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PersonalCareAssistant(PCA)COMPETENCY TEST

Georgia

WrittenExamination

I.ROLEOFTHEPERSONALCAREASSISTANT

APCAmayperformcertainduties. Markthefollowingtrueorfalsefortasksyoumaylegally performasaPersonalCareAssistant. T=True F=False
1.Reinforceadressing.

2.Applyahotpack.

3.Giveanenema.

4.Administer medication.

5.Changeasteriledressing.

6.Assistwithchangeofacolostomybag.

7.Givearectalsuppository.

8.Giveatubalfeeding.

9.Giveinsulin.

10.CutNails.

CHOOSEONECORRECTANSWERFOREACHQUESTION BELOWANDCIRCLETHECORRESPONDING LETTER.

11.AsaPersonalCareAssistant,you:

A.Workalone.

B.Workaspartofthehealth careteam.

C.Maybecometheleaderofthehealthcareteam.

D.Willnevergetanyfurthertrainingafterorientation.

12.Whenyouworkinthehome,youwillbe:

A.Responsibleformakingdecisionswithoutanyhelp.

B.Workingunderthesupervisionofaprofessionalsupervisor.

C.Awayfromyourofficeandhavenowaytocontactyouremployer.

D.Responsibleforcallingthephysicianwithinformation.

13.AsPersonalCareAssistant,itisyourresponsibilityto:

A.Plantheclient'scare.

B.Doonlythetasksthattheregisterednurseortherapistassignstoyou.

C.Trytodoyourbest,butnotaskforanyhelp.

D.Compareassiglll1lentswith yourco-workers.

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II.COMMUNICATION

Markthefollowingtrueorfalse.T=TrueF=False

14.Inthehome,itisimpo11anttobeagoodlistener.

15.Alwaystellthepatientwhatyouaregoingtodobeforestartingaprocedure.

16.Youonlycommunicatethroughwords.

CHOOSEONECORRECTANSWERIIOREACHQUESTIONBELOW ANDCIRCLETHE CORRESPONDINGLETTER.

17.Whichofthefollowingisimportantincommunicatingwithpeople:

A.Courtesy.

B.Tact.

C.Listening.

D.Allof theabove.

18.Bodylanguageis:

A.A wayofcommunicatingfeelingsbyusingthebody,facialexpressionsandtheeyes.

B.Onlyusedbyclientstotelltheirdoctorswhatiscausingthemproblems.

C.Onlyusedbypersonswhoaredeafandmute.

D.Thenewestdancecraze.

19.PCAcareforaconsciouspatientshouldbeprecededby:

A.Askingthepatientforhispermissiontogoaheadwiththeprocedure.

D.Tellingthepatientyouwouldliketohavehiscooperation.

C.Givinganexplanationofwhatisgoingtobedone.

D.Explanationtothepatientthatthedoctororderedthisdone.

20.MissHarris,a PersonalCareAssistant,isassignedtocareforMr.Goodway. MissHarrisnoticesthatshefeelsveryangrywhensheiswithMr.Goodway. WhatshouldMiss Harrisdobecauseshefeelsthisway?

A.TellMr.Goodwayhowsheisfeeling.

B.FindoutifotherPCAshavefeltthisway.

C.TrytopretendthatMr.Goodwayissomeoneshelikes.

D.Talkwiththeagencysupervisoraboutthesituation.

21.ApatientaccusesaPersonalCareAssistantofstealingfivedollars. ThePCAhasnottaken thepatient'smoney,butthepatientdoesnotbelievethis. WhatshouldthePCAdo?

A.AsktheotherPCAswhocareforthepatientiftheytookthefivedollars.

B.AskthepatientwhythePCAisbeingaccused.

C.Offertogivethepatientfivedollars.

D.Notifytheagencysupervisor.

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III.OBSERVATION, REPORTING ANDDOCUMENTATION

Markthefollowingtrueorfalse.T=TrueF=False

22.Ifyoudonotchartataskthatyoudoforapatient,legally,itwasnotdone.

