ANSWER KEYS INCLUDED
WORKBOOK
, Contents
PART 1 Orientation to Home Care
Chapter 1 Learning About Home Care, 1
Chapter 2 The Home Care Industry, 4
Chapter 3 Developing Effective Communication Skills, 7
Chapter 4 Understanding Your Client’s Needs, 11
Chapter 5 Understanding How the Body Works, 14
Chapter 6 Observing, Reporting, and Recording, 19
Chapter 7 Working With Ill and Disabled Clients, 25
PART 2 Managing the Home Environment
Chapter 8 Maintaining a Safe Environment, 28
Chapter 9 Maintaining a Healthy Environment, 32
Chapter 10 Meeting the Client’s Nutritional Needs, 34
PART 3 Home Care Procedures
Chapter 11 Preventing Infection/Medical Asepsis, 39
Chapter 12 Body Mechanics, 43
Chapter 13 Bedmaking, 50
Chapter 14 Personal Care, 52
Chapter 15 Elimination, 59
Chapter 16 Collecting Specimens, 65
Chapter 17 Measuring Vital Signs, 72
Chapter 18 Special Procedures, 77
PART 4 Meeting the Client’s Special Needs
Chapter 19 Caring for Older Adults, 85
Chapter 20 Caring for Mothers, Infants, and Children, 89
Chapter 21 Caring for Clients With Mental Illness, 92
Chapter 22 Caring for Clients With Illnesses Requiring Home Care, 97
Chapter 23 Caring for the Client at the End of Life, 104
Chapter 24 Emergencies, 106
PART 5 Professional Skills
Chapter 25 Getting a Job and Keeping It, 109
Answers, 117
Skills Competency Checklists, 153
Skills Competency Checklists Record, 253
v
, PART ONE ORIENTATION TO HOME CARE
1 Learning About Home Care
MATCHING
Directions: Match each term listed in Column A with its correct definition in Column B.
Column A Column B
A. Ethnic 1. ___The usual function of a person
B. Client 2. ___The process of judging performance to determine progress in learning
C. Evaluation 3. ___Beginning, just starting
D. Entry-level 4. ___Practicing skills learned in the classroom in a client care setting
E. Certification 5. ___Person receiving care at home
F. Confidential 6. ___Recognition by a government or nongovernment agency that a person has met
certain requirements
G. Role
7. ___A group of people with the same origins or common traits
H. Clinical experience
8. ___Private information that is not to be discussed
SITUATIONS
Directions: Listed below are three situations that involve the home care aide training program. How would you respond
to each? Discuss your answers in class.
Situation 1
Your friends are happy that you are starting a new career. They ask you to tell them all about your training program.
In the space below, write what you would tell them about your home care training program.
Response:
Length of course __________________________________________________________________________________
Clinical experience ________________________________________________________________________________
Evaluation _______________________________________________________________________________________
Situation 2
Before you go to bed, you set out all the things you will need to take to class the next day. Your roommate wants to
know why you are taking all these things (notebook, pen, pencils, and textbook) to class.
Response:
________________________________________________________________________________________________
________________________________________________________________________________________________
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc. 1
All rights reserved.
,2 Part One Orientation to Home Care
Situation 3
Your instructor uses some words that you do not understand. After class, your classmates complain that they don’t know
the meaning of those “big words” either.
Response:
________________________________________________________________________________________________
________________________________________________________________________________________________
PRACTICING TO TAKE TESTS
Directions: The following test questions give you a chance to sharpen your test-taking skills. Read each statement care-
fully, and then give the correct answer. Check your answer at the back of the book to see if you were right or wrong.
Good luck!
Examples
True or False
Directions: In the space provided, mark the statement “T” for true or “F” for false. If the statement is false, change it
to make it true.
1. ___All home care aide training programs are the same number of hours in length.
2. ___The word client refers to a person who is receiving home care.
3. ___The PQRST method is a good way to study.
