CAREGIVING SKILL EVALUATION TEST

MOCK TEST

Basic of Caregiving
1. Choose one of the most relevant descriptions of “living as human” for elderly person.

a. To live as “human” is to live like the elderly.

b. It is more important to know the person’s present than to know the background
of the person.
c. All elderly people have the same sense of values as elderly people.
d. Users who receive caregiving services have their own
role.

2. Understanding of those who need care service.

Choose one of the following description of the understanding of the person in need of
caregiving service.
a. It is not necessary to incorporate the needs of each user into the caregiving
service.
b. In order to support people with disabilities, it is necessary to improve their living
condition so that they can do daily life activities.

3. Choose one of the most appropriate caregiving practices that emphasizes Quality
Control Level (QCL).
a. To provide support not only physical aspects of users but also psychological and
social aspects.
b. Adjust the daily life time in a day of the user to the work of the staff.
c. The meal time is fixed to one hour so that the user is not tired.
d. Prioritize the user’s living room environment improvement

4. Choose one of the following statements about securing safety in caregiving:

a. The best risk management is to aim for quality caregiving on a daily basis.
b. In the case of home-based elderly people, sharing of the “hiyari hatto
(experience of almost accident)” cases are not particularly necessary.
c. In the event of an accident, report to users’ family will be given on the next day.
d. Risk management does not consider preventing the recurrence of an accident.

5. Accident prevention and safety measures.

Choose one of the following statements about accident prevention and safety measures
that is most appropriate.

a. It is better to put the User at rest to prevent slipping, falls and fracture.
b. In order to prevent the fall of the elderly, it is recommended to put a shaggy
carpet in the room.
c. It is recommended to put night lighting and partial lighting to prevent falls of the
elderly.
d. Older people are more likely to stumble in large steps rather than small steps.

6. Emergency response.

Choose one of the following statements about emergency response:

 a. If user get burned while wearing clothes, compress with cold water without
taking off the clothes.
b. The fractured part is returned to its normal position, fixed and sent to medical
institution.
c. If the food gets stuck in the throat and user become unconscious, you should
first use the Heimlich maneuver
d. If user is vomiting, put him/her into supine position to avoid asphyxiation from
vomiting.

7. Please choose one appropriate statement of caregiving in an elderly facility.

a. Caring in consideration of the pride of the user.
b. In the multi-bed room, the curtains are opened so that it’s easily visible for the
caregivers.
c. When entering the room, as is a daily matter, you do not have to knock the door
d. Intimately call the user by nickname.

8. Infection control
Choose one of the following descriptions of infection control that is most appropriate.

a. Caregiver who have fever should work with the mask on.
b. There is no casual relation between lifestyle and infection.
c. The basis of infection prevention is to wash your hands repeatedly with running
water using soap.
d. The higher the concentration, the more effective the disinfectant solution when
applied for the skin.

9. Choose one of the following statement that is most relevant regarding risk management
for infectious diseases in the elderly facility.

a. To prevent norovirus infection, disinfect with ethanol

b. As the flu became epidemic, the humidity in the facility should be reduce to 20%.
c. All users with infectious diseases should be isolated.
d. Hand washing and gargling must be done to avoid bringing in infection sources
from outside the facility.

10. Choose one of the following statements about caregiver stress management:

a. Stress management of caregivers is also important for providing users with high
quality care.
b. To get rid of stress, you should immerse yourself in your work.
c. It is good to assume that you do not feel stress.
d. It is better to try to solve the trouble yourself without consulting other people.

Mechanism of Mind and Body

1. Choose one of the correct descriptions of osteoporosis.

a. It is a disease unique to the elderly.

b. The cases are many in elderly.
c. It is hard to develop in bedridden elderly people.
d. Sunbathing is advisable for prevention.

2. Choose one of the following statements about pressure ulcer which is most appropriate.

a. It does not occur on the head.

 b. Sometimes severe and deep pressure sores may not cause pain.
c. If the skin becomes red, just apply the medicine to heal it
d. It does not develop if the User sit down.

