Healthcare Orientation Test

According to NYS Law, a professional can be found guilty of misconduct only if the patient is harmed. TRUE or FALSE?

FALSE

Computer passwords may be shared among staff and students in order to save time. TRUE or FALSE?

FALSE

Incomplete documentation in the medical record can lead to errors in medical record coding for reimbursement, but healthcare organizations may bill insurance carriers for tests even if the documentation is incomplete. TRUE or FALSE?

FALSE

Smoking is permitted in designated areas outside most hospitals. TRUE or FALSE?

FALSE ("Smoking Free, Inside and Out" initiative)

About 5% of patients treated with opioids in the hospital become addicted. TRUE or FALSE?

FALSE (<1%)

A student assigned to one of the Rochester area hospitals hears that the facility's disaster plan has been activated due to flooding. The student's next action should be to respond to the facility to be able to help with patient evacuation. TRUE or FALSE?

FALSE (Students should not come to the assigned hospital if a Personnel Alert or Disaster Plan has been activated)

In the event of fire or smoke detection you should: R = __________ A = __________ C = __________ E = __________

R = Rescue anyone in immediate danger of smoke or fire A = Activate alarm; notify the switchboard operator C = Confine the smoke or fire by closing all doors E = Extinguish if the fire is confinable, and you have been trained, or Evacuate, if directed to do so

All actual or imminent patient deaths must be called in to the regional organ and tissue procurement agency hotline. TRUE or FALSE?

TRUE

Healthcare providers who obtain confidential HIV related information in the course of providing health services might not disclose this information until the protected individual has given permission to the release of such information. TRUE or FALSE?

TRUE

Pain is recognized as the 5th vital sign and should be screened for whenever other vital signs are assessed. TRUE or FALSE?

TRUE

All of the following are measures to control the spread of TB except: a. Use of the particulate respirator mask by staff when working with TB patients b. Isolating TB patients only upon diagnostic test confirmation c. Use of negative pressure rooms for patients at high risk for TB d. Suspected or confirmed patients with TB are started promptly on appropriate treatment

b. Isolating TB patients only upon diagnostic test confirmation

A patient's family tells you they are very unhappy about the care their family member is receiving. What should you do? a. Tell them you aren't an employee b. Tell them you are sorry and you will notify the staff nurse, instructor, and the charge nurse or manager c. First give them the NYSDOH phone number to call d. Promise them a deduction on their hospital room

b. Tell them you are sorry and you will notify the staff nurse, instructor, and the charge nurse or manager

A near miss should be reported, even if no harm came to the patient to assure: a. those involved in the event can be properly disciplined b. processes and systems can be fixed for future patient safety c. a legal means of defense for the institution

b. processes and systems can be fixed for future patient safety

Key issues to address at the end of life include all the following except: a. pain control and symptom management b. restricted visiting hours to avoid upsetting the family c. designation of a health care agent in the event the patient is unable to make medical decisions d. respect for the dignity, privacy, and confidentiality of the patient and family

b. restricted visiting hours to avoid upsetting the family

A patient is scheduled for an X-ray of the abdomen, but it is discovered that the wrong patient was brought to the department. Once the correct patient has been X-rayed, what should the staff person do? a. Contact the Transport Office and complain b. Nothing, no error occurred c. Report a "near miss" using an Incident Report or Quality Reporting Form d. Call the NYSDOH to report a sentinel event

c. Report a "near miss" using an Incident Report or Quality Reporting Form (i wanna say its this one but im not 100% sure)

A patient is receiving IV fluids from an infusion device that malfunctions and delivers more IV fluid than is ordered for the patient. After stopping the pump, assessing the patient for adverse effects, notifying the preceptor/instructor, and completing the appropriate incident report, what would your next steps be? a. Turn the IV pump back on to assure the patient gets the needed IV fluids b. Remove the pump and put it in the hallway c. Take the pump off the patient, include all disposables, (tubing, etc.) tag it, and take to the appropriate area for equipment repair d. Try to fix the equipment

c. Take the pump off the patient, include all disposables, (tubing, etc.) tag it, and take to the appropriate area for equipment repair