4. ___The process of evaluating the home care aide’s performance only occurs at the end of the program.
5. ___The instructor is the only person who evaluates the student’s ability to successfully work in the client’s home.
6. ___The ability of the home care aide to work cooperatively with classmates is an important part of being
a successful student.
Multiple Choice
Directions: Read carefully and select the best answer for each question. Circle the letter indicating the correct answer.
There is only one correct answer for each question.
1. Clinical experience takes place:
a. in the classroom.
b. in the client’s home.
c. in your own home.
d. wherever you are learning.
2. When reading the chapter in the textbook, a person should begin with:
a. stories about clients.
b. key terms.
c. chapter objectives.
d. study questions.
3. Written tests are an example of:
a. classroom evaluation.
b. clinical evaluation.
c. your role.
d. certification.
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
, Chapter 1 Learning About Home Care 3
REAL-LIFE SITUATIONS
1. How many ethnic groups are represented in your class? Talk to two of your classmates who have a background
different from you. Complete the following information:
Student #1 Student #2
Country where the student (or family) was born ___________________ ___________________
Special food they enjoy ___________________ ___________________
Special events ___________________ ___________________
Special customs ___________________ ___________________
Languages they speak/understand ___________________ ___________________
2. Plan a weekly schedule that shows the time you will spend studying or preparing assignments for class. Explain
your plan to the people with whom you live, and ask for their support.
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
, 2 The Home Care Industry
MATCHING
Directions: Match each term listed in Column A with its correct definition in Column B.
Column A Column B
A. Official agency 1. ___A listing of diagnoses used to establish reimbursement by Medicare
and Medicaid for hospitalization and medical care
B. Medicaid
2. ___A federal program of hospitalization, prescription drugs, and health
C. Chronic illness care insurance for persons older than 65 years and/or those with
D. Hospital discharge planner permanent disabilities
E. Assess 3. ___A state and federal insurance program that pays for hospitalization
and health care for low-income persons of all ages
F. Diagnostic-related group (DRG)
4. ___An illness with a rapid onset, severe symptoms, and of short length
G. Hospice
5. ___A disease showing little change, slow progress, and of long length
H. Reimbursement
6. ___A program of care that assists the dying client to maintain a
I. Acute illness satisfactory lifestyle during the end stage of an illness
J. Medicare 7. ___A person who arranges for the care of a patient upon release from the
hospital
K. Standard
8. ___A gauge that is used as a basis for judgement
L. Policy, policies
9. ___To make payment for an expense incurred
M. Voluntary agency
10. ___To determine the client’s needs for home care services
11. ___A set of rules and regulations
12. ___An agency sponsored by local or state government
13. ___A nonprofit agency financed through tax-deductible contributions
HIDDEN WORDS: QUALITIES OF A HOME CARE AIDE
Directions: Use the word list below to find the hidden words in the puzzle on p. 5 that describe the qualities of a home
care aide. The words may appear from the top down or the bottom up; they may go across, backward, or crosswise.
When you find a word, circle it, and then cross off that word in the list.
