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Test Bank for Mosbys Canadian Textbook for The
Support Worker 3rd Edition by Sorrentino
Chapter 6: Working with Clients and Their Families
MULTIPLE CHOICE
1. Realizing one’s potential is also known as which of the following?
a. Esteem.
c. Self-actualization.
b. Self-esteem.
d. Holism.
ANS: C

A
B

Feedback
Incorrect. Esteem is defined as: the worth, value, or opinion one has of a person.
Incorrect. Self-esteem is defined as thinking well of oneself and being well

thought of by others.
C

Correct. Self-actualization is defined as realizing one’s full potential. It
involves learning, understanding, and creating to the best of one’s ability.
It is the highest need in the hierarchy and is rarely, if ever, met.
D
Incorrect. Holism is the entire person’s needs being considered: physical,
emotional, mental, etc.
PTS: 1

DIF: Remembering


REF: pp. 77, 78

2. Which of the follow statements is correct?
a. Calling a client by his or her first name shows respect.
b. Calling a client “sweetheart” promotes his or her dignity.
c. Addressing clients using their titles (Mr., Mrs., Ms., or Dr.) promotes dignity

and shows respect.
d. Calling a male client “grandpa” shows respect and caring.
ANS: C

A
B

C

Feedback
Incorrect. This is not professional or respectful.
Incorrect. Calling clients by “pet” names or nicknames is not respectful or

professional.
Correct. This is the correct way to address a client. Being overly familiar
with clients can be seen as lack of respect. Calling clients by their first


D

names without permission is an example of behaviour that shows lack
of respect.
Incorrect. Calling clients by “pet” names or nicknames is not respectful or

professional.

PTS: 1

DIF: Applying

REF: p. 79

3. According to Maslow, which basic needs must be met first?
a. Physical needs.
b. Safety and security needs.
c. Love and belonging needs.
d. Self-esteem and self-actualization needs.
ANS: A

Feedback
A

Correct. The most basic needs in Maslow’s hierarchy are physical needs.
Oxygen, food, water, elimination, rest, and shelter are necessary for life,
and since they are the most important for survival, they must be met
before other needs.
B
Incorrect. Safety relates to protection from harm, danger, fear, and pain and is
the second need to be met in Maslow’s hierarchy.
C
Incorrect. The need for belonging includes the need for a rightful place in
society, in a peer group, and in a family and is the third need to be met in
Maslow’s hierarchy.
D

Incorrect. Self-actualization is defined as: realizing one’s full potential. It
involves learning, understanding, and creating to the best of one’s ability. It
is the highest need in the hierarchy and is rarely, if ever, met.
PTS: 1

DIF: Remembering

REF: p. 77

4. Which one of the following is not a physical need?
a. Oxygen.
c. Water.
b. Food.
d. Affection.
ANS: D

A
B
C

D

Feedback
Incorrect. This is a physical need.
Incorrect. This is a physical need.
Incorrect. This is a physical need.

Correct. This would fall into the category of love and belonging. Love is a
powerful human emotion that includes deep affection, tenderness, and
devotion.


PTS: 1
DIF: Remembering
REF: p. 77
5. How can the support worker help a new resident feel safe and secure?


a.
b.
c.
d.

Listening to the client’s concerns.
Keeping the client in his or her room.
Asking direct questions.
Asking visitors to leave the room.

ANS: A

Feedback
A

Correct. By demonstrating respect you help a client to feel safe and secure.
Encourage clients to express preferences, make personal choices, and do
as much as they can for themselves.
B
Incorrect. This could promote isolation.
C
D


Incorrect. This does not allow for the client to express themselves.
Incorrect. This does not promote the sense of belonging for the client. The

exception to this rule, of course, would be if privacy is indicated.
PTS: 1

DIF: Understanding

REF: pp. 82, 83

6. According to Maslow, family and friends usually help to meet which of the following needs?
a. Physical needs.
c. Self-actualization needs.
b. Love and belonging needs.
d. Holism needs.

ANS: B

A

Feedback
Incorrect. Family and friends my help with a client’s physical needs, but not
always; therefore this is not the best answer.

