Unit Five

Medical Records What time period does a medical chart cover?

a specific and short time period, such as a hospital stay

Medical Records Which of the following are advantages of paper medical records

familiar format decreased security risk

Medical Records Assignment Question Medical records are sometimes used outside of patient appointments. Which of the following are other examples of times when medical records are likely to be accessed?

for legal issues to track health information

Medical Records What are some of the benefits of medical records?

They assist with medical research. They help patients get their healthcare needs met.

Patient Care Approaches- Twenty percent of the United States population age five and older does not

speak English at home

Body Mechanics and Ergonomics for Patients What kinds of ergonomic issues might apply to a nurse who works directly with patients all day?

standing for long periods of time heavy lifting stopping patient falls

medical records Assignment Question Which characteristics reflect an EMR?

stored in a computer system more complete record easier to share information

Medical Records Assignment Question poor handwriting

✔ paper

Patient Communication- Public relations is the way an organization presents itself to

✔ the public

Patient Care Approaches- Healthcare professionals should make sure that before a patient signs a document, he or she can

understand it

Body Mechanics and Ergonomics for Patients What is the safest way to reach something that is up high?

use a ladder or stepstool

Vital Signs It is best to measure a patient's pulse rate for how long?

1 minute

Patient Education It is up to both patients and healthcare providers to make sure the information is understood.

true

Patient Ergonomics, Safety, and Transport Assignment Question This position is frequently used for examinations of the abdomen and vaginal and rectal regions. Patients are placed their back with knees bent and feet flat on the table. Which of the following correctly identifies this position?

dorsal recumbent

Vital Signs Assignment Question Oral or rectal temperatures need to be taken with a

✔ clinical or electronic

Handling Client Information Assignment Question He allows a twelve-year-old patient's father to pick up the patient's prescription.

correct

Body Mechanics and Ergonomics for Patients Assignment Question if you perform the same motion over and over again, you are at risk for getting a

repetitive strain injury.

Vital Signs Assignment Question What two things need to be recorded after measuring blood pressure?

systolic measurement and diastolic measurement

Patient Ergonomics, Safety, and Transport A patient is scheduled for a procedure involving the rectal area. The nurse has asked the patient to lie on his left side and draw his right knee to his chest. Which position is described?

Sims'

Vital Signs When is the best time to check patients' respirations?

after you take their pulse

Vital Signs Assignment Question Check the vital sign that uses the provided instrument. Cuff:

blood pressure

Vital Signs Label the different instruments used to measure blood pressure.

blood pressure cuff

Patient Ergonomics, Safety, and Transport Assignment Question Which is the most commonly used Fowler's position?

mid

Medical Records Assignment Question When admitted to the hospital, a patient's time at the healthcare facility is recorded in a medical

✔ chart

Vital Signs Why do infants have faster pulse rates than adults?

It takes less time for blood to circulate through their bodies, resulting in a faster pulse.

Handling Client Information Assignment Question A letter from a specific patient's doctor stating that the patient is not allowed to have coffee and why

PHI

Handling Client Information Assignment Question A scanned-in version of a patient's health insurance identification card

PHI

Patient Ergonomics, Safety, and Transport A patient is asked to lie facedown so the doctor can examine her spine. Which position is described?

Prone

Handling Client Information Assignment Question A patient with advanced dementia is no longer sure of what her name is. Yesterday she gave you the wrong name entirely. You need to make sure that she is the proper patient to whom you are bringing a meal. True or false: The fact that this patient also has diabetes and requires a low-sodium diet is protected health information.

True

Handling Client Information Assignment Question You have just measured a patient's blood pressure and are about to write it down when he asks what it is. You answer him. "Wow, that's pretty good for me, right?" he asks. You tell him it is, and then the two of you discuss what he has been doing to lower his blood pressure. After a few minutes, you realize you did not write it down and forgot what it was, so you ask him what it was. You write down the number he says. What would have been a better way to record the patient's blood pressure?

Write it down immediately before answering the patient's question

Medical Records What time period does a medical record cover?

a patient's entire medical history, spanning years

Body Mechanics and Ergonomics for Patients Assignment Question Which of the following statements is true about ergonomics in health care?

affects all types of healthcare careers

Vital Signs Assignment Question Complete the sentence Pulse rate is recorded as

beats per minute.

medical records Assignment Question Dr. Smith's office is considering moving from paper medical records to electronic medical records. What are some of the concerns they are most likely to have about EMRs?

breaches in security flow of information

Vital Signs Check all locations where a pulse can be taken.

carotid brachial radial femoral popliteal dorsalis pedis

Handling Client Information Assignment Question A healthcare professional needs to discuss a patient's test results immediately. There are a lot of visitors in the patient's room, and not all of them are immediate family members. True or false: The patient's test results are not protected health information.

false

Patient Care Approaches- Children are often less invested in a cultural or religious practice than adults, so it is not usually necessary to consider preferences in that regard.

false

Patient Ergonomics, Safety, and Transport Assignment Question This position is the most basic of all ergonomic exam positions. It is often used for examinations of the abdomen or frontal regions of the body. Patient lie on their back. Which of the following correctly identifies this position?

horizontal recumbent

Body Mechanics and Ergonomics for Patients Assignment Question What are some of the goals of ergonomics?

keeping employees safe improving workplace productivity

Patient Ergonomics, Safety, and Transport Assignment Question Pregnant women often use this position when attempting to change the position of the fetus. To obtain this position, they must be facing the floor with their knees drawn up until they are vertically aligned with their hips. Which of the following correctly identifies this position?

knee-chest

Patient Ergonomics, Safety, and Transport Assignment Question This position require patients to lie on their back, with knees bent. The feet are commonly supported by attachments to the table, which are used specifically to hold the feet. This position is commonly used during vaginal exams. Which of the following correctly identifies this position?

