CPCA Personal Care Assistance & Daily Living Activities 4 — Questions and Answers
Question 1: A client with Parkinson's disease has difficulty initiating movement in the morning. Which ADL strategy is MOST helpful?
- Complete all morning care as quickly as possible to reduce frustration
- Allow extra time and use verbal or visual cues to help initiate each step (Correct answer)
- Limit morning activities to only essential hygiene
- Perform all tasks for the client to reduce tremors
Correct answer: Allow extra time and use verbal or visual cues to help initiate each step
Clients with Parkinson's often benefit from extra time and cueing strategies to overcome movement initiation difficulties while preserving their participation.
Question 2: When assisting a client with a mechanical soft diet, which food item would be INAPPROPRIATE to serve?
- Mashed potatoes
- Scrambled eggs
- Whole raw carrots (Correct answer)
- Soft cooked fish
Correct answer: Whole raw carrots
Whole raw carrots are hard and crunchy, making them unsafe for a mechanical soft diet designed for clients with chewing difficulties.
Question 3: A client who is incontinent of urine is wearing wet clothing and appears not to have noticed. The aide should:
- Wait until the client notices to respect their privacy
- Change the client promptly, perform perineal care, and apply a clean brief or clothing (Correct answer)
- Apply a barrier cream over wet skin without changing the client
- Inform the family before taking any action
Correct answer: Change the client promptly, perform perineal care, and apply a clean brief or clothing
Prolonged skin contact with urine causes breakdown; the aide should promptly change the client, clean the skin, and apply protective products per care plan.
Question 4: To prevent contractures in a bedridden client, the aide should:
- Keep the client's limbs in one fixed position to reduce pain
- Perform or assist with range-of-motion exercises as directed by the care plan (Correct answer)
- Apply tight wraps around joints to prevent movement
- Avoid moving affected limbs unless the client requests it
Correct answer: Perform or assist with range-of-motion exercises as directed by the care plan
Range-of-motion exercises as directed maintain joint flexibility and prevent contractures in clients who have limited mobility.
Question 5: A client uses a transfer belt (gait belt) during ambulation. Where should the aide position the belt?
- Around the client's chest under the arms
- Around the client's waist over clothing (Correct answer)
- Around the client's hips below the waist
- Around one arm for easy pulling
Correct answer: Around the client's waist over clothing
A gait belt is applied snugly around the client's waist over their clothing, allowing the aide to maintain a secure grip during transfers and ambulation.
Question 6: When a client who is diabetic complains of foot pain and the aide notices a blister on the heel, the aide should:
- Pop the blister with a sterile pin and apply a bandage
- Rub the area with lotion and re-apply socks
- Report the blister to the supervisor immediately without treating it (Correct answer)
- Cover the blister and return to check it next visit
Correct answer: Report the blister to the supervisor immediately without treating it
Diabetic clients have impaired healing and sensation; any foot wound is a medical concern that must be reported immediately to a supervisor for proper treatment.
Question 7: A client's care plan specifies assistance with 'setup only' for meals. This means the aide should:
- Feed the client each meal
- Cut food, open containers, and position items, then allow the client to eat independently (Correct answer)
- Prepare the meal and observe from the room
- Assist with each bite as needed throughout the meal
Correct answer: Cut food, open containers, and position items, then allow the client to eat independently
Setup assistance means the aide prepares and arranges food items but the client self-feeds, supporting the highest level of client independence.
CPCA Personal Care Assistance & Daily Living Activities 4
A client with Parkinson's disease has difficulty initiating movement in the morning.
Which ADL strategy is MOST helpful?