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Worksheets

HHA CH.1

Total questions: 93

Worksheet time: 47mins

Name
Class
Date
1.

What was the main purpose of the first homemaker service established by a social service agency in the United States in 1903?

a)

To provide child care

b)

To provide health care

c)

To provide education

d)

To provide transportation

2.

In the early years of society, who was typically responsible for caring for children and family members with disabilities?

a)

Men

b)

Women

c)

Government agencies

d)

Hospitals

3.

Fill in the blank: The Omnibus Budget Reconciliation Act, known as ________, mandates national standards for federally funded nursing homes and home health agencies.

a)

OBRA

b)

HIPAA

c)

FERPA

d)

ADA

4.

Home health aides were expected to work only under direct nursing supervision.

a)

True

b)

False

5.

Which act requires a minimum of 75 hours of training for home health aides?

a)

Social Security Act

b)

Omnibus Budget Reconciliation Act (OBRA)

c)

Nurse Aide Registry Act

d)

Work Projects Administration Act

6.

What must a home health worker complete to be employed in an agency that receives federal or state funding?

a)

Nurse Aide Registry

b)

Background Information Disclosure Form

c)

Homemaker Service

d)

Competency Test

7.

Fill in the blank: In the early 1920s, employment agencies advertised for mature, practical women experienced in ________ and household management.

a)

child care

b)

sewing

c)

teaching

d)

gardening

8.

What is the primary goal of OBRA regulations?

a)

To increase hospital funding

b)

To improve care both for individuals in long-term care facilities and for those in their own homes

c)

To reduce the number of home care workers

d)

To promote nursing homes only

9.

Approximately what percentage of older adults need assistance with personal care activities?

a)

10%

b)

23%

c)

50%

d)

75%

10.

Fill in the blank: One of the main reasons for the increase in the need for home care is that older adults, the main recipients of home care, are the fastest growing population in the country. People are living longer due to advances in ________ and modern technology.

a)

health care

b)

transportation

c)

agriculture

d)

education

11.

Home care services are becoming more available to help a terminally ill client die with dignity in their own home.

a)

True

b)

False

12.

List two main categories of duties performed by home care workers.

a)

Personal care and household tasks

b)

Medical procedures and legal services

c)

Financial planning and transportation

d)

Education and entertainment

13.

What type of assistance is the home health aide providing to the client?

a)

Personal care assistance

b)

Medical diagnosis

c)

Financial planning

d)

Legal advice

14.

Match the following home care worker titles with their correct descriptions:

a)

Companion

1.

Keeps the client company or maintains safety; usually does not provide personal or homemaking services.

b)

Homemaker

2.

Performs household duties, such as laundry and cooking, as well as light housecleaning.

c)

Personal care worker

3.

Assists with a minimal level of daily living activities, such as meal preparation and companionship, as well as minimal assistance with personal care.

d)

Home health aide

4.

Provides substantial assistance with personal care, such as bathing and dressing, as well as supervised health assistance, such as assistance with rehabilitation activities and self-administered medication.

15.

Fill in the blank: A __________ assists in general household tasks, as well as those listed above for the home health aide.

a)

Homemaker/home health aide

b)

Physical therapist

c)

Registered nurse

d)

Dietitian

16.

Fill in the blank: A __________ works with the client with the goal of assisting the client with independent living under professional supervision.

a)

Home care aide

b)

Physical therapist

c)

Nutritionist

d)

Pharmacist

17.

Match the following health care team roles with their correct descriptions:

a)

Assesses overall needs of the client and decides what services should be provided; usually performed by a nurse or social worker; may supervise the home care worker.

1.

Case manager (CM)

b)

A general term for an agency, institution, or member of the health care team who provides medical care for the consumer.

2.

Health care provider

c)

A specialist who works with clients who have ostomies or clients who require special skin or wound care.

3.

Enterostomal therapist (RN, ET)

d)

Provides direct care to the client, such as treatments and medication; may supervise home care workers.

4.

Licensed practical nurse (LPN)

18.

Fill in the blank: The __________ designs a separate care plan to be followed for each client, specifically outlining the home care worker’s responsibilities.

a)

case manager

b)

home care worker

c)

client

d)

physician

19.

Fill in the blank: The __________ is one member of the health care team who sees the client more frequently than other members of the team.

a)

home health aide

b)

physician

c)

pharmacist

d)

dietitian

20.

Fill in the blank: One routine homemaker function is ________ dishes.

a)

Washing

b)

Painting

c)

Counting

d)

Throwing

21.

Fill in the blank: Doing light housekeeping includes dusting, scrubbing floors, and vacuuming ________ that the client uses.

a)

rooms

b)

windows

c)

tables

d)

clothes

22.

Fill in the blank: Routine homemaker functions include maintaining needed ________.

a)

supplies

b)

decorations

c)

vehicles

d)

records

23.