3. Choose one correct body part that prevents and disperse aspiration pneumonia.

a. Esophagus
b. Tongue
c. Teeth
d. Epiglottis

4. Choose the correct one as the effect of bathing in high temperature over 42 C gives to
mind and body.

a. Heart rate decreases.

b. Blood pressure is reduced.
c. Muscles contract.
d. The work of the kidney is improved.

5. Choose one of the correct factors to reduce your heart rate.

a. Heart tension
b. Anger
c. Increase body temperature
d. Sleep

6. Choose one of the appropriate characteristics of the elderly’s disease.

a. The symptoms are regular

b. There are no depressive symptoms
c. There are few complications of multiple diseases
d. The impact on Quality of the life (QOL) is large

Communication
1. For communication choose one of the following description that is appropriate.

a. Parent-Child relationship
b. Trust relationship
c. Martial relationship
d. Hierarchical relationship

2. Choose one of the communication descriptions that is NOT appropriate.

a. First of all, it is important to create a relationship with the other party

b. Be aware of the messages that your nonverbal behavior has.
c. Personal space is constant regardless of closeness with the other party.
d. Asking “why?” sometimes makes one feel like being questioned.

3. Choose one of the following statements about the basics of communication that is NOT
relevant:

a. Be aware of your own emotions.

 b. Tell clearly what you want to convey.
c. When the other party’s words are hard to come out, skip the talk
d. To accept the other party’s condition.

4. Choose one of the most appropriate listening techniques.

a. Listen after first confirming objectives facts.

b. Listen carefully without disturbing the other person’s talk.
c. I listen while staring at the other party’s eye.
d. Listen while proposing a solution

Daily Life Support

1. Choose one of the following statements about oral care.

a. Remove all dirt on the tongue.
b. Strongly brush with a strong toothbrush so that dental plaque can be taken.
c. When performing oral care for a user who needs assistance on bed, perform it in
supine position.
d. Users with hemiplegia often do not have adequate oral cleaning on the
paralyzed side.

2. Choose one of the following descriptions of denture handling.

a. The denture was dirty so it was cleaned using boiling water.

b. When one goes to bed, one may leave it worn.
c. Full dentures should be removed from below.
d. Keep the removed dentures dry well.

3. Choose one of the following statements regarding clothes change assistance.

a. In the clothes change for people with hemiplegia, a top coat is suitable.
b. In the case of users who require full assistance, complete assistance should be done
by the caregiver.
c. When there is hemiplegia the caregiver stands on the patient’s healthy side and
watches over.
d. If the user has hemiplegia take off the pants from the paralyzed side.

4. Choose one of the appropriate assistance for transfer and movements.

a. The more support base the caregiver takes the more unstable it is.
b. The caregiver directs the toes in the direction of movements without twisting the
torso.
c. When moving the user lying on the bed horizontally, lower the foot.
d. In assistance from supine position to a sitting position the user’s lumbar region is the
fulcrum.

Walking with cane

1. Choose an appropriate one to assist the waiting of the user with left hemiplegia.

a. When walking tell the user to step the order cane the left foot and the right foot
b. In 2-point gait tell the user to put out the cane and the right foot at the same time
 c. When getting down the stairs the caregiver stood on the left-back side of the user.
d. Tell the user to walk in the order of cane right foot left foot.

2. Choose one of the following descriptions of wheelchair assistance:

a. In the assistance of getting down the stairs with a wheelchair, turn it backward and
then lower it from the rear wheel.
b. Assist in the gravel roads in the same way as paved roads
c. You do not need to check your wheelchair as it is used every day.
d. In the case of a short stop, it is not necessary to apply the brake.

3. Choose one of the following statements about oral care that is most appropriate.

a. No oral care is needed as no food is taken from oral cavity

b. Use a sponge brush with water in it.
c. Oral care for people without teeth can be done by simply cleaning the denture and
rising it.
d. Avoid oral care immediately after eating.

