SEIU 775 Home Care Aide
Certification Exam
1. A client refuses to have their blood pressure taken but agrees to let you
check their temperature. According to person-centered care principles, what
is your best response?
• A. Document the refusal and skip all vital signs for the day
• B. Tell the client they must allow the blood pressure check because it is
required
• C. Respect the client's right to refusal and take only the temperature
they agreed to
• D. Call the supervisor to force the client to comply
Rationale: The Right to Refusal is absolute. Clients can refuse any part of care at
any time. You must respect their choice while continuing to offer the care they
accept.
2. A client wants to shower at 9:00 PM instead of the scheduled 8:00 AM. How
should you respond?
• A. Insist on the morning time because it is your routine
• B. Honor the client's preference and assist with the evening shower
• C. Tell the client evening showers are unsafe
• D. Document non-compliance without providing care
Rationale: The Right to Choice means clients choose when, how, and where they
receive care. Your schedule does not override their autonomy.
3. While assisting a client with dressing, they say "Stop, I don't want to
finish." What is your immediate action?
• A. Finish quickly because safety is the priority
• B. Stop immediately and confirm they wish to refuse the remainder of
the task
• C. Ask the client to explain why they are refusing
, • D. Document refusal and leave the room without speaking
Rationale: The Right to Refusal requires you to stop the moment a client says no.
You do not need a reason; you simply respect the refusal.
4. A client with dementia repeatedly says "no" to bathing but allows you to
wash their hands and face. What is the correct approach?
• A. Force a full bath because hygiene is critical for safety
• B. Report the client to adult protective services for neglect
• C. Accept the partial refusal and provide the care they allow
• D. Wait until the client falls asleep to complete the bath
Rationale: Person-centered care respects partial refusal. You provide what the
client agrees to, never forcing care. Safety includes emotional safety.
5. You observe a client struggling to put on their shirt but not asking for help.
What should you do?
• A. Take over and dress them quickly to save time
• B. Ask the client to identify their own capabilities and specify where
they need help
• C. Document that the client is non-compliant
• D. Ignore the struggle and move to the next task
Rationale: Client independence requires you to prioritize autonomy. First, ask
the client what they can do themselves. Only assist where requested.
6. A client asks to see their daily care notes. What is your response?
• A. Tell them notes are for staff only
• B. Allow the client to review the information being recorded about them
• C. Say you are not allowed to share documentation
• D. Read only the positive parts of the notes to the client
Rationale: The Right to Transparency gives clients the right to know what is
observed and recorded about them.
7. Which scenario best demonstrates promoting resident rights?
, • A. Choosing the client's outfit to save time
• B. Offering the client two meal options and asking where they prefer to
eat
• C. Scheduling all showers at the same time each day
• D. Documenting care without client knowledge
Rationale: Promoting rights means offering choices and honoring personal
preferences regarding how care is delivered.
8. A client refuses a bed bath but agrees to let you change their sheets. What
principle applies?
• A. Right to Safety overrides refusal
• B. The Right to Refusal is absolute and applies to any part of care
• C. Clients cannot refuse hygiene tasks
• D. You must document the client as uncooperative
Rationale: The absolute right to refusal applies to any part of care. Partial
acceptance is acceptable.
9. A family member demands you force their parent to take a shower. The
client says "no." What do you do?
• A. Follow the family member's request to avoid conflict
• B. Respect the client's refusal and explain person-centered principles to
the family
• C. Ask the client to reconsider because family is upset
• D. Leave the client unbathed and document nothing
Rationale: The client's rights always come before family demands. The Right to
Refusal belongs to the client alone.
10. You are recording a client's blood pressure. They ask, "What are you
writing down?" What is your best response?
• A. "It's just for my records"
• B. "You don't need to worry about that"
Certification Exam
1. A client refuses to have their blood pressure taken but agrees to let you
check their temperature. According to person-centered care principles, what
is your best response?
• A. Document the refusal and skip all vital signs for the day
• B. Tell the client they must allow the blood pressure check because it is
required
• C. Respect the client's right to refusal and take only the temperature
they agreed to
• D. Call the supervisor to force the client to comply
Rationale: The Right to Refusal is absolute. Clients can refuse any part of care at
any time. You must respect their choice while continuing to offer the care they
accept.
2. A client wants to shower at 9:00 PM instead of the scheduled 8:00 AM. How
should you respond?
• A. Insist on the morning time because it is your routine
• B. Honor the client's preference and assist with the evening shower
• C. Tell the client evening showers are unsafe
• D. Document non-compliance without providing care
Rationale: The Right to Choice means clients choose when, how, and where they
receive care. Your schedule does not override their autonomy.
3. While assisting a client with dressing, they say "Stop, I don't want to
finish." What is your immediate action?
• A. Finish quickly because safety is the priority
• B. Stop immediately and confirm they wish to refuse the remainder of
the task
• C. Ask the client to explain why they are refusing
, • D. Document refusal and leave the room without speaking
Rationale: The Right to Refusal requires you to stop the moment a client says no.
You do not need a reason; you simply respect the refusal.
4. A client with dementia repeatedly says "no" to bathing but allows you to
wash their hands and face. What is the correct approach?
• A. Force a full bath because hygiene is critical for safety
• B. Report the client to adult protective services for neglect
• C. Accept the partial refusal and provide the care they allow
• D. Wait until the client falls asleep to complete the bath
Rationale: Person-centered care respects partial refusal. You provide what the
client agrees to, never forcing care. Safety includes emotional safety.
5. You observe a client struggling to put on their shirt but not asking for help.
What should you do?
• A. Take over and dress them quickly to save time
• B. Ask the client to identify their own capabilities and specify where
they need help
• C. Document that the client is non-compliant
• D. Ignore the struggle and move to the next task
Rationale: Client independence requires you to prioritize autonomy. First, ask
the client what they can do themselves. Only assist where requested.
6. A client asks to see their daily care notes. What is your response?
• A. Tell them notes are for staff only
• B. Allow the client to review the information being recorded about them
• C. Say you are not allowed to share documentation
• D. Read only the positive parts of the notes to the client
Rationale: The Right to Transparency gives clients the right to know what is
observed and recorded about them.
7. Which scenario best demonstrates promoting resident rights?
, • A. Choosing the client's outfit to save time
• B. Offering the client two meal options and asking where they prefer to
eat
• C. Scheduling all showers at the same time each day
• D. Documenting care without client knowledge
Rationale: Promoting rights means offering choices and honoring personal
preferences regarding how care is delivered.
8. A client refuses a bed bath but agrees to let you change their sheets. What
principle applies?
• A. Right to Safety overrides refusal
• B. The Right to Refusal is absolute and applies to any part of care
• C. Clients cannot refuse hygiene tasks
• D. You must document the client as uncooperative
Rationale: The absolute right to refusal applies to any part of care. Partial
acceptance is acceptable.
9. A family member demands you force their parent to take a shower. The
client says "no." What do you do?
• A. Follow the family member's request to avoid conflict
• B. Respect the client's refusal and explain person-centered principles to
the family
• C. Ask the client to reconsider because family is upset
• D. Leave the client unbathed and document nothing
Rationale: The client's rights always come before family demands. The Right to
Refusal belongs to the client alone.
10. You are recording a client's blood pressure. They ask, "What are you
writing down?" What is your best response?
• A. "It's just for my records"
• B. "You don't need to worry about that"
