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Module 1: PSW Foundations
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Most adults over the age of 70 years old have a disabling illness?
 
False
 
True
What kind of vegetable do you like?" is an example of an open-ended question?
 
True
 
False
Pain affects all people in the same way?
 
False
 
True
Which measure is an example of a distraction?
 
Giving a back massage
 
Keeping the room dark
 
Avoiding talking with the client
 
Turning off the radio
Maslow's hierarchy of needs can best be described as:
 
A system that arranges human needs into categories
 
Love and belonging needs
 
Physiology and safety needs
 
Another term for psychosocial health
Tired
 
Subjective
 
Objective
Client has blood in urine:
 
Objective
 
Subjective
I&O
 
Intake and Output
 
Intake and outtake
 
Input and output
 
Input and outtake
A client talks about the loss of her husband. You do all the following except:
 
Feel pity for her
 
Pay attention to the feelings she expresses
 
Lean towards the client and avoid communication barriers
 
Make eye contact to assure her you are listening
A PSW needs your help; she asks you to call the nurse STAT. This means:
 
Go now
 
The client is in a good state right now
 
The client wants to speak to the nurse
 
Stay with the client while she goes on break
In 24-hour time, 1330 is:
 
1:30pm
 
3:30pm
 
1:30am
 
3:30am
You should never refuse a favor asked of you in the workplace
 
False
 
True
Doctor's orders NPO. The support worker understands that this is the abbreviation for which of the following:
 
Do not eat or drink anything
 
Negative pressure option of the patients room
 
Night privacy allowed
 
No persons allowed visiting
TPR is temperature, pulse, respiration
 
True
 
False
The clock shows 11:42am. What would this be using the 24-hour clock
 
1142h
 
11:42am
 
11:42
 
2342 hrs
Which one of the following choices would be considered Objective Data?
 
red rash on abdomen
 
I have a headache
 
client tell you they are in pain
 
I felt nauseated
Why would we use an open-ended question?
 
used to improve communication by encouraging them to further discuss detail
 
we don't want any information from the client
 
used to get detailed information from the client
 
specific information from the client
What would a older generation's self-esteembe influenced by:
 
All options
 
Family, friends and professional helpers
 
Mobility and pain
 
Appearance and aging
A Pt with cancer is refusing modern treatment but using alternative therapies, street drugs. Which statement is true?
 
“Beliefs about health care” is a personal determinant of health
 
To promote wellness you need to focus on the disease and nothing else
 
His cognitive health has declined, so he makes poor choices
 
You tell him that the alternative therapies and drugs will kill him
How would the support worker abbreviate hour?
 
h
 
hgt
 
hht
 
ht
Which one of the following is a closed question?
 
"Would you like to eat your lunch now?"
 
"What can you tell me about your family?"
 
"Why don't you want to eat your lunch?"
 
"What do you feel like doing today?"
What are two age-related changes that can affect communication?
 
Decrease in hearing and vision
 
Lack of sensation and blindness
 
Loss of sense of smell and taste
 
Loss of speech and decreased sense of touch
Mixed messages are unhelpful to the client because:
 
causes confusion and the message is lost
 
client will not talk to you
 
creates a lack of interest from the client
 
leaves the client to think you don't care
Example of a mixed message?
 
Saying "yes" to your client and crossing your arms
 
Mixing up the words in a sentence
 
Talking in only medical terms to the client
 
Not talking to the client
How can the support worker help a new resident feel safe and secure?
 
Listen to the client's concerns
 
Keep the client in his or her room
 
Ask direct questions
 
Ask visitors to leave the room
When a PSW says to a client, "look on the bright side" this:
 
is preventing the client from expressing feelings
 
is reassuring the client
 
is solving an emotional problem for the client
 
creating stress for the client
Signs and symptoms of stress
 
All of the above
 
Feelings of anger
 
Fluctuations in appetite
 
Sleeplessness
Common courtesy is a sign of:
 
Respect
 
Empathy
 
Interdependence
 
Need
What is a Respiratory Therapist
 
A breathing specialist
 
A nurse
 
An athletic trainer
 
A Cardiologist
You have difficulty communicating with your client, a centenarian ( 100 yrs old). All statement are accurate except:
 
She is over 100 yrs old, she is likely confused.
 
Weakness, pain, and ill health makes it hard to focus
 
Many elderly people suffer from difficulty seeing and hearing.
 
You make your message brief and use simple words
A client's daughter visits her mother. She dislikes her mother's care and insults you the PSW. You do all except:
 
Tell her you have to care for your weakest clients first
 
Understand that she feels uneasy because of her own feeling of guilt.
 
Answer her questions politely and confidently
 
Try to see the situation through her point of view
Calling an elderly client "momma" conveys respect and caring
 
False
 
True
Which of the following best describes stress?
 
