CHAPTER 1

Mark T for true or F for false.

1. ___T___Rehabilitation helps persons return to their highest level of physical and psychological
functioning.
2. ___T__ The acronym DIPPS stands for the five principles of compassionate care: Dignity,
Independence, Individualized care, Preferences, Privacy, and Safety.
3. ___F__ Long-term care facilities provide care only to frail older adults.
4. __F___ The nursing team is managed by the doctor.

5. To advocate describes a support worker speaking or acting: B

a. Only in home care
b. On the client’s behalf
c. At an outpatient clinic
d. Against the client’s wishes

6. Self-care actions that people perform daily to remain independent are called:D
a. Diagnosis
b. Instrumental activities of daily living
c. Reflective practice
d. Activities of daily living

7. Support workers provide:A

a. Personal care and support services
b. Licensing
c. Medication prescriptions
d. Only social support

8. The term client refers to a person receiving care or support services in which setting? D
a. In a residential facility
b. In a hospital
c. At a residential rehabilitation facility
d. In the community

9. An approach to work that demonstrates respect for others, commitment, competence, and
appropriate behaviour is: A
a. Professionalism
b. Confidentiality
c. Sympathy
d. Focusing your work on problems, not solutions

Chapter 2

Mark T for true or F for false.

1. ___T__ Most Canadians believe that quality health care should be available to all Canadian
citizens, regardless of their ability to pay for services.
2. ___F__ Indigenous peoples’ health services are primarily a provincial government responsibility.
3. ____T_ The provincial or territorial government finances and plans health care services, following
the five principles of the Canada Health Act.
4. ___T__ The provincial government decides on locations of hospitals and long-term care facilities.

MULTIPLE CHOICE
5. Which is an advantage of home care? A
a. Less expensive
b. Less client comfort
c. Slower rate of recovery
d. Physicians provide all of it

6. Challenges to the health care system in recent years include which one of the following? D
a. Too many workers
b. Decreased number of Canadians requiring care
c. Shortened hospital waiting lists
d. The rising cost of care

7. Which of these is the first point of contact most people have with the health care system?C
a. Tertiary health care delivery
b. Secondary health care delivery
c. Primary health care delivery
d. Specialized health care services

8. Health practices, approaches, knowledge, and beliefs that incorporate Indigenous healing and
wellness, while using ceremonies, plant-, animal- or mineral-based medicines are known as: A
a. Traditional healing
b. Primary care
c. Telehealth
d. Medicare

Chapter 3
Mark T for true or F for false.

1. ___T__ Subacute care is another name for convalescent care.

2. ___F__ A persistent illness can be cured.
3. ___F__ An acute illness occurs over a long period of time.
4. ___T__ Hospice provides home, live-in, or inpatient care to a client who has a terminal illness and is
no longer seeking life-prolonging care.
5. ___T__ In group homes, people with similar physical or mental disabilities live together in a house
and are provided with supervision, care and support services.
6. ___T__ Support workers who are employed in a facility often do shift work.

MULTIPLE CHOICE

7. What does the increase in home- and community-based services mean for support workers? D
a. Support workers are losing their jobs to registered nurses.
b. There is a decreased demand for support workers.
c. There is an increased demand for support workers.
d. Support workers must be completely retrained for home- and community-based services.

8. Positive aspects and challenges both occur in which settings? B

a. Only in community-based settings
b. Only in facility-based settings
c. Community- and facility-based settings
d. Challenges do not occur in any setting

9. Which of the following is one benefit of working in home care?C

a. You get to arrive late or leave early without telling anybody.
b. You are assigned to work 8- or 12-hour shifts.
c. You work in a structured environment with a team of staff.
 d. You are able to work independently with your client.

10. Rehabilitation takes place: D

a. Only in long-term care
b. Only in hospitals
c. Only in specialized facilities
d. In a variety of facility or community settings

Chapter 4

Mark T for true or F for false.

1. ____F__ Ethics means doing or promoting good.

2. ____T__ Self-determination means the same thing as autonomy.
3. ____F__ Always take your client’s side to show support if there is a family dispute.
4. ___F___ Support workers follow a formal code of ethics.

