Sorrentino's Canadian Textbook for the Support Worker 5e Mary Wilk
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,Chapter 1: The Role and Responsibilities of the Support Worker
Wilk: Sorrentino’s Canadian Textbook for the Support Worker, Fifth Edition
MULTIPLE CHOICE
1. A support worker works in a live-in facility. Which of the following options describes the
setting and the people who live there?
a. Hospital, patient
b. Home care, client
c. Long-term care, resident
d. Hospital, resident
ANS: C
Feedback
A Incorrect. Patients are persons receiving care in a hospital setting.
B Incorrect. Clients are persons receiving care or support services in a community
setting; it is also a general term for all people receiving health care or support
services: hospital patients, facility residents, and clients in the community.
C Correct. Residents are persons living in a long-term care facility (also known as
a live-in facility).
D Incorrect. Residents are persons living in a long-term care facility (also known
as a live-in facility).
PTS: 1 DIF: Understanding
REF: People Who Receive Support Services
OBJ: 3: Describe the main responsibilities of the support worker.
2. A support worker works on a surgical unit in an acute care setting and is responsible for 10
clients. Which of the following options best describes this setting and the people it serves?
a. Hospital, patient
b. Home care, client
c. Long-term care, resident
d. Hospital, individual
ANS: A
Feedback
A Correct. Patients are persons receiving care in a hospital setting.
B Incorrect. Clients are persons receiving care or support services in a community
setting; it is also a general term for all people receiving health care or support
services: hospital patients, facility residents, and clients in the community.
C Incorrect. Residents are persons living in a long-term care facility (also known
as a live-in facility).
D Incorrect. Individuals are single human beings, distinct from a family or group.
PTS: 1 DIF: Understanding
REF: People Who Receive Support Services
OBJ: 3: Describe the main responsibilities of the support worker.
,3. A support worker travels to Mrs. Eaton’s home and must perform the following tasks with the
client: bathing, feeding, laundry, and cleaning the kitchen. Which of the following tasks
represent activities of daily living (ADLs) and which ones instrumental activity of daily living
(IADLs)?
a. ADLs: Laundry, feeding, bathing for client every day
IADLs: Light housekeeping for client every day
b. ADLs: Feeding and bathing for client every day
IADLs: Laundry and light housekeeping for client every day
c. ADLs: Laundry, feeding, bathing for client some days
IADLs: Light housekeeping for client some days
d. ADLs: Feeding and bathing for client some days
IADLs: Laundry and light housekeeping for client some days
ANS: B
Feedback
A Incorrect. Laundry is not a self-care activity; it is an instrumental activity of
daily living (IADL). Feeding and bathing are self-care activities; they are
activities of daily living (ADL). Light housekeeping is not self-care; it is an
IADL.
B Correct. Feeding and bathing are self-care activities; they are ADLs that people
perform to remain independent and to function effectively in society. Laundry
and light housekeeping are not self-care activities; they are instrumental
activities of daily living (IADL).
C Incorrect. Laundry and is not a self-care activity; it is an instrumental activity of
daily living (IADL). Feeding and bathing are self-care activities; they are
activities of daily living (ADL). Light housekeeping is not self-care; it is an
IADL. ADLs are performed daily, not some days.
D Incorrect. Feeding and bathing are self-care activities; they are ADLs that people
perform to remain independent and to function effectively in society. Laundry
and light housekeeping are not self-care activities; they are instrumental
activities of daily living (IADL). ADLs are performed daily, not some days.
PTS: 1 DIF: Analyzing REF: Personal Care
OBJ: 4: Differentiate between activities of daily living (ADLs) and instrumental activities of daily
living (IADLs).
4. A 72-year-old woman is a new admission to a live-in facility. She and her family need an
introduction to the facility and assistance with unpacking her belongings. The support worker
should:
a. Refer the woman and family to the physician for assistance.
b. Assist the woman and family with these activities.
c. Refer the woman and her family to the registered nurse for assistance.
d. Assist the nurse with these activities.