4. Choose one of the most appropriate combinations of assistive devices related to walking.

a. The balance function is decreasing due to hemiplegia - Walker

b. The holding power of the hand is decreasing - Multi-point cane
c. Climb stairs - Silver car
d. Grasp and grip of upper limbs is reduced - Loft strand crutch

5. Choose one of the following descriptions of comfortable position maintenance assistance

and repositioning.
a. When repositioning a hemiplegic user from supine position to lateral position, the
users body should first have moved to the unaffected side of the bed.
b. When changing the position of a hemiplegic user from supine to lateral position, the
caregiver should stand on the healthy side and raise the affected knee and have the
user to raise the unaffected knee.
c. In the assistance for user needing complete assistance, to change from the supine
position to sitting position, roll around the buttocks and raises it by stretching it.
d. In the end sitting position, ask the user to sit deep in the bed and put his/her toes
on the floor.

6. Choose one of the following statements regarding changing clothes with front opening for
user with the right paralysis.

a. Ask the user to undo the button him/himself.

b. After removing the jacket button, have his/her shoulder lowered to the left body.
c. When taking off your pants, it is dangerous for the user to stand and have him/her
to sit down.
d. The pants are worn from the left foot

7. Choose one of the following description of meal assistance:

a. The height of the sitting table is adjusted to the chest position of the user.
b. If possible, make wheelchair users to sit in the dining table to eat.
c. When assisting in putting food in the mouth, the caregiver carefully observes the
oral cavity on the healthy side.
d. Provided castella as snacks for people who have a decline swallowing function.
8. Choose one of the following descriptions of assistance for users with right hemiplegia
walking with T-cane:

a. In flat surface, the caregiver is located at the left front of the user and assist.
b. Adjust the length of the T- shaped caned to the height of the elbow when the cane is
attached.
c. On level ground, step with the cane first, then take out the right foot and finally the
left foot forward.
d. When going down stairs, the caregiver is located one step to the right.

9. Choose one of the following descriptions of wheelchair assistance:

a. Make sure to apply the brakes when transferring from a wheelchair to another
location or from another location to the wheelchair.
b. On a slight downhill track, always turn backwards for safety, hold the wheelchair
with your body and let it descend slowly.
c. When a hemiplegic user transfers from bed to a wheelchair, the wheelchair is with
your body and let it descend slowly.
d. If it is going through a gutter, call on the user and put pressure on the front wheel so
that it will not go into the gutter and can be pushed out quickly.

10. Choose one of the following descriptions of mobility assistance for the visually impaired

a. The caregiver guides the visually impaired user by standing next to the other side of
the hand that holds the white cane.
b. The caregiver pays attention to the surroundings and when there is a danger, it calls
out “It’s dangerous!”
c. When a blind person sits in a chair, a caregiver pulls the chair and guide.
d. In the case of amblyopia, when you suddenly come to a place where there is a
difference in lighting, tell him/her “Wait for a while until your eyes get used to it”

11. Choose one of the following statements about caring for diarrhea.

a. Advise users to refrain from fluid intake

b. Warm the user’s abdomen
c. To prevent skin sore, gently wipe the anus
d. Hypersensitivity does not cause diarrhea

12. Select one of the following descriptions regarding bathing assistance.

a. Perform a vital check before bathing only if there’s something different from normal.
b. With the shower, pours hot water from the center to the periphery
c. Avoid bathing on an empty stomach
d. After bathing, keep moisture away to avoid exhausting physical strength

13. Choose one of the following description of excretion assistance.

a. If there’s incontinence, immediately use a disposable diaper.

b. If you cannot move to the bathroom at night, it is better to use the portable toilet
c. Attention should be taken for long term usage of diapers, as it may cause loss of
excretion urgency
d. If the caregiver is busy, have the user wait for the assistance until the end
14. Choose one of the following statements that describes how to assist clothing for hemiplegic
users.
a. Removal of the front opening clothes in the supine position should first take off
the clothes from the unaffected side (strong side).
b. Just do the to keep the user properly groomed.
c. When taking in clothing, sleeve from the affected arm first (weak side).
d. Teach the user that the safest way to get dressed is to undress the weak side of
the body first. Then instruct the user to dress the strong side of the body first.