Fill in the blank: Preparing and serving ________ is a routine homemaker function.

a)

meals

b)

clothes

c)

books

d)

cars

24.

Fill in the blank: Doing ________ is a routine homemaker function.

a)

laundry

b)

skydiving

c)

mountain climbing

d)

scuba diving

25.

Fill in the blank: Shopping for client if no other arrangements can be made is a routine ________ function.

a)

homemaker

b)

medical

c)

administrative

d)

technical

26.

Fill in the blank: Accompanying client to medical clinic or other activity is a routine ________ function.

a)

homemaker

b)

medical

c)

administrative

d)

transportation

27.

Fill in the blank: Routine home health aide functions include recording care and observations on client's ________.

a)

record

b)

medication

c)

schedule

d)

diet

28.

Fill in the blank: Measuring vital signs and ________ is a routine home health aide function.

a)

weight

b)

height

c)

temperature

d)

blood pressure

29.

Fill in the blank: Assisting with toileting needs is a function of a ________ health aide.

a)

home

b)

school

c)

office

d)

lab

30.

Fill in the blank: Assisting with oral ________ is a function of a home health aide.

a)

care

b)

surgery

c)

painting

d)

gardening

31.

Fill in the blank: Assisting with dressing and ________ is a function of a home health aide.

a)

undressing

b)

cooking

c)

gardening

d)

painting

32.

Fill in the blank: Assisting with ________ is a function of a home health aide.

a)

eating

b)

car repair

c)

tax filing

d)

plumbing

33.

Fill in the blank: Assisting with transfer of client from bed to ________ and vice versa is a function of a home health aide.

a)

chair

b)

window

c)

table

d)

door

34.

Fill in the blank: Assisting with repositioning a ________ is a function of a home health aide.

a)

client

b)

doctor

c)

visitor

d)

manager

35.

Fill in the blank: Reminding clients to take ________ on schedule is a function of a home health aide.

a)

medications

b)

meals

c)

exercise

d)

appointments

36.

Fill in the blank: Reinforcing or changing ________ simple dressings is a function of a home health aide.

a)

unsterile

b)

sterile

c)

complex

d)

surgical

37.

Fill in the blank: Assisting with care of ostomy bags or urinary ________ bags is a function of a home health aide.

a)

drainage

b)

supply

c)

food

d)

oxygen

38.

Fill in the blank: Measuring and recording intake and ________ is a function of a home health aide.

a)

output

b)

temperature

c)

pulse

d)

weight

39.

Fill in the blank: Assisting with grooming, care of hair including shampooing, shaving, and nail care is a function of a ________ health aide.

a)

home

b)

school

c)

hospital

d)

laboratory

40.

Fill in the blank: Making and changing ________ linens is a function of a home health aide.

a)

bed

b)

table

c)

curtain

d)

window

41.

Fill in the blank: Assisting client with walking and other prescribed ________ is a function of a home health aide.

a)

exercises

b)

medications

c)

meals

d)

clothes

42.

Fill in the blank: Assisting with applications of prosthetic devices, such as hearing aids and ________ is a function of a home health aide.

a)

braces

b)

gloves

c)

bandages

d)

socks

43.

Fill in the blank: Assisting with ________ measures is a function of a home health aide.

a)

rehabilitation

b)

financial

c)

culinary

d)

transportation

44.

Fill in the blank: Assisting with ________ care is a function of a home health aide.

a)

skin

b)

carpet

c)

vehicle

d)

garden

45.

Fill in the blank: Applying elastic support ________ is a function of a home health aide.

a)

hose

b)

bandage

c)

splint

d)

cast

46.

Fill in the blank: Notifying case manager of any notable change in the client's ________ is a function of a home health aide.

a)

condition

b)

address

c)

insurance

d)

diet

47.

Fill in the blank: A Nurse Practitioner (NP) specializes in additional training in physical examination and ________.

a)

assessment

b)

surgery

c)

pharmacology

d)

radiology

48.

Fill in the blank: An Occupational Therapist (OT) evaluates client's ability to perform ________ necessary for independent daily living.

a)

skills

b)

medications

c)

appointments

d)

exercises

49.

Fill in the blank: A Physical Therapist (PT) evaluates the home environment in preparation of the client's return, assists with safety adaptations, and instructs an appropriate exercise program and usage of special ________.

a)

equipment

b)

medication

c)

clothing

d)

food

50.

What is the role of a Registered Dietitian (RD) in home health services?

a)

Provides information regarding prescribed dietary needs, assists in meal planning adjustment according to the medical condition of the client.

b)

Administers medications and monitors vital signs.

c)

Performs physical therapy and rehabilitation exercises.

d)

Handles billing and insurance paperwork for the client.

51.

