allied health final

During World War II in the 1940s, employers began to offer their employees health benefits. Why was this?

It was a way to recruit potential employees and retain those already employed

The National Health Expenditures (NHE) percentage of the United States Gross Domestic Product (GDP) has decreased since 1960

false

Medicare because law in 1965. What was the purpose for enacting and passing this legislation?

It provided health care for retirees no longer covered by their employer

This group, also known as the insurer, negotiates and administers insurance

plans

This is the largest health care insurer in the United States

medicare

This is a system used to classify hospital cases into one of 467 groups, intended to identify products that a hospital provides

DRG

Administered by Medicare, this is a 32 question survey designed to measure a patients satisfaction of their hospital stay and experience

HCAHPS

This is a medical code set that is used by a health care profession to report medical, surgical, and diagnostic procedures that they performed

CPT

This is an approach where clinicians and patients make decisions together using the best available evidence

shared decision making

Which of the following is not a part of Medicares model for reimbursing health care facilities for their services

the quantity of the services provided

In what decade did insurance companies (Blue Cross) begin to start?

1920s

Which professional trait can be termed as commitment to advocate for the interests of others over ones own self interests

altruism

When assessing a patient which of the following questioning strategies is the most effective

open ended question

In the APIE model, which of the 4 major components of the patient education process is most likely to be overlooked

assessment

Which of the following are included in the process of communication

Sender, Message, Receiver, Feedback

In the APIE model, which of the following involves the actual process of teaching

Implementation

Which of the following are factors that affect communication

Literacy level, language barriers, lack of readiness for change, interruptions, cultural and spiritual beliefs.

Musculoskeletal Disorders (MSDs)

an injury or disorder of the muscles, nerves, tendons, joints, cartilage, or spinal discs.

Early stage

pain may disappear after a rest away from work

Intermediate Stage

body part aches and feels weak soon after starting work and lasts until well after finishing work

Advanced Stage

body part aches and feels weak even at rest, sleep may be affected, light tasks are difficult on days off

MRSA, VRE, C.diff, Salmonella Group A, Streptococcus

bacteria

Flu, Hep B, HIV

viruses

Giardia, Malaria

parasites