23.Ifthepatienthasanewareaofskinbreakdown,andthenurse iscomingintwo days,youdonotneedtoreporttheskinbreak downtoyoursupervisor.

24.Arapidpulseandshortnessofbreathinapatientusuallyindicatesthepatientis excitedanddoesnotneedtobereportedtothenurse.

CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDINGLETTER.

25.Thepatient tellsyouhehasnotmovedhisbowelsinthreedays.Whatshouldyoudo?

A.Tellhimnottoworryaboutit.

B.Tellhimtotakealaxative.

C.Report it to the nursing supervisor.

D.Pretend youdidn'thearhim.

26.WhichoftheseactionsisthePersonalCareAssistantpermittedtotakeinrelationtodrugadministration?

A.Recordingandreportingthepatient'sreactiontothemedication.

B.Handingoutnonprescriptionmedicationstothepatientwhoasksforthem.

C.Adjustingthedosageofmedicationsgiventothepatient.

D.Adjustingthetimesmedicationsaregiventofitintothepatient's activitiesschedule.

27.Whenapatientcomplainsofpain,whatshouldthePersonalCareAssistant dofirst?

A.Askthepatienttodescribethepain.

B.Callthepatient'sdoctor.

C.Offerthepatientsomewarmtea.

D.Changethepatient'sposition.

28.Apatient'sprescriptionforheartpillshasrecentlybeen changed.ThehomehealthPCAshouldnotifytheagencysupervisorimmediatelyifthepatientmakeswhichofthesecomments?

A."Thepillsareveryexpensive."

B."ThesepillsaredifferentshapefromthepillsIusedtotake."

C."IhavearashonmystomachsinceI'vebeentakingthese pills."

D."Ican'ttakethesepills unlessIhave reallycold water todrink."

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29.Mrs.Rand,whohasdiabetesandtakesinsulinregularly,tellsthePersonalCareAssistantthatshefeelsverynervousandjittery. WhatshouldthePCAdoimmediately?

A.Takehertemperature.

B.Findoutwhenshehashernextdoctor'sappointment.

C.Haveherliedowninbed.

D.Giveheraglassoforangejuice.

IV.READINGANDRECORDINGTEMPERATURE,PULSEANDRESPIRATIONS

Markthefollowingtrueorfalse.T=TrueF=False

30.Alwaysreportapulserateifthebeatsperminuteareunder60orover100.

31.Thetemperatureofanunconsciouspatientshouldbetakenorallysincetheyarenotmovingabout.

32.Recordingapatient's"TPR"orvitalsignsisnotimportantaslongasyourememberwhattheywere.

CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDING LETTER.

33.Forwhich,ifany,ofthesebodyareasis99.6degreesF.a normaltemperature?

A.Axilla.

B.Mouth.

C.Rectum.

D.Noneoftheabove.

34.Whentakingapatient'spulse,youshouldtakeitfor:

A.15seconds.

B.Onefullminute.

C.5seconds.

D.Twominutes.

35.Whena patient'srespirationsarcbeingcounted,itisbestthatthepatient:

A.Triestobreatheevenly.

B. Triestobreatheasdeeplyashecan.

C.Sitsupstraight.

D.Notbeawarethattherespirationsarebeingcounted.

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V.INFECTIONCONTROL

Markthefollowingtrueorfalse.T=TrueF=False.

36.Handwashingisthesinglebestwaytodecreasethetransferofpathogens.

37.Glovesshouldbewornwhenhandlingitemssoiledbybodyfluids.

38.Thecatheterdrainagebagmustbelowerthanthebladder,butnotonthefloor.

CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDING LETTER.

39.Duringavisit,youneedtowashyourhandsafterremovinggloves:

A.Beforeyougivephysicalcaretothe patient.

B.Afteryoupetthedog.

C.Beforeyouleavethepatient'shome.

D.Alloftheabove.

40.Inwhatsituationshouldglovesbeused?

A.Thepatientisvomiting.

B.Thepatienthasbeenincontinentofstool.

C.Thepatienthasdrainagewound.

