Question 1

Kleine, age 57, was diagnosed with chronic bronchitis. Andrea, the patient care technician assigned to him, knows that all of the following are appropriate interventions to promote adequate respiratory function, except:

Accepted Answer

Minimizing smoking is an inappropriate intervention to promote respiratory function. Instead, the appropriate intervention would be to avoid or quit cigarette smoking.

Question 2

The patient care technician is caring for a client with delirium when the client says, "Look at the spiders on the wall." ?What should the patient care technician say to the client?

Accepted Answer

The patient care technician should say, "I know you are frightened, but I do not see spiders on the wall." Clients with delirium sometimes experience hallucinations. It is appropriate to acknowledge the feelings of the client and to present reality initially. Do not argue with the person. Reassure him/her; tell the client that you will provide protection from harm.

Question 3

The first stage of pressure ulcer formation is:

Accepted Answer

The first stage of pressure ulcer formation is a non blanch able, erythematic area of intact skin. The stages of pressure ulcer formation are as follows:
-STAGE 1: The skin is red. The color does not return to normal when the skin is relieved of pressure. The skin is intact.
-STAGE 2: The skin cracks, blisters, or peels. There may be a shallow crater.
-STAGE 3: The skin is gone. Underlying tissues are exposed. The exposed tissue is damaged. There may be drainage from the area.
-STAGE 4: Muscle and bone are exposed and damaged. Drainage is likely.

Question 4

During the end-of-shift report, the nurse informed the patient care technician that a client of Jewish faith requested for a strict kosher diet, and arrangements have been made in the dietary department. At lunchtime, which of the following meal trays would be appropriate for the patient care technician to serve said client?

Accepted Answer

In the Jewish religion, those who keepkosher believe that combining dairy products and meat is not acceptable. Pork and pork products are also not allowed. Only fish that have scales and fins are allowed; meats that are allowed include animals that are vegetable eaters, cloven-hoofed, and ritually slaughtered.

Question 5

When taking radial pulse, a patient care technician should do all of the following except:

Accepted Answer

Using the thumb when palpating pulse is incorrect action. The thumb has strong pulsation, and the patient care technician might be counting her own pulse, instead of the client's pulse.

Question 6

Situation: Judy Montgomery, an 85-year-old client with Alzheimer's disease, developed a serious complication of pneumonia and is now attached to a respirator.
Knowing that for a comatose client, hearing is the last sense to be lost. As Judy's patient care technician all through her stay in the hospice, what should you do?

Accepted Answer

Speak softly then hold her hands gently. Hearing is one of the last functions lost. Always assume that the person can hear. Speak in a normal voice. Provide reassurance and touch the client by holding her hands gently. This is one way of allowing the client to feel that you are with her.

Question 7

Justine (CMA) was instructed by the staff nurse to elevate the client's left limb, which is in a cast, to prevent swelling. Which of the following actions indicates that Justine is elevating the limb with the cast correctly?

Accepted Answer

To reduce swelling, place the limb with the cast above the level of the heart with the use of pillows. Placing it below or at the level of the heart won't reduce swelling. To elevate a cast, the limb may need to be extended from the body.

Question 8

Situation: Judy Montgomery, an 85-year-old client with Alzheimer's disease, developed a serious complication of pneumonia and is now attached to a respirator. Knowing that for a comatose client, hearing is the last sense to be lost. As Judy's patient care technician all through her stay in the hospice, what should you do?

Accepted Answer

Speak softly then hold her hands gently. Hearing is one of the last functions lost. Always assume that the person can hear. Speak in a normal voice. Provide reassurance and touch the client by holding her hands gently. This is one way of allowing the client to feel that you are with her.

Question 9

A new patient care technician is on an orientation tour with the supervisor. A client approaches her and says, "I don't belong here. Please try to get me out." The patient care technician's best response would be:

Accepted Answer

The correct response is, "I am a new staff member, and I'm on a tour. I'll come back and talk with you later." The client in this scenario is disturbed and restless. Informing the client of your identity and role in the workplace will present reality. Furthermore, offering to come back later and talk with the client can provide a sense of importance and relief from the anxiety. It is important to address the present emotions of the client and to neither delay nor neglect him.

Question 10

Sawyer has been a resident in the facility for three months and was having difficulty feeding herself due to her paralysis of the left arm. Danielle, the new licensed patient care technician is helping her to eat. Which statement about feeding a person is not correct?

Accepted Answer

Instead of fork, use spoons to feed the person. They are less likely to cause injury than forks. The spoon should only be one-third full. Many people pray before eating. Allow time and privacy for prayer. This shows respect and care for the person. Serve food and fluids in the order the person prefers. Meals provide social contact with others. Engage the person in pleasant conversation. However, allow time for chewing and swallowing.

Question 11

Rehabilitation and restorative care focus on:

Accepted Answer

The person with a disability needs to adjust physically, psychologically, socially, and economically. Rehabilitation is the process of restoring the person to his or her highest possible level of physical, psychological, social, and economical functions. Abilities - what the person can do - are stressed.

Question 12

Macy, the new patient care technician, is about to take a client's rectal temperature as ordered by the nurse. Which of the following actions show that Macy is doing the procedure inappropriately?

Accepted Answer

Explaining the procedure to the client before doing it decreases or eliminates anxiety; however, the client should be placed in the left-side lying position, not the ride-side lying position. This position facilitates easy insertion of the probe into the anus as it follows the normal anatomical position of the colon. The other choices are correct actions for the nursing assistant in obtaining rectal temperature.

Quiz 4: Patient Care