CNA/HHA DEEMING KNOWLEDGE EXAM STUDY GUIDE
The Certified Medication Aide Competency Examination shall include, but is not limited to, each of the following subject areas:
1. THE ROLE OF NURSE AIDE
(i) Communication and interpersonal skills.
(ii) Infection control.
(iii) Safety/emergency procedures, including the Heimlich maneuver.
(iv) Promoting residents' independence.
(v) Respecting residents' rights.
2. BASIC NURSING SKILLS
(i) Taking and recording vital signs.
(ii) Measuring and recording height and weight.
(iii) Caring for the residents' environment.
(iv) Recognizing abnormal changes in body functioning and the importance of reporting such changes to a supervisor.
(v) Caring for residents when death is imminent.
3. PERSONAL CARE SKILLS, INCLUDING:
(i) Bathing.
(ii) Grooming, including mouth care.
(iii) Dressing.
(iv) Toileting.
(v) Assisting with eating and hydration.
(vi) Proper feeding techniques.
(vii) Skin care.
(viii) Transfers, positioning, and turning.
4. MENTAL HEALTH AND SOCIAL SERVICE NEEDS:
(i) Modifying aide's behavior in response to residents' behavior.
(ii) Awareness of developmental tasks associated with the aging process.
(iii) How to respond to resident behavior.
(iv) Allowing the resident to make personal choices, providing, and reinforcing other behavior consistent with the resident's dignity.
(v) Using the resident's family as a source of emotional support.
5. CARE OF COGNITIVELY IMPAIRED RESIDENTS:
(i) Techniques for addressing the unique needs and behaviors of individual with dementia (Alzheimer's and others).
(ii) Communicating with cognitively impaired residents.
(iii) Understanding the behavior of cognitively impaired residents.
(iv) Appropriate responses to the behavior of cognitively impaired residents.
(v) Methods of reducing the effects of cognitive impairments.
6. BASIC RESTORATIVE SERVICES:
(i) Training the resident in self care according to the resident's abilities;.
(ii) Use of assistive devices in transferring, ambulation, eating, and dressing.
(iii) Maintenance of range of motion.
(iv) Proper turning and positioning in bed and chair.
(v) Bowel and bladder training.
(vi) Care and use of prosthetic and orthotic devices.
7. RESIDENTS' RIGHTS.
(i) Providing privacy and maintenance of confidentiality.
(ii) Promoting the residents' right to make personal choices to accommodate their needs.
(iii) Giving assistance in resolving grievances and disputes.
(iv) Providing needed assistance in getting to and participating in resident and family groups and other activities
(v) Maintaining care and security of residents' personal possessions.
(vi) Promoting the resident's right to be free from abuse, mistreatment, and neglect and the need to report any instances of such treatment to appropriate facility staff.
(vii) Avoiding the need for restraints in accordance with current professional standards.
| CNA/HHA DEEMING KNOWLEDGE EXAM DETAILS | |
|---|---|
| Exam Type: | Knowledge (Written/Oral) |
| Exam Answer Format: | Multiple Choice. |
| Number of questions: | 75 |
| Time Limit: | 90 Minutes |
| Pass Mark: | 70% |
| Maximum Number of Allowable Attempts: | 3 |
8. HOME HEALTH AIDE CONCEPTS
(i) Home Health Aide and the Care Team
(ii) Home Care and the Healthcare System.
(iii) Clients Nutrional Needs
(iv) Meal Planning, Shopping, Preparation, and Storage
(v) Managing Time, Energy, and Money
(vi) Core Healthcare Skills
(vii) Medications and Technology in Home Care
(viii) Clean, Safe, and Healthy Environments
| NO | MAIN TOPIC | CONTENT | NUMBER OF QUESTIONS | PERCENTAGE |
|---|---|---|---|---|
| 10 | The Nursing Assistant In Healthcare | • Types of Health Care Delivery • Long-term care facility • Medicare and Medicaid • The Role of Nursing Assistant • Care team and the chain of command. • Policies, procedures, and professionalism • Legal, ethical behavior. • Residents’ Rights • Resident’s medical record. • Minimum Data Sheet (MDS) • Discuss incident reports. • Observing And Reporting Documentation of Care • Survey Process And Types Of Facilities • Resident’s/Patient’s Family. | 5 | 6.67% |
| 11 | Caring for yourself | • How to find employment • Job description • Resume • Time manage time for assignments. • managing and resolving conflict • Employee evaluations. • Discuss certification and explain the state’s registry. • Describe continuing education. • Explain ways to manage stress | 5 | 6.67% |
| 12 | Safety/ Emergency Procedures | • Promoting residents’ safety. • Body Mechanics • Falls and Injuries. • Non-medical emergencies • Medical emergencies • Heimlich Maneuver • Cardiopulmonary Resuscitation (CPR) • Emergency Care, First Aid, and Disasters • Restraints use. • Promotion of • a Restraint-free environment | 10 | 13.33% |
| 13 | Infection Control | • Infection prevention and control practices | 8 | 10.67% |
| 14 | Foundations of Resident/Patient’s Care | • Bathing • Skin Care • Oral Care • Hair And Nail Care • Dressing • Resident’s Environment • Positioning • Transferring • Mobility • Nutrition And Hydration • Elimination • Care of The Dying Resident • Postmortem care • Promoting Residents’ Independence | 16 | 21.33% |
| 15 | Communication/Interpersonal Skills/ Culture/Spirituality. | • Verbal and written communications • Barriers to communication • Communicating with residents with special needs • Communication and Interpersonal Skills • Residents Culture • Residents Spirituality | 8 | 10.67% |
| 16 | Cognitive Impairment | • Care of The Resident with Alzheimer’s • Care of residents with mental illness | 8 | 10.67% |
| 17 | Aging process, Body Systems, and Conditions (Anatomy & Physiology) | • Integumentary system • Musculoskeletal system • Nervous system • Circulatory system • Respiratory system • Urinary system • Gastrointestinal • Endocrine system • Reproductive system | 5 | 6.67% |
| 18 | Vital Signs And Measurements | • Blood Pressure • Temperature ( Temporal, Axillary, Rectal, oral, tympanic) • Heart Rate (Pulse): Radial, Carotid, Apical, brachial) • Respirations • Height • Weight | 5 | 6.66% |
| 19 | Home Health Aide Concepts | • Home Health Aide and the Care Team • Home Care and the Healthcare System. • Clients Nutrional Needs • Meal Planning, Shopping, Preparation, and Storage • Managing Time, Energy, and Money • Dying, Death, and Hospice • Core Healthcare Skills • Medications and Technology in Home Care • Clean, Safe, and Healthy Environments | 5 | 6.67% |
| TOTAL | 75 | 100% |