alert confident enthusiastic patient skillful
caring considerate honest pleasant willing
cheerful cooperative kind reliable
clean courteous neat respectful
competent dependable observant sincere
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
4 Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
, Chapter 2 The Home Care Industry 5
WORD COMPLETION
Directions: Name the team members who perform the following functions:
Function Team Member
1. Teaches the client helpful ways to improve swallowing S __ __ __ __ __-L__ __ __ __ __ __ __
T__ __ __ __ __ __ __ __
2. Coordinates the activities of the team C __ __ __ M __ __ __ __ __ __
3. Supervises the activities of the LPN/LVN and the home care aide R __ __ __ __ __ __ __ __ __
N __ __ __ __
4. Gives spiritual guidance to the client C __ __ __ __ __
5. Instructs the client and family about preparing meals according D __ __ __ __ __ __ __ __
to the diet ordered by the doctor
6. Checks the breathing equipment being used by the client R __ __ __ __ __ __ __ __ __ __
T __ __ __ __ __ __ __ __
7. Arranges community services to be provided to the client S __ __ __ __ __ W __ __ __ __ __
8. Provides complex nursing care to clients with special needs N __ __ __ __ S __ __ __ __ __ __ __ __ __
9. Gives personal care to clients and performs light H __ __ __ C __ __ __ A __ __ __
housekeeping duties
10. Assesses the client’s ability to perform ADL O __ __ __ __ __ __ __ __ __ __ __
T __ __ __ __ __ __ __ __
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
, 6 Part One Orientation to Home Care
11. Gives nursing care to clients whose conditions are stable L __ __ __ __ __ __ __
P __ __ __ __ __ __ __ __
N __ __ __ __
12. Teaches exercises to strengthen leg muscles P __ __ __ __ __ __ __
T __ __ __ __ __ __ __ __
TRUE OR FALSE
Directions: In the space provided, mark the statement “T” for true or “F” for false. If the statement is false, change it
to make it true.
1. ___The needs of the client and family determine the kinds of members required on the home care team.
2. ___You develop an earache while you’re at work. You may take your client’s prescription drug, provided you request
permission.
3. ___The registered nurse is responsible for evaluating the progress of the therapy given to the client by the physical
therapist.
4. ___When visitors arrive, sit down and talk with them.
5. ___It is the case manager’s job to assess the kinds of services required by each client.
6. ___An example of client services provided by a community agency is home-delivered meals.
7. ___It is not necessary to maintain healthy eating habits if you provide good client care.
8. ___First impressions are usually lasting ones.
9. ___Your client’s husband is drinking beer while he’s eating lunch and offers you one, too. It’s okay to have one
beer, but not more.
10. ___The client’s family asks you to work extra hours for which they will pay you. This is acceptable, provided that
they do not notify the agency of this arrangement.
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
WORKBOOK
, Contents
PART 1 Orientation to Home Care
Chapter 1 Learning About Home Care, 1
Chapter 2 The Home Care Industry, 4
Chapter 3 Developing Effective Communication Skills, 7
Chapter 4 Understanding Your Client’s Needs, 11
Chapter 5 Understanding How the Body Works, 14
Chapter 6 Observing, Reporting, and Recording, 19
Chapter 7 Working With Ill and Disabled Clients, 25
PART 2 Managing the Home Environment
Chapter 8 Maintaining a Safe Environment, 28
Chapter 9 Maintaining a Healthy Environment, 32
Chapter 10 Meeting the Client’s Nutritional Needs, 34
PART 3 Home Care Procedures
Chapter 11 Preventing Infection/Medical Asepsis, 39
Chapter 12 Body Mechanics, 43
Chapter 13 Bedmaking, 50
Chapter 14 Personal Care, 52
Chapter 15 Elimination, 59
Chapter 16 Collecting Specimens, 65
Chapter 17 Measuring Vital Signs, 72
Chapter 18 Special Procedures, 77
PART 4 Meeting the Client’s Special Needs
Chapter 19 Caring for Older Adults, 85
Chapter 20 Caring for Mothers, Infants, and Children, 89
Chapter 21 Caring for Clients With Mental Illness, 92
Chapter 22 Caring for Clients With Illnesses Requiring Home Care, 97
Chapter 23 Caring for the Client at the End of Life, 104
Chapter 24 Emergencies, 106
PART 5 Professional Skills
Chapter 25 Getting a Job and Keeping It, 109
Answers, 117
Skills Competency Checklists, 153
Skills Competency Checklists Record, 253
v
, PART ONE ORIENTATION TO HOME CARE
1 Learning About Home Care
MATCHING
Directions: Match each term listed in Column A with its correct definition in Column B.