ANS: B
Feedback
A Incorrect. The physician diagnoses and treats clients with illnesses and injuries.
, B Correct. In many facilities, support workers assist with admissions and
discharges by introducing the client and family to the facility and helping the
client unpack and settle in. Support workers may help clients participate in
social activities.
C Incorrect. The nurse assesses; makes nursing diagnoses; plans, implements, and
evaluates nursing care; tends to clients with unstable health conditions; provides
direct client care; administers medications; and supervises support workers.
D Incorrect. The nurse is not responsible for these activities. Support workers
assist nurses or other health care team members by following the established
care plan for each client.
PTS: 1 DIF: Analyzing REF: Personal Care
OBJ: 6: Describe the importance of understanding the roles and responsibilities of support work.
5. Which statement best describes the aging process?
a. Social and emotional changes always happen with older persons.
b. All older persons eventually move into live-in facilities.
c. Many older persons enjoy good health.
d. Aging is considered an illness.
ANS: C
Feedback
A Incorrect. Social and emotional changes may occur with aging, but not always.
B Incorrect. Not all older persons move into live-in facilities; some stay in their
own homes.
C Correct. Aging is a normal process and is not an illness or disease.
D Incorrect. Aging is a normal process and is not considered an illness or disease.
PTS: 1 DIF: Understanding
REF: People Who Receive Support Services
OBJ: 8: List the principles of client-centred care.
6. Which statement accurately describes people living with disabilities due to illness, injury, or
conditions present at birth?
a. Many adults with disabilities live in their own homes.
b. All adult disabilities are the result of an illness.
c. All adult disabilities are the result of an accident.
d. Disabilities do not affect mental functions.
ANS: A
Feedback
A Correct. Many adults with disabilities live in their own homes.
B Incorrect. Disabilities may result from an illness, but not always.
C Incorrect. Disabilities may result from an accident, but not always.
D Incorrect. Disabilities may affect physical functions, mental functions, or both.
PTS: 1 DIF: Understanding
REF: People Who Receive Support Services
, OBJ: 3: Describe the main responsibilities of the support worker.
7. Which of the following statements is true about regulated professions?
a. Support workers belong to a regulated profession.
b. A regulated profession is governed by the Canadian government.
c. A regulated profession has a professional organization called a college.
d. There are no official requirements for education in regulated professions.
ANS: C
Feedback
A Incorrect. Support workers are unregulated health care providers.
B Incorrect. A regulated profession is self-regulated by its members.
C Correct. The professional organization that regulates a profession is called a
college.
D Incorrect. There are requirements for education and licensing.
PTS: 1 DIF: Applying REF: Regulated and Unregulated Workers
OBJ: 5: Distinguish between regulated and unregulated health care providers.
8. Joanne is a support worker graduate and is not sure of her scope of practice. Which of the
following sources would provide Joanne with information regarding her scope of practice?
a. College of Nurses of Ontario
b. Written policies from her current employer
c. Her co-worker who has been on the job for 25 years
d. Her school classmate who always has the answers
ANS: B
Feedback
A Incorrect. This is the regulatory body for nurses only.
B Correct. Three sources include educational programs, employer policies, and
supervisors.
C Incorrect. Although her co-worker is potentially a good source of information,
they are not an official source.
D Incorrect. Her school classmate is not a reliable source.
PTS: 1 DIF: Understanding REF: Scope of Practice
OBJ: 6: Describe the importance of understanding the roles and responsibilities of support work.
9. Jenny is a support worker who has been hired directly by Mrs. Shaver to help take care of Mr.
Shaver, her husband. Who does Jenny report to?
a. Dr. Tam, Mr. Shaver’s physician
b. Irene, the registered nurse who works with Dr. Tam
c. Mrs. Shaver, her employer
d. Steve, Mr. Shaver’s respiratory therapist
ANS: C
Feedback
A Incorrect. Mrs. Shaver hired Jenny and is her employer, so Jenny must report to
, her.