15. The caregiver raised the elbow to transfer, but the user fell on the chair. How could you
prevent the accident?
a. Because of the hemiplegia, the user becomes unstable, the caregiver had to
keep an eye to the user to avoid accident.
b. The caregiver should ask the user to wait, and say, “don’t worry I will call the
doctor.”
c. The user should be placed with other users so other people can help when
accident occur.
d. The caregiver should instruct the user to be careful next time.

16. As the user grab the handrails, he slipped because of the clothes and towels and he fell.
What should you for accident prevention?
a. Tell the user not to stand by himself/herself.
b. Make him/her use a cane.
c. Organize well, so as not to hang clothes and towels on the handrail.
d. Tell the user to ring the nurse when the user will request for something.

17. The patient used to use silver car. The silver was placed far from the user. When he tried to
reach the equipment, he slipped and fall. How can you prevent the accident?
a. Make the silver near the bed as it used to be.
b. Improve the grip of the user
c. Rehabilitation of the lower extremities

Basic of Nursing Care

1. What is the appropriate meaning of rehabilitation?

a. To cure an individual from disorder.
b. Rehabilitation is the process of bringing back to the very same levels of cognitive
and physical performance they had before injury.
c. To correct the deformities of the user.
d. To allow the doctor see what other intervention may be taken.

2. How to communicate a patient with aphasia?

a. Make your voice loud, especially when there is also hearing loss.
b. Using Sign Language or body gestures.
c. Do not complicate the questions, make it answerable by yes or no.
d. Try to interpret the words of the user so you can respond to his demands.

3. What is the indication that user has Rheumatoid Arthritis?

a. Deformities of joint and joint swelling

b. Weight gain
c. Puffy eyes and red lips
d. User cannot stand up or walk
4. How to provide assistance to a user using a wheelchair when ascending from a stair?
 a. The caregiver will ask assistance from her/his colleagues
b. The caregiver is in front of the user and push the wheel chair up
c. The caregiver will position at the back of the user, ask the user to unlock the
wheelchairs break while the caregiver supporting at the back, then let the user
to hold, dip before pulling up the wheelchair.
d. The caregiver will position at the back, pull the wheelchair up then ask the user
to lock the breaks once on top.

5. Choose one that is appropriate for a long-term bedridden elderly person.

a. Muscle strength decline
b. Have an increased appetite
c. More opportunities for conversation
d. Have more chances to walk

6. Choose an appropriate response to build a relationship of trust with the elderly.

a. Have a hard emotional feeling
b. Judge by the first impression
c. Be aware of acceptance and empathy
d. Have a suspect and respond

7. Choose one of the appropriate communication techniques.

a. Deny the other party
b. It is also necessary to interrupt the story
c. Be aware of listening attitude
d. The attitude to listen to the story does not matter

8. Choose one that is appropriate to independence support.

a. Do not give explanations from experts
b. Help with everything
c. The self-personality does not matter
d. Use the power that the person has

9. Choose an appropriate body restraint for the elderly.

a. It is not necessary to explain to the family
b. It is possible only when it is urgent and unavoidable
c. It can be done by one person’s judgment
d. Does not include behavioral control by drugs

10. Choose one of the appropriate explanations for abuse of by the care staff.
a. There is a lot of physical abuse, psychological abuse and neglect
b. Older people who are abused have more men than women
c. The relationship between staff does not matter
d. If someone is looking at it, no abuse of will happen definitely

11. Choose an appropriate one as an explanation of where the elderly is live.

a. I do not need my own space
b. Living in a familiar place leads to a sense of security
c. Illness does not get worse even if the living environment is bad
d. The facility should create a room that can accommodate a large number of
people