The response or change in the body caused by an emotional, and physical
 
Anything that is not pleasant
 
A cause of illness
 
Anxiety, fear, anger, dread, and depression
The principles or values that guide us in deciding what is right conduct or what is wrong conduct is called:
 
Ethics
 
Civil Law
 
Torts
 
Public Law
Time management strategies that would assist a PSW
 
Determine priorities, be organized, ask for help and get adequate rest
 
Blame others when you can't get your work done
 
Determine priorities, and be organized
 
Ask for help or get a co-worker to do your work for you
Ethics:
 
Proper conduct for the members of professional group
 
A feeling of compassion
 
Use of good judgement about what you say
 
Feelings reflected in one's actions
Attitude means:
 
Feelings reflected in one's actions
 
Use of good judgement about what you say
 
A feeling of compassion
 
Proper conduct for the members of professional group
Discretion refers to:
 
Use of good judgement about what you say
 
A feeling of compassion
 
A nurse can authorize a PSW to perform a controlled act procedure
 
Feelings reflected in one's action
Someone fractures their arm. A client would be admitted to:
 
Acute care
 
LTC
 
Respite Care
 
Palliative Care
Client asks you if you can give her an enema. You:
 
Beyond your scope of practice, you would inform your supervisor
 
Would read the instructions on the container before proceeding
 
Would love to help
 
All of the above
Delegation in Healthcare means
 
Authorizing a care provider to perform a task
 
Transferring responsibility to another worker
 
Giving someone responsibility for providing care
 
Giving the support worker the power to enforce an act
Physician
 
Diagnosis, and treatment with illness/injury
 
Helping persons adapt to daily living tasks, following illness or injury
 
Fills medication orders written by physicians
 
Concerned with restoring function & preventing disability following injury
Registered Nurse
 
Giving medication, creating care plans, delegation/ supporting PSW
 
Concerned with restoring function & preventing disability following injury
 
Prescribes treatment and leads the health care team
 
Helping persons adapt to daily living tasks, following illness or injury
Occupational Therapist
 
Helping persons adapt to daily living tasks, following illness or injury
 
Fills medication orders written by physicians
 
Prescribes treatment and leads the health care team
 
Concerned with restoring function & preventing disability following injury
Physiotherapist
 
Concerned with restoring function & preventing disability following injury
 
Helping persons adapt to daily living tasks, following injury
 
Fills medication orders written by physicians
 
Prescribes treatment and leads the health care team
When you are solving a problem, what is the first step in the process?
 
Identify the problem
 
Analyze the problem
 
Devise a plan
 
Think of possible solution
When considering a delegated act, which of the following should the support worker consider?
 
The employer's policies regarding delegation
 
That is is all right to accept the task, as long as it is only once
 
That the task should not require critical thinking
 
That it is acceptable to go beyond the support worker's scope of practice
Holistic care means:
 
Care which recognizes physical, mental, social and spiritual needs
 
Care which prevents disability
 
Support provided to a client to regain lost abilities
 
Care provided which is aimed at increasing a client's comfort
Accountability means to be responsible
 
True
 
False
When should you report changes in a client's condition?
 
At once
 
During the end of shift report
 
Before you take your lunch break
 
At the end of your shift
It is recommended that health care workers wash hands frequently to prevent the spread of germs between clients & staff
 
True
 
False
It is important for the PSW to bath daily when working to provide comfort, and reduce body odour?
 
True
 
False
Which of the following is the correct definition of an acute illness?
 
A sudden illness from which a person is expected to recover
 
An ongoing illness for which there is no known cure
 
An illness that is slow or gradual in onset
 
An illness for which there is no reasonable expectation of recovery
The role of the PSW on a health care team:
 
All of the above
 
Provide required assistance safely and competently
 
Assist the team by following the existing care plan
 
Report and record care observations
Which of the following sources would provide a PSW with information regarding his/her scope of practice?
 
Written policies from his/her current employer
 
His/her co-worker who has been on the job for 25 years
 
His/her school classmate who always has the answers
 
College of Nurses of Ontatrio
How does the Consent to Treatment Act affect the PSW?
 
A PSW must ask the client for consent before touching them for any reason
 
A PSW must ask for written consent before giving a bed bath to a client
 
A PSW must ask the nurse for permission before touching the client
 
The doctor must give consent for the client to have care completed
Assisting a resident with activities of daily living, the support worker should:
 
Check with the care plan and supervisor
 
Encourage her to occasionally try new foods
 
Save time by choosing the clothing for the day
 
All of the above
What is slander?
 
False verbal statement that hurts the reputation of a person
 
Failure to act in a careful or competent manner
 
Established by law
 
Feeling of worth, value and respect
The intentional attempt or threat to touch a person's body without consent is:
 
Assault
 
Battery
 
False imprisonment
 
Defamation
Income has no effect on health?
 
