individual’s home.

True

False

5. You are an employee in the individual’s home.

True

False

6. If the individual goes to a nursing home, you should visit the individual when you are off duty.

True

False

7. If you can’t find a babysitter and there is no one to replace you, it’s ok to bring your child to the individual’s home while you are working.

True

False

8. The individual may be able to help you and give you advice after you discuss your money problems, arguments with your partner or spouse, or your children’s troubling issues.

True

False

9. If you don’t have a car and don’t want to take the bus, you can have your boyfriend/girlfriend take you to work at individual’s home.

True

False

10. You should never friend the individual on Facebook and never post anything about him/her like pictures or comments, good or bad.

True

False

SECTION 11. INDIVIDUAL’S WITH ACQUIRED BRAIN INJURY ( skip ahead if you do not work with clients with acquired brain injury.)

An individual with an acquired brain injury might:

1. Might not understand what you say.

True

False

2. Remember everything he/she hears you and others say.

True

False

3. Not be able to say what they want to say.

True

False

4. Have mood swings, become anxious, depressed, or irritable.

True

False

5. Individuals with acquired brain injury often have very good decision-making and proving solving skills, very sound judgment and learning capabilities.

True

False

IF AN INDIVIDUAL BECOMES ANGRY, YOU SHOULD:

6. Tell the individual he/she needs to calm down and stop talking.

Item 1

Item 2

7. Turn the TV on really loud to distract the individual.

True

False

8. Remain calm and speak softly.

True

False

9. Threaten the individual with negative consequences if he/she doesn’t calm down.

True

False

10. Put the individual in a corner of the room and limit where he/she can move.

True

False

CAUSES OF AGITATION AND AGGRESSION IN INDIVIDUAL’S WITH DEMENTIA OR ALZHEIMER’S DISEASE

1. Individual’s usually get angry for a reason, so it is helpful if you can figure out the reason the individual is angry.

True

False

2. If the individual starts getting stressed and frustrated, try to help before the individual gets upset.

True

False

3. Individual’s who need PCA services are usually lonely so you should encourage a lot of people to come over and have a lot of loud music in the home to cheer him/her up.

True

False

4. If you are a new PCA just meeting the individual for the first time and they get upset and say mean things to you. It’s just because the individual is unfriendly and grouchy.

True

False

5. Individual may not be able to tell you that he/she is sitting on a wet Depends, has to go to the bathroom and starts getting angry and upset.

True

False

SECTION 12. BATHING

1. Safety in the bathroom is very important.

True

False

2. It is ok to leave the individual alone in the bathtub or shower if you have to answer the phone.

True

False

3. Never had the individual step into the bathub or shower until you check the water temperature.

True

False

4. You should wash the genital area from back to front.

True

False

5. Do not cut fingernails or toenails.

True

False

SECTION 13. BATHING INDIVIDUAL’S WITH DEMENTIA, ALZHEIMER’S DISEASE OR COGNITIVE DEFICITS

1. You should give the individual a bath or shower at a different time every day because they are bored with the same daily routine.

True

False

2. Many older individual’s don’t like bathing because they are afraid of being too hot. Make sure the room temperature is cool before you start.

True

False

3. You should report any redness or other skin changes to your supervisor.

True

False

4. If the individual does not want to bathe, talk about something the individual likes or something positive and rewarding, and they may change their mind.

True

False

5. Tell the individual what you are doing to keep him/her calm.

True

False

SECTION 14. HOW TO GIVE A BED BATH

1. You do not need to check water temperature since the water is in a basin and it will cool off.

True

False

2. Make sure the individual cannot fall out of bed.

True

False

3. Report any sores or redness to your supervisor.

True

False

4. You should wash the soap off the individual.

True

False

5. Wash the genital area first.

True

False

SECTION 15. WASHINGTON HAIR

1. The individual can wash their own hair if they are able to do it.

True

False

2. If the individual doesn’t ever want their hair wash, they don’t have to. This is easier than trying to convince the individual to wash their hair and stressing over it.