D.Alloftheabove.

VI.BODYFUNCTIONSANDCHANGES

Markthefollowingtrueorfalse.T=TrueF=False

41.Diarrheacancausedehydrationandotherseriouscomplicationsandshouldbereported.

42.If apersoncomplainsofpain,itisimportanttohavethepatientdescribethepainandthenreportittothenurseandrecorditinyournotes.

43.It'snormalformostpeopletocomplainofpressure,swelling,or bloatingintheirankles,feet,stomachorlegs.

CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDING LETTER

44.Ifyounoticethepatient'scatheterisnotdraining,thefirstthingyoushoulddois:

A.Callyoursupervisor.

B.Emptythedrainagebag.

C.Checkthetubingtoseeifitiskinked.

D.Donothing,thisisthenurse'sproblem.

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45.Whichof thefollowingisnotrecommendedforpromotinggooddailybowelhabits:

A.Plentyofwater.

B.Laxatives.

C.Exercise.

D.Wellbalancedmeals.

46.Mrs.Morrishasnothadabowelmovementforthreedays. Shehasalwaysgivenherselfanenemaifshedoesnothaveabowelmovementforthatlongatime. Mrs.Morrisasks thePersonalCareAssistanttogiveheranenema. WhatshouldthePCAdo?

A.GiveMrs.Morrisanenema.

B.TellMrs.Mol1'istowaitanotherday.

C.SuggestthatMrs.Morristakealaxativefirst.

D.Contacttheagencysupervisortodiscussthesituation.

VII.MAINTAINANCEOFACLEAN,SAFEENVIRONMENT

Markthe followingtrueorfalse.T=TrueF=False

47.Bedrailsshouldneverbeusedtosecurevestrestraints.

48.Smokinginbedisfineforanyonewhoisnotconfused.

CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDINGLETTER

49.PartofyourdutiesasaPersonalCareAssistantaretoassureasafehomeenvironment. Thisincludes:

A.Properinfectioncontrolwithgoodhandwashing.

B.Electricalandfiresafety.

C.Movingthingswhichmaycausethepatienttofall.

D.Alloftheabove.

50.Apatientisreceivingoxygenthroughanasalcannula. WhatsafetyprecautionsshouldthePersonalCareAssistanttake?

A.Keepthetelevisionset atleast5feetfromtheoxygentank.

B. Donotpermitthepatienttodrinksoda.

C.Allownosmokinginthepatient'sroom.

D.Donotuseanylotionsthatcontainoilinthepatient'sroom.

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VIII.EMERGENCYPROCEDURES

Markthefollowingtrueorfalse.T=TrueF=False

51.Foraninjurywithprofusebleeding,applypressureandcallforassistance.

52.Ifthepatientbeginstohaveaseizure,yourfirstresponsibilityistopreventthepatientfrominjuringhimself.

53.Ifthepatientfallsandcomplainsofpaininhiship,youshouldhelphim togetupandwalktothebed.

CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDING LETTER.

54.Apatient ischokingonsomeobjectthatiscaughtinhisairway.Beforefirst-aidmeasuresareapplied,findout:

A.Ifthepatient'spulserateisover80.

B.Ifthepatientcanswallowclearfluids.

C.Ifthepatientcanspeakorcough.

D.Whatmedications thepatienthastakeninthepast24hours.

55.Whilegivingabathonashowerchair,thepatientsuddenlygaspsandbecomesunresponsive.ThePersonalCareAssistantshould:

A.Callforfamilyassistanceandcontinuewiththebath.

B.Leavethepatientandcall911.

C.Lowerthepatienttothefloor,callforthefamilytocall911,determineifCPRisneededandinitiateitifindicated.

D.Tellthefamilytostaywiththepatientwhileyou call911andthesupervisor.

56.Forwhichoftheseemergenciesisaknowledgeofpressurepointsessential?

A.Healthstroke.

B.Bums.

C.Foodpoisoning.

D.Bleeding.

57.Thetelephonenumbersofallofthefollowingareimportant toapatient.WhichnumbermustthePersonalCareAssistanthavenexttothetelephone?