lithotomy

Patient Ergonomics, Safety, and Transport Assignment Question This position is a seated position in which the patient's head is elevated between 15 and 90 degrees; the most common elevation is 45 degrees. This position is frequently used to relax the tension around the abdominal region, as well as to increase comfort during eating. Which of the following correctly identifies this position?

mid-Fowler's

Patient Ergonomics, Safety, and Transport Assignment Question Proper patient position is important for:

patient safety patient comfort

Patient Ergonomics, Safety, and Transport Which of the following describes the horizontal recumbent position?

patients lie on their back, face up

Patient Ergonomics, Safety, and Transport Assignment Question Another common position, this is a basic position for examinations of the back, buttocks, and spine. It requires patients to lie facedown; they may tuck their hands and arms underneath them to reduce discomfort. Which of the following correctly identifies this position?

prone

Vital Signs Assignment Question Check the vital sign that uses the provided instrument. Second hand of a watch:

respirations

Patient Ergonomics, Safety, and Transport Which of the following are non-mechanical patient transport devices?

roller sheet slide board transfer belt

Vital Signs Assignment Question Select the instruments needed to check a patient's respirations.

second hand of a watch

Patient Ergonomics, Safety, and Transport Assignment Question Which of the following is another name for the horizontal recumbent position?

supine position

Vital Signs Assignment Question Check the vital sign that uses the provided instrument. Thermometer:

temperature

Body Mechanics and Ergonomics for Patients Which of the following statements describes tension?

the force used during physical action that causes strain or stiffness

Medical Records Assignment Question Which reasons do healthcare professionals have for reviewing medical records prior to a patient visit?

to identify reason for visit to attempt to tie visit to prior diagnosis to ensure record contains up-to-date forms

Vital Signs Assignment Question If the patient has smoked or had anything to eat or drink within the last

✔ 15 minutes

Body Mechanics and Ergonomics for Patients A nurse reaches down to wipe up a spill.

✔ Bending

Vital Signs A patient is having difficult and labored breathing.

✔ Dyspnea

Vital Signs A patient has normal respirations when sitting up, but experiences difficulty breathing when lying down.

✔ Orthopnea

Body Mechanics and Ergonomics for Patients A clinician wheels a hospital bed from one room to another.

✔ Pushing

Vital Signs The character of a patient's respirations is noisy, and it sounds like fluid is in the airway.

✔ Rales

Body Mechanics and Ergonomics for Patients A doctor stands on her tiptoes to grab a medical book that is up high.

✔ Reaching

Patient Ergonomics, Safety, and Transport Assignment Question Proper positioning is important for the and of patients when they are moved.

✔ comfort ✔ safety

Medical Records Assignment Question high potential for breach of privacy

✔ electronic

Medical Records Assignment Question improved care coordination

✔ electronic

Patient Ergonomics, Safety, and Transport Assignment Question Ergonomics can patient care.

✔ improve

Handling Client Information Assignment Question She discusses a patient's personal information with an unidentified relative or friend who just left the patient's room.

✔ incorrect

Patient Ergonomics, Safety, and Transport The position requires the patient lie facedown while the head and feet are dropped and the hips are flexed and pointed toward the ceiling.

✔ jackknife

Vital Signs Assignment Question The most accurate temperature site is the

✔ rectum.

Patient Communication- Assignment Question A patient is writing a letter to the editor of your local newspaper to thank your office for the care she received. She asks you to list for her the names of everyone who works there in order to be sure everyone gets the recognition she feels they are due. Select the next step that you think provides the best public relations.

Tell her that you would hate to miss anyone or spell their names wrong, so instead of giving her the names you will connect her with the person who handles public relations for the office.

Patient Education Assignment Question The elderly spouse of a patient in a long-term nursing care facility is upset. She is very tired, she says; she cannot sleep well at night and is spending all of her days at the facility with her ailing husband. She hates to leave him alone, she says, since she thinks he does not recognize anyone or know where he is. You give her:

a pamphlet about the importance of caring for oneself when serving as a caregiver the date, time, and location of local support groups for caregivers a handout with tips for getting a good night's sleep

Patient Communication- Assignment Question You are helping a newly admitted patient and his son compile a list of personal belongings. The elderly patient has dementia, and he is unable to understand much about the process. Worse, the patient is agitated and keeps wringing his hands. When it comes time to list the patient's wedding band, it appears to have gone missing from the patient's hand. The patient's son accuses you or one of your coworkers of stealing the ring, since he saw it on his father's hand a little while ago. You

calmly call a supervisor to the room to help you look for the ring. After all, you say, the ring might have fallen off of the patient's hand when he was wringing his hands.

Patient Education Identify the benefits of patient education

control of chronic disease prevention of illness injury prevention compliance with care

Handling Client Information Which of the choices below benefit from HIPAA's patient privacy and security rules?

emergency medical providers patients a big hospital with three campuses cancer researchers a small doctor's office in the country

Patient Care Approaches- A person with can imagine putting himself or herself in another person's place in order to understand how that other person feels.

empathy

Patient Education Healthcare professionals should let patients with incorrect information find out the correct information for themselves

false

Patient Education In a discussion about healthcare information, the only person asking the questions should be the patient.

false

Patient Communication- Assignment Question You are showing a newly admitted patient the features of and devices in her hospital room. She is asking a lot of questions, and you are running out of time before you are needed elsewhere to do something else. But you are only halfway through orienting her with the room. You

let her know that you only have a few more minutes right now and you need to give her a quick rundown of the room's features in that time, but you will come back in a little while to answer any further questions she has about the room.