True

False

3. You should report any redness, a lot of dandruff or concerns over lice to your supervisor.

True

False

4. Many people don’t like water in their face so you should face the individual away from direct water to the face.

True

False

5. If the individual seems steady in the shower, it is ok to leave and put the dirty clothes in the laundry and fold the clothes from the dryer.

True

False

SECTION 16. HOW TO WASH HAIR IN BED

1. Make sure you have all the supplies you need before you get started.

True

False

2. You should start pouring water on the individual’s head. Don’t worry about the pillow getting wet.

True

False

3. Try to keep the floor dry by putting a bucket or large bowl on the floor and put a sheet or a towel underneath.

True

False

4. If the individual has short hair, instead of pouring water to wet the hair, you can rub a wet washcloth over the hair.

True

False

5. Make sure the room temperature is warm and check the water temperature before starting.

True

False

SECTION 17. MOUTH CARE

1. Good mouth care is important for an individual’s general health, to prevent gum disease, cavities, toothache, pain, and other health problems.

True

False

2. Wearing gloves isn’t necessary because you won’t be touching the individual‘s mouth.

True

False

3. Brush the teeth really hard to make sure they get clean.

True

False

4. Start brushing the top and move downward because it moves plaque away from the gums.

True

False

5. Report any redness, bleeding or sores to your supervisor.

True

False

SECTION 18. MOUTH CARE FOR INDIVIDUAL’S WITH DEMENTIA, ALZHEIMER’S DISEASE OR COGNITIVE IMPAIRMENTS

1. Smile and explain that you are going to brush their teeth if it’s ok with them.

True

False

2. Tell the individual their teeth are dirty, so you have to brush their teeth.

True

False

3. If the individual gets upset, ask what is upsetting him/her about having his/her teeth brushed..

True

False

4. Tell your supervisor if you see redness, sores, bleeding, or broken teeth.

True

False

5. If the individual refuses tell him/her all the good things about brushing their teeth. If this doesn’t work, try again at another time.

True

False

SECTION 19. DRESSING

1. Washing your hands before you begin dressing the individual.

True

False

2. You should send out a lot of different clothes with a variety of shirts, pants, skirts, dresses, suits, and ties.

True

False

3. If the clothes won’t come off, you can push and pull them off.

True

False

4. Make sure the individual does not get too tired or dizzy. Help him/her to sit down if they need to.

True

False

5. It is easier to use simple elastic clothes or clothes with Velcro fasteners.

True

False

MACAS HOME CARE, LLC

Thank you for your submission.

If you passed, you will receive a printable certificate shortly.

STEP 2: PCA CERTIFICATION TEST

SECTION 1: UNIVERSAL PRECAUTIONS

SECTION 2: COMMUNICATION

SECTION 3.CHANGES IN INDIVIDUAL’S CONDITION

SECTION 4. POSITIONING

SECTION 5. LIFTING

SECTION 6. TRANSFERS

SECTION 7. MEDICATION POLICIES

SECTION 8. EMERGENCY PROCEDURE

SECTION 9. REPORTING ABUSE, NEGLECT, EXPLOITATION AND ABANDONMENT

SECTION 10. CAREGIVER BOUNDARIES

SECTION 11. INDIVIDUAL’S WITH ACQUIRED BRAIN INJURY ( skip ahead if you do not work with clients with acquired brain injury.)

SECTION 12. BATHING

SECTION 13. BATHING INDIVIDUAL’S WITH DEMENTIA, ALZHEIMER’S DISEASE OR COGNITIVE DEFICITS

SECTION 14. HOW TO GIVE A BED BATH

SECTION 15. WASHINGTON HAIR

SECTION 16. HOW TO WASH HAIR IN BED

SECTION 17. MOUTH CARE

SECTION 18. MOUTH CARE FOR INDIVIDUAL’S WITH DEMENTIA, ALZHEIMER’S DISEASE OR COGNITIVE IMPAIRMENTS

SECTION 19. DRESSING

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Email:

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© Macas Home Care LLC