(Test Bank) Mosby's Canadian Textbook for the Support Worker, Canadian Edition

Sorrentino, 4

Nursing

Test Bank

4th Edition

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Test Bank for Mosby's Canadian Textbook for the Support Worker, Canadian Edition, The downloadable file consists of 533 pages, and the total size of the file is 8.78 MB. Purchase now only for highly discounted price.

Author(s): Sorrentino

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Chapter 01: The Role of the Support Worker Sorrentino: Mosby’s Canadian Textbook for the Support Worker, 4th Edition MULTIPLE CHOICE 1. Which of the following terms refers to a person living in a long-term care facility? a. Patient b. Client c. Resident d. Individual 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 residential facility). D Incorrect. Individuals are single human beings, distinct from a family or group. PTS: 1 DIF: Remembering REF: p. 9 2. Which of the following terms refers to people who receive care in a hospital? a. Patients b. Clients c. Residents d. Individuals 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 residential facility). D Incorrect. Individuals are single human beings, distinct from a family or group. PTS: 1 DIF: Remembering REF: p. 9 3. Which of the following regulated professionals provides supervision and leadership for support workers? a. Social worker b. Licensed practical nurse c. Physician d. Registered nurse ANS: D Feedback A Incorrect. Social workers are regulated depending on province/territory. B Incorrect. Licensed practical nurses (also known as registered practical nurses) are regulated and sometimes supervise support workers. C Incorrect. Physicians are regulated; however, they do not supervise or lead support workers. D Correct. A registered nurse is usually team leader of the health care team. PTS: 1 DIF: Remembering REF: p. 11 | p. 13 4. Which of the following is an example of activities of daily living (ADLs)? a. Laundry you do for the client every day b. Self-care activities the client performs every day c. Activities you do for the client some days d. Self-care activities the client performs some days ANS: B Feedback A Incorrect. Laundry is not a self-care activity; it is an instrumental activity of daily living (IADL). B Correct. ADLs are daily self-care activities that people perform to remain independent and to function effectively in society. C Incorrect. Cooking is not a self-care activity; it is an IADL. D Incorrect. ADLs are performed daily, not some days. PTS: 1 DIF: Understanding REF: p. 4 5. Support workers sometimes help their clients with activities such as doing laundry. In which of the following settings does this commonly occur? a. Complex care b. Chronic care c. Long-term care d. Community ANS: D Feedback A Incorrect. Complex care is a facility-based setting and laundry is done by housekeeping. B Incorrect. Chronic care is a facility-based setting and laundry is done by housekeeping. C Incorrect. Long-term care is a facility-based setting and laundry is done by housekeeping. D Correct. Home management duties, including instrumental activities of daily living (IADLs) such as laundry, are done in a community-based setting. PTS: 1 DIF: Understanding REF: pp. 4–5 6. Which of the following statements is TRUE of older adults? a. Social and emotional changes always happen with older adults. b. All older adults move into residential facilities. c. Many older adults enjoy good health. d. Aging is considered an illness. ANS: C Feedback A Incorrect. These changes may occur, but not always. B Incorrect. Not all older adults move into residential 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: Remembering REF: p. 9 7. Which of the following statements is TRUE about adults with disabilities? a. Many adults with disabilities live in their own homes. b. All adult disabilities are a result of an illness. c. All adult disabilities are a 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 or mental functions or both. PTS: 1 DIF: Remembering REF: pp. 9–10 8. Which of the following statements is true about being a regulated profession? a. Support workers belong to this group. b. It is governed by the Canadian government. c. It has a professional organization called a college. d. There are no official requirements for education. ANS: C Feedback A Incorrect. Support workers are unregulated 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 licence requirements. PTS: 1 DIF: Applying REF: pp. 10–11 9. 