B Incorrect. Although nurses supervise and lead support workers in most cases, the
nurse is not who Jenny reports to in this case, because Jenny was hired and is
being supervised directly by the client.
C Correct. Some support workers are hired and supervised by clients.
D Incorrect. The respiratory therapist focuses on rehabilitation; assists in treatment
of lung and heart disorders; and gives respiratory treatments and therapies.
However, Jenny does not report to him because he is not her employer.
PTS: 1 DIF: Understanding
REF: The Supervision of Support Workers
OBJ: 2: Identify the role support workers play within the health care team.
10. Which of the following actions demonstrates that Pradeep, a support worker, is able to
maintain his professionalism when faced with a heavier-than-usual workload?
a. He does the work and keeps his feelings to himself until break time, when he talks
about his anger with a close friend.
b. He refuses to do the extra work assigned to him and walks off the unit.
c. He speaks with his supervisor to share his concern about being able to safely carry
out his assignment.
d. He writes a letter of complaint to his employer, describing the unfair working
conditions.
ANS: C
Feedback
A Incorrect. This action does not show a positive attitude, may not maintain
discretion or confidentiality, and is not professional.
B Incorrect. This action could be considered abandoning or neglecting clients and
is not considered professional.
C Correct. If done in a polite way, this approach is professional.
D Incorrect. Complaining has a negative effect, and writing a letter would indicate
that the reaction is too late, leaving the employer unable to respond in a timely
manner.
PTS: 1 DIF: Understanding REF: Being a Professional
OBJ: 7: Describe the significance of having a professional approach to support work.
11. Which one of the following teams is most likely to include support workers?
a. The health care team
b. The board of trustees
c. The case management team
d. The nursing team
ANS: A
Feedback
A Correct. This is the most appropriate answer. Support workers are valuable
members of the health care team.
B Incorrect. Although a support worker may sit on the board of trustees, this is not
, the best answer.
C Incorrect. Management teams do not usually include support workers.
D Incorrect. In most settings, you must be a nurse to be a part of the nursing team,
so this is not the best answer.
PTS: 1 DIF: Understanding REF: The Health Care Team
OBJ: 2: Identify the role support workers play within the health care team.
12. Which professional health care team member is responsible for assessing and planning the
nutritional needs of patients and residents?
a. The nurse
b. The dietitian
c. The pharmacist
d. The physician
ANS: B
Feedback
A Incorrect. The nurse may do this as part of the plan of care, but this is not the
best answer.
B Correct. The dietitian assesses and plans for nutritional needs.
C Incorrect. The pharmacist fills medication orders.
D Incorrect. The physician diagnoses and treats clients and may give a referral to a
dietitian.
PTS: 1 DIF: Understanding
REF: Support and Health Care Team Members
OBJ: 2: Identify the role support workers play within the health care team.
13. Mr. Mora’s massage therapist called in sick, so he asked Julie, a support worker, to do the job.
Julie politely declined, knowing never to perform a function that she has not been trained to
do and that is outside of her scope of practice. She understands the possible consequences of
performing tasks outside of her scope of practice. Which of the following best describes the
direct consequence to a support worker of performing tasks outside of their scope of practice?
a. The support worker could lose their license.
b. The support worker could harm a client and create serious legal problems for
themselves and their employer.
c. The support worker could get their colleague in trouble.
d. The support worker could lose a good job reference.
ANS: B
Feedback
A Incorrect. Support work is not a regulated profession and support workers are
not licensed.
B Correct. If a support worker performs a task that is outside of their scope of
practice, they could harm a client and create serious legal problems for
themselves and their employer.
C Incorrect. Support workers must understand what to do, what not to do, and the
limit and extent of a health care provider’s role as determined by their
, province’s educational standards and employer’s policies in order to protect
clients from harm. It is not their colleague’s responsibility.
D Incorrect. Although it will definitely affect the support worker’s job history, this
is not the rationale behind the establishment of a scope of practice. It is intended
to protect clients from harm.