A.Thepatient'sclergyman.

B.Thedrugstore.

C.Theemergencymedicalsquad.

D.Thenext-doorneighbor.

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IX.HUMANDEVELOPMENT

Markthefollowingtrueorfalse.T=TrueF=False

58.Everypatientisthesameandhasthesameneedsandwants.

59.Itisallrighttouseanyiteminthehomewithoutaskingaslongasitisforthepatient'spersonalcare.

60. Youmayusethetelephoneinthepatient'shomewithoutaskingpermission.

CHOOSEONECORRECTANSWERFOREACHQUESTION BELOWANDCIRCLETHECORRESPONDING LETTER.

61.Aneighborhasaskedyousomequestionsaboutthepatientyouarepresentlytakingcareof. "Mrs.Coolerisdying,isn'tshe?"Howwillyouanswerher?

A.“Mrs.Coolerisdoingaswellascanbeexpected.”

B. “Iamsorry,butIcannotdiscussMrs.Cooler.”

C.“Yes,it'stoobad,butshe'sveryill.”

D. “HowdidyouknowaboutMrs.Coolerandherillness?”

62.Whichofthesestatementsabouttheelderlyis true?

A.Theycannotchange.

B. Theycanlearnnewthings.

C.Theywanttobecomedependentonothers.

D.Theydonotenjoymeetingnewpeople.

63.Whenworkingwithpersonwhoaredisabled,thegeneralgoalof careisto:

A.Provideconstantsupervision.

B.Providetotalcare.

C.Promotemaximumself-careandindependencewithinthelimitsoftheperson'sability.

D.Promotethecompletereturnoftheperson'sabilities.

64.ItisMrs.Morris'susualtimeforlunch,butshesayssheisnothungryyet. ThisisthefirsttimethatMrs.Morrishasmadethistypeofstatement. Whatshouldthe homehealthPCAdo?

A.InsistthatMrs.Morriseatatthistime.

B.TellMrs.MorristoletthePCAknowwhenshewantstoeat, andremindherthatitisimportantthatshe havelunch.

C.TellMrs.Morristhatifshedoesnoteatbyherself,shewillhavetobefed.

D.TellMrs.Morristhatittookalottotimetopreparethefoodandthatsheshouldeatitwhileitisfresh.

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65.Theabilitytomakeobservationsisevenmoreimportantwhenworkingwithinfantsandyoungchildrenthanitiswhenworkingwithadults.Thechiefreasonfor thisisthatinfantsandyoungchildren:

A.Donotliketobetoldwhattodo.

B. Areusuallysickerthanadults.

C.Enjoyhumancontactmorethanadults.

D.Cannotexplainhowtheyfeel.

X.PERSONAL CARE

Markthefollowingtrueorfalse. T=TrueF=False

66.Itisimportanttokeepapatientcoveredduringabedbathexceptforthepartbeingwashed.

67.Massagingofbonyprominenceshelpstopreventskinbreakdownbyincreasingthebloodsupplytothearea.

68.Whengivingperi-caretoapatientafteraBM, washusingafronttobackmotion inordernottospreadfecalmaterialtootherareas.

CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDING LETTER.

69.Whengivingthepatientabath,ifthewateristoohot,itcaninjure(bum)theperson'sskin.Ifitistoo cold,itcanchilltheperson.ThereforeyoushouldtesttheWaterTemperaturebeforebeginningthebathby:

A.AdjustingboththeHotandColdWatersoastomixthem.

B.Usingthepatients'thermometerandreadthetemperature.

C.Askingthepatienttotellyouifitistoohotortoocold.

D.Findingoutifthewateriswarm(nothotorcold) tothetouchontheinsideofyourwrist.

70.Whichofthefollowingismostappropriatepracticetopromotegoodskincare intheelderly:

A.Keeptheskincleanandwellmoisturized.

B.Applyalcoholtobareareasoftheskin.

C.Washdailywithscentedsoaps.

D.Alloftheabove.