B

Correct. The need for belonging includes the need for a rightful place in
society, in a peer group, and in a family. A peer group is a group of
friends or acquaintances.
C

Incorrect. This need is something an individual must do on their own. It involves
learning, understanding, and creating to the best of one’s ability.
D
Incorrect. This refers to meeting the physical, emotional, social, etc. needs and is
not the best answer.
PTS: 1

DIF: Remembering

REF: pp. 77, 78

7. Which statement about family and visitors is correct?
a. They affect a person’s quality of life.
b. They can visit in the afternoon and evening.
c. They use effective communication techniques.
d. They need a doctor’s permission to visit.
ANS: A

A

Feedback
Correct. People who grew up in caring, loving families are more likely to
have good psychosocial health than those who did not.


B
C

D


Incorrect. This may be true but is not the best answer.
Incorrect. This is not always the case; therefore it is not the best answer.

Incorrect. This is not true.

PTS: 1

DIF: Applying

REF: pp. 75-76

8. Mr. Shah has terminal cancer. How can the support worker show empathy?
a. Feeling sorry for him.
c. Trying to understand his situation.
b. Crying in private.
d. Trying to commiserate with him.
ANS: C

A
B
C
D

Feedback
Incorrect. This would be showing sympathy.
Incorrect. If you are upset, then crying in private is a way of being respectful but
would not be empathetic, as the client seeing you do this could be more upset.
Correct. Empathy is defined as the ability to recognize and understand
another’s emotions.
Incorrect. This would not be therapeutic or beneficial to the client, and is

therefore not empathetic.

PTS: 1

DIF: Remembering

REF: p. 80

9. Which statement about Erikson’s developmental theory is correct?
a. He developed the theory to describe growth and development.
b. Not all stages have tasks.
c. Every task in a stage must be completed before going on to the next stage.
d. A person’s experience in a certain stage can affect them later in life.
ANS: D

A
B
C

D

Feedback
Incorrect. The theory is for human psychosocial development only.
Incorrect. All eight stages have tasks.
Incorrect. Not all tasks will be met before moving on to the next stage.

Correct. For example, a toddler who is not allowed to learn by doing thus
develops a sense of doubt in his abilities. This doubt can complicate his
later attempts at independence.


PTS: 1

DIF: Remembering

REF: pp. 76-77

10. According to Maslow, which basic needs must be met last?
a. Physical needs.
c. Love and belonging needs.
b. Safety and security needs.
d. Self-actualization needs.
ANS: D
Feedback


A
B
C

D

Incorrect. Physical needs must be met first.
Incorrect. The need for safety is the second need to be met.
Incorrect. The need for love and belonging is third to be met.

Correct. It involves learning, understanding, and creating to the best of
one’s ability. It is the highest need in the hierarchy and is rarely, if
ever, met.

PTS: 1


DIF: Remembering

REF: pp. 77, 78

11. According to Erikson, which statement about a 6-month-old baby is correct?
a. Forms permanent relationships.
b. Learns to be independent.
c. Develops skill in physical, cognitive, and social areas.
d. Learns to trust.
ANS: D

A
B
C

D

Feedback
Incorrect. This occurs with 20–40-year-olds.
Incorrect. This occurs with 6–12-year-olds.
Incorrect. This occurs with 6–12-year-olds.

Correct. Babies learn to trust that their needs will be met.

PTS: 1

DIF: Remembering

REF: p. 76


12. Jonas, a 20-year-old, has just enrolled in a nursing program at a community college.

According to Erikson, Jonas is meeting his psychosocial task as well as which of
the following?
a. Will make career commitments.
c. Will develop accountability.
b. Will develop self-confidence.
d. Will learn to initiate his activities.
ANS: A

Feedback
Correct. The young adult forms close, permanent relationships and makes
career commitments.
B
Incorrect. This is the toddler stage (ages 1 to 3).
A

C

D

Incorrect. This should already be developed, according to Erikson.

Incorrect. This should already be developed, according to Erikson.

PTS: 1

DIF: Understanding


REF: p. 76

13. Tony is 3 years old. According to Erikson, which of the following is a toddler’s task?
a. Trust versus mistrust.
c. Initiative versus guilt.
b. Autonomy versus self-doubt.
d. Identity versus role confusion.

ANS: B


A
B
C

D

Feedback
Incorrect. This is the title of the stage for ages 0 to1.
Correct. This is the title of the stage for ages 1 to 3.
Incorrect. This is the title of the stage for ages 3 to 6.

Incorrect. This is the title of the stage for ages 12 to 16.

