1: One way to be a good listener is to:
A: ~ Finish a resident’s sentences for him to show that you understand what he is saying
B: ~ Pretend that you understand what a resident is saying even if you do not
C: ~ Restate the message in your own words
D: ~ Fill in any pauses to avoid awkwardness
The answer is C. EXPLANATION: We want to demonstrate that we heard the message by restating it in our own words. This helps the client to feel that you heard and understood them. The other options would be inappropriate to do.
2: Musculoskeletal changes in the elderly include which one of the following:
A: ~ Bones become more brittle
B: ~ Airways become narrow.
C: ~ Kidneys do not function.
D: ~ The body cannot produce insulin.
The answer is A. EXPLANATION: A specific skeletal change is that bones can become more brittle and weak as we age. The other items are not musculoskeletal changes.
3: The body is able to fight diseases effectively when you:
A: ~ Eat well
B: ~ Get enough rest
C: ~ Exercise
D: ~ All of the above
The answer is D. EXPLANATION: Doing all of these activities assist you in having optimal health and also stops possible diseases from occurring.
4: When giving a bed bath, always obtain clean bathwater after washing the:
A: ~ Abdomen.
B: ~ Legs and feet.
C: ~ Armpits.
D: ~ Face.
The answer is B. EXPLANATION: After cleansing the legs and feet, change out your bath water and use new water for the rest of the areas.
5: Which disease is the most common cause of dementia in the elderly?
A: ~ Alzheimer’s disease
B: ~ Multiple sclerosis
C: ~ Osteoarthritis
D: ~ Congestive heart failure
The answer is A. EXPLANATION: Alzheimer's is the most common cause affecting 60 to 80 percent of those diagnosed with dementia. The other diseases are not in the dementia category.
6: Mr. Cane was told two years ago that a tumor in his brain was inoperable and would eventually be fatal. Since, he has visited many specialists. Despite receiving the same diagnosis from every doctor, he continues to seek further opinions, insisting that each doctor try to remove the tumor. Which stage is Mr. Cane in?
A: ~ Denial
B: ~ Anger
C: ~ Bargaining
D: ~ Depression
The answer is A. EXPLANATION: Mr. Cane is in the denial stage as he believes he will get better if he finds the right doctor. Unfortunately, this is not possible as many doctors have evaluated him and have given him the same diagnosis.
7: Respecting resident’s rights:
A: ~ Is a matter of choice
B: ~ Is a legal requirement
C: ~ Is not a the NAs responsibility
D: ~ Applies only to resident complaints
The answer is B. EXPLANATION: As caregivers we must legally respect resident rights. Lawsuits against you as a caregiver can occur for any violation of resident rights. The other options are incorrect.
8: A client complains to the nurse aide that another nurse aide neglected her. The nurse aide should:
A: ~ Report the complaint
B: ~ Stand up for the other nurse aide
C: ~ Listen to the complaint, but do nothing
D: ~ Tell the client she is just confused.
The answer is A. EXPLANATION: You have to report the complaint to the nurse that will then take care of it. The nurse will have you help create an investigation and depending on the outcome a report to the state could need to be made. The state hotline is 1-800-562-6078.
9: What is perennial care?
A: ~ Washing the face, back, and armpits
B: ~ Preventing the pressure sores
C: ~ Cleaning the genitalia and rectum
D: ~ Promoting relaxation
The answer is C. EXPLANATION: Perennial care is assisting a client with cleansing of the genitals and rectum. Washing the face, back, and armpits is known as bathing or showering. Caregivers turn a client every two hours to prevent pressure ulcers. Staff can assist clients with relaxation through massage. It is not the definition of perennial care however.
10: The following are necessary links in the chain of infection. By wearing gloves, which link is broken, thus preventing the spread of disease?
A: ~ Reservoir (place where the pathogen lives and grows)
B: ~ Mode of transmission (a way for the disease to spread)
C: ~ Susceptible host (person who is likely to get the disease)
D: ~ Portal of exit (body opening on infected person)
The answer is B. EXPLANATION: Wearing gloves prevents the resident's body fluids from coming into contact with your skin. The gloves prevent these fluids from entering through your skin thus stopping the mode of transmission (from the body fluids into your skin). The others do not apply in this scenario.

Grade Quiz