MULTIPLE CHOICE

5. Being sure to do no harm is an example of: D

a. Autonomy
b. Justice
c. Beneficence
d. Nonmaleficence

6. What an individual considers to be worthwhile or desirable qualities in a person is/are: A

a. Values
b. Ethics
c. Conduct
d. Ethics

7. Handling your client’s possessions with care and respect is which principle of ethics? C
a. Autonomy
b. Justice
c. Beneficence
d. Nonmaleficence

8. Keeping your skills and knowledge current supports which principle of ethics? B
a. Autonomy
b. Justice
c. Beneficence
d. Nonmaleficence

Chapter 5

Mark T for true or F for false.

1. _____T___ Employment standards and legislation protect you from harassment.

2. _____F___ Tort is another name for a specific law.
3. ____F____ Rights are based on moral principles.
4. ____T____ Civil laws deal with relationships between people.
5. ______F__ Slander means making false statements in print.
6. ___F_____ If your client gives you permission to do a procedure you are not trained to do, you will
 be protected from legal action since you have the client’s consent.

MULTIPLE CHOICE

7. A signed consent is not needed: D

a. Before surgery
b. On admission to a facility
c. When medical treatment is done
d. When a support worker gives a routine bath

8. Battery is:C
a. Intentionally attempting to touch a person’s body
b. Intentionally threatening to touch a person’s body
c. Touching the person’s body without consent
d. Unlawful restraint

9. If you are injured at work, which legislation will determine how you will be financially compensated?C
a. Occupational health and safety
b. Human rights legislation
c. Workers’ compensation legislation
d. Labour relations legislation

10. If you do not wipe up a spill and a client falls, you are guilty of:D
a. Assault
b. Battery
c. Slander
d. Negligence

Chapter 6

Mark T for true or F for false.

1. ___F__ Health and wellness mean the same thing.

2. ____T_ Primary prevention strategies aim to prevent disease by reducing risk factors that cause it.
3. ___T__ People facing a loss are usually sad.
4. ____T_ Daily routines are almost always affected by illness or disability.
5. ___T__ Many residential facilities have recreational programs and activities that promote cognitive
and social health.
6. ___T__ Religion is important to many people.
7. ____T_ The language we use can convey negative or demeaning images of people living with
disabilities.

MULTIPLE CHOICE

8. The act of excluding people who are not part of the majority culture is calledA
a. Marginalization
b. Literacy
c. Empowerment
d. Holistic

9. To help clients who are ill or disabled, you should:D

a. Avoid making assumptions
b. Never judge the person’s behaviour
c. Communicate with warmth and care
d. All of the above
10. Taking a holistic approach to health care means: D
a. Focusing on the person’s spiritual health
b. Focusing on the person’s physical health
c. Focusing on the person’s mental health
d. Focusing on the whole person

11. The definition of health is now:A

a. A state of well-being in all dimensions of one’s life
b. Absence of disease or illness
c. Perfect balance of body, mind, and spirit
d. None of the above

Chapter 7

Mark T for true or F for false.

1. ___F___ All cultures are comfortable with physical touch.

2. ___T___ Some children rebel against the culture of their parents.
3. ___T___ You should never try to convert your clients to your own beliefs.
4. ____F__ All folk remedies are harmless.
5. ___T___ People of Chinese culture find casual touching from strangers uncomfortable.
6. ___T___ Eye contact is considered disrespectful in Indigenous culture.
7. ___T___ Culture refers to the characteristics of a group of people.

MULTIPLE CHOICE

8. Which statement is true about culture? D

a. A person’s cultural background influences his or her health and illness practices.
b. Dietary practices may be influenced by culture.
c. A person is never to practise his or her cultural traditions in the health care facility.
d. Both a and b are true.

9. Culture:A
a. Includes language, beliefs, traditions, and dress
b. Is influenced by family and media technology
c. Is totally learned
d. All of the above
e. None of the above

10. Ethnicity is: C

a. Based on race, religion, and national origin
b. Is influenced by identification with ancestral homeland
c. Both of the above
d. None of the above

11. When one person tries to dictate to another person what their culture should be, it is called: A
a. Cultural conflict
b. Cultural competence
c. Cultural safety
d. Ethnic identity
Chapter 8

Mark T for true or F for false.