Patient Education Select the best forms of patient information from the list below.

pamphlets and handouts designed for patients hotlines that offer help with a specific health condition links to websites with reputable information the dates, times, and locations of a nearby support group

Patient Care Approaches- Assignment Question You are meeting with a new patient. The patient told one of your coworkers that he is comfortable with the course of treatment he is receiving. But your coworker said the patient nearly fainted when he was given an injection earlier in the day. So you ask the patient if he has any questions, and that seems to open him up. He starts to talk to you at length about his fears. As the healthcare professional, you are using your:

interpersonal skills listening skills

Patient Education Assignment Question A patient learns that she has breast cancer. She needs to decide what course of treatment she will proceed with. Her husband, who will be her caregiver, is not present. You give her:

take-home educational materials a list of local support services for cancer patients

Patient Education Assignment Question A longtime smoker says he is finally ready to quit smoking, but needs some help. He has a baby on the way and wants to be free of tobacco as soon as possible. You give him:

the phone number of an organization that provides support in quitting a pamphlet on medications for stopping smoking and the name of a local doctor at a university who is leading a study on their effectiveness a list of healthy snacks to try when a cigarette craving strikes

Patient Education Assignment Question A young patient was just told that he has mononucleosis, or mono. The patient suspected he had it, so he looked it up on the Internet but did not learn much. He has no idea, for instance, where his spleen is - one of the parts of his body the doctor said was affected. The doctor points to the appropriate section on the chart of the human body on the wall, and gives the patient a sheet designed for teens about the illness, including what he should and should not do for the next month or so.

using visual aids to convey information take-home patient information patient information specially designed for children

Patient Communication- A patient with a kidney infection asks where his kidneys are and how they became infected. You explain the illness, and then you give the patient a sheet of paper with more information that will help him better understand his disease.

✔ both verbal and written communication

Patient Communication- One public relation skill all healthcare professionals should possess is

✔ good communication

Patient Care Approaches- Assignment Question involves the sharing of information and trust

✔ interpersonal communication

Handling Client Information A spreadsheet document containing the names, addresses, and health insurance identification numbers of all patients admitted to a facility in 2011

✔ protected

Handling Client Information Information on what diagnoses and treatments are provided to the patient and how the patient paid for care is considered health information.

✔ protected

Patient Care Approaches- Assignment Question A patient who is a Jehovah's Witness comes into the emergency department. He is unable to speak, but you notice he has a card that says he is not to have any blood transfusions or blood products. He is seriously injured. You:

Alert the other members of the healthcare team to the patient's preferences. Ask the hospital chaplain to offer guidance in accommodating the man's wishes. Try to reach the man's family so that they can help advise you about his care.

Patient Care Approaches- A person who is interested in making sure that a patient's special request is met can also be described as

receptive

Body Mechanics and Ergonomics for Patients Assignment Question What are some ways that workers can prevent ergonomic injuries?

Carry loads in the center of the body. Wear shoes with rubber soles. Use leg muscles to lift something heavy.

Handling Client Information Assignment Question A patient with advanced dementia is no longer sure of what her name is. Yesterday she gave you the wrong name entirely. You need to make sure that she is the proper patient to whom you are bringing a meal. Which is the best way to ensure that the patient is correctly identified?

Check the patient's identification bracelet.

Patient Education Identify the communication skills that are most helpful to healthcare professionals in patient education efforts.

good speaking and listening skills an awareness of the patient's level of health literacy an ability to explain things simply

Patient Communication- Select the principles and aspects of communication that contribute to effective patient care

good speaking skills good listening skills good reading and writing skills displaying courtesy and respect

Patient Ergonomics, Safety, and Transport The position requires a specialized table and can cause physical complications.A

jackknife

Medical Records Which of the following would be found in the clinical section of a medical record?

lab test results notes from specialists hospital chart pages

Vital Signs Check all locations that a temperature is commonly taken by a health professional.

mouth rectum armpit ear forehead

Medical Records A fourteen-year-old boy is injured in a serious traffic accident. A reporter from the local news station calls to inquire about his condition. The hospital should

not disclose any information without parental consent.

Vital Signs Assignment Question What three facts must be recorded when taking a patient's respiratory rate?

rate, character, and rhythm

Medical Records Assignment Question A thirty-five-year-old female is injured in a traffic accident. Her medical records may be used in a court of law to

show any prior medical conditions that could have also caused her injuries. confirm the cause of her injuries.

Vital Signs Select all factors that could result in a lower temperature measurement.

slow body processes temperature being taken first thing in the morning

Body Mechanics and Ergonomics for Patients Which of the following is the best description of ergonomics?

the science of studying a person's surroundings to help them stay safe, healthy, and productive

Body Mechanics and Ergonomics for Patients Assignment Question Which of the following is the correct definition of body mechanics?

the study of how the body moves, including balance and coordination

Medical Records Whose records may patients request?

their own their children under eighteen years of age

medical records Assignment Question As a healthcare professional, you may be responsible for medical records on a daily basis. You need to follow the procedures and regulations set forth within the facility for this.

✔ adding to and filing

Patient Care Approaches- Assignment Question A patient's may suggest that the patient will have a problem easily understanding healthcare information.

✔ age

Medical Records Assignment Question A medical is a summary of the patient's current medical condition over a short time period.

✔ chart

Body Mechanics and Ergonomics for Patients Assignment Question Keeping awkward positions, such as when holding equipment, is an ergonomic issue that applies primarily to careers.

✔ clinical

Body Mechanics and Ergonomics for Patients Assignment Question Pushing patients in a wheelchair is an ergonomic issue that applies primarily to careers.

✔ clinical

Body Mechanics and Ergonomics for Patients Assignment Question Standing for long periods of time is an ergonomic issue that applies primarily to careers.