Which health care professional initiates the plan of care ordered by the health care provider, performs assessment, planning, and interventions for necessary home care skills and teaching, and evaluates effectiveness of the plan?

a)

Registered nurse (RN)

b)

Licensed practical nurse (LPN)

c)

Physical therapist

d)

Home health aide

52.

Who assists the client with any breathing problems and works with the client with breathing equipment, checking the equipment to see if it is functioning properly?

a)

Respiratory therapist (RRT)

b)

Physical therapist (PT)

c)

Occupational therapist (OT)

d)

Speech-language pathologist (SLP)

53.

Which professional provides information about community services, financial resources, long-term planning, and respite care, and helps the client and family with psychosocial problems?

a)

Social worker (BSW, MSW)

b)

Physical therapist (PT)

c)

Registered nurse (RN)

d)

Occupational therapist (OT)

54.

Who assesses a client's ability to communicate, works with the client to improve abilities, and assists with swallowing difficulties?

a)

Speech therapist (ST)

b)

Physical therapist (PT)

c)

Occupational therapist (OT)

d)

Respiratory therapist (RT)

55.

Emergency support nursing care is available 24 hours a day, 7 days a week through a certified home health care agency.

a)

True

b)

False

56.

Which type of health care workplace provides care for adults who need minimal care or supervision during the day, and assists with eating, bathing, and recreational activities?

a)

Adult day-care centers

b)

Hospice care

c)

Nursing homes

d)

Rehabilitation centers

57.

Assisted-living centers generally offer which of the following services?

a)

Supervised medication program

b)

Cleaning and laundry services

c)

Minor assistance in activities of daily living (ADLs)

d)

All of the above

58.

Homemaker/Home Care Agencies provide which type of services?

a)

Nonmedical home support services, including companions, homemakers, and personal care workers.

b)

Medical procedures such as surgeries and diagnostics.

c)

Pharmaceutical dispensing and medication management.

d)

Emergency ambulance and paramedic services.

59.

What type of facility is shown in the image?

a)

Hospital

b)

Assisted living complex

c)

Private home

d)

Nursing home

60.

What is the main focus of home health care agencies?

a)

The main focus is on the medical or nursing aspect of care.

b)

The main focus is on recreational activities.

c)

The main focus is on financial management.

d)

The main focus is on transportation services.

61.

Self-employed home health aides are responsible for paying 100% of their Social Security taxes.

a)

True

b)

False

62.

Which system was implemented in the year 2000 to influence how home health agencies are paid?

a)

Diagnosis-related group (DRG)

b)

Prospective Payment System (PPS)

c)

Outcome and Assessment Information Set (OASIS)

d)

Medicaid

63.

Fill in the blank: The Outcome and Assessment Information Set (OASIS) is used to standardize _______ throughout the country.

a)

assessment data collection

b)

patient billing procedures

c)

medical equipment distribution

d)

insurance claim processing

64.

At what age can individuals in the United States apply for Medicare insurance if they were born before 1939?

a)

Once they are disabled or if they were born before 1939.

b)

At age 50 regardless of disability.

c)

At age 21 if they have a job.

d)

Only after reaching age 70.

65.

To qualify for Medicare reimbursement for home health, an individual must be _________.

a)

confined to home

b)

over 65 years old

c)

receiving hospice care

d)

a veteran

66.

To qualify for Medicare reimbursement for home health, an individual must be under the care of a ________ who certifies the need for care.

a)

doctor

b)

nurse

c)

social worker

d)

pharmacist

67.

Which of the following is NOT a requirement to qualify for Medicare reimbursement for home health?

a)

Confined to home

b)

Under the care of a doctor

c)

In need of skilled nursing care, physical therapy, or speech therapy

d)

Must be over 70 years old

68.

Medicaid is a federally and state-funded program that pays for health care services for persons whose income is below a certain amount.

a)

True

b)

False

69.

Long-term care insurance may cover from _______ months up to _______ years.

a)

12 months, 5 years

b)

6 months, 2 years

c)

24 months, 10 years

d)

18 months, 7 years

70.

Health maintenance organizations (HMOs) are examples of managed care.

a)

True

b)

False

71.

Which of the following is covered by Medicare Part A?

a)

Outpatient hospital care

b)

Hospice care

c)

Diagnostic tests

d)

Durable medical equipment

72.

What is an acute illness?

a)

An acute illness is one that arises quickly, requires immediate care, and can be expected to go away, such as a cold, flu, or appendicitis.

b)

An acute illness is a long-term condition that develops slowly and lasts for years, such as diabetes or hypertension.

c)

An acute illness is a genetic disorder present from birth and cannot be treated.

d)

An acute illness is a psychological condition that only affects mental health.

73.

What is a chronic illness?

a)

A chronic illness is a long-standing health problem, such as Alzheimer's or Parkinson's disease, or arthritis.

b)

A chronic illness is a health problem that lasts only a few days.

c)

A chronic illness is a health problem that can be cured quickly with medication.

d)

A chronic illness is a minor injury like a sprain or bruise.

