PSW: Final Exam Questions with Detailed Verified Answers A+ Score

PSW: Final Exam Questions with Detailed Verified Answers A+ Score Holistic Care - ANS-Considering the whole person. Considering their physical, social, emotional, cognitive and spiritual dimensions. Professionalism - ANS-an approach to work that demonstrates respect for others, commitment, competence, and appropriate behaviours. Professional Boundaries - ANS-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 - ANS-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 - ANS-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 - ANS-Focuses on rehabilitation; teaches clients skills needed to perform ADLs; designs adaptive equipment for ADLs Role of the physical therapist - ANS-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) - ANS-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 Licensed practical nurse (LPN) - ANS-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 - ANS-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 catheterization; 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: - ANS-• 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: - ANS-• 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: - ANS-• you have concerns about your ability to do the task continues...