✔ clinical

Patient Care Approaches- Assignment Question The act of providing or sharing information between people:

✔ communication

Patient Care Approaches- Assignment Question the variety of backgrounds and experiences of people in a society

✔ diversity

Body Mechanics and Ergonomics for Patients Assignment Question After you finish lifting weights with your arms, the arm muscles go back to normal due to

✔ elasticity

Medical Records Assignment Question improved accuracy of diagnosis

✔ electronic

Patient Care Approaches- Assignment Question the main cultural, racial, or national group that a person belongs to or identifies with:

✔ ethnicity

Body Mechanics and Ergonomics for Patients Assignment Question When your muscles lengthen and then become shorter, this is known as

✔ extension/contraction.

Handling Client Information Assignment Question A healthcare professional needs to discuss a patient's test results immediately. There are a lot of visitors in the patient's room, and not all of them are immediate family members. True or false: The worker should discuss the patient's test results even though everyone is still in the room. If the patient did not want everyone to hear the news, he would have asked them to leave

✔ false

Handling Client Information Assignment Question She leaves a company laptop containing patients' protected health information in her car overnight.

✔ incorrect

Patient Ergonomics, Safety, and Transport Assignment Question Good ergonomics can help prevent

✔ injury.

Patient Ergonomics, Safety, and Transport A patient lying facedown with the knees drawn up to be vertically aligned with the hips has been placed in the position.

✔ knee-chest

Patient Care Approaches- Assignment Question Healthcare professionals can assess a patient's personal when it comes to certain aspects of their care.

✔ preferences

Vital Signs Assignment Question Choose the correct vital sign being measured beside each scenario. Placing two fingers above the thumb on the wrist and counting the beats for one minute

✔ pulsere

Body Mechanics and Ergonomics for Patients Assignment Question rather than lifting something, you should try to it instead.

✔ push or pull

Body Mechanics and Ergonomics for Patients Assignment Question If you have to something, you should use a ladder.

✔ reach

Medical Records Assignment Question A medical serves as a complete history of the patient's health over a lifetime.

✔ record

Medical Records Assignment Question Two parts, general and clinical, make up a patient's medical

✔ record.

Vital Signs Assignment Question Removing the device from the patient's mouth after 3-5 minutes and recording in degrees Fahrenheit

✔ temperature

Body Mechanics and Ergonomics for Patients Assignment Question When you lift weights with your arm, and your arm muscles flex, this causes

✔ tension

Body Mechanics and Ergonomics for Patients Assignment Question When you are working with something, you should face it directly rather than

✔ twisting

Patient Communication- A coworker in another department calls and asks for help logging into part of the computer system. You describe the steps over the phone.

✔ verbal communication

Vital Signs Strong, weak, thready, or bounding are examples of

✔ volume.

Patient Communication- You record a patient's vital signs on her chart. You record a patient's vital signs on her chart.

✔ written communication

Handling Client Information A list of babies born at the local hospital sent to the city clerk's office

not protected

Handling Client Information A press release from a hospital stating only that after a gas leak at a local school, three people were treated for sickness and then released from the hospital

not protected

Handling Client Information Which forms of information below could be considered personal health information?

patient names list of patients' medications spreadsheet file of patients' home addresses contained in an e-mail from your supervisor photocopies of patients' health insurance identification cards

Patient Care Approaches- A healthcare professional will show care, concern, and understanding in patient care.

sensitive

Patient Education Assignment Question A substance abuse counselor working with a new client offers eye contact and nods as the client tells the counselor about his experiences and why he sought care. At the end of the session, the counselor gives the client a list of upcoming support group meeting dates, times, and locations.

take-home educational information use of printed educational materials good listening skills

Patient Care Approaches- Children are usually less afraid in a healthcare setting than adults.

false

Patient Ergonomics, Safety, and Transport Assignment Question Good patient ergonomics help reduce which of the following risk factors?

back strains injuries due to slips and falls bed sores

Body Mechanics and Ergonomics for Patients Assignment Question Which of the following are types of movement related to body mechanics?

bending twisting reaching

Vital Signs Assignment Question Check the vital sign that uses the provided instrument. Stethoscope:

blood pressure

Vital Signs Assignment Question Complete the sentences with the correct words. An inspiration occurs when the lungs and an expiration occurs when the lungs

contract compress

Handling Client Information Assignment Question He ensures that a patient could understand all the forms necessary at admission, and that all forms were filled out and signed properly.

correct

Vital Signs Assignment Question Select the instruments needed to check a patient's blood pressure.

cuff stethoscope sphygmomanometer

Patient Care Approaches- Which background characteristics should healthcare professionals be aware of when customizing a patient's care?

gender culture economic situation age physical abilities religion

Handling Client Information Assignment Question He permits a patient's teenaged daughter, who is not listed as a personal representative, to pick up her father's prescription even though the father is outside in the car.

incorrect

Vital Signs Assignment Question Select the instrument needed to check a patient's pulse.

Second Hand of Watch

Patient Care Approaches- Members of the healthcare team can anticipate some common healthcare needs of children.

True

Vital Signs What signifies one respiration?

one inspiration and one expiration

Handling Client Information Which of the following must follow the privacy and security rules that are part of HIPAA?

pharmacies a health maintenance organization a primary care physician's office a children's hospital a billing office

Medical Records Which of the following are disadvantages of paper medical records?

poor handwriting more difficult to share incomplete data

Vital Signs Label the different instruments used to measure blood pressure.

stethoscope

Vital Signs What are the four main vital signs?

temperature respirations pulse rate blood pressure

Patient Ergonomics, Safety, and Transport What is one reason ergonomics is important to healthcare professionals?

to avoid back strains

Patient Ergonomics, Safety, and Transport Which of the following are mechanical patient transport devices?

wheelchair mechanical lift hospital bed

Vital Signs Assignment Question Counting the rising and lowering of the patient's chest for one minute

✔ respirations

Patient Care Approaches- Assignment Question the ability to show care, concern, and understanding for others

✔ sensitivity

Handling Client Information Assignment Question A patient discovers that his last name is spelled incorrectly on his medical record. The patient writes a letter to your facility in order to correct the error and includes documentation of the correct spelling. An office worker corrects the error

. ✔ correct

Vital Signs Assignment Question Choose the best answer. Which of the measurements below is the correct blood pressure recording for a patient who has a systolic blood pressure of 115 and a diastolic blood pressure of 70?

