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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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