PSW: Final Exam study set Questions and Answers 100% Correct
5 RIGHTS OF DELEGATION correct answer right task
right circumstance
right person
right direction/communication
right supervision/evaluation
A nurse who delegates a task is required to: correct 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.
Abduction correct answer Movement away from the midline of the body
abuse correct answer physical or mental harm caused by someone in a position of trust.
Active Listening correct answer Paying close attention to a client's verbal and nonverbal communication
- listening o the content, the intent and feelings behind the words. The following are guidelines for active
listening:
• face the client: the client will often need to see your facial expressions and body language to be
assured you are listening
• make eye contact: however, consider cultural preferences in regards to eye contact.
,• lean toward the client: Do not sit back with your arms crossed as this can be interpreted as an
indication that you are not open and receptive to what the client is telling you.
• respond to your client: note however that sometimes your client may just need to vent
• avoid communication barriers (interrupting, answering your own questions, giving advice, minimizing
problems, using patronizing language, failing to listen)
Adduction correct answer Movement toward the midline of the body
Aging and growing older is correct answer normal process during which the body experiences changes
in body structure and function, increasing the risk for illness, injury, persistent illness and disability.
These changes are usually gradual. Emotional and social changes also occur.
ALL RULES REGARDING DELEGATION correct 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.
Anaphylactic shock can occur within seconds. Signs and symptoms include the following: correct answer
• severe restlessness
• increased anxiety
,• possible combativeness (from struggling to breathe)
• sweating
• shortness of breath
• low blood pressure
• irregular pulse
• respiration congestion
• swelling of the larynx
• hoarseness
• dyspnea
anaphylaxis correct answer is a severe sensitivity to an antigen (allergic reaction) that occurs rapidly and
causes a life-threatening response involving the whole body. The reaction can lead to difficulty breathing
and shock and can ultimately lead to death.
ANGINA PECTORIS: correct answer chest (pectoris) pain (angina) caused by ischemia, a lack of blood
supply to the heart muscle, which is usually caused by an obstruction or spasm of the coronary arteries
because of coronary artery disease.
Asking Closed Questions correct answer Focuses on specific information, so you use them when you
need to learn something precise. Some closed responses require a yes or no answer, others require a
brief response.
Asking Open-Ended Questions correct answer These types of questions invite a person to share
thoughts, feelings, or idea. Answers must be more than a yes or a no. The person being questioned
chooses and controls what is talked about and the information given. It shows that you are interested in
hearing about their life.
Use both open and closed ended questions help find out about a client's needs and preferences and to
find out if a client is satisfied with your care.
Assault correct answer 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.
, Assessment in community setting correct answer Usually a meeting in the client's home takes place with
the client, family and the case manager. This meeting identifies the client's issues and needs. If coming
from a hospital, information from the hospital is used. The family is very important as we know illness
affects everyone in the house. Together with the client and their family, a decision is made as to the care
and services needed. The case manager also evaluates if the house is a safe environment. It needs to be
reasonably clean, free of infestations, and have handwashing facilities and adequate heating and cooling
systems. The case manager will also determine if there are any modifications (like grab bars) that are
needed in the home. Sometimes other specialists are needed like an occupational therapist to evaluate
the homes wheelchair accessibility.
Assessment: correct answer An evaluation occurs through information collected about the client
through observation, reflection and communication. In some facilities a team leader evaluates the
emotional, spiritual, social and intellectual health of a client. Only a nurse or physician can do a physical
assessment of a client. The team leader (nurse, social worker, or caseworker) gathers as much
information as possible. Once the assessment has been completed, the team members, including the
client and the client's family gather to set goals and to meet the needs of the client.
autonomy correct answer have the freedom and choice to make decisions that affect one's life. Also
known as self-determination.
Baby boomers (people born during post WWII) from, 1946 - the mid 1960's age, Canada is increasing it's
efforts to better understand the implications of the aging population correct answer on health and long-
term care needs and costs. "Active Aging" is becoming the norm, meaning that older adults are
increasingly contributing to society through pain and unpaid activities.
Bacteria that grows in the oral cavity correct answer can be aspirated into the lungs and cause diseases
such as pneumonia. Clients with oral disease are at risk for thickening of the carotid arteries, which leads
to heart disease.
Oral care is given to the client on awakening, after each meal, and at bedtime. Oral care is given at least
every 2 hours.
Always wear gloves during oral care. Gather up the needed supplies first.
Bag Baths correct answer a prepackaged bath containing moist washcloths that are heated in the
microwave. No towel is needed as the skin is air dried.