115/70

Patient Care Approaches- Select the practices for which patients may have preferences that healthcare professionals should be aware of and sensitive to.

A handshake as a greeting Organ donation Meat eating Wearing head coverings

Patient Communication- Assignment Question You are about to enter a patient's room when you hear her complaining to a guest that, for the third day in a row, she has been delivered the wrong dinner. She needs a low-sodium meal, she says, but they keep bringing her a regular meal, and it takes an hour to correct the error. In the meantime, she waits, hungry. Select the next step that you think would provide the best customer service.

Ask another staff member about the mixup, and offer to do what you can to help straighten out the problem.

Vital Signs Check all true statements regarding blood pressure.

Blood pressure is recorded in millimeters (mm) of mercury (Hg). Diastolic and systolic are the two types of blood pressure measurements. The blood pressure recorded when the heart is at work, or contracting, is the systolic pressure. The blood pressure recorded when the left ventricle is at rest, or between contractions, is the diastolic pressure.

Vital Signs Assignment Question In what two measurements can temperature be recorded?

Celsius and Fahrenheit

Handling Client Information Assignment Question Six months later, the doctor described in the previous scenario reports information on the patient's symptoms, diagnosis, travel to Central America, and treatment outcome to the federal Centers for Disease Control and Prevention, which is studying outbreaks of this infection.

Correct

Handling Client Information Assignment Question You are meeting a new patient for the first time. You ask whether she prefers to be called Barbara, Mrs. Sanchez, or some other name. She says she actually prefers her nickname, Bunny, which is what everyone calls her. You then call her "Bunny" for the rest of her stay

Correct

Patient Ergonomics, Safety, and Transport Assignment Question You are attending to patients who are not yet very stable on their feet. In order for the patients to bathe, they must sit on a shower chair. Some patients complain that they feel humiliated having to sit for a shower, and questions your decision. How do you approach your explanation?

Discuss the situation with the patient. Explain the need for a shower chair and emphasize the risks involved with not using a shower chair at this particular time.

Patient Education Healthy patients usually do not require information on health topics.

False

Medical Records Assignment Question Which of the following laws allows patients access to their medical records?

HIPAA

Handling Client Information Assignment Question A list stating the names of towns in one county in which people have come down with the flu

Not PHI

Handling Client Information Assignment Question A scrap of paper carried to the sandwich shop to remind you to get three sandwiches; one of the sandwiches is for a patient, but it doesn't say which one

Not PHI

Handling Client Information Assignment Question A patient's lab results

PHI

Patient Ergonomics, Safety, and Transport Which of the following best summarizes the purpose of ergonomics in patient care?

Proper positioning is essential for the comfort of the patient.

Patient Communication- Assignment Question Your neighbor is a reporter for the local TV station. She knows that you work at a large medical practice where one of the doctors was recently charged with a crime. You are confident the doctor will be cleared of all charges. When you get home one night, your neighbor approaches you, pen and notebook in hand. Select the next step that you think provides the best public relations.

Provide your neighbor only with the name of the person who handles all public relations for the practice.

Patient Communication- Assignment Question The daughter of an elderly patient with dementia says the patient's favorite blanket has gone missing. The patient is agitated because he believes the blanket was a gift from his mother. The patient's daughter describes the blanket to you. Select the next step that you think would provide the best customer service

Put in a call to the laundry service to find out whether the blanket is being laundered.

Patient Ergonomics, Safety, and Transport Assignment Question During examinations and procedures involving the rectal area, a patient is often placed on the left side with the right knee and thigh drawn to the chest. Which of the following correctly identifies this position?

Sims'

Vital Signs Check all true statements regarding temperature.

The human body produces and loses heat. Muscle and gland activities produce heat. Perspiration, respiration, and excretion cause the body to lose heat. The body's balance between producing heat and losing heat is called homeostasis. Temperature can be measured in both Fahrenheit (F) and Centigrade (C).

Patient Ergonomics, Safety, and Transport Which of the following best describes the high-Fowler's position?

The patient's head is elevated at approximately 90 degrees.

Vital Signs Which of the following statements are true about the rate of a pulse?

The rate of a pulse varies among age, activity level, and size. The rate of a pulse is recorded in beats per minute.

Body Mechanics and Ergonomics for Patients Assignment Question Which of the following scenarios reflect ergonomic principles in the workplace?

Which of the following scenarios reflect ergonomic principles in the workplace? C

Patient Communication- Check all of the scenarios below in which nonverbal communication and listening skills are being used

You nod your head in understanding as a patient describes his symptoms. A coworker asks whether you have recorded a patient's vital signs. You shake your head to say "No." Through a window, you see a newly discharged patient getting into a car headed for home. You wave good-bye.

Patient Education Assignment Question A child newly diagnosed with asthma is visiting his doctor for the first time since he and his family first received the diagnosis. They have had some time to try and get used to the medicine and equipment that helps him feel better, but they still have some questions about how to prevent asthma attacks. You provide them with:

a coloring book containing healthy information and tips for living with asthma a pamphlet for parents of children with asthma

Vital Signs Assignment Question The temperatures are the lowest.

axillary and groin

Vital Signs Complete the sentence.While looking at the second hand on your watch, you count the number of times the patient's in one minute

chest rises and falls

Medical Records Assignment Question A sixteen-year-old boy, Elliot Aran, is involved in a bike accident. He is rushed to the hospital where he is listed in critical condition. The boy's parents have given consent to release his status to any callers. When a local news station calls and asks the status of Elliot Aran, the hospital is permitted to

confirm his one-word condition.