71.Ifdenturesarenotwornwhensleeping,whereshouldyoustorethem?

A.Wrapinawashcloth.

B.Putinasterilecontainer.

C.Wrapinagauzepad.

D.Placeinacleancontainerincleanwater.

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72.Anelderlymalepatientoccasionallywetshistrousers. WhatshouldthehomehealthPCAdo?

A Givehimfluidswithhismealsonly.

B.Avoidgivinghiscoffeeandtea.

C.Tellhimifheurinatesonhimselfhe willhavetobeputindiapers.

D.Encouragehimtogotothebathroomatleasteverytwohours.

73.Ingivingfootcaretoapatientwhohasdiabetes,thePersonalCareAssistantmaytakewhichoftheseactions?

A.Cleanunderthetoenails.

B.Cutthetoenails.

C.Soakthepatient'sfeetformorethan5minutesinabasinofwarmwater.

D.Putlotiononthepatient'sfeetbeforedryingthem.

XI.SAFETRANSFERTECHNIQUESANDAMBULATION

Markthefollowingtrueorfalse.T=TrueF=False

74.Alwaystransferapatienttowardshisgoodside.

75.Thereisnoneedtobenearanobjecttopickitup,justreach.

76.It'sbesttouseagaitbeltifapatientisunsteady.

CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDING LETTER.

77.Apatientlyingonhisbackhassliddowninbedandneedshelpinmovingupagain.Tostartthis,thepatientshould,ifpossible:

A. Raisehimselfonhis elbows.

B.Separatehislegswidely.

C.Archhisback.

D.Flexhiskneesandpushwithhisheels.

78.Beforehelpingapatientintooroutofawheelchair,whichoftheseactionsarenecessary?

A.Havethebrakesunlockedandleavethefootpiecesdown.I3. Lockthebrakesandfoldthefootpiecesup.

C.Havethebrakeunlockedandthefootpiecesup.

D.Lockthebrakesandleave thefootpiecesdown.

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79.Whenassistingapatienttowalkwithhiswalker,youshould:

A.Clearapathwayandremoveallsafetyhazards.

B. Stayclosetothepatient'sside.·

C. Standontheothersideoftheroom.

D.Aand B.

80.Apatientwhohasbeenonbedrestistogetupinachair. ThePersonalCareAssistanthelpsthe patienttositontheedgeofthebed. Thepatientsays,"Iamdizzy." WhatshouldthePCAdo?

A.Rubthepatient'sfeet.

B.Helpthepatienttoastandingpositionandseeif thedizzinessgoesaway.

C. Putacoolcompressonthepatient'shead.

D. Supportthepatientinasittingpositionandwaitaminuteorsotoseeifthedizzinessgoesaway.

81.Patienthashadastrokeandhasaright-sidedweakness. Thepatientcanwalkwithalittleassistance. ItisbestforthePersonalCareAssistanttoassistthe patientbywalkinginwhichofthesepositions?

A.Directlyinfrontofthepatient.

B.Directlyinbackofthepatient.

C.Onthepatient'sleftside.

D.Onthepatient'srightside.

82.Mr.Stickeis76yearsold, needshelpwithbathing,andhasafoleycatheterinplace.Hehasgreatdifficultywalkingandusesawheelchair. WhenhelpingMr.Stickefromthebedtothewheelchair,whichoftheseactionsisessential.

A.Placethefootsupportsofthewheelchairsothathecanstepuponthem.

B.Havea blanketdrapedinthewheelchair.

C.Havethebrakesonthewheelchairinalockedposition.

D.Placeapillowontheseatofthe wheelchair.

XII.NORMALRANGEOFMOTION

Markthefollowingtrueorfalse.T=TrueF=False

83.Passiverangeofmotionexercisesareforthepreventionofcontracturesin patientswithparalyzedlimbs.

84.Duringrangeofmotionexercises,ifyoufeelresistanceorthepatientcomplainsof pain,

youshouldcontinueanyway.

85.It'sbesttohaveapillowbetweenthelegsofapatientwithanewhipreplacement.