74.

What does developmentally disabled mean?

a)

Developmentally disabled means the person has a severe chronic emotional or physical disability that occurs before the age of 22, such as cerebral palsy or Down syndrome.

b)

Developmentally disabled means the person has a temporary illness that can be cured with medication.

c)

Developmentally disabled means the person has a minor injury that heals quickly.

d)

Developmentally disabled means the person is gifted in multiple areas.

75.

What is a terminal illness?

a)

A terminal illness is one that is expected to result in death within a limited time period.

b)

A terminal illness is one that can be cured with medication.

c)

A terminal illness is a minor health issue.

d)

A terminal illness is a temporary condition that resolves on its own.

76.

Home care clients represent different cultures and ethnic groups. Which of the following is NOT mentioned as a group represented among home care clients?

a)

Hispanics

b)

Asians

c)

Europeans

d)

Australians

77.

Which religions are mentioned as being practiced by home care clients?

a)

Protestantism, Catholicism, Judaism, Islam, Buddhism

b)

Hinduism, Sikhism, Jainism, Shinto, Taoism

c)

Zoroastrianism, Confucianism, Bahá'í Faith, Animism, Paganism

d)

Scientology, Rastafarianism, Wicca, Druidism, Unitarianism

78.

According to the passage, what must a home health aide do when caring for clients from different cultures and religions?

a)

Accept the practices of others, be sensitive to the client's needs, follow instructions given by the case manager, and not judge clients.

b)

Impose their own beliefs and practices on the client.

c)

Ignore the instructions given by the case manager and follow personal preferences.

d)

Judge clients based on their cultural and religious practices.

79.

Figure 1-5 shows home health aide clients. What does this figure represent?

a)

Home health aide clients represent many cultures.

b)

Home health aide clients are all from the same age group.

c)

Home health aide clients are only from one gender.

d)

Home health aide clients represent only one ethnicity.

80.

Which of the following is NOT a reason for the increasing trend toward home care?

a)

Rising healthcare costs

b)

Advancements in medical technology

c)

Preference for institutional care

d)

Aging population

81.

Select two main services provided by the home health aide.

a)

Personal care and assistance with daily activities

b)

Financial planning and investment advice

c)

Legal representation and court appearances

d)

Automobile repair and maintenance

82.

Select two differences between Medicare and Medicaid.

a)

Medicare is for people over 65; Medicaid is for low-income individuals.

b)

Medicare covers only children; Medicaid covers only seniors.

c)

Medicare is funded by states; Medicaid is funded by the federal government only.

d)

Medicare is for low-income individuals; Medicaid is for people over 65.

83.

One example of a managed care organization is a:

a)

Nursing home

b)

HMO (health maintenance organization)

c)

Department store

d)

School

84.

Payment for the home health aide services is collected by the agency that assumes responsibility for your client. These payments may come from:

a)

Medicare

b)

Medicaid

c)

The client

d)

Any of the above

85.

Home health aide care involves:

a)

Client care and housekeeping activities

b)

Supervising client's care

c)

Laundry and wallpapering

d)

Client care and giving injections

86.

A hospice cares for clients who are:

a)

Chronically ill

b)

Acutely ill

c)

Terminally ill

d)

Developmentally disabled

87.

A home health aide needs to be aware of the client's:

a)

Cultural differences

b)

Physical needs

c)

Family situations

d)

All of the above

88.

Your mother, who is 80 years old, has to be admitted to a long-term care facility. Her only income is from Social Security, which is $800 a month. She has no other income or assets. What is the name of the federal and state fund that will help pay for her care in a long-term care facility?

a)

Medicaid

b)

Medicare

c)

Social Security Income

d)

Supplemental Nutrition Assistance Program (SNAP)

89.

Name the act that was passed in 1987, which mandates training guidelines for home health aides.

a)

Omnibus Budget Reconciliation Act (OBRA)

b)

Health Insurance Portability and Accountability Act (HIPAA)

c)

Affordable Care Act (ACA)

d)

Patient Protection Act

90.

__________ is a health care specialist who works with a client to improve their ability to hear and speak.

a)

Speech therapist

b)

Physiotherapist

c)

Nutritionist

d)

Radiologist

91.

Adrian Z has just been placed on kidney dialysis and is waiting for a kidney transplant. The home health aide drives him to the local hospital for kidney dialysis three times a week. He is 68 years of age and is on Medicare Part A and Part B. Medicare will pay for the cost of his kidney dialysis.

a)

True

b)

False

92.

An example of an acute illness is Alzheimer's disease.

a)

True

b)

False

93.

An important duty of a home health aide is to report and document changes in the client behavior.

a)

True

b)

False