Handling Client Information Assignment Question He allows an elderly patient's daughter, who is named on the patient's forms as a personal representative, to pick up a prescription for the patient.

correct

Patient Care Approaches- Understanding means recognizing people's different experiences and backgrounds.

diversity

Medical Records Assignment Question In what ways can electronic medical records increase efficiency in medical practices and facilitate a more accurate diagnosis?

easier transfer of information between offices no handwriting to decipher more complete that paper records

Patient Communication- Which of the following are benefits of good public relations and customer satisfaction?

enhanced reputation of the facility in the community cooperative patients positive reviews of experience with a facility circulated among patients' friends and family positive reviews about the facility spread by patients' family and friends to others in the community

Vital Signs Identify which of these scenarios would be likely to increase a patient's pulse rate.

excitement for an upcoming party shock after being in a car accident drinking a large cup of coffee going for a morning run

Patient Care Approaches- Children are no different than adults in the healthcare setting.

false

Vital Signs Which of the following factors can decrease blood pressure?

feelings of dehydration after a long hike not eating for long periods of time

Medical Records Which of the following are disadvantages of EMRs?

increased security risk compatible computer systems needed in offices

Patient Ergonomics, Safety, and Transport Assignment Question Which of the following is another name for the Sims' position?

left lateral position

Vital Signs Assignment Question During a respiration, is breathed in and is breathed out.

oxygen (O2) carbon dioxide (CO2)

Patient Ergonomics, Safety, and Transport Assignment Question Proper ergonomics is important for:

patient safety injury prevention efficiency in transport

Vital Signs Check all that need to be recorded when measuring respirations.

rate character rhythm

Handling Client Information Assignment Question After work, you go out to dinner with a few coworkers from the doctor's office where all of you are employed. One of your coworkers has a few drinks and starts talking about a patient you all know socially. The patient recently received treatment at your office for a sexually transmitted infection. True or false: The patient's diagnosis and treatment are pieces of protected health information

true

Vital Signs Assignment Question Select the image that represents the instrument needed to check a patient's aural temperature.

tympanic thermometer

Patient Education Assignment Question A dental assistant shows a patient how to floss his teeth. The assistant tears off a long piece of floss and wraps it around her fingers. She first shows the patient how to floss using a dental model, then gives the patient a length of string to try it himself.

using visual aids to convey information asking the patient to practice a health behavior

Handling Client Information Which types of patient information might be most useful for clinicians to know?

what a sick patient ate for breakfast this morning the fact that a patient's father had colon cancer a patient's home phone number a patient's previous infection with measles the fact that the patient received the seasonal flu vaccine this year

Patient Ergonomics, Safety, and Transport Assignment Question Patients who are unsteady on their feet are being transported from their room to the X-ray department. Of the following choices, which are considered acceptable transport devices?

wheelchair patient bed

Vital Signs Assignment Question When taking a patient's oral temperature, leave the thermometer in his or her mouth for

✔ 3-5 minutes

Medical Records Assignment Question familiar format

✔ paper

Vital Signs The patient's skin, nail beds, and mouth are bluish in color.

✔ Cyanosis

Patient Education Clues to whether or not a health information website is reliable can sometimes be found right within the site's web address. Select the website address endings that generally indicate trustworthiness.

.org .gov .edu

Body Mechanics and Ergonomics for Patients Assignment Question Which of the following employees are following ergonomic principles?

A nurses realizes that a load is too heavy to lift on her own, so she asks another nurse to help her. A physician's assistant lifts and carries a heavy load that is manageable, and wears a back brace for support.

Body Mechanics and Ergonomics for Patients Which of the following can you do for better ergonomics when working with a computer?

Adjust the computer screen. Rest your feet on the floor. Take short breaks. Use a chair with good back support.

Patient Care Approaches- Select the things that an effective healthcare professional might do to establish good communication with patients

Answering patients' questions Understanding and working with a patient's family dynamic Providing patients with sources of additional information

Patient Care Approaches- Assignment Question A Muslim female patient pulls you aside to let you know that she needs to be sure she has enough time to put on her head covering if any males who are unrelated to her enter her room. You:

Consult a guide for working with Muslim patients in order to anticipate any other patient needs. Tape a note on the door asking people to knock and pause for a minute before entering the patient's room.

Patient Care Approaches- Select factors that may affect a patient's preferences or the way a patient perceives his or her care.

Cultural or religious requirements Patient's advanced age Patient's economic or financial problems Patient's level of education or comprehension

Handling Client Information How should a healthcare professional acquire a patient's personal health information?

The patient should fill out your office's health questionnaire during registration. You should ask the patient's primary care doctor's office for the patient's records, and they can send the records to you. You should measure the patient's height and weight. Your coworker took the patient's blood pressure and listed it on the patient's chart.

Patient Care Approaches- Parents or guardians often have to consent to a child's care.

True

Medical Records Assignment Question A medical record is a complete record of a patient's medical history. Which of the following items would be included?

a medical history timeline of care diagnoses

Medical Records Assignment Question Medical records are filled with confidential and identifying information. Which of the following would be found in a medical record?

a medication list

Patient Education Assignment Question A patient with a hearing impairment has just been told she has diabetes. She has a lot of questions, and you would like to help her get as much information on reducing symptoms and staying healthy as possible. You give her:

a pamphlet a link to an online video showing how diabetes develops in the body a list of support groups for diabetes patients featuring sign-language interpreters

Medical Records Which of the following are advantages of EMRs?

easy to share with other medical professionals improved accuracy of diagnoses

Handling Client Information Assignment Question After work, you go out to dinner with a few coworkers from the doctor's office where all of you are employed. One of your coworkers has a few drinks and starts talking about a patient you all know socially. The patient recently received treatment at your office for a sexually transmitted infection. What should you say to your coworker?