5 RIGHTS OF DELEGATION correct answer right task
right circumstance
right person
right direction/communication
right supervision/evaluation
A nurse who delegates a task is required to: correct 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.
Abduction correct answer Movement away from the midline of the body
abuse correct answer physical or mental harm caused by someone in a position of trust.
Active Listening correct answer Paying close attention to a client's verbal and nonverbal communication
- listening o the content, the intent and feelings behind the words. The following are guidelines for active
listening:
• face the client: the client will often need to see your facial expressions and body language to be
assured you are listening
• make eye contact: however, consider cultural preferences in regards to eye contact.
,• lean toward the client: Do not sit back with your arms crossed as this can be interpreted as an
indication that you are not open and receptive to what the client is telling you.
• respond to your client: note however that sometimes your client may just need to vent
• avoid communication barriers (interrupting, answering your own questions, giving advice, minimizing
problems, using patronizing language, failing to listen)
Adduction correct answer Movement toward the midline of the body
Aging and growing older is correct answer normal process during which the body experiences changes
in body structure and function, increasing the risk for illness, injury, persistent illness and disability.
These changes are usually gradual. Emotional and social changes also occur.
ALL RULES REGARDING DELEGATION correct 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.
Anaphylactic shock can occur within seconds. Signs and symptoms include the following: correct answer
• severe restlessness
• increased anxiety
,• possible combativeness (from struggling to breathe)
• sweating
• shortness of breath
• low blood pressure
• irregular pulse
• respiration congestion
• swelling of the larynx
• hoarseness
• dyspnea
anaphylaxis correct answer is a severe sensitivity to an antigen (allergic reaction) that occurs rapidly and
causes a life-threatening response involving the whole body. The reaction can lead to difficulty breathing
and shock and can ultimately lead to death.
ANGINA PECTORIS: correct answer chest (pectoris) pain (angina) caused by ischemia, a lack of blood
supply to the heart muscle, which is usually caused by an obstruction or spasm of the coronary arteries
because of coronary artery disease.
Asking Closed Questions correct answer Focuses on specific information, so you use them when you
need to learn something precise. Some closed responses require a yes or no answer, others require a
brief response.
Asking Open-Ended Questions correct answer These types of questions invite a person to share
thoughts, feelings, or idea. Answers must be more than a yes or a no. The person being questioned
chooses and controls what is talked about and the information given. It shows that you are interested in
hearing about their life.
Use both open and closed ended questions help find out about a client's needs and preferences and to
find out if a client is satisfied with your care.
Assault correct answer 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.
, Assessment in community setting correct answer Usually a meeting in the client's home takes place with
the client, family and the case manager. This meeting identifies the client's issues and needs. If coming
from a hospital, information from the hospital is used. The family is very important as we know illness
affects everyone in the house. Together with the client and their family, a decision is made as to the care
and services needed. The case manager also evaluates if the house is a safe environment. It needs to be
reasonably clean, free of infestations, and have handwashing facilities and adequate heating and cooling
systems. The case manager will also determine if there are any modifications (like grab bars) that are
needed in the home. Sometimes other specialists are needed like an occupational therapist to evaluate
the homes wheelchair accessibility.
Assessment: correct answer An evaluation occurs through information collected about the client
through observation, reflection and communication. In some facilities a team leader evaluates the
emotional, spiritual, social and intellectual health of a client. Only a nurse or physician can do a physical
assessment of a client. The team leader (nurse, social worker, or caseworker) gathers as much
information as possible. Once the assessment has been completed, the team members, including the
client and the client's family gather to set goals and to meet the needs of the client.
autonomy correct answer have the freedom and choice to make decisions that affect one's life. Also
known as self-determination.
Baby boomers (people born during post WWII) from, 1946 - the mid 1960's age, Canada is increasing it's
efforts to better understand the implications of the aging population correct answer on health and long-
term care needs and costs. "Active Aging" is becoming the norm, meaning that older adults are
increasingly contributing to society through pain and unpaid activities.
Bacteria that grows in the oral cavity correct answer can be aspirated into the lungs and cause diseases
such as pneumonia. Clients with oral disease are at risk for thickening of the carotid arteries, which leads
to heart disease.
Oral care is given to the client on awakening, after each meal, and at bedtime. Oral care is given at least
every 2 hours.
Always wear gloves during oral care. Gather up the needed supplies first.
Bag Baths correct answer a prepackaged bath containing moist washcloths that are heated in the
microwave. No towel is needed as the skin is air dried.
