Nourishment Volunteer Quiz

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2. 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.

True

False

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5. 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.

True

False

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.

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.

6. if a patient has difficulty breathing, the volunteer should:

Call a code blue and immediately begin CPR if they know how.

Stop feeding the patient and notify a staff member immediately.

Stop feeding immediately and call a code blue.

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.

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.

7. Order the following liquid consistencies from thickest to thinnest

Thickest

Somewhat thick

Somewhat thin

Thinnest

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8. Each of the following are possible results of eating and swallowing problems. Match each with their associated symptoms.

Malnutrition

Aspiration

Dehydration

Airway obstruction

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9. Debbie is providing nourishment to a patient at lunchtime, but the patient refuses to eat. What should she do?

Stop feeding immediately and notify the nurse. There may be an underlying medical cause requiring urgent attention.

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.

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.

10. Match the following food textures with the amount of chewing required.

Most chewing

Some chewing

Little chewing

No Chewing

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11. Which of the following are reasons a patient may need mealtime assistance?(Check all that apply, there may be more than 1 answer)

Poor or slow chewing

Difficulty with beginning, organizing, or completing the meal

Difficulty getting to the cafeteria or dining area.

Difficulty opening containers.

Loss of appetite

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.

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.

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12. If a patient is sleeping at lunchtime, you should:

Leave the food tray in the patients room and let staff know where you left the tray.

Attempt to gently wake the patient, and notify staff if patient does not wake.

Check on patient again in 30 minutes. If patient is still not awake, notify a staff member.

Do not disturb patient and notify staff immediately.

13. If a patient is coughing excessively when you feed him/her, you should:(check all that apply, there may be more than one answer)

Stop feeding immediately

Call a code blue

Perform the Heimlich maneuver if patient is choking and you are trained in the procedure

Gently pat the patient on the back

Notify a staff member urgently.

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.

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.

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14. 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.

True

False

Some patients are not allowed to be assisted by volunteers, therefore it is important to always check with staff before assisting anyone.

Explanation

Some patients are not allowed to be assisted by volunteers, therefore it is important to always check with staff before assisting anyone.

15. Which of the following are signs a person is finished swallowing and is ready for another bite:

Adams apple rising and dropping indicating swallowing.

Patient pointing at food to indicate what they would like to eat next

Patient opens mouth to indicate readiness

No food pockets left in mouth.

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.

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.

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16. Which of the following are examples of mixed consistency foods?

Hamburger

Mint chocolate chip ice cream

Blueberry pancake

Mango Smoothie

Chicken noodle soup

Mixed consistencies are foods that have both a solid and liquid component.

Explanation

Mixed consistencies are foods that have both a solid and liquid component.

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17. Aspiration is the action of inhaling. It is important to time each bite with when a patient is aspirating to prevent choking.

True

False

Aspiration is when food or liquid enters the lungs. This can lead to choking as well as pneumonia.

Explanation

Aspiration is when food or liquid enters the lungs. This can lead to choking as well as pneumonia.

18. 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.

True

False

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

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

19. 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).

Introduce herself to Mr. E by first and last name

Check orange wristband/poster to ensure right consistency

Inform Mr. E that she is unable to assist him unless he wears a bib.

Check with nursing or recreation staff to see if patient can be fed by a volunteer

Check swallowing/eating strategies

Check that dentures are properly fitted

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.

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.

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20. 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)

Patient refuses to eat

Tear in eyes

Excessive coughing

Grabbing at the throat

Complaints of heartburn or reflux

Wet/gurgled voice after swallowing

Gagging or vomiting

Turning blue in the lips or face

Gasping for air or struggling to breathe.

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.

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.

Submit

Nourishment Volunteer Quiz

1. During mealtimes, patients should be positioned at _______ degrees.

2.

What first name or nickname would you like us to use?

2. 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.

3. If a patient's left side is paralyzed, the volunteer should sit on the person's ______ side.

4. While providing nourishment, the volunteer should be positioned at ________ with the patient.

5. 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.

6. if a patient has difficulty breathing, the volunteer should:

7. Order the following liquid consistencies from thickest to thinnest

8. Each of the following are possible results of eating and swallowing problems. Match each with their associated symptoms.

9. Debbie is providing nourishment to a patient at lunchtime, but the patient refuses to eat. What should she do?

10. Match the following food textures with the amount of chewing required.

11. Which of the following are reasons a patient may need mealtime assistance?(Check all that apply, there may be more than 1 answer)

12. If a patient is sleeping at lunchtime, you should:

13. If a patient is coughing excessively when you feed him/her, you should:(check all that apply, there may be more than one answer)

14. 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.

15. Which of the following are signs a person is finished swallowing and is ready for another bite:

16. Which of the following are examples of mixed consistency foods?

17. Aspiration is the action of inhaling. It is important to time each bite with when a patient is aspirating to prevent choking.

18. 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.

20. 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)