✔ "It's really not appropriate for us to discuss this."

Medical Records Assignment Question A fifty-year-old man who is a victim in an automobile accident has been rushed to the emergency room. A reporter calls and asks a vague question about "the man in the accident." Which of the following may the hospital do?

Confirm nothing. The reporter has not specifically used the patient's name.

Handling Client Information Assignment Question A patient with persistent diarrhea is found to have an infection that is unusual in the United States. It turns out that he recently returned from a trip to Central America, where he suspects he ate raw produce that was washed in contaminated water. The doctor jots all of this information down in the patient's medical record. The information is considered protected health information

Correct

Patient Ergonomics, Safety, and Transport Assignment Question This position is sometimes used during abdominal surgeries and requires patients be placed on their back, with feet elevated at 45 degrees and the head dropped toward the floor. Which of the following correctly identifies this position?

Trendelenburg

Patient Education A patient being tested for a disease is a good candidate for patient education

True

Patient Communication- Assignment Question A patient is going to be discharged in a few hours. You check in with him to make sure that everything is in order. Everything was great, he says, but he wanted to make sure he had a chance to say thank you to all the nurses on the floor. He tried to write a note, he says, but since he was hospitalized for surgery on his writing hand, it is not an easy thing to accomplish. Select the next step that you think would provide the best customer service.

You have a few spare minutes, so you take the pen and paper and write out the words he wished to write.

Patient Communication- Assignment Question You are admitting to the emergency room an eight-year-old child who arrives with his mother for stitches to repair a deep cut. He looks afraid and is clutching what his mother says is his favorite stuffed bear. You notice the bear has a spot on its foot where it was repaired with a few stitches of needle and thread. How might you use good communication skills to ease the child's fears?

You point to the stitches on the bear's foot and say, "Looks like his stitches made him as good as new too."

Medical Records Assignment Question Ella has been taken to the emergency room for treatment of a dog bite to the face. During the course of treatment, Ella's wound is stitched, and then she is sent home with a prescription and orders to follow up with her primary care physician. What information from this visit will be placed in her medical record?

a detailed report of her treatment

Patient Education Select common patient information topics and questions from the list below.

details of a testing procedure risks and benefits of treatment risks and benefits of not receiving treatment getting to know the members of the healthcare team side effects of a disease or treatment

Patient Ergonomics, Safety, and Transport Assignment Question You must move a patient from the bed to a stretcher for transport to another department. You have examined the route you must take and know that one hallway is particularly tight and the bed will not fit. The patient is complaining about needing to move from the bed. In order to promote patient cooperation, you should:

explain why you are moving the patient.

Patient Ergonomics, Safety, and Transport Which of the following reasons are helpful in educating patients on the importance of ergonomics in patient care?

improved patient cooperation fewer patient complaints improved blood flow patient reassurance

Patient Care Approaches- Assignment Question An elementary school-aged patient comes to your facility for a minor procedure. She is visibly nervous and shy. Her parents appear nervous and shy, too. You need to explain the procedure and, ideally, get them all to feel at ease. You prepare to use your:

interpersonal skills skills in providing simple, clear explanations skills in making eye contact skills in working with children and their parents

Patient Ergonomics, Safety, and Transport Assignment Question This position is not often used, due to potential complications. A patient is asked to lie facedown on a special table that flexes the patient at the hip. As the hips point toward the ceiling, the head and feet drop. Which of the following correctly identifies this position?

jackknife

Handling Client Information A county health commissioner's report stating that there were fifteen people infected with flu in the county during a given month

not protected

Patient Education Select the items that healthcare professionals are most likely to find useful in patient education efforts.

photos and illustrations of organs a model of a human heart a video about a teen who manages his diabetes effectively a poster showing the entire circulatory system

Patient Care Approaches- Some cultures find direct eye contact to be , while others find it to be

rude respectful

Vital Signs Label the different instruments used to measure blood pressure.

sphygmomanometer

Patient education Assignment Question A patient visits her doctor for an annual checkup. She is very nervous about the visit, although she does not have any specific symptoms or complaints. The patient has a pile of papers printed from all corners of the Internet, each containing information on an illness she fears she has. The doctor listens to the patient's complaints and, after a full workup, declares that she is perfectly healthy. But the doctor does provide the patient with one piece of information: a short list of reputable websites to visit in the future for any health concerns and a checklist for judging the reliability of any other site.

take-home patient information listening skills

Handling Client Information Assignment Question After work, you go out to dinner with a few coworkers from the doctor's office where all of you are employed. One of your coworkers has a few drinks and starts talking about a patient you all know socially. The patient recently received treatment at your office for a sexually transmitted infection. True or false: Details of the patient's diagnosis and treatment are covered by the privacy rules of HIPAA. truefalse

true

Handling Client Information Assignment Question You have just measured a patient's blood pressure and are about to write it down when he asks what it is. You answer him. "Wow, that's pretty good for me, right?" he asks. You tell him it is, and then the two of you discuss what he has been doing to lower his blood pressure. After a few minutes, you realize you did not write it down and forgot what it was, so you ask him what it was. You write down the number he says. True or false: The patient's blood pressure reading is protected health information.

true

Vital Signs A patient's respirations are quick and shallow, with a rate of 40 breaths per minute.

✔ Tachypnea

Patient Ergonomics, Safety, and Transport The requires patients be placed on their back with feet inclined approximately 45 degrees.

✔ Trendelenburg

Patient Education An elderly patient and her son have just learned the patient has dementia. The healthcare facility should provide them with

✔ a DVD video to take home about options for families dealing with dementia

Patient Education A young patient with a fractured leg was just given a cast and an information packet to take home. The information packet should include

✔ a list of ways to care for the cast

Vital Signs A pulse rate of 155 beats per minute is within the normal average rate for

✔ an infant.