Column A Column B
A. Ethnic 1. ___The usual function of a person
B. Client 2. ___The process of judging performance to determine progress in learning
C. Evaluation 3. ___Beginning, just starting
D. Entry-level 4. ___Practicing skills learned in the classroom in a client care setting
E. Certification 5. ___Person receiving care at home
F. Confidential 6. ___Recognition by a government or nongovernment agency that a person has met
certain requirements
G. Role
7. ___A group of people with the same origins or common traits
H. Clinical experience
8. ___Private information that is not to be discussed
SITUATIONS
Directions: Listed below are three situations that involve the home care aide training program. How would you respond
to each? Discuss your answers in class.
Situation 1
Your friends are happy that you are starting a new career. They ask you to tell them all about your training program.
In the space below, write what you would tell them about your home care training program.
Response:
Length of course __________________________________________________________________________________
Clinical experience ________________________________________________________________________________
Evaluation _______________________________________________________________________________________
Situation 2
Before you go to bed, you set out all the things you will need to take to class the next day. Your roommate wants to
know why you are taking all these things (notebook, pen, pencils, and textbook) to class.
Response:
________________________________________________________________________________________________
________________________________________________________________________________________________
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc. 1
All rights reserved.
,2 Part One Orientation to Home Care
Situation 3
Your instructor uses some words that you do not understand. After class, your classmates complain that they don’t know
the meaning of those “big words” either.
Response:
________________________________________________________________________________________________
________________________________________________________________________________________________
PRACTICING TO TAKE TESTS
Directions: The following test questions give you a chance to sharpen your test-taking skills. Read each statement care-
fully, and then give the correct answer. Check your answer at the back of the book to see if you were right or wrong.
Good luck!
Examples
True or False
Directions: In the space provided, mark the statement “T” for true or “F” for false. If the statement is false, change it
to make it true.
1. ___All home care aide training programs are the same number of hours in length.
2. ___The word client refers to a person who is receiving home care.
3. ___The PQRST method is a good way to study.
4. ___The process of evaluating the home care aide’s performance only occurs at the end of the program.
5. ___The instructor is the only person who evaluates the student’s ability to successfully work in the client’s home.
6. ___The ability of the home care aide to work cooperatively with classmates is an important part of being
a successful student.
Multiple Choice
Directions: Read carefully and select the best answer for each question. Circle the letter indicating the correct answer.
There is only one correct answer for each question.
1. Clinical experience takes place:
a. in the classroom.
b. in the client’s home.
c. in your own home.
d. wherever you are learning.
2. When reading the chapter in the textbook, a person should begin with:
a. stories about clients.
b. key terms.
c. chapter objectives.
d. study questions.
3. Written tests are an example of:
a. classroom evaluation.
b. clinical evaluation.
c. your role.
d. certification.
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
, Chapter 1 Learning About Home Care 3
REAL-LIFE SITUATIONS
1. How many ethnic groups are represented in your class? Talk to two of your classmates who have a background
different from you. Complete the following information:
Student #1 Student #2
Country where the student (or family) was born ___________________ ___________________
Special food they enjoy ___________________ ___________________
Special events ___________________ ___________________
Special customs ___________________ ___________________
Languages they speak/understand ___________________ ___________________
2. Plan a weekly schedule that shows the time you will spend studying or preparing assignments for class. Explain
your plan to the people with whom you live, and ask for their support.
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
, 2 The Home Care Industry
MATCHING
Directions: Match each term listed in Column A with its correct definition in Column B.
