Transmission-Based Precautions
Combative and Inappropriate Behavior
Common conditions seen by HHAs (AIDS, HIV, COVID, MRSA, etc.)
Military time and reporting
Infection prevention
100

Which of the following is true of transmission based precautions?

a) Transmission based precautions replace standard precautions

b) They are exactly the same as standard precautions

c) They are practiced in addition to standard precautions

d) They are never used together with standard precautions

c) They are practiced in addition to standard precautions

100

___________ behavior means being violent or hostile.

Combative

100

In health care, the most common way to be infected with a bloodborne disease is by...

a) contact with infected blood.

b) hugging a client with a bloodborne disease.

c) being in the same room as a client with a bloodborne disease.

d) sexual contact with an infected client.

a) contact with infected blood.

100

Give the start and end time of HHA ESL class in military time.

0930 to 1230

100

What type of personal protective equipment is used most often by caregivers?

a) gloves

b) mask

c) face shield

d) goggles

a) gloves

200

Transmission can occur when touching a contaminated area on the client's body.

(choose: Airborne, Contact, or Droplet)

Contact precautions are needed

200

It is important for the HHA to __________ combative behavior to the care team, even if the HHA does not find the behavior upsetting.

report

200

How does HIV affect the body?

a) it cuts off blood supply to the brain

b) it causes hearing impairment by damaging the inner ear.

c) it causes diabetes in otherwise healthy people.

d) it weakens the immune system so that the body cannot fight infection.

d) it weakens the immune system so that the body cannot fight infection.

200

An HHA is reporting the time her client went to bed. She checks her watch and it is 10:00PM. Her report should say...

2200, client went to bed

200

An HHA will come into contact with microorganisms

a) only in the bathroom

b) every time the HHA touches something

c) only during direct contact with clients

d) only during personal care procedures


b) every time the HHA touches something

300

Covering the nose and mouth with a tissue when a person sneezes or coughs and washing hands immediately after sneezing are part of these transmission-based precautions...

(choose: airborne, contact or droplet)

Droplet

300

Which is NOT an example of inappropriate behavior from a client?

a) Asking to borrow money from the HHA

b) Calling the HHA by the wrong name

c) Asking the HHA very personal questions

d) Making sexual comments to the HHA

b) Calling the HHA by the wrong name

300

Tuberculosis is...

a) a bloodborne disease

b) an airborne disease

c) a non-infectious disease

d) an untreatable disease

b) an airborne disease

300

The client is reading reports from last night's shift to prepare to see her client this morning. The report says:

1927 client c/o dry mouth

this means:

a) The client was born in the year 1927

b) The client was awake at 10:00PM

c) The client made a complaint at 7:27PM

d) The HHA should call 911 immediately

c) The client made a complaint at 7:27PM

300

If an HHA wears glasses...

a) she does not need to wear goggles

b) she should wear goggles over her glasses during all procedures

c) she should wear goggles over her glasses only if asked by the client

d) she should wear goggles over her glasses any time body fluids may be splashed or sprayed

d) she should wear goggles over her glasses any time body fluids may be splashed or sprayed

400

These transmission-based precautions help protect against transmission of influenza (the flu).

(choose: airborne, contact or droplet)

Droplet
400

The client asks the HHA an inappropriate question about her love life. Give one example of how the HHA can respond.

"I'm sorry but I can't talk about my personal life at work"
"I'm much more interested in hearing about you and your life!"

Change the subject.

etc.

400

The word resistant in multidrug-resistant TB (MDR-TB) means that

a) medications can no longer kill the specific bacteria

b) The infected person does not want to treat his disease

c) Doctors do not know what causes this disease

d) the infected person will die from the disease

a) medications can no longer kill the specific bacteria

400

Which of the following would be considered an incident?

a) A client complains of a headache

b) A client falls but is okay afterwards

c) A client wants his meal brought to his bedroom

d) A client needs to be transferred from his bed to a chair

b) A client falls but is okay afterwards

400

When does an HHA normally NOT need to wear gloves?

a) hanging laundry

b) When the HHA may touch blood

c) Shaving a client

d) Giving a massage to a client who has acne on his back

a) hanging laundry

500

Which of the following is NOT about airbourne precautions?

a) Helps prevent the spread of C. diff and conjunctivitis (pink eye)

b) Used to guard against tuberculosis

c) Helps prevent the spread of illnesses transmitted through the air

d) May require the use of a special mask such as an N95

a) Helps prevent the spread of C. diff and conjunctivitis (pink eye)

500

Combative behavior may be the result of _______ affecting the brain, an expression of _________, or part of someone's ___________.

a) caffeine, hatred, outfit

b) bad weather, frustration, name

c) disease, frustration, hunger

d) disease, frustration, personality

d) disease, frustration, personality

500

Which statement about MRSA is FALSE?

a) MRSA is almost always spread by direct physical contact

b) Handwashing will not help control the spread of MRSA

c) MRSA can be spread through indirect contact by touching objects contaminated by a person with MRSA

b) Handwashing will not help control the spread of MRSA

500

List two reasons that accurate reporting by an HHA is important to other members of the care team?

Doctors need to know about changes to the client's health

If the client needs other resources, social workers can help

Other HHAs who may work with the client on different days need to know the current information

etc.

500

Getting a vaccination breaks which link in the chain of infection?

a) Reservoir

b) Mode of transmission

c) Susceptible host

d) Portal of exit

c) Susceptible host

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