False
 
True
What is negligence?
 
Failure to act in a careful or competent manner
 
False verbal statement that hurts the reputation of a person
 
A feeling of worth, value and respect
 
Placed in trust; respecting and guarding personal and private information
In Maslow's theory of needs, what needs must be met first ....
 
Physical
 
Safety
 
Love and Belonging
 
Self Esteem
When a resident has pain, What do you do first?
 
Ask about pain's location, duration, intensity and other symptoms
 
Tell her she is okay
 
Report to the supervisor
 
Administer pain medication
Touch conveys caring and affection
 
True
 
False
The client has difficulty falling asleep tonight. You:
 
Ask her about rituals and what has helped her in the past
 
Reassure her that sleep deprivation is not a health concern
 
Request a sleeping aid from the physician
 
Sing while doing your tasks to distract her
Optimal health is the achievement of the best health possible in all five dimensions of one's life?
 
True
 
False
Legal defines as:
 
Established by law
 
A feeling of worth, value and respect
 
Failure to act in a careful or competent manner
 
False verbal statement that hurts the reputation of a person
What is a disability?
 
Any lost, impaired, or absent physical, or mental function
 
An artificial replacement of a missing body part
 
A chronic illness or disease
 
A temporary state of impairment
People who do not practice religion are not spiritually healthy...
 
False
 
True
Old people are always obstinate and set in their ways
 
False
 
True
Relying on each other in a group for support is called...
 
Interdependence
 
Competence
 
Control
 
Dependence
Aging is universal and starts when we are born
 
True
 
False
What should the PSW do in harassment situations
 
Ask the person to stop and report to your supervisor immediately
 
Keep quiet and don't tell anyone
 
Tell a co-worker and see what they think
 
Tell a friend or family member
Realizing one's potential is known as which of the following:
 
Self-Actualization
 
Esteem
 
Self-Esteem
 
Holism
2 different examples of harassment a PSW can be exposed to at work
 
Inappropriate sexual gestures and verbal/physical abuse.
 
Being exposed to inappropriate sexual gestures
 
Verbal ot physical abuse by a staff member to another staff member
 
Being appropriately complemented by a staff member or client
Which of the following is a determinant of health?
 
Income and social status
 
Emotional Health
 
Chronic Health
 
Spiritual Health
When going for treatment, they must know the what, why who, and outcomes. This is called....
 
Consent to Treatement Act
 
Substitute Decisions Act
 
Right to Choice
 
Self-determination Act
Which of the following is an example of treating a client with respect and dignity?
 
Being careful with the client's personal possessions
 
Assuming that the client needs your help before he or she asks
 
Forgetting to insert the hearing aids for the client
 
Ordering a client's food at mealtime
Which of the following lists are on the Canadian Charter of Rights and Freedoms?
 
Right to vote, and to move about in or out of Canada
 
Right to drive, have children and to have universal health care
 
Right to have a job, legal assistance, to have children and be safe.
 
Right to senior pension, housing, paid prescriptions and health care
Which statement about the Canadian Charter of Rights and Freedoms is true?
 
It lists the basic rights and freedoms to which all Canadians are entitled
 
The Charter is still awaiting final passage in the courts.
 
Protects the right to equality of residents of Canada as they are citizens
 
It was made to protect all adults over the age of 18.
What is meant by the need for belonging?
 
To be loved, valued, and have a close interpersonal relationship
 
To have good self-esteem
 
To reach your full potential
 
To have your basic needs met
Each individual responds differently to cultural influences
 
True
 
False
Culture influences people's attitudes and beliefs but not their behaviours.
 
False
 
True
Which one of the following needs is directly affected by religion?
 
Diet
 
Oxygen
 
Shelter
 
Elimination
Meeting a new client, you must get to know him/her. Which of the following choices would help you establish rapport?
 
All of the above
 
Talk about client desires, needs and routines.
 
Read care plan
 
Ask open ended questions and listen
OD just means the client took too much medication
 
False
 
True
An example of Activities of Daily Living (ADLs)?
 
Self-care activities the client performs every day
 
Activities you do for the client some days
 
Self-care activities the client performs some days
 
Laundry you do for the client every day
Which one of the following is a breach of respecting privacy legislation?
 
All of the above
 
Losing your day-timer
 
Discussing client information with his/her family
 
Phone the next client from the present client's home
Which statements is true of older adults?
 
Many older adults enjoy good health.
 
Aging is considered an illness
 
Social and emotional changes always happen with older adults.
 
All older adults move into residential facilities
Self-esteem is likely influenced by....
 
All of the above.
 
Family, friends and her supportive care workers.
 
Appearance and aging
 
Mobility and pain


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