1. __T_ People respond to stress with physical or emotional responses or both.

2. __T__ Stress is a normal part of life.
3. __F__ Physical effects of stress might include nausea, vomiting, or diarrhea.
4. ___T_ SMART goals are Specific, Measurable, Achievable, Realistic, and Timely.
5. __T__ A child shows different signs of stress from those of an adult.
6. ___F_ You do not need to report conflicts with clients to your supervisor if you resolve them.
7. ___T_ Daily planning can help you meet your goals.

MULTIPLE CHOICE

8. Emotional and behavioural signs of stress include:D

a. Anger
b. Forgetfulness
c. Dissatisfaction
d. Any of the above

9. A vague, uneasy feeling, often including a sense of impending danger or harm is called : B
a. Eustress
b. Anxiety
c. Conflict
d. A defence mechanism

10. Which is not part of the problem-solving process?D

a. Setting goals
b. Identifying the problem
c. Analyzing the problem
d. Devising a plan

Chapter 9
Mark T for true or F for false.

1. ____F__ Verbal messages more accurately reflect a client’s feelings than nonverbal messages.
2. __F____ Everyone likes to be touched.
3. ___T___ Open-ended questions lead the client to share thoughts, feelings, or ideas.
4. ____T__ Giving your opinion promotes effective communication.
5. ____T__ Listen and use silence when dealing with an angry client.
6. ______ Assertive communication involves expressing your feelings and thoughts comfortably and
confidently.
7. ___F___ Aggressive communication involves being confrontational to get what you want.

8. Restating the client’s message in your own words is called:A

a. Paraphrasing
b. Nonverbal communication
c. Focusing
d. A direct question

9. Which of the following does not promote effective communication?C

a. Speaking clearly, slowly, and distinctly
b. Controlling the volume and tone of your voice
c. Asking several questions at once
d. Repeating information as needed
10. Communication that uses the spoken word is: D
a. Nonverbal communication
b. Focusing
c. Body language
d. Verbal communication

11. Which does not promote effective listening?B

a. Facing the person
b. Sitting back in the chair with your arms crossed
c. Good eye contact
d. Asking questions

12. Closed-ended questions are used to:C

a. Show the client that you care
b. Make sure you understand what was said
c. Use when you need to learn something precise
d. Allow the client time to think

Chapter 10

Mark T for true or F for false.

1. __F___ Support workers can supervise other support workers.

2. ___F__ A case manager provides hands-on nursing.
3. ___T__ You may be supervised by an RPN if this is allowed in your province or territory.
4. ___T__ Accountable means being responsible for the outcome.

MULTIPLE CHOICE

5. Another name for team leader is:D

a. The client
b. A physician
c. A social worker
d. A case manager

6. Which statement is true about scope of practice?C

a. Each team member, based on their scope of practice, brings ideas and viewpoints to the team.
b. It is important for team members to understand each other’s scope of practice.
c. You must never perform a task that is beyond your scope of practice.
d. All of the above

7. A person who shares her expertise and knowledge to create a safe, encouraging learningB
environment for the learner is a/an:
a. Authority
b. Mentor
c. Family member
d. Palliative care unit

FILL IN THE BLANKS

8. Identify three of the five factors affecting delegation decisions:

a. ___________________________
b. ___________________________
Chapter 11

Mark T for true or F for false.

1. ___F__ It is acceptable to have a friendship and a professional relationship with your client.
2. ___F__ Empathy involves judging others.
3. ___F__ Children develop self-esteem when they attain control over their bodies and environment.
4. ___T__ Families are composed of many different networks of people.
5. ___F__ A caregiver can feel angry toward his or her new role.
6. ____F_ A professional helping relationship is established to benefit the client.
7. ___F__ Independence means depending on others.
8. __T___ Competence is the ability to do a job well.

MULTIPLE CHOICE
9. Compassion means:A
a. An awareness of about the misfortune and suffering of another
b. Keeping one’s feelings to oneself
c. Taking pity on those who are less fortunate
d. Approaching your work with enthusiasm

10. Interdependence is:C

a. Being unable to manage without help
b. Not relying on other for control or authority
c. The state of relying on one another
d. Self-awareness

Chapter 25

Mark T for true or F for false.

