Communication and Documentation Flashcards
6 cards from real PSW practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Communication and Documentation flashcards as text
What is the correct way for a PSW to correct an error made in a handwritten care record?
Answer: Draw a single line through the error, write the correction, and initial it
A single line through the error preserves the original entry for legal and auditing purposes, while the correction and initials show accountability.
Which of the following demonstrates active listening by a PSW during a client interaction?
Answer: Making eye contact, nodding, and reflecting back what the client said
Active listening involves giving full attention, using non-verbal cues, and reflecting content back to show understanding and encourage continued communication.
A PSW is asked by a neighbor what is wrong with the client they are caring for. The PSW should:
Answer: Decline to share any information and explain that client information is confidential
Client information is confidential, and PSWs must protect privacy by not disclosing any personal or health information to unauthorized persons.
In the context of a PSW's role, what does 'reporting up the chain of care' mean?
Answer: Informing a supervisor or nurse of changes or concerns beyond the PSW's scope
Reporting up the chain of care means escalating observations and concerns to the supervising professional who has the clinical authority to act on them.
Which of the following is an example of non-verbal communication a PSW should be aware of?
Answer: A client's facial expression and body posture
Non-verbal cues such as facial expressions and body posture often communicate a client's emotional state or discomfort more accurately than words.
Why is it important for a PSW to document the time and date on all care notes?
Answer: To establish a clear timeline of care that supports continuity and legal accountability
Time-stamped documentation creates a legal and clinical record showing exactly when care and observations occurred, which is critical for continuity and accountability.