12. Choose one appropriate for the elderly’s response to depression.

 a. It is necessary to encourage a lot
b. There is no risk of committing suicide
c. It does not lead to a decline in physical function
d. Try to take a receptive attitude

13. Choose one appropriate way of caring for the elderly with hemiplegia.
a. Wear clothes in order from the healthy side to the affected side
b. Please go with the curtains in the room open
c. The front opening wear is suitable for those who change clothes while lying on
the bed
d. Change of clothes should be done by the assistant from the beginning to the end

14. Choose one appropriate method of wheelchair assistance for the elderly with
hemiplegia.
a. Let’s transfer while the footrest of the wheelchair is lowered
b. There is little possibility that the hand is involved in the tire
c. Place the wheelchair on the paralyzed side of the elderly
d. Be sure to check that there is no forgetting to apply the brake

15. You want to clean the room.

a. Enter in the room without any permission from the user.
b. Clean the room with the user
c. Re arrange the things to make more conducive
d. Do not clean the areas where the user used to stay

16. Appropriate things to do with a wheel chair.

a. Monthly inspection
b. Install a break even though it is not needed
c. Check the air of the wheel daily
d. Use it when necessary

17. Proper way of cutting the nails

a. Cut before taking a bath

b. Use oil for lubrication
c. Cut after taking a bath (Soak your feet in warm water for at least 10 minutes to
soften your nails, and then use a towel to thoroughly dry your feet and toenails.
Using a nail clipper, make small cuts to avoid splintering the nail and cut straight
across.).

18. What is NOT the Proper way of shaving elderly

a. Always allow the person to do the shaving if they are able to.
b. Ask him if he wants to be shaved in a certain way.
c. Wash the face with warm water to soften the hair.
d. Shave against the grain to facilitate the procedure. (Note: Shave along the
direction of the hair growth. If you shave against the grain, it can cause ingrown
hairs and irritate the skin. Use short and slow strokes)

19. Appropriate way of dressing the user

a. Dress the user with a cloth easy to dress or undress
b. Dress the user as you deemed it proper for her/him
c. Dress the user with tight and thick clothing if it is cold.
d. Dress the user appropriate for the event
20. What is true about In-professional team of caregiver?
a. Doctor is always the head of this team
b. The objective of this team is always focus on a user
c. Caregivers will carry out all the care plan for the patient
d. Caregiver should always follow the doctor

21. How Not to maintain a safe environment?

a. Remove or tack down moveable rugs

b. Applying slippery wax to surfaces is necessary to encourage the client to stay
c. Use a properly fitting walking aid
d. Keep floors and counters free of clutter

22. How to provide meal assistance appropriately?

a. Choose the food that you think best for the user.
b. Always serve hot food to increase appetite
c. Assess the elder's chewing and swallowing abilities. Give appropriate assistance
if required.
d. Allow the patient in supine position after eating so he/she can rest.

23. What is True to the daily reporting and documentation.

a. Report and documentation will provide continuity of care to users and provide
information to caregivers what necessary assistance should be rendered to
users.
b. No verbal report shall be entertained.
c. Reporting shall be given to doctors only.
d. Minor changes of the condition of the users may not be reported.

24. What is Not true statement in bathing patient with Alzheimer’s disease?

a. If the person is afraid of bathing, follow his or her lifelong bathing habits, such as
doing the bath or shower in the morning or before going to bed.
b. Be matter-of-fact about bathing. Say, “It’s time for a bath now.” Don’t argue
about the need for a bath or shower.
c. Be gentle and respectful. Tell the person what you are going to do, step by step.
d. Since the user has Alzheimer’s disease they may not feel embarrassed about
being naked in front of caregivers.

25. In taking care of user with Alzheimer’s disease or Dementia, it is important that the
caregiver can manage the daily activities by:

a. Having a fixed management care plan

b. Anticipating that tasks may take longer than they used to so you need to instruct
the user to do the activities as fast as they can.
c. Providing more time for naps during day time so they will cooperate in the
activities.
d. Allowing the person with dementia to do as much as possible with the least
amount of assistance.