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CHOOSEONECORRECTANSWERFOREACHQUESTIONBELO\VANDCIRCLE THECORRESPONDINGLETTER.

86.Topreventbedsoresintheelderly,youshould:

A.Changethepatient'spositioneverytwohoursiftheyareunabletodosothemselves.

B.Getthepatientoutofbediftheyareallowedtodoso.

C.Ensureadequatenutritionwithspecialemphasisonproteinintake.

D. Alloftheabove.

87.ThePersonalCareAssistantshouldbesuretotakewhichoftheseactionswhencaringforanewbornbaby?

A.Supportthebaby'sheadandneckwhenpickingthebabyup.

B.Cleantheinsideofthebaby'searswithcottonswabs.

C.Usepetroleumjellytokeeptheareaaroundthebaby'snavalmoist.

D. Holdthebabyonlyatfeedingandbathingtimes.

88.Whichofthesestatementsdescribesgoodbodymechanics?

A.Carryheavyobjectsasfarawayfromthebodyaspossible.

B. Bendthekneeswhenliftinganobjectoffthefloor.

C. Bendoveratthewaistwhenliftinganobjectfromthefloor.

D. Liftratherthanpushaheavyobject.

89.Whencaringforapatientwhoisonbedrest,whatshouldthePCAdotopreventbedsores?

A.Keepthetopsheetswelltuckedin.

B.Keepthebottomsheetfreeofwrinkles.

C.Useonlysheetsthatare100%cottononthepatient'sbed.

D. Useonlywoolenblanketstocoverthepatient.

XIII.NUTRITION

Markthefollowingtrueorfalse.T=TrueF=False

90.Soysauceisgoodtospiceupalowsaltdiet.

91.Aregulardietisawell-balanceddietwithnorestrictions.

92.Breadandpotatoesareagoodsourceofprotein.

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CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDING LETTER.

93.Foodsonaliquiddietwouldinclude:

A.Chicken,eggsandtoast.

B.Choppedandstrainedfoods.

C.Broth,teaandJello.

D.Lightlyseasonedfoods.

94.FoodsthatarehighinvitaminCinclude:

A.Oranges,tomatoesandwatermelon.

B.Potatoes,raisinsandbananas.

C.Liver,beefandchicken.

D.Cheese,milkandcottagecheese.

95.Ifthereis50ccleftinglassandtheglassholds150ccyoushouldrecordtheintakeas:

A.90cc.

B.120cc.

C.lOOcc.

D.50cc.

96.Milkisagoodsourceofcalcium. Whichofthesefoodsisalsohighin calcium?

A.Cheese.

B.Bananas.

C.Orangejuice.

D.Raisins.

97.Whenpatientsdonothaveenoughfluids, theymaydevelopwhichoftheseproblems?

A.Diarrhea.

B.Swelling.

C.Constipation.

D.Dandruff

98.If apatientistohaveafluidintakerecordkept,therighttimetorecordthepatient'sfluidis:

A.Whenthefluidsareservedtothepatient.

B. Whenthepatienthasdrankthefluids.

C. Every2 hours.

D.After eachmeal.

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99.Patientonlowsaltdietsareusuallyallowedtohavewhichofthesefoods?

A.Hardcheeses.

B.Cannedsoups.

C.Raisins.

D.Olives.

XIV.CULTURALDIFFERNCES INFAMILIES

CHOOSEONECORRECTANSWERFOREACHQUESTIONBELOWANDCIRCLETHECORRESPONDINGLETTER.

100.PatientssometimesexpressreligiousbeliefswithwhichthePersonal CareAssistantdoesnotagree.Indealingwiththesesituations,whichoftheseunderstandingsshouldthePCA useasaguide?

A.Patientshavearighttotheirrownbeliefs,whichshouldberespected.

B.PatientsshouldbetoldnottodiscusstheirbeliefswithPCAs.

C.PCAsshouldexplaintheirbeliefstopatients.

D.PCAsshouldpretendtohavethesamebeliefsthatpatientshave.

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