NACC PERSONAL SUPPORT WORKER (PSW) EXAM
2026/2027: COMPLETE WITH VERIFIED ANSWERS
SECTION 1: Professionalism, Ethics, & Communication
Q1: During morning care, a client tells you their son never visits. You later meet the son
in the elevator and mention, "Your dad misses you." This action is:
A. Supportive family communication
B. A breach of client confidentiality
C. A PSW's duty of care
D. Appropriate emotional support
Correct Answer: B
Rationale: Discussing a client's personal feelings with others without consent violates
confidentiality. Option A sounds supportive but ignores privacy laws. C incorrectly labels
gossip as duty, and D is inappropriate outside the care plan.
Q2: A client asks you to pray with them before breakfast. The most professional
response is to:
A. Decline and leave the room
B. Ask if they would like you to call their faith leader or join quietly if congruent with your
beliefs
C. Ignore the request
D. Promise to pray every day
Correct Answer: B
,Rationale: PSWs should respect spiritual needs and facilitate supports within scope;
joining quietly is acceptable if comfortable. A ignores needs, C is dismissive, and D
makes an unscheduled commitment.
Q3: You notice another PSW posting client photos on social media. You must:
A. Like the post to show support
B. Report the incident to your supervisor immediately
C. Ask the PSW to delete only if the client objects
D. Do nothing if faces are hidden
Correct Answer: B
Rationale: Any client-identifiable information is confidential; immediate reporting
protects clients and staff. A encourages misconduct, C places burden on client, and D is
insufficient—background can identify.
Q4: A client refuses a bath for the third consecutive day. Your best action is to:
A. Persuade them by saying they smell
B. Document the refusal and inform the nurse to reassess the care plan
C. Let them skip without telling anyone
D. Bathe them quickly while they are distracted
Correct Answer: B
Rationale: PSWs must respect autonomy and report non-compliance for care-plan
review. A is disrespectful, C omits mandatory reporting, and D constitutes battery
without consent.
, Q5: When completing an incident report after a client fall, you should:
A. Record only what you assume happened
B. State objective facts and times without blame
C. Include opinions about client behavior
D. Ask a colleague to sign on your behalf
Correct Answer: B
Rationale: Incident reports must be factual, objective, and timely. A introduces
assumption, C is subjective, and D is fraudulent.
Q6: A client's family offers you $50 as a holiday thank-you. The appropriate response is:
A. Accept the money graciously
B. Politely decline and explain agency policy prohibits accepting gifts
C. Accept and share it with coworkers
D. Suggest they buy a gift for the floor instead
Correct Answer: B
Rationale: Accepting gifts can compromise professional boundaries. A and C violate
policy, while D still solicits benefits.
Q7: You overhear a colleague mock a client’s accent. Your ethical duty is to:
A. Ignore it to avoid conflict
B. Address the colleague privately first, then report if unresolved
C. Laugh along to fit in
D. Confront the colleague publicly
2026/2027: COMPLETE WITH VERIFIED ANSWERS
SECTION 1: Professionalism, Ethics, & Communication
Q1: During morning care, a client tells you their son never visits. You later meet the son
in the elevator and mention, "Your dad misses you." This action is:
A. Supportive family communication
B. A breach of client confidentiality
C. A PSW's duty of care
D. Appropriate emotional support
Correct Answer: B
Rationale: Discussing a client's personal feelings with others without consent violates
confidentiality. Option A sounds supportive but ignores privacy laws. C incorrectly labels
gossip as duty, and D is inappropriate outside the care plan.
Q2: A client asks you to pray with them before breakfast. The most professional
response is to:
A. Decline and leave the room
B. Ask if they would like you to call their faith leader or join quietly if congruent with your
beliefs
C. Ignore the request
D. Promise to pray every day
Correct Answer: B
,Rationale: PSWs should respect spiritual needs and facilitate supports within scope;
joining quietly is acceptable if comfortable. A ignores needs, C is dismissive, and D
makes an unscheduled commitment.
Q3: You notice another PSW posting client photos on social media. You must:
A. Like the post to show support
B. Report the incident to your supervisor immediately
C. Ask the PSW to delete only if the client objects
D. Do nothing if faces are hidden
Correct Answer: B
Rationale: Any client-identifiable information is confidential; immediate reporting
protects clients and staff. A encourages misconduct, C places burden on client, and D is
insufficient—background can identify.
Q4: A client refuses a bath for the third consecutive day. Your best action is to:
A. Persuade them by saying they smell
B. Document the refusal and inform the nurse to reassess the care plan
C. Let them skip without telling anyone
D. Bathe them quickly while they are distracted
Correct Answer: B
Rationale: PSWs must respect autonomy and report non-compliance for care-plan
review. A is disrespectful, C omits mandatory reporting, and D constitutes battery
without consent.
, Q5: When completing an incident report after a client fall, you should:
A. Record only what you assume happened
B. State objective facts and times without blame
C. Include opinions about client behavior
D. Ask a colleague to sign on your behalf
Correct Answer: B
Rationale: Incident reports must be factual, objective, and timely. A introduces
assumption, C is subjective, and D is fraudulent.
Q6: A client's family offers you $50 as a holiday thank-you. The appropriate response is:
A. Accept the money graciously
B. Politely decline and explain agency policy prohibits accepting gifts
C. Accept and share it with coworkers
D. Suggest they buy a gift for the floor instead
Correct Answer: B
Rationale: Accepting gifts can compromise professional boundaries. A and C violate
policy, while D still solicits benefits.
Q7: You overhear a colleague mock a client’s accent. Your ethical duty is to:
A. Ignore it to avoid conflict
B. Address the colleague privately first, then report if unresolved
C. Laugh along to fit in
D. Confront the colleague publicly
