Home Care for the Elderly: "A Real Patient"



1. Patient safety and comfort are main concerns for all caregivers. True or False?

2. Elderly patients often have breathing problems. You should give them aid by:

    a. Keeping them flat.

    b. Withholding oxygen.

    c. Making patients ambulate more.

    d. Placing them in a sitting position (Semi-Fowlers or Fowlers position).

3. If a patient falls, the first thing the aide should do is:

    a. Determine if help is needed to move the patient.

    b. Move all extremities to see how badly the patient is injured.

4. When assisting a patient to transfer from bed to wheelchair, always:

    a. Place chair at end of bed.

    b. Lower foot pedals.

    c. Lock bed and chair wheels.

    d. Raise bed.

5. Always instruct patient to put his arms around your neck/shoulders when you're ready to transfer. True or False?

6. When feeding a patient:

    a. Use spoon or fork and fill approximately half full.

    b. Give patient time to chew and swallow.

    c. Offer fluid every three or four bites.

    d. Don't hurry the patient.

    e. All of the above.

7. The most common place to take a pulse is:

    a. Wrist (Radial).

    b. Chest/Heart.

    c. Temple.

    d. Bend in the elbow.

8. An elderly patient is distracted easily by background noises of:

    a. More than one person talking at the same time.

    b. Birds chirping.

    c. A freight train.

9. Patients should be encouraged to help as much as possible during a.m. visit because:

    a. The agency has many patients and the work will be done faster.

    b. It stimulates the patient's general physiology.

    c. You don't want the patient to get too tired.

10. The signs of good nutrition include:

    a. Shiny hair, clear skin and eyes, alert expression.

    b. Grouchiness/irritability.

    c. Decreased energy level.

11. Your patient is on a full liquid diet. You discover that one thing doesn't belong, and it is:

    a. Strained soup.

    b. Sherbet.

    c. Eggnog.

    d. Crackers.

    e. Strained grape juice.

12. Elderly persons are stereotyped as having:

    a. Loss of vitality.

    b. Graying of hair.

    c. Decreased sensitivity to pain.

    d. All of the above.

13. Signs of approaching death include:

    a. Loss of general control/skin cool, but patient denies feeling cold.

    b. Breathing becomes irregular and shallow.

    c. Extremities become cold and mottled.

    d. All of the above.

14. When patients face the closure of life, you should:

    a. Leave them alone - let them die in peace.

    b. Visit frequently and remember good times with the patients.

    c. Cease mouth care.

15. Old people don't really know/feel anything, so it's all right to:

    a. Leave them in wet diapers until the diaper is really saturated.

    b. Turn them every four hours.

    c. Do incontinence care each time the aide is there, and instruct the family on the importance of good pericare and training. Have family give return demonstration to check on their understanding.