Edition by Mary J. Wilk
Questions 1-20: The Role & Responsibilities of the Support Worker
Question 1
A support worker notices a client becoming increasingly withdrawn and refusing
assistance with meals. What is the most appropriate action?
A) Respect the client's refusal and document it without further action
B) Force the client to eat to prevent malnutrition
C) Report the change in behavior to the supervisor immediately
D) Ask family members to convince the client to eat
Answer: C
Rationale: Changes in client behavior, such as withdrawal or refusal of care, may
indicate underlying physical, emotional, or psychological issues (e.g., depression,
illness, or discomfort). Support workers must report such observations promptly
to their supervisor so a proper assessment can be conducted. Documenting is
important, but reporting precedes documentation in the chain of action .
Question 2
Which of the following best describes the scope of practice for a support worker?
,A) Any task the client requests, as long as it helps them
B) Tasks that the support worker feels comfortable performing
C) Tasks legally permitted and for which the worker has received training and
delegation
D) Any task assigned by the client's family members
Answer: C
Rationale: The scope of practice defines the specific tasks and procedures that a
support worker is legally allowed and educationally prepared to perform. Working
outside this scope—even with good intentions—can have legal and professional
consequences. The 5th edition emphasizes understanding scope of practice,
including what to do when asked to work outside it .
Question 3
A support worker is asked to perform a sterile dressing change. The worker has
not been trained in this procedure. What should the worker do?
A) Perform the procedure carefully, watching online videos for guidance
B) Refuse to perform the procedure and explain it is outside their scope of
practice
,C) Ask the client if they are willing to allow the procedure anyway
D) Perform the procedure but document that they were not trained
Answer: B
Rationale: Support workers must never perform tasks outside their trained scope
of practice. Performing untrained procedures jeopardizes client safety and
violates professional standards. The correct action is to refuse politely and report
to the supervisor .
Question 4
Which principle is represented by the letter "I" in the DIPPS framework?
A) Integrity
B) Independence
C) Involvement
D) Instruction
Answer: B
Rationale: DIPPS stands for Dignity, Independence, Individualized Care,
Preferences, Privacy, and Safety. These principles guide ethical and person-
, centered support work. Independence means promoting the client's ability to do
as much for themselves as possible .
Question 5
A client asks the support worker for help with a task that is not in the care plan.
What should the worker do?
A) Help the client immediately to maintain a good relationship
B) Ignore the request as it is not in the care plan
C) Check with the supervisor before providing assistance
D) Tell the client to ask another worker
Answer: C
Rationale: All care provided must align with the established care plan. If a client
requests something outside the plan, the support worker should consult their
supervisor. The request may indicate a change in the client's needs that requires
an updated assessment .
Question 6
Professionalism for a support worker includes all of the following EXCEPT: