Exam (elaborations)
PSW FINAL EXAM STUDY GUIDE QUESTIONS
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PSW FINAL EXAM STUDY GUIDE QUESTIONS
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PSW: FINAL EXAM STUDY GUIDE QUESTIONSHolistic Care - Answers- Considering the whole person. Considering their physical,
social, emotional, cognitive and spiritual dimensions.
Professionalism - Answers- an approach to work that demonstrates respect for others,
commitment, competence, and appropriate behaviours.
Professional Boundaries - Answers- 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 - Answers- 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 - Answers- 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 - Answers- Focuses on rehabilitation; teaches clients
skills needed to perform ADLs; designs adaptive equipment for ADLs
Role of the physical therapist - Answers- 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) - Answers- 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) - Answers- 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 - Answers- 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: - Answers- • 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.
You can refuse a task to be delegated to you if: - Answers- • 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 - Answers- right task
right circumstance
right person
right direction/communication
right supervision/evaluation
The right task - Answers- 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 - Answers- 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 - Answers- 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 - Answers- 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 - Answers- 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 - Answers- language, values,
beliefs, customs, habits, ways of life, rules for behaviour, music and tradition
CULTURE - Answers- 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 - Answers- 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 - Answers- 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.
, The basic needs from the lowest-level to the highest-level as follows:
• Physical needs (must be met first): oxygen, food, water, elimination, rest and shelter.
• Need for safety: protection from harm, danger, fear and pain.
• Need for love and belonging: Romantic and physical love. The need for a rightful place
in society, in a peer group and in family
• Need for self-esteem: thinking well of oneself and being well thought of by others.
When self-esteem is fulfilled, a person feels confident, adequate and useful.
• Need for self actualization, or the fulfillment of one's potential (last need to be met)
Learning, understanding, and creating one's best life.
A nurse who delegates a task is required to: - Answers- • 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.
Charter or Rights and Freedoms: federal legislation that applies to all Canadians
regardless of where they live. It includes the following: - Answers- • freedom of
conscience and religion
• freedom of thought, belief, opinion, and expression
• freedom of peaceful assembly and association (usually associated with the right to
form a union and strike)
• the right to vote
• the right to enter, stay in, or leave Canada
• the right to life, liberty and security
• the right to equality before and under the law, without discrimination based on race,
ethnic origin, colour, religion, gender, age, or mental or physical disability.
Assault - Answers- identified in identified in Canada's Criminal Code and can be
defined as intentionally attempting or threatening to touch a client's body without the
client's consent, causing the client to fear bodily harm.Canada's Criminal Code and can
be defined as intentionally attempting or threatening to touch a client's body without the
client's consent, causing the client to fear bodily harm.
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