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PSW: FINAL EXAM STUDY SET EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (242)
Considering the whole person. Considering their physical, social, emotional,
Holistic Care
cognitive and spiritual dimensions.
an approach to work that demonstrates respect for others, commitment,
Professionalism
competence, and appropriate behaviours.
Appropriate limitations on behaviour, meant to protect the vulnerable client from
Professional Boundaries
the caregiver who has access to private knowledge about him or her.
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
Regulation of a PSW
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. In Ontario, regulated health professions are
governed under the Regulated Health Professions Act, 1991 (RHPA) and health
Regulated Health Professions Act 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.
Focuses on rehabilitation; teaches clients skills needed to perform ADLs; designs
Role of the occupational therapist
adaptive equipment for ADLs
Focuses on rehabilitation; assist clients with musculo-skeletal impairments; focuses
Role of the physical therapist
on restoring function and preventing disability from illness or injury
assesses, makes nursing diagnoses, plans, implements, and evaluates nursing care.
Role of Registered Nurse (RN) Tends to clients with unstable health conditions; provides direct client care,
administers medications, supervises support workers
a health care provider licensed and regulated by the province or territory to carry
Role of RPN Licenced practical nurse
out nursing techniques and provide client care. Known as a registered
(LPN)
practical
nurse (RPN) in Ontario.
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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
ALL RULES REGARDING DELEGATION 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.
• What tasks your province or territory allows support workers to perform.
• The tasks included in your job description.
Before delegating tasks, the nurse must
• What you were taught in your training program.
know the following:
• What skills you have learned and how they were evaluated.
• Your work experiences.
• 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
A nurse who delegates a task is required to
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 have concerns about your ability to do the task
You can refuse a task to be delegated to
• it is beyond your scope of practice
you if:
• the client's condition changes
right task
right circumstance
5 RIGHTS OF DELEGATION right person
right direction/communication
right supervision/evaluation
Can the task be delegated? Does the provincial nursing act or health professions
The right task act allow the nurse to delegate the task? Is the task in your job description?
Have you been trained to do the task? A job description should be
available.
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What are the client's physical, emotional, social, spiritual and cognitive needs
currently? Do you understand the purpose of the task for the client? Do you have
The right circumstances
the equipment and supplies needed to perform the task? Do you know how
to use the equipment and supplies?
Do you have the training and experience to safely perform the task for this
The right person
client? Do you have concerns about performing the task?
has the nurse provided clear directions and instruction? Has the nurse told you
what to do, when to do it, what observations to make and when to report back?
The right directions and communication
Are the directions legal, ethical, and consistent with employer policies? Can you
review the task with the nurse? Do you understand what the nurse expects?
Is a nurse available to answer questions? Is a nurse available if a client's condition
changes or if problems occur? After the task is completed, does the nurse assess
The right supervisions and evaluation
how the task affected the client? Does the nurse discuss your performance with
you, telling you what you did well and how to improve your work?
culture: the characteristics of a group of language, values, beliefs, customs, habits, ways of life, rules for behaviour, music
people, including and tradition
makes a society distinctive. It refers to the characteristics of a group of people,
the language, values, beliefs, way of life, habits, implied rules and behaviours,
music and traditions that are shared or perhaps even passed down generation to
generation. Culture may be influences by age, race, gender, occupation sexual
orientation or lifestyle.
Everyone is part of a culture. Some people belong to more than one culture.
Cultural characteristics which are learned by living in a group influence a
CULTURE
person's behaviours and attitudes.
Ethnicity is an important influence on a person's culture but it is not the
only influence.
Some people have chosen to assimilate their styles of dress, eating habits, or
other behaviours when with people from another culture.
A person's culture can change over time as the person leaves one group and
joins another or encounters new life experiences.
In most cultures, religion is very important. Religion relates to spiritual beliefs,
needs, and practices and ay promote beliefs and practices related to daily living
habits, behaviours relationships with others, diet, healing, days of worship, birth
and birth control, medicine and death. Many people rely on religion for comfort
Culture and Religion
during illness. They may want to pray, observe certain practices and may want a
visit from a spiritual leader/advisor. Promptly report this request to your
supervisor. Never try to convert a client and treat all religious items with respect
- do not touch unless permitted.
A need is something that is necessary or desirable for maintaining life and
psychosocial well-being. According to Maslow, certain basic needs must be met
for a person to survive and function. These needs are arranged in a hierarchy,
or order or importance. Lower-level needs must be met before higher-level
needs.
The basic needs from the lowest-level to the highest-level as follows:
• Physical needs (must be met first): oxygen, food, water, elimination, rest
Maslow's Hierarchy of Needs
and shelter.
• Need for safety: protection from harm, danger, fear and pain.
• Need for love and belonging: Romantic and physical love. The need for a
rightful place in society, in a peer group and in family
• Need for self-esteem: thinking well of oneself and being well thought
of by others. When self-esteem is fulfilled, a person feels confident,
adequate and useful.
• Need for self actualization, or the fulfillment of one's potential (last need
to be met) Learning, understanding, and creating one's best life.
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