1) Functions of the skin include: a) Protection b) Elimination of... 1.Functions of the skin include: a) Protection b) Elimination of waste c) Regulation of body temperature d) All of the above 2. Aging changes in the skin include: a) Drying b) Decreased sensitivity to heat and cold c) Less resilience (elasticity) d) All of the above 3. Precautions when using an electric razor include: a) Moistening and softening the skin prior to use b) Turning off oxygen c) Ensuring that the blade guard is intact d) Both b and c 4. Soaps work for all of the following except: a) Remove dirt and dead skin b) Remove pathogens c) Remove oil and perspiration d) Cause skin to dry out 5. Which action is correct when bathing an individual? a) Cover the person for warmth and privacy b) Rinse the skin thoroughly to remove all soap c) Wash from the cleanest to the dirtiest area d) All of the above 6. A tub bath is used for: a) Cleansing the skin b) Refreshing and relaxing the client c) Preventing the spread of infection d) Both a and b giving a back massage to an elderly person, you should: a) Warm the rubbing alcohol in your hands b) Rub vigorously for one minute c) Place the person comfortably in supine or a side-lying position d) Massage gently from just below the waist to the shoulders 8. A client's hair can be washed: a) In the shower b) In the sink c) In bed or in a wheelchair d) All of the above 9. Decubitus ulcers are also called: a) Circulatory ulcers b) Pressure sores c) Skin breakdown d) Necrotic areas 10. When performing peri-care on an uncircumcised male resident you should: a) Clean from the urethra to the anus b) Carefully retract the foreskin c) Leave the foreskin in place d) Apply Vaseline under the foreskin 11. Skin care includes: a) Cleansing b) Preventing pressure, especially over bony prominences c) Applying lotion to dry areas d) All of the above 12. Clients in their own home need a complete bath every day: a) True b) False 13. The Personal Support Worker independently decides which type of bath is appropriate for his/her client: a) True b) False 14. The client should always be encouraged to bathe as much of his/her body as he/she can safely reach: a) True b) False 15. Soap can be left on the skin of the elderly in order to soften it: a) True b) False 16. Which of the following conditions would identify as risk factors for developing decubitus ulcers? a) Obesity b) Immobility c) Incontinence d) All of the above 17. A bed cradle is used to: a) Keep heavy bedding off feet or body parts b) Make it easier to make the bed c) Prevent the body from moving d) Ensure that bedding doesn't move 18. To promote intact skin, the personal support worker will: a) Leave on soap for protection b) Rub skin vigorously to promote circulation c) Pat skin dry and apply lotion after bathing d) Both b and c 19. Bathing promotes which of the following: a) Circulation, laughter and good attitude b) Relaxation, circulation and motivation c) Self-esteem, circulation and relaxation d) Hygiene, hair removal, infection control 20. A red area with a white centre on a bony prominence would indicate: a) A vitamin deficiency b) A rug burn c) An infection d) The beginning of a pressure ulcer 21. You are caring for Mrs. Smith and during morning care you note that her nail beds are bluish in colour. You know that this indicates: a) Lack of oxygen in the blood b) Client is wearing nail polish c) Client's blood volume is low d) Poor nutrition 22. Nail care will always include: a) Cleaning under the nails b) Filing any rough edges c) Trimming the nails with scissors d) Both a and b 23. When giving oral hygiene to a client, you will report the following observations to the nurse: a) White patches in the mouth b) Moist, pink gums c) Bleeding gums d) Both a and c 24. Mrs. Bennett, a resident in a long-term facility refuses her bi-weekly scheduled bath because she is going to have a friend visit. She asks that you give her a bath later in the day. You know that you will be too busy to bath her at a later time. What are some possible solutions? a) Problem solve and try to find a time which is mutually satisfactory b) Offer to assist with a complete but shortened bath c) Try to switch for an afternoon or evening bath so she can bathe after her visitor leaves d) All of the above 25. The reason for your response in question 24 is to meet the holistic needs of the client: a) True b) False 26. You have been assigned Mr. Sorenson, a resident in a long-term care facility. When you come to take him for his weekly tub bath he says he doesn't need a bath. What should you do? a) Encourage him to bathe and point out benefits b) Offer to keep him warm and comfortable throughout the bath and be fast and efficient c) If he still refuses, respect his right to autonomy, report and document refusal d) All of the above 27. The reason for your answer in question 26 is: a) You think he doesn't like you and you don't want to press the issue b) He will eventually give in and have a bath c) You want him to bathe but also respect his right to self-determination d) You don't care whether he has a bath or not 28. Mrs. Francis is your home-care client. She is recovering from chemotherapy and is receiving pain medications and sedatives on a regular basis. According to her care plan she is to have a tub bath today. She is insistent that she be left alone in the bathtub. She usually has someone attend her. a) Explain to her why she should have someone in the room with her. Be discreet while attending her and report the situation to your care coordinator b) Don't let her have a bath, it's too dangerous c) Leave her alone and give her a bell to ring if she needs you d) Ask nurse not to give her the medication that sedates her 29. The reason for your action in question 28 is safety balanced with individual needs and preferences: a) True b) False 30. A back rub is given to: a) Check if the client has Dementia b) Relax muscles and stimulate circulation c) Replace a bed bath d) Treat Osteoporosis 31. Your client's grandchildren have been sent home from school with pediculosis. What do they have? a) Hives b) Lice c) Scabies d) Eczema 32. A foot board prevents: a) Cold feet b) Perspiring feet c) Foot drop d) Athlete's foot 33. In women, excessive hair growth where they wouldn't expect to find it is called hirsutism: a) True b) False 34. Alopecia can occur in both men and women: a) True b) False 35. Dreadlocks should be combed out weekly and a strong, antibacterial shampoo used for washing: a) True b) False 36. Your 87-year-old client wants to know why she feels cold all the time. May this be one of the results of aging in the integumentary system? a) Yes b) No 37. An open bed is made up to receive a client who will be using the bed shortly. a) True b) False 38. Another name for a pressure ulcer is a subcutaneous ulcer: a) True b) False 39. Soiled linen should be placed on the floor: a) True b) False 40. Partial baths consist of the washing of face, hands, feet and finishing with the perineal area: a) True b) False

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