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, it is not an official source. D Incorrect. Her school classmate is not a reliable source. PTS: 1 DIF: Remembering REF: p. 11 10. Who assesses clients, makes nursing diagnoses, develops care plans, and implements and evaluates nursing care? a. Nurse b. Social worker c. Physician d. Spiritual advisor ANS: A Feedback A Correct. A nurse assesses clients, makes nursing diagnoses, develops care plans, and implements and evaluates nursing care. B Incorrect. A social worker helps clients and families deal with social and emotional issues related to illness and recovery. C Incorrect. A physician diagnoses and treats clients with illnesses and injuries. D Incorrect. A spiritual advisor assists clients and families with spiritual needs. PTS: 1 DIF: Remembering REF: p. 12 11. Which of the following actions demonstrates that Pradeep is able to maintain his professionalism when faced with a heavier-than-usual workload? a. Doing the work, keeping his feelings to himself until break time, when he talks about his anger with a close friend b. Refusing to do the extra work assigned to him and walking off the unit c. Speaking with his supervisor to share his concern about being able to safely carry out his assignment d. Writing 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: Applying REF: p. 14 12. A support worker is part of which of the following? 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 have to be a nurse to be a part of the nursing team, so this is not the best answer. PTS: 1 DIF: Remembering REF: p. 10 13. Who assesses and plans for 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 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 refer to a dietitian. PTS: 1 DIF: Remembering REF: p. 12 14. Which of the following is an example of a physician’s diagnosis? a. Mr. Lamb has high blood pressure. b. Mr. Lamb’s diet should consist of low-sodium food products. c. Mr. Lamb needs education regarding his blood pressure. d. Mr. Lamb needs emotional support. ANS: A Feedback A Correct. Physicians diagnose illnesses by identifying what the causes of symptoms are. B Incorrect. Although a physician may suggest this, it is not a diagnosis. C Incorrect. Although a physician may suggest this, it is not a diagnosis. D Incorrect. Although a physician may suggest this, it is not a diagnosis. PTS: 1 DIF: Applying REF: p. 12 15. 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 is defensive and not positive. B Incorrect. This is defensive and negative. C Incorrect. This is negative. D Correct. Despite not knowing the answer, the willingness to find out shows a positive attitude. PTS: 1 DIF: Applying REF: p. 14 16. Drew interviews his client and asks about 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 the client 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: Analyzing REF: p. 16 17. As a student, you are assigned to work with Susana, who is a social worker. Which of the following describes the role of the social worker? a. Helping clients with their social speech. b. Planning social activities to keep the client busy. c. Assisting the client in deciding what to eat at social events. d. Helping clients deal with social and emotional issues related to illness and recovery. ANS: D Feedback A Incorrect. This is the role of the speech–language pathologist. B Incorrect. This is the role of the activities director. C Incorrect. This is the dietitian’s role. D Correct. This is the role of a social worker. PTS: 1 DIF: Understanding REF: p. 13 18. What is the main goal of the health care team? a. To provide quality care b. To carry out the physician’s orders c. To develop care plans for patients and residents d. To follow agency policies and procedures ANS: A Feedback A Correct. Providing quality care is client focused. B Incorrect. Not all members of the health care team carry out physicians’ orders. C Incorrect. Not all members of the health care team develop care plans—this is the role of the registered nurse (RN). D Incorrect. Although this is important to do while providing quality care, it is not a goal. PTS: 1 DIF: Remembering REF: p. 10 19. Noah is a support worker who works in Mrs. Hamilton’s private home. Today, Mrs. Hamilton’s personal care took longer than usual due to additional dressing and grooming preparations for a special event she is attending. As a result, a problem has arisen because Noah has time to perform only one of the two home management tasks he is assigned to do during each visit. Noah has to make a decision. What should Noah consider before he makes his decision? a. Mrs. Hamilton’s viewpoint b. Noah’s supervisor’s viewpoint c. A fellow support worker’s viewpoint d. The physician’s viewpoint ANS: A Feedback A Correct. This problem