Column A Column B
A. Official agency 1. ___A listing of diagnoses used to establish reimbursement by Medicare
and Medicaid for hospitalization and medical care
B. Medicaid
2. ___A federal program of hospitalization, prescription drugs, and health
C. Chronic illness care insurance for persons older than 65 years and/or those with
D. Hospital discharge planner permanent disabilities
E. Assess 3. ___A state and federal insurance program that pays for hospitalization
and health care for low-income persons of all ages
F. Diagnostic-related group (DRG)
4. ___An illness with a rapid onset, severe symptoms, and of short length
G. Hospice
5. ___A disease showing little change, slow progress, and of long length
H. Reimbursement
6. ___A program of care that assists the dying client to maintain a
I. Acute illness satisfactory lifestyle during the end stage of an illness
J. Medicare 7. ___A person who arranges for the care of a patient upon release from the
hospital
K. Standard
8. ___A gauge that is used as a basis for judgement
L. Policy, policies
9. ___To make payment for an expense incurred
M. Voluntary agency
10. ___To determine the client’s needs for home care services
11. ___A set of rules and regulations
12. ___An agency sponsored by local or state government
13. ___A nonprofit agency financed through tax-deductible contributions
HIDDEN WORDS: QUALITIES OF A HOME CARE AIDE
Directions: Use the word list below to find the hidden words in the puzzle on p. 5 that describe the qualities of a home
care aide. The words may appear from the top down or the bottom up; they may go across, backward, or crosswise.
When you find a word, circle it, and then cross off that word in the list.
alert confident enthusiastic patient skillful
caring considerate honest pleasant willing
cheerful cooperative kind reliable
clean courteous neat respectful
competent dependable observant sincere
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
4 Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
, Chapter 2 The Home Care Industry 5
WORD COMPLETION
Directions: Name the team members who perform the following functions:
Function Team Member
1. Teaches the client helpful ways to improve swallowing S __ __ __ __ __-L__ __ __ __ __ __ __
T__ __ __ __ __ __ __ __
2. Coordinates the activities of the team C __ __ __ M __ __ __ __ __ __
3. Supervises the activities of the LPN/LVN and the home care aide R __ __ __ __ __ __ __ __ __
N __ __ __ __
4. Gives spiritual guidance to the client C __ __ __ __ __
5. Instructs the client and family about preparing meals according D __ __ __ __ __ __ __ __
to the diet ordered by the doctor
6. Checks the breathing equipment being used by the client R __ __ __ __ __ __ __ __ __ __
T __ __ __ __ __ __ __ __
7. Arranges community services to be provided to the client S __ __ __ __ __ W __ __ __ __ __
8. Provides complex nursing care to clients with special needs N __ __ __ __ S __ __ __ __ __ __ __ __ __
9. Gives personal care to clients and performs light H __ __ __ C __ __ __ A __ __ __
housekeeping duties
10. Assesses the client’s ability to perform ADL O __ __ __ __ __ __ __ __ __ __ __
T __ __ __ __ __ __ __ __
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
, 6 Part One Orientation to Home Care
11. Gives nursing care to clients whose conditions are stable L __ __ __ __ __ __ __
P __ __ __ __ __ __ __ __
N __ __ __ __
12. Teaches exercises to strengthen leg muscles P __ __ __ __ __ __ __
T __ __ __ __ __ __ __ __
TRUE OR FALSE
Directions: In the space provided, mark the statement “T” for true or “F” for false. If the statement is false, change it
to make it true.
1. ___The needs of the client and family determine the kinds of members required on the home care team.
2. ___You develop an earache while you’re at work. You may take your client’s prescription drug, provided you request
permission.
3. ___The registered nurse is responsible for evaluating the progress of the therapy given to the client by the physical
therapist.
4. ___When visitors arrive, sit down and talk with them.
5. ___It is the case manager’s job to assess the kinds of services required by each client.
6. ___An example of client services provided by a community agency is home-delivered meals.
7. ___It is not necessary to maintain healthy eating habits if you provide good client care.
8. ___First impressions are usually lasting ones.
9. ___Your client’s husband is drinking beer while he’s eating lunch and offers you one, too. It’s okay to have one
beer, but not more.
10. ___The client’s family asks you to work extra hours for which they will pay you. This is acceptable, provided that
they do not notify the agency of this arrangement.
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Copyright © 2003, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved.
