PSW Final Exam Study Set Questions
And Complete Solutions.
Holistic Care - Answer Considering the whole person. Considering their physical, social, emotional,
cognitive and spiritual dimensions.
Professionalism - Answer an approach to work that demonstrates respect for others, commitment,
competence, and appropriate behaviours.
Professional Boundaries - Answer Appropriate limitations on behaviour, meant to protect the
vulnerable client from the caregiver who has access to private knowledge about him or her.
Regulation of a PSW - Answer The PSW is an unregulated profession. For an unregulated care provider
there are clearly identified services we provide under the supervision of the client, family member,
regulated health care provider or employer. There is no legislation to regulate PSW's or an organization
of professional college that governs the role. There is no official code of ethics but they must adhere to
the codes of behaviour from their employer.
Regulated Health Professions Act - Answer Regulated Health Professions. In Ontario, regulated health
professions are governed under the Regulated Health Professions Act, 1991 (RHPA) and health
profession Acts (i.e., Medicine Act, 1991). This legislative framework establishes health regulatory
colleges, which regulate the professions in the public interest. i.e. the college of nurses.
Role of the occupational therapist - Answer Focuses on rehabilitation; teaches clients skills needed to
perform ADLs; designs adaptive equipment for ADLs
Role of the physical therapist - Answer Focuses on rehabilitation; assist clients with musculo-skeletal
impairments; focuses on restoring function and preventing disability from illness or injury
Role of Registered Nurse (RN) - Answer assesses, makes nursing diagnoses, plans, implements, and
evaluates nursing care. Tends to clients with unstable health conditions; provides direct client care,
administers medications, supervises support workers
,Role of RPN Licenced practical nurse (LPN) - Answer a health care provider licensed and regulated by
the province or territory to carry out nursing techniques and provide client care. Known as a registered
practical nurse (RPN) in Ontario.
ALL RULES REGARDING DELEGATION - Answer Only regulated health care providers like nurses have the
authority (legal right) to perform certain tasks because they have the knowledge, skill and training to
perform them. They are called controlled acts and are considered harmful if they are performed by
unqualified people. In some circumstances some acts will be delegated to you. In order to do this,
specific conditions called "exceptions" must be met for delegation to be permitted. The nurse must feel
confident the support worker understands what the responsibilities are when performing the task,
knowns when and who to ask for assistance, and knowns when, how and whom to report the outcome
of the task.
Tasks that may be delegated to support workers must be routine ones with predictable outcomes that
require little supervision and can only be delegated for stable clients.
Delegation tasks may include: suctioning a permanent tracheotomy in and out catherization;
administering glucometers, dressings, tube feedings and medication.
Only some nursing tasks can be delegated. Your employer's policies and guidelines, your job description
and provincial or territorial legislation determine what tasks can be delegated to you.
Sometimes these rules vary between community and LTC.
In Ontario an RN, RPN and LPN can delegate.
A delegated task is not transferrable to another client. Just because you did it for one person, does not
mean you are able to perform the SAME task on another client without training.
Before delegating tasks, the nurse must know the following: - Answer • What tasks your province or
territory allows support workers to perform.
• The tasks included in your job description.
• What you were taught in your training program.
• What skills you have learned and how they were evaluated.
• Your work experiences.
A nurse who delegates a task is required to: - Answer • Have the knowledge, skill, and judgement to
perform the task competently.
• Have the additional knowledge, skill and judgement to teach the task to others. The delegating nurse is
responsible for providing all necessary teaching, but not everyone is able to teach others how to perform
something. Good communication skills and patience required.
,• Accept responsibility for teaching the task to the support worker. The nurse must first determine the
risks and benefits of teaching the task and be able to confidently predict its outcome.
• Assess your performance. The nurse must determine if you're able to perform the task correctly.
• Determine if the task that is taught can be performed for more than one client. Each client is unique.
• Monitor you over time to ensure you remain able to perform the task correctly and safely.
In the community the nurse may provide you with written instructions, predicted outcome and what to
record.
You can refuse a task to be delegated to you if: - Answer • you have concerns about your ability to do
the task
• it is beyond your scope of practice
• the client's condition changes
5 RIGHTS OF DELEGATION - Answer right task
right circumstance
right person
right direction/communication
right supervision/evaluation
The right task - Answer Can the task be delegated? Does the provincial nursing act or health
professions act allow the nurse to delegate the task? Is the task in your job description? Have you been
trained to do the task? A job description should be available.
The right circumstances - Answer What are the client's physical, emotional, social, spiritual and
cognitive needs currently? Do you understand the purpose of the task for the client? Do you have the
equipment and supplies needed to perform the task? Do you know how to use the equipment and
supplies?
The right person - Answer Do you have the training and experience to safely perform the task for this
client? Do you have concerns about performing the task?
, The right directions and communication - Answer has the nurse provided clear directions and
instruction? Has the nurse told you what to do, when to do it, what observations to make and when to
report back? Are the directions legal, ethical, and consistent with employer policies? Can you review the
task with the nurse? Do you understand what the nurse expects?
The right supervisions and evaluation - Answer Is a nurse available to answer questions? Is a nurse
available if a client's condition changes or if problems occur? After the task is completed, does the nurse
assess how the task affected the client? Does the nurse discuss your performance with you, telling you
what you did well and how to improve your work?
culture: the characteristics of a group of people, including - Answer language, values, beliefs, customs,
habits, ways of life, rules for behaviour, music and tradition
CULTURE - Answer makes a society distinctive. It refers to the characteristics of a group of people, the
language, values, beliefs, way of life, habits, implied rules and behaviours, music and traditions that are
shared or perhaps even passed down generation to generation. Culture may be influences by age, race,
gender, occupation sexual orientation or lifestyle.
Everyone is part of a culture. Some people belong to more than one culture. Cultural characteristics
which are learned by living in a group influence a person's behaviours and attitudes.
Ethnicity is an important influence on a person's culture but it is not the only influence.
Some people have chosen to assimilate their styles of dress, eating habits, or other behaviours when
with people from another culture.
A person's culture can change over time as the person leaves one group and joins another or encounters
new life experiences.
Culture and Religion - Answer In most cultures, religion is very important. Religion relates to spiritual
beliefs, needs, and practices and ay promote beliefs and practices related to daily living habits,
behaviours relationships with others, diet, healing, days of worship, birth and birth control, medicine and
death. Many people rely on religion for comfort during illness. They may want to pray, observe certain
practices and may want a visit from a spiritual leader/advisor. Promptly report this request to your
supervisor. Never try to convert a client and treat all religious items with respect - do not touch unless
permitted.
Maslow's Hierarchy of Needs - Answer A need is something that is necessary or desirable for
maintaining life and psychosocial well-being. According to Maslow, certain basic needs must be met for a
person to survive and function. These needs are arranged in a hierarchy, or order or importance. Lower-
level needs must be met before higher-level needs.