concerns the client and she should be consulted. B Incorrect. Although the supervisor should be informed that one of the home management tasks did not get completed, the supervisor’s viewpoint is not the most important one. C Incorrect. A fellow support worker is not an appropriate resource when making this decision. D Incorrect. This is not the best way for Noah to get immediate support in his decision making. PTS: 1 DIF: Analyzing REF: p. 17 20. Practices for a professional appearance include which of the following? a. Wearing only a light perfume b. Wearing only one pair of dangling earrings c. Wearing a wristwatch d. Wearing a well-fitted, modest uniform ANS: D Feedback A Incorrect. Wearing even a light perfume may cause nausea or breathing problems in some clients. Many workplaces are scent-free environments. B Incorrect. Support workers should not wear any jewellery. It may scratch or cause injury to the client or themselves. C Incorrect. A wristwatch is considered jewellery, and support workers should not wear any while providing care to prevent injury to the client and themselves. D Correct. A well-fitted (not tight fitting) and clean uniform allows for freedom of movement and promotes the appearance of being a professional. PTS: 1 DIF: Applying REF: pp. 14–15 21. Dan is a support worker in a long-term care facility. He missed an in-service training session for the new mechanical lift. He is required to use the new mechanical lift to assist his resident out of bed. What should his first action be? a. Go ahead and use it, as it will operate the same as the old one. b. Ask another support worker how to use it. c. Go read the manual. d. Ask the supervisor for clarification. ANS: D Feedback A Incorrect. This would be a safety concern, and Dan is responsible for staying current with his knowledge and use of equipment. B Incorrect. Dan still has a responsibility to attend in-service training provided by employer. C Incorrect. This would be recommended along with the training. Dan still has to safely attend to the needs of the resident, so this is not the best answer. D Correct. The supervisor should be made aware of the fact that the support worker still needs knowledge and training on how to use the piece of equipment. The supervisor will provide guidance. PTS: 1 DIF: Analyzing REF: p. 15 | p. 17 22. What would be an example of activities of daily living (ADLs)? a. Reporting and recording care b. Giving catheter care c. Eating d. Changing a dressing ANS: C Feedback A Incorrect. This is part of the role of the health care team. B Incorrect. This is part of the support worker or nurse’s role. C Correct. Eating is an example of an ADL. D Incorrect. This is part of the nurse’s role. PTS: 1 DIF: Applying REF: p. 4 Chapter 02: The Canadian Health Care System Sorrentino: Mosby's Canadian Textbook for the Support Worker, 4th Edition MULTIPLE CHOICE 1. Which statement about the Canada Health Act is correct? a. It clarifies health care services that are insured. b. It outlines six principles of care. c. It was created in 1994. d. It is a form of provincial legislation. ANS: A Feedback A Correct. The Canada Health Act clarifies the types of health care services that are insured. B Incorrect. There are five principles of care, not six. C Incorrect. This was created in 1984. D Incorrect. This is federal legislation. PTS: 1 DIF: Remembering REF: pp. 22–24 2. Comprehensiveness is a principle of the Canada Health Act. Which of the following statements about this principle is correct? a. Residents must comprehend the principle. b. Residents get coverage in only their home province. c. All necessary health care services must be insured. d. Only some health care services are insured. ANS: C Feedback A Incorrect. It does not pertain to the residents’ understanding. B Incorrect. Residents will get coverage if they move or travel to other provinces, as per the principle of portability. C Correct. The principle states that all necessary health services, including hospitalization and access to physicians and surgical dentists, must be insured. D Incorrect. This principle states that all medically necessary health care services are to be insured. PTS: 1 DIF: Remembering REF: p. 24 3. Public administration is another principle of the Canada Health Act. Which of the following statements is correct about public administration? a. The Canadian public must have better health care. b. The Canadian public must be covered in other countries as well. c. A public authority must administer health insurance. d. Health insurance can profit the general public. ANS: C Feedback A Incorrect. It means that the insurance