Home Health Aide Practice Exam

What should a Home Health Aide do if an activity is not listed in a client’s care plan?

1. Perform the activity if the client requests

2. Seek permission from the client's family

3. The HHA should not perform the activity if it is not listed in the care plan

4. Ask the supervisor for guidance

The correct answer is: The HHA should not perform the activity if it is not listed in the care plan

A Home Health Aide (HHA) should adhere strictly to the established care plan for the client, as it outlines the specific services and support needed to ensure the client’s safety and well-being. If an activity is not listed in the care plan, it may indicate that it has not been evaluated or deemed necessary by the healthcare team. Therefore, performing unauthorized activities could lead to potential risks or complications for the client, as the HHA is not trained or supported to make independent decisions regarding care that falls outside the agreed plan. The care plan is developed based on the client’s individual needs and health status, and any changes or additions should be formally assessed and documented to maintain continuity of care and clear communication among all caregivers. Following these protocols helps protect both the client and the HHA from possible liability or negative health outcomes. In contrast, seeking permission from the client, their family, or asking a supervisor for guidance could be seen as appropriate behaviors in certain contexts, but without the backing of a care plan, they do not address the fundamental issue of protocol and safety in client care. Only the supervisor can make or approve changes to the care plan, highlighting the importance of following established procedures in delivering effective home health care.