PTS: 1

DIF: Remembering

REF: p. 76


14. Mrs. Aziz misses her late husband. She mentions to her daughter that she misses the

“hugs and romantic moments” with her husband. What is this an example of?
a. Love and belonging needs.
c. Self-actualization needs.
b. Physical needs.
d. Grieving needs.
ANS: A

A
B

C
D

Feedback
Correct. Human beings are social creatures who need to be around others.
Incorrect. Maslow identifies physical needs as oxygen, food, water, elimination,

rest, and shelter.
Incorrect.
Incorrect.

PTS: 1

DIF: Understanding

REF: pp. 77, 78

15. Mrs. Shin is in the middle of chemotherapy. She has lost all her hair. Which of the


following might be affected?
a. Love and belonging needs.
b. Physical needs.

c. Self-esteem needs.
d. Self-actualization needs.

ANS: C

A
B

C

D

Feedback
Incorrect.
Incorrect.
Correct. When self-esteem needs are fulfilled, a person feels confident,
adequate, and useful. Unmet self-esteem needs can result in feelings of
inferiority, worthlessness, helplessness, and possibly depression.
Clients often lose their self-esteem when they become ill or injured.
Incorrect.

PTS: 1

DIF: Understanding


REF: pp. 77, 78

16. Which of the following therapeutic statements shows that Mia has compassion for her client?
a. “I feel terrible that this has happened to you.”
b. “I wish this didn’t have to happen to you.”
c. “I feel so sorry for you.”
d. “This must be a difficult time for you.”


ANS: D

A
B
C

D

Feedback
Incorrect. This is a sympathetic statement and not therapeutic.
Incorrect. This is not a therapeutic or compassionate statement.
Incorrect. This is a sympathetic statement and not therapeutic.

Correct. Compassion is defined as a person’s awareness of the misfortune
and suffering of another and the desire and actions taken to reduce or
alleviate the problem.

PTS: 1

DIF: Understanding


REF: pp. 79, 80

17. Which of the following statements best shows that Wyatt is exhibiting self-actualization?
a. “I hope to learn that one day.”
b. “I can’t do that.”
c. “I can see what’s happening around me.”
d. “I tend to get angry quickly.”

ANS: D

A
B
C
D

Feedback
Incorrect. This statement shows Wyatt’s wish to accomplish something and is
not evidence of self-actualization.
Incorrect. This statement shows Wyatt’s inability to do something and is not
evidence of self-actualization.
Incorrect. This statement is not evidence of self-actualization.
Correct. Self-actualization means realizing one’s full potential. It involves
understanding the best of one’s ability, and in this case Wyatt is aware
of his tendency to get angry quickly.

PTS: 1

DIF: Remembering

REF: pp. 77, 78


18. Which activity should Maxx encourage Mrs. Van Bulm to do that will promote

her independence and self-esteem?
To dress herself.
To ask for assistance with housekeeping.
To live in an assisted-living facility.
To live alone.

a.
b.
c.
d.

ANS: A

Feedback
A

Correct. Self-esteem can suffer when independence is limited or lost.
People’s roles and identities can change when they are no longer in
control of their lives. You must be sensitive to how clients feel when they
lose their independence because of illness or disability.
B
Incorrect. This statement implies assistance is required and that the client is not
able to do the activity on her own.


C
D


Incorrect. This is not an activity. Living in assisted living is a general statement
and does not clarify what activities Mrs. Van Bulm can do independently.
Incorrect. This is not an activity. Also, living alone does not necessarily mean
that the person is able to do activities independently.

PTS: 1

DIF: Understanding

REF: p. 82

19. Which of the following is an example of a primary caregiver?
a. The nurse who comes to visit occasionally.
b. A daughter who lives with her mother and looks after her.
c. The client’s main doctor.
d. The client’s favourite caregiver.
ANS: B

A

Feedback
Incorrect.

B

Correct. A primary caregiver is the person (usually a family member or a
close friend) who assumes the responsibilities of caring for person with an
illness or a disability in the person’s home.
C

Incorrect.
D

Incorrect. The client’s favourite caregiver could be a family member, close

friend, or a professional caregiver.
PTS: 1

DIF: Applying

REF: p. 83

20. When entering a client’s home, Zach, a support worker, takes his shoes off and puts

on slippers. By doing so, what is Zach demonstrating?
a. Respect.
c. Empathy.
b. Physical needs.
d. Interdependence.
ANS: A

Feedback
A

Correct. Adapt your support work to suit the family’s standards and
preferences, not your own. Respect the family’s routines, schedules,
and ways of doing things.
B
Incorrect.
C


D

Incorrect.

Incorrect.