plan must be run by a public organization on a nonprofit basis. The public organization must be accountable to the citizens and the government of the province or territory. B Incorrect. They can keep their Canadian coverage while they travel abroad. C Correct. The insurance plan must be run by a public organization on a nonprofit basis. The public organization must be accountable to the citizens and the government of the province or territory. D Incorrect. It must be nonprofit. PTS: 1 DIF: Remembering REF: p. 24 4. Since Health Canada has been working with First Nations, Métis, and Inuit people, what improvements have been seen? a. Rates of suicide are lower. b. Citizens in these communities live longer and there are fewer infant deaths. c. Rates of injuries are lower. d. Citizens in these communities are less likely to be diabetic. ANS: B Feedback A Incorrect. The rate among this group for suicide is higher than the Canadian average. B Correct. Improvements have occurred as a result of efforts to extend lifespan and prevent infant deaths. C Incorrect. The rate among this group for injuries is higher than the Canadian average. D Incorrect. The rate among this group for diabetes is higher than the Canadian average. PTS: 1 DIF: Remembering REF: p. 22 5. Who was Tommy Douglas? a. He was a Hollywood actor. b. He was the premier in the province of Alberta. c. He put a stop to the old-age pension. d. He created Canada’s first universal hospital insurance plan. ANS: D Feedback A Incorrect. Tommy Douglas was not an actor. B Incorrect. Tommy Douglas was the premier of Saskatchewan. C Incorrect. He oversaw increases in old-age pensions. D Correct. In 1947 he introduced a public insurance plan that covered the costs of hospital services in Saskatchewan—this was the beginning of what Canadians now know as medicare. PTS: 1 DIF: Remembering REF: pp. 22–23 6. In 1936, Mr. Schott, a farmer, was unable to pay his hospital bills. He had to trade cows and eggs to pay the hospital. How could medicare have helped him if it had been in existence then? a. Paid his hospital bills in full b. Created a monthly payment plan to assist Mr. Schott c. Paid for the majority of the bills, leaving only a small portion for Mr. Schott to pay himself d. Loaned him the money ANS: A Feedback A Correct. Medicare is Canada’s national health insurance system and is available to all citizens regardless of their ability to pay. Medicare would have paid his bills. B Incorrect. Medicare is Canada’s national health insurance system and is available to all citizens regardless of their ability to pay. Medicare would have paid his bills. C Incorrect. Medicare is Canada’s national health insurance system and is available to all citizens regardless of their ability to pay. Medicare would have paid his bills. D Incorrect. Medicare is Canada’s national health insurance system and is available to all citizens regardless of their ability to pay. Medicare would have paid his bills. PTS: 1 DIF: Understanding REF: pp. 21–22 | p. 24 7. Michael is a construction worker who was recently diagnosed with a chronic illness. The medications he has been prescribed are expensive. His provincial insurance does not cover this. What should he do? a. Buy private insurance. b. Pay for the medication and submit it to his provincial insurance. c. Pay for the medication with his own funds. d. Check with his employer and its coverage. ANS: D Feedback A Incorrect. This is an option; however, it is recommended that he not do this before researching if his employer’s insurance will cover him. This is not the best answer. B Incorrect. He does not qualify for additional (supplementary) services. C Incorrect. This is an option; however, it is recommended that he not do this before researching whether his employer’s insurance will cover him. This is not the best answer. D Correct. Many employers provide private insurance for their employees. PTS: 1 DIF: Understanding REF: p. 27 8. Which of the following statements best describes Telehealth? a. It is a medical call centre. b. Advice is provided during regular business hours. c. Using this service reduces the use of emergency care units. d. Marital advice and financial advice are given to callers. ANS: C Feedback A Incorrect. This is not the best answer, as it does not include nursing. B Incorrect. Telehealth services are offered after business hours and increasingly 24/7. C Correct. The introduction of medical telephone call centres that provide advice and after-hours access to primary health care services (Telehealth) reduces the use of emergency care units. D Incorrect. Telehealth provides advice and