Handling Client Information Health information that is easily accessed by those who need it is

✔ available

Vital Signs Assignment Question Wrapping a cuff one inch above the elbow over the brachial artery

✔ blood pressure

Handling Client Information A rule stating that a nurse must achieve a certain level of education and pass a certain test

✔ both legal and professional

Patient Communication- A patient says she is chilly and asks for an extra blanket. You send an e-mail to the laundry service, asking them to send one up.

✔ both verbal and written communication

Patient Ergonomics, Safety, and Transport If patients are on their back, facing up, with knees bent and feet on the table, they are in the position.

✔ dorsal recumbent

Patient Communication- Facilities often have a in charge of public relations efforts.

✔ professional

Handling Client Information Assignment Question A photocopy of a patient's health insurance identification card

PHI

Handling Client Information The acronym HIPAA stands for

✔ Health Insurance Portability and Accountability Act

Patient Care Approaches- Assignment Question A new patient does not speak or understand English well. You offer to call the translation service to help him understand. He declines, indicating that he prefers that his daughter, who has accompanied him, do the translating for him. She is a native English speaker and happens to be a doctor herself, so she understands all the medical terminology. You:

Explain the situation to the daughter, pausing every few minutes for her to explain to the patient. Take out an illustration of the human body to help the patient understand what you are saying. Ask a coworker for help finding a pamphlet for the patient about his illness in his native language.

Patient Care Approaches- A person who translates for healthcare professionals and patients who do not speak the same language is called

an interpreter

Body Mechanics and Ergonomics for Patients When working in a healthcare setting, what types of shoes should be worn for support and comfort, and to prevent slipping?

closed toe shoes shoes with rubber soles

Handling Client Information of information means that personal health information will be kept private and only used by properly authorized people.

✔ Confidentiality

Patient Care Approaches- Assignment Question The main set of behaviors, beliefs, or customs unique to a particular ethnic, racial, religious, or national group that a person belongs to or identifies with is known as his or her

✔ culture

Medical Records Assignment Question Medical records are complex files that need to be filed appropriately. Medical records are filed in all medical offices, and it is important to follow the appropriate procedures.

✔ differently

Patient Ergonomics, Safety, and Transport The position is likely to be used for a pregnant patient who is trying to change the position of a fetus.

✔ knee-chest

Medical Records Assignment Question One major consideration is the issues that impact medical records. Records can be accessed by and only can leave the office.

✔ legal ✔ individual patients ✔ copies

Patient Ergonomics, Safety, and Transport When placed in the, patients are placed on their back with hips and knees flexed and thighs apart.

✔ lithotomy

Body Mechanics and Ergonomics for Patients Assignment Question Sitting for long periods of time is an ergonomic issue that applies primarily to careers.

✔ nonclinical

Handling Client Information A request that a healthcare professional attend an awards dinner for members of his or her professional organization

✔ professional requirement

Patient Care Approaches- Assignment Question Being interested in meeting another's needs:

✔ receptive

Vital Signs Regular and irregular are examples of

✔ rhythm

Vital Signs Where the gauge is when the first sound is heard, while deflating the blood pressure cuff, is the Where the gauge is when the sound disappears is the

✔ systolic measurement. ✔ diastolic measurement

Body Mechanics and Ergonomics for Patients Assignment Question If you hold a weight straight out in front of you, and the force rotates around to your back, this is an example of

✔ torque

Patient Ergonomics, Safety, and Transport Assignment Question Hospitals have that indicate proper ergonomic care for patients.

✔ written policies

Body Mechanics and Ergonomics for Patients Assignment Question Using a computer for extended hours is an ergonomic issue that applies primarily to careers.

✔nonclinical

Patient Communication- Assignment Question You are taking a patient's vital signs as part of the admissions process. According to the patient's chart, no vital signs have been recorded yet on this visit for this man, Mr. Ronald Smith. But the patient insists you are the second person to take these signs, and he is tired of waiting to see the doctor. What might a person with good communication skills say?

"My apologies, Mr. Smith, but your chart is not showing that information. We will get you in to see the doctor just as soon as we make sure this information is complete."

Patient Communication- Assignment Question On your way home from work, you stop off at the store for a few things. In a hurry, you get in the shortest checkout line, but the person ahead of you has too many things, is slow moving, and does not appear to understand the language. You are still in your work clothes, and your facility ID badge is clearly visible to everyone nearby. Select the next step that you think provides the best public relations.

Be patient and wait your turn. Better yet, offer to help bag groceries for the person ahead of you.

Patient Communication- Assignment Question You are helping a patient fill out her admissions forms when you realize she is having a hard time providing the correct answers. It turns out that she is not completely comfortable communicating in English, as it is her second language. You want to use your best communication skills to help the patient, so you

call the hospital's phone line for translation services and get connected with a translator who can help ensure the forms are filled out quickly and correctly.

Patient Education Assignment Question A patient has just been told she has an underactive thyroid gland. The patient asks whether she will need medication to relieve her symptoms, and the doctor says yes and explains how the synthetic thyroid hormone medication works. The doctor then provides the patient with a prescription and a pamphlet detailing symptoms, treatment, and answers to questions patients commonly have.

good listening skills offering written educational materials providing take-home educational materials

Patient Care Approaches- Assignment Question the ability to understand the importance of another person's feelings and needs

✔ empathy

Handling Client Information A suggestion that hospital workers avoid talking about patients in the cafeteria

✔ ethical requirement

Patient Care Approaches- Assignment Question In describing a person as male or female, one is describing that person's

✔ gender

Handling Client Information When health information is recorded and preserved accurately, that information has

✔ integrity

Handling Client Information A state rule saying that patients need to be provided with copies of all important admission documents they have signed

✔ legal requirement

Patient Communication- Public relations is a part of patient care because patients are members of

✔ the public