1.
Which of the following are reasons a patient may need mealtime assistance?(Check all that apply, there may be more than 1 answer)
Correct Answer(s)
A. Poor or slow chewing
B. Difficulty with beginning, organizing, or completing the meal
D. Difficulty opening containers.
E. Loss of appetite
Explanation
All of the above are reasons a patient may need mealtime assistance except:
- Difficulty getting to the cafeteria or dining area: Food trays can be brought to patient rooms, thus patients are do not need to go to a cafeteria or common dining area for meals.
2.
Debbie is providing nourishment to a patient at lunchtime, but the patient refuses to eat. What should she do?
Correct Answer
B. Gently encourage the patient to start the meal with supplements provided on the tray. She should only notify nurse if the patient continues to refuse.
Explanation
The volunteer should try gentle encouragement/distraction. If supplements are provided on the tray, volunteer can encourage patient to start meal with it. If the patient continues to refuse, then a nurse should be notified.
3.
if a patient has difficulty breathing, the volunteer should:
Correct Answer
C. Stop feeding the patient and notify a staff member immediately.
Explanation
This is an urgent situation and volunteers must notify staff immediately. It is the staff member's responsibility to perform CPR or call a code blue if necessary.
4.
If a patient's left side is paralyzed, the volunteer should sit on the person's ______ side.
Correct Answer
right
strong
5.
It is ok to provide a patient with water as long as you check the orange wrist band/poster and provide water at the appropriate thickness.
Correct Answer
B. False
Explanation
Some patients are not allowed to be assisted by volunteers, therefore it is important to always check with staff before assisting anyone.
6.
You can feed a patient in a reclined position if they give you permission and you lower your chair so that you are at eye level.
Correct Answer
B. False
Explanation
Please only feed patients who are upright and positioned at 90 degrees. If the patient refuses, notify them that it is unsafe and can result in aspiration or choking. If they continue to refuse, notify a staff member.
7.
If a patient is sleeping at lunchtime, you should:
Correct Answer
B. Attempt to gently wake the patient, and notify staff if patient does not wake.
8.
If a patient is coughing excessively when you feed him/her, you should:(check all that apply, there may be more than one answer)
Correct Answer(s)
A. Stop feeding immediately
E. Notify a staff member urgently.
Explanation
Volunteers should notify staff immediately, and staff will call a code blue if necessary. Volunteers are not responsible for performing any interventions such as the Heimlich or CPR even if they are trained.
9.
If a patient falls asleep during a meal, I should first stop feed and attempt to gently wake the patient, then notify a nurse if the patient does not wake.
Correct Answer
A. True
10.
Which of the following are signs a person is finished swallowing and is ready for another bite:
Correct Answer(s)
A. Adams apple rising and dropping indicating swallowing.
C. Patient opens mouth to indicate readiness
D. No food pockets left in mouth.
Explanation
All of the above are signals a patient is ready for another bite except:
* Patient pointing at food to indicate what they would like to eat next. This does not indicate patient is ready for another bite.
11.
While providing nourishment, the volunteer should be positioned at ________ with the patient.
Correct Answer(s)
eyelevel
eye level
eye-level
12.
During mealtimes, patients should be positioned at _______ degrees.
Correct Answer(s)
ninety
90
13.
Janiece has been providing nourishment to Mr. E on Fridays at lunchtime for the past year. Since she has been working with Mr. E for so long, she is very familiar with his dietary restrictions. Mr. E has all his natural teeth and doesn't like wearing bibs. Today, Janiece is assisting with providing nourishment to patients at the annual Strawberry Social festival. What must Janiece do before providing nourishment to Mr. E? (Check all that apply. There can be more than one answer).
Correct Answer(s)
B. Check orange wristband/poster to ensure right consistency
D. Check with nursing or recreation staff to see if patient can be fed by a volunteer
E. Check swallowing/eating strategies
Explanation
All of the items listed must be done EVERY TIME before providing nourishment to EVERY patient except:
* Introduce yourself by first and last name- Once a patient is familiar with you, it is not necessary introduce yourself every time. Also, you do not tell to tell patients your last name.
* Inform patient you are unable to assist unless they wear a bib- Wearing a bib is a personal choice. Patients are not required to wear a bib if they do not wish to.
* Check denture are properly fitted- In this particular scenario, Mr.E has excellent dental health thus does not wear dentures. While you should ensure that patients with dentures have them properly fitted before eating, this is not applicable to this specific situation.
14.
Which of the following warning signs/symptoms need to be reported to staff urgently?(Check all that apply, there may be more than one answer)
Correct Answer(s)
C. Excessive coughing
D. Grabbing at the throat
G. Gagging or vomiting
H. Turning blue in the lips or face
I. Gasping for air or struggling to breathe.
Explanation
All the above instances where a volunteer should stop feeding a patient and seek staff attention. However, the correct answers are cases where immediate urgent communication with staff is required.
15.
Which of the following are examples of mixed consistency foods?
Correct Answer(s)
B. Mint chocolate chip ice cream
E. Chicken noodle soup
Explanation
Mixed consistencies are foods that have both a solid and liquid component.
16.
Aspiration is the action of inhaling. It is important to time each bite with when a patient is aspirating to prevent choking.
Correct Answer
B. False
Explanation
Aspiration is when food or liquid enters the lungs. This can lead to choking as well as pneumonia.
17.
You can help a patient get a bag of chips from the vending machine if you check their orange wristband and they are able to eat regular solids.
Correct Answer
B. False
Explanation
Some patients can not be assisted by volunteers, therefore you should always check with staff before assisting a patient. Since chips are regular texture, a patient would not have a wristband unless they were on restricted fluids. It is also important to remember that there are many reasons for a patient not wearing a wristband, for example:
- Patient has restrictions but refuses to wear a wristband
- Wristband has fallen off
- Patient has no diet restrictions