B
The support worker finds out during report that a new resident has stress incontinence. The support worker understands stress incontinence to mean which of the following?
a. Leakage of urine during exercise and certain movements
b. Leakage of urine from a bladder that is too full
c. Loss of urine in response to a sudden urgency to void
d. Loss of urine at predictable intervals.
A. Correct. Stress incontinence is the leaking of urine during exercise and certain movements.
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
b. The dietitian
The surgeon has created an artificial opening in the patient’s trachea to help them breathe. Which of the following is the correct medical term for this procedure?
a. Trache/o/stomy
b. Trach/o/genesis
c. Trach/o/plasty
d. Trache/o/ectomy
a. Correct. Trache means trachea; stomy means creation of an opening.
How does hand hygiene help to break the chain of infection?
A. It reduces all microbes that are present on the hands.
B. It reduces the number of pathogens on the hands.
C. It enhances the effectiveness of multidrug-resistant microorganisms.
D. It helps to eliminate all microbes and their spores.
B. It reduces the number of pathogens on the hands.
Which of the following best defines verbal communication?
a. Spoken words and sign language
b. Body language and other nonverbal language
c. An expression of culture, customs, and religion
d. An expression of client needs
A. Correct. In verbal communication, messages are sent through the spoken word. Sometimes, symbols substitute for spoken words; for example, sign language may be used to converse with a person who is hearing impaired.
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.
c. Many older persons enjoy good health.
Which of the following best describes the term homophobia?
a. A fear of humans
b. Having contempt for humans
c. Having contempt for people who identify as heterosexual
d. Having contempt for people who identify as gay or lesbian
d. Having contempt for people who identify as gay or lesbian
Pronation is moving a body part in which direction?
A. Turning a joint outward
B. Turning a joint inward
C. Turning downward
D. Turning upward
C. Turning downward
Heat applications do which of the following?
a. Reduce bleeding
b. Decrease blood flow
c. Promote healing
d. Numb the skin
c. Correct. Heat applications promote healing. Heat increases blood flow by dilating blood vessels in the area being heated. Heat applications can be applied to almost any body part. They are often used for musculoskeletal injuries or problems—for example, strains, low back pain, and arthritis.
Which of the following is the correct definition of the term adduction?
a. Moving a body part away from the midline of the body
b. Moving a body part toward the midline of the body
c. Straightening a body part
d. Bending a body part
B. Adduction is moving a body part toward the midline of the body.
What occurs during postmortem care for the body?
a. The body turns blue and is soft.
b. There is an autopsy for the body when death is unexpected.
c. You may have contact with blood or body fluids.
d. You may notice the limpness of skeletal muscles that occurs after death.
D.Correct. Rigor mortis occurs within 2 to 3 hours after death. Rigor mortis is the stiffness or rigidity (rigor) of skeletal muscles that occurs after death (mortis).
Postmortem care involves positioning the body in normal alignment before rigor mortis sets in.
Paul comes from a blended family. Which of the following describes a blended family?
a. Paul has dogs.
b. Paul’s parents are divorced.
c. Paul’s father’s new wife brought her children from her previous marriage into the family.
d. Paul’s stepbrother is the natural child of his father and stepmother.
d. Correct. A blended family is defined as a couple with two or more children, at least one of whom is the natural child of both members of the couple and at least one of whom is the stepchild of either member of the couple.
To provide safe oral hygiene, which piece of equipment should the support worker put on before performing care?
a. Gloves
b. A gown
c. A mask
d. A face shield
a. Correct. When giving oral hygiene, you will come in contact with the client’s mucous membranes. The mouth contains many microbes, so wear gloves and follow standard practices.
What is the major cause of chronic obstructive pulmonary disease (COPD) and chronic bronchitis?
A. Smoking
B. Infection
C. Air pollution
D. Family history
A. Smoking
What are the primary duties and responsibilities of a support worker when communicating with a client who is angry and demanding?
a. Keep the client waiting.
b. Ignore the client’s behaviour.
c. Treat the client with respect and dignity.
d. Ask the nurse to talk to the client.
C Correct. Effective communication is important to prevent and deal with anger. Sometimes the client may need to vent their feelings. However, protect yourself from violent behaviours. Leave the client and call your supervisor if you think you are in danger.
What is a suspension?
a. Medication that is dissolved in a liquid containing alcohol or water and flavouring.
b. Medication that is in a liquid and may be labelled “Shake before using”
c. Medication that is dissolved in a concentrated sugar solution
d. Medication that is held in a concentrated alcohol solution
B Correct. A suspension is medication suspended in a liquid that should be shaken or stirred before use.
Roger, a support worker, has run out of disinfectant but still needs to clean the bathroom sink. What should he use instead?
a. All-purpose cleaner
b. Baking soda
c. Salt water
d. White vinegar and water
D Correct. Since some cleaners can scratch porcelain surfaces, use special cleaners for the bathroom. If they are not available, use laundry detergent (or a small amount of dish soap) or a solution of vinegar and water.
All of the following are examples of subjective data EXCEPT:
a. Dizziness
b. Nausea
c. Fever
d. Headache
C Correct. The patient cannot give you this information; therefore, it is an objective observation. The patient may have symptoms suggestive of a fever.
Why is it important to move the client every 2 hours when they are confined to bed rest?
a. To prevent secretions from pooling at the bottom of the lung.
b. To prevent bad circulation due to prolonged bed rest.
c. To prevent atrophy due to prolonged bed rest.
d. To provide good customer service.
a. Correct. When a client is confined to bed for long periods, it is important that the person change positions frequently, at least every 2 hours. If the client is not moved, the lung cannot expand on one side, and secretions could pool (collect) at the bottom of the lung.
Call bells are important safety devices for clients in facilities such as hospitals and long-term care facilities. However, some home care clients who are unable to move out of bed or out of a particular area of their home also need a way to call for help. What is the legal consequence of leaving a client without a call bell or other device to call for the support worker’s attention?
a. The client will not be able to call you.
b. The client will not be able to get assistance as soon as they require it.
c. The client is experiencing a safety hazard.
d. It can be perceived by the client as negligence or punishment.
D. Correct. Leaving the client without a call bell can legally be regarded as negligence on the part of the support worker, or even emotional abuse.
Which of the following is a time when it may be helpful to use a closed-ended question with clients?
a. To break an uncomfortable silence.
b. To get to know the client better.
c. To focus on the client.
d. To learn something specific.
d. Correct. Closed questions focus on specific information and are often answered with a “yes” or “no” response or a very brief response, so use them when you need to learn something precise.
A client living with dementia may be unable to understand that they are cold or hungry, so they act out. They might even bite, spit, or punch others. What is the term for this kind of behaviour?
a. Confusion
b. Delirium
c. Dementia
d. Responsive behaviours
D Correct. Responsive behaviours usually originate as a response to an illness, infection, or physical discomfort.
Cindy, a support worker, should do which of the following to protect herself from injury?
A.Work alone.
B.Lift with forceful movements.
C. Bend while lifting.
D.Avoid lifting whenever possible.
D.
Avoid lifting whenever possible.
What group of cells is responsible for relaying information to and from the brain and throughout the body?
a. Muscle tissue
b. Epithelial tissue
c. Connective tissue
d. Nerve tissue
D Correct. Nerve tissue is the major tissue of the nervous system. It is the component of the brain, spinal cord, and all the nerves in the body. Tissue is a group of cells.
A client who is taking pain medication develops constipation. What would this reaction be called?
a. Side effect
b. Adverse effect
c. Therapeutic effect
d. Normal reaction
A. Correct. Constipation is a side effect, which is another response to a medication that occurs in addition to the intended or main response.