PTS: 1 DIF: Understanding REF: Scope of Practice
OBJ: 6: Describe the importance of understanding the roles and responsibilities of support work.
14. Which of the following statements is an example of a positive attitude?
a. “Don’t blame me.”
b. “I work harder than anyone else.”
c. “It’s not my turn—I did it yesterday.”
d. “I’m not sure, but I will find out for you.”
ANS: D
Feedback
A Incorrect. This statement is defensive and not positive.
B Incorrect. This statement is defensive and negative.
C Incorrect. This statement is negative.
D Correct. A person who does not know the answer but is willing to find out
demonstrates a positive attitude.
PTS: 1 DIF: Understanding REF: Being a Professional
OBJ: 7: Describe the significance of having a professional approach to support work.
15. Drew interviews his client and asks her about her religious beliefs. By asking this question,
Drew is promoting which of the following?
a. The client’s independence
b. The client’s dignity
c. The client’s preference
d. The client’s safety
ANS: B
Feedback
A Incorrect. Independence relates to the client’s ability to do activities for herself.
B Correct. By asking about the client’s religion, Drew is preserving the client’s
dignity and helping her to feel worthy, valued, and respected.
C Incorrect. Preference relates to the client’s choices, but this is not the best
answer.
D Incorrect. Safety relates to keeping an environment hazard free.
PTS: 1 DIF: Understanding
REF: The Goal of Support Work: Improved Quality of Life Through Client-Centred Care
OBJ: 1: Describe the goal of support work.
, 16. Frances works as a support worker in a long-term care facility. Jody, a nurse and also her
supervisor, has assigned Mr. Villa to her care. Frances is about to bathe him when Mr. Villa
refuses and asks for a male support worker instead. Frances should:
a. Look for a male support worker who can take over the task.
b. Convince Mr. Villa to allow her to bathe him.
c. Reschedule the task of bathing Mr. Villa.
d. Refer the matter to Jody, her supervisor.
ANS: D
Feedback
A Incorrect. Support workers must decide whether the problem is one that they can
handle on their own or one that their supervisor should handle. Assigning work
to another support worker is part of the supervisor’s role, not the support
worker’s role.
B Incorrect. Client-centred care means having concern for the client’s preference,
so convincing Mr. Villa would not be an appropriate response to his request.
C Incorrect. It is the responsibility of professionals to avoid taking shortcuts in
their client’s care, because doing so may harm the client. Shortcuts include
skipping or postponing tasks listed in the client’s care plan.
D Correct. Support workers often make important observations about the client or
family, and these observations must be communicated to the health care team. In
this case, the concern should be communicated to her supervisor.
PTS: 1 DIF: Understanding
REF: Critical Thinking, Decision Making, and Problem Solving
OBJ: 9: Identify the things to consider when thinking critically and solving problems.
17. Mr. Pereira was looking forward to dinner. He told Olga, the support worker assigned to take
care of him, that vanilla ice cream, his favourite dessert, is on the menu. During the course of
the day, Olga was informed that the kitchen had run out of vanilla ice cream and would serve
vanilla-flavoured yogurt instead. Olga should:
a. Inform Mr. Pereira about the change and ask whether he is okay with having
vanilla-flavoured yogurt.
b. Not bother about it because at least the dessert is vanilla-flavoured.
c. Go to the store to buy vanilla ice cream for Mr. Pereira so he is not disappointed.
d. Refer the matter to her supervisor.
ANS: A
Feedback
A Correct. When solving problems, the support worker should consider the client’s
viewpoint and allow him to decide.
B Incorrect. Solutions to the problem should not compromise any of the six
principles of client-centred care (e.g., in this case, the client’s preferences).
C Incorrect. When solving problems, the support worker must consider their scope
of practice. Going to the store to buy vanilla ice cream for this client would be
beyond her scope of practice.
D Incorrect. Involving the supervisor to solve this problem is not necessary;
however, the support worker may document the incident.