The diabetic diet controls the amount of:

Correct Answer: A

Rationale: Diabetic diets manage blood sugar by controlling carbohydrates, protein, and fat , as carbs directly affect glucose, while protein and fat balance energy, per diabetes guidelines (e.g., Diabetes Canada). Sodium and fluids address other conditions. Calorie intake is general, not diabetes-specific. Semi-solid foods suit digestion issues, not sugar control. PSWs assist with these diets, making 'Carbohydrate, protein, and fat' the correct focus.

Correct Answer: B

Rationale: Vicki's behaviors crying, bedwetting, bottle use show regression , reverting to earlier stages due to stress from a sibling, per child development theory. Adjusting implies coping, not retreat. Progressing is forward growth. Projecting is emotional displacement. PSWs recognize regression in family dynamics, making it the correct sign.

Correct Answer: A

Rationale: Hydrocephalus, excess brain fluid, often occurs with spina bifida , a neural tube defect linked to fluid buildup, per medical texts. Down's , autism , and fetal alcohol syndrome have other features, not typically hydrocephalus. PSWs caring for such conditions recognize this association, making 'Spina bifida' the correct answer.

Correct Answer: D

Rationale: At the end of life, nutritional needs shift dramatically as the body shuts down. Eating doesn't necessarily prolong life , as the dying process often overrides caloric benefits, and forcing it can cause distress. Food and water may increase suffering by causing nausea, bloating, or aspiration in a weakened state, a common observation in palliative care. Food refusal is a natural part of dying, as appetite and digestion wane, signaling the body's preparation for death. Combining B and C reflects these truths holistically, aligning with hospice principles that prioritize comfort over forced nutrition. PSWs witness this, supporting families to accept it rather than fight it, making 'Both b and c' the correct and compassionate answer based on end-of-life care standards.

Correct Answer: A

Rationale: PSWs assist with medications within scope, like opening bottles , per Ontario guidelines, aiding clients unable to do so. Crushing or injecting requires nursing authority. Increasing doses is prescribing, beyond PSW role. 'Opening the medication bottle' ensures support without overstepping, making it the correct and legal action.