after-hours access to primary health care services. PTS: 1 DIF: Remembering REF: p. 25 9. Which of the following is an example of primary health care delivery? a. Seeing a specialist b. Getting an MD referral c. Postoperative care by a primary health care team member d. Preventative breast screening ANS: D Feedback A Incorrect. This is an example of secondary health care delivery. B Incorrect. This is an example of secondary health care delivery. C Incorrect. This occurs after secondary health care delivery. D Correct. This is an example of primary health care delivery—early diagnosis of disease and prevention of disease. PTS: 1 DIF: Understanding REF: p. 25 10. Christina has to go to a respiratory specialist (respirologist) to get an assessment of her asthma. This is an example of: a. Secondary health care b. Primary health care c. Tertiary health care d. Emergency health care ANS: A Feedback A Correct. This is an example of secondary health care. A referral would have been required. B Incorrect. This would not have been the first point of contact with the health care system. C Incorrect. This does not fit the requirements to be considered tertiary care. D Incorrect. There is no indicator that this was an emergency. PTS: 1 DIF: Understanding REF: p. 25 11. Which of the following statements about home care is correct? a. It does not include care in clients’ own homes. b. It is the most common community-based service. c. It is available only to older adults. d. It promotes dependence on caregivers. ANS: B Feedback A Incorrect. Home care does involve care in clients’ own homes. B Correct. Home care is health care and support services provided to people in their places of residence, including private homes, licensed residential care facilities, and assisted-living facilities. Home care is the most common of the community-based services. C Incorrect. Home care is available to a wide variety of clients (not specific to age or illness). D Incorrect. Home care actually promotes support for caregivers. PTS: 1 DIF: Remembering REF: p. 28 12. Home care services include which of the following? a. Medical services b. Care provided in hospitals c. Services provided by support workers d. Surgical consults ANS: C Feedback A Incorrect. Medical services are not included as part of home care. B Incorrect. Hospitals are not included as part of home care. C Correct. Support workers are valuable members of home care teams/services to provide personal care and home support. D Incorrect. Surgical consults are not included as part of home care. PTS: 1 DIF: Remembering REF: p. 29 13. Ingrid needs an MRI (magnetic resonance imaging) for diagnostic purposes. She cannot get an appointment until 6 months from now. She has decided to cross the border to the United States, where she will get the MRI right away, but she will have to pay for it. Which principles of medicare are not being met? a. Universality and portability b. Accessibility and benefits c. Universality and accessibility d. Portability and accessibility ANS: D Feedback A Incorrect. Portability and accessibility are not being met. B Incorrect. Accessibility is not being met. Benefits are not a principle of medicare. C Incorrect. Portability and accessibility are not being met. D Correct. This is the best answer, as the MRI is not available or accessible in a reasonable time frame, and medicare does not cover costs in the United States (portability). PTS: 1 DIF: Understanding REF: p. 24 14. Present challenges to the Canadian health care system include all except which of the following? a. Shortage of support workers b. Patients having to wait a long time for surgery c. Long waiting times for long-term care admission d. Aging population, including people born before 1946 ANS: A Feedback A Correct. Many rural and remote areas face severe shortages of health care workers. The growing trend of people moving to bigger cities leaves smaller communities in need of educated workers. B Incorrect. This is a challenge to the Canadian health care system. C Incorrect. This is a challenge to the Canadian health care system. D Incorrect. The baby boomers were born between the years 1947 and 1966. PTS: 1 DIF: Remembering REF: p. 26 15. Afshin lives in Alberta and is going on a month-long vacation to Halifax. While in Halifax, he can continue to utilize his health care coverage. Which principle of medicare does this illustrate? a. Comprehensiveness b. Universality c. Accessibility d. Portability ANS: D Feedback A Incorrect. Portability means that people can keep their health care coverage even if they are unemployed, change jobs, relocate between provinces and