PTS: 1

DIF: Applying

REF: p. 83

21. Hannah, a support worker, begins to cry when her patient shares her recent diagnosis of

cancer with her. Hannah has had several friends with cancer and cannot compose
herself. Her client ends up having to make a cup of tea and console her. Which of the
following statement is correct?
a. This is an example of inappropriate behaviour.


b. This is a goal-directed relationship.
c. Both people in the relationship seek to have their needs fulfilled.
d. This is an example of a professional helping relationship.
ANS: A

Feedback
A

Correct. Hannah is acting unprofessionally; her behaviour is not based on

her professional roles, especially when the client feels she needs to console
Hannah.
B
Incorrect.
C

D

Incorrect. As the client is consoling Hannah, the client’s own needs are not being

met.
Incorrect. Hannah’s behaviour is representative of a friendship, not a
professional helping relationship.

PTS: 1

DIF: Applying

REF: p. 79

22. Ron and Judy have been dealing with Judy’s cancer for several years. Ron says tells the

support worker that he and Judy never have conflicts: “We bicker a lot but I never hit her”.
What should the support worker consider about this statement?
a. Ron is not being an understanding husband.
b. Conflicts may take the form of expressions of irritation, anger, bickering,
and arguments; for what the couple is dealing with this is normal.
c. The support worker must talk to Judy about this.
d. The support worker must report this to the supervisor.
ANS: B


A

Feedback
Incorrect. This is an assumption that should not be made.

B

Correct. Conflicts may take the form of expressions of irritation, anger,
bickering, and arguments; for what the couple is dealing with this is
normal.
C
Incorrect. A support worker should not get involved.
D
Incorrect. This would not be appropriate as there is no evidence of abuse.
PTS: 1

DIF: Remembering

REF: pp. 83-84

23. The support worker provides a family with basic care and support services, so which of

the following is correct?
The support worker is not looking after the client appropriately.
This enables family members to invest more time and energy in their relationships.
The support worker is going above and beyond their role.
The support worker is not acting professionally.

a.

b.
c.
d.

ANS: B
Feedback


A
B
C

D

Incorrect. The client’s family is included in care; however the client’s needs
must come first.
Correct. By providing supportive services the worker helps with this.
Incorrect. Supporting the client and their family is part of the professional

services a support worker provides.
Incorrect. Supporting the client and their family is part of the professional
services a support worker provides.

PTS: 1

DIF: Remembering

REF: p. 83

24. Angelo, a support worker, comes from a culture that does not recognize same-sex


relationships. He is required to care for a female client who is married to another
female. What should Angelo do?
a. Pray for the couple, as this is not right according to his culture.
b. Bring literature on his culture to share his views so they can read about it.
c. Accept that his own culture is only one way of looking at things.
d. Accept that this family is weird but share his cultural views with them.
ANS: C

Feedback
A

Incorrect. Always respect your client’s definition of family. Your client will
determine who she or he regards as family. Do not impose your values on
the person.
B
Incorrect. Do not impose your values on the person.
C
Correct. Families can take many forms and may include people related by
blood or marriage or unrelated people who have formed a close personal
relationship.
D
Incorrect. Do not impose your values on the person.
PTS: 1

DIF: Remembering

REF: pp. 82-83

25. In the Stephens family the grandfather is the “one in charge.” This is an example of what


type of family?
a. Traditional.
b. Patriarchal.

c. Matriarchal.
d. Old school.

ANS: B

Feedback
Incorrect. Although some feel this is true, this is not the best answer.
Correct. In patriarchal families, the major decision maker in the home are
the elder males.
C
Incorrect. In this family the major decision maker in the home is the elder
female.
D
Incorrect. Although some may feel this is true, this term is slang and not the best
answer.
A
B


PTS: 1

DIF: Remembering

REF: p. 83


26. The following actions help to fulfill a client’s needs. Put the following in order the

correct order according to Maslow’s hierarchy.
1. A gentle touch.
2. Helping the client set realistic goals.
3. Tucking the client into bed at night.
4. Assisting the client to the toilet.
c. 3, 4, 1, 2
a. 1, 3, 2, 4
b. 4, 3, 2, 1
d. 2, 1, 3, 4
ANS: B

A
B
C
D

Feedback
Incorrect.
Correct: 4—physical, 3—safety, 2—love and belonging, 1—self-esteem
Incorrect.
Incorrect.

PTS: 1

DIF: Analyzing

REF:


pp. 77, 78



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