1. ___T__ Knowing medical terminology is important in your work.

2. ___F__ A prefix is a word element placed at the end of a word.
3. ___F__ A prefix is often used alone.
4. ___T__ The root contains the basic meaning of the word.
5. ___T__ Suffixes are not used alone.
6. ___T__ Each agency, facility, or province or territory will have a list of acceptable abbreviations that
can be used in documentation.

MULTIPLE CHOICE

7. Shortened forms of words or phrases are:C

a. Suffixes
b. Word elements
c. Abbreviations
d. Medical terms

8. The prefix ab- means:D

a. Toward
b. Against
c. Double
d. Away from
9. Gastritis is:A
a. Inflammation of the stomach
b. A reddened tongue
c. A rapid pulse
d. An abdominal incision

10. What is the word that means “inflammation of a joint”? C

a. Apnea
b. Hemiplegia
c. Arthritis
d. Thoracotomy

Chapter 26
Mark T for true or F for false.

1. __F__ The medical diagnosis and the nursing diagnosis are always the same.
2. __T__ The medical record is a permanent legal document.
3. __F__ Everyone who works at an agency has the right to read a client’s records.
4. __T__ Assessment involves setting priorities and goals.
5. __F__ You may share your computer password with other members of the health care team.

MULTIPLE CHOICE

6. The written guide giving directions about the nursing care a client should receive is the:C
a. Kardex
b. Medical record
c. Nursing care plan
d. Chart

7. Flow sheets are:D

a. Completed when the client is admitted to the agency
b. Card files used to summarize information
c. Used only by RNs
d. Used to record frequent measurements or observations

8. During which step of the nursing process is care given? C

a. Planning
b. Evaluation
c. Implementation
d. Assessment

9. Which of the following is TRUE when recording on a client’s chart? H

e. Communicate clearly and concisely.
f. Use a pencil in case you make a mistake.
g. Record in a logical manner.
h. Both A and C

10. Information that you gather using your senses is called:C

a. A care plan
b. A diagnosis
c. Objective data
d. Subjective data
Answers

Chapter 1
1. T
2. T
3. F
4. F
5. B
6. D
7. A
8. D
9. A

Chapter 2
1. T
2. F
3. T
4. T
5. A
6. D
7. C
8. A

Chapter 3
1. T
2. F
3. F
4. T
5. T
6. T
7. C
8. C
9. D
10. D
Chapter 4
1. F
2. T
3. F
4. F
5. D
6. A
7. B
8. D
 Chapter 5
1. T
2. F
3. T
4. T
5. F
6. F
7. D
8. C
9. C
10. D

Chapter 6
1. F
2. T
3. T
4. T
5. T
6. T
7. T
8. A
9. D
10. D
11. A

Chapter 7
1. F
2. T
3. T
4. F
5. T
6. T
7. T
8. C
9. A
10. C
11. A

Chapter 8
1. T
2. T
3. T
4. T
5. F
6. F
7. T
8. D
9. B
10. A
Chapter 9
1. F
2. F
3. T
4. F
5. T
6. T
7. T
8. A
9. C
10. D
11. B
12. C

Chapter 10
11.F
12.F
13.T
14.T
15.D
16.D
17.B
8. (Any 3 of the following)
 Is it appropriate that a support worker perform this task considering the client’s condition,
associated risks, and environmental supports?
 Will the support worker be performing the task frequently enough to maintain competence?
 Can the support worker be adequately supervised in the setting?
 Is a nurse available to help if the client’s condition changes or if problems arise?
 Is this a task that can be delegated to a support worker, and is it included in the job description?

Chapter 11
1. F
2. F
3. T
4. T
5. T
6. T
7. F
8. T
9. A
10. C

Chapter 25
1. T
2. F
3. F
4. T
5. T
6. F
7. C
8. D
9. A
10. C
Chapter 26

1. F
2. T
3. F
4. F
5. F
6. C
7. D
8. C
9. D
10. C