It would be appropriate to release PHI in all of the following situations except: a. The patient has provided authorization b. The healthcare organization is complying with a medical device recall c. The patient is participating in a drug trial, but it is unknown if the patient has granted authorization to disclose PHI d. The patient's physician is requesting PHI in the course of treating the patient

c. The patient is participating in a drug trial, but it is unknown if the patient has granted authorization to disclose PHI

CLABSI's (Central Line Associated Bloodstream Infections) can be prevented by adhering to the following interventions: a. Proper placement of the line b. Proper management of the line c. both a & b d. none of the above

c. both a & b

Healthcare providers have a duty to report: a. elder abuse b. domestic violence c. child abuse d. sexual assault

c. child abuse

A student notices one of the nurses on the unit has slurred speech, is bumping into walls, and has shaking hands. The first action for the student in this situation would be to: a. do nothing b. ask the patient if they like the nurse c. report your observations to the instructor d. call the NYS Office of Professional Misconduct

c. report your observations to the instructor

Corporate Compliance would require reporting: a. Medical device failure b. Appropriate billing practices c. Accurate record keeping d. A breach in patient confidentiality

d. A breach in patient confidentiality

To ensure the safe use of anticoagulation therapy, hospitals have implemented which of the following key elements? a. Development of guidelines and protocols to assist with the initiation and maintenance of anticoagulation therapy b. Patient and staff education c. Restricting use of anticoagulation medication to individually packaged dosage forms, prefilled syringes, or premixed infusion bags d. All of the above

d. All of the above

Proper posture and body mechanics with lifting includes: a. Keeping your feet tightly together b. Lifting a patient by yourself c. Bending at the spine d. Keeping the load as close to the body as possible to avoid reaching

d. Keeping the load as close to the body as possible to avoid reaching

You have decided you will keep some patient data on your hand-held PDA for use in a report you are writing. What is your responsibility for securing the ePHI on the device? a. Keeping the device password protected b. Keeping the device under your possession or secured from access to others c. Using proper procedure to delete the data completely from the device when the data is no longer needed d. Students are not allowed to keep identifiable patient data on an electronic portable device

d. Students are not allowed to keep identifiable patient data on an electronic portable device

The NYS Department of Health requires that the patient's rights be: a. posted in designated areas b. explained to the patient by a designated person c. understood by the patient and documented as such d. all of the above are required

d. all of the above are required

The use of physical restraint for non behavioral health services purposes: a. can be the decision of anyone on the healthcare team b. are "standing orders" for elderly patients as protocol to prevent falls c. require MD notification and frequent patient assessments d. are used as needed because alternatives have been found ineffective

d. are used as need because alternatives have been found ineffective

Appropriateness of MOLST orders is reviewed every _______ days for the acutely ill patient and every _______ days for the Alternate Level of Care patient

7, 60

Joint Commission readiness requires: a. You know the emergency plan for the organization b. You defer the nurse to activate a fire emergency c. You tell the Joint Commission surveyor you are just a student and you will not answer any of their questions d. You keep your identification badge in your pocket

a. You know the emergency plan for the organization

In accordance with the 2014 National Patient Safety goals, all of the following are true except: a. Two patients identifiers are used whenever administering medications or blood products and when providing treatments or procedures b. Alarms on medical equipment may be placed on silent mode during quiet time c. Pay careful attention to patients receiving blood thinning medication d. CDC hand hygiene guides are to be followed

b. Alarms on medical equipment may be placed on silent mode during quiet time

In the event a patient receives a suspicious letter with no return address, the staff member should: a. Help the patient open the letter in order to see who it is from b. Do not open it and report to Security personnel c. Send it back to the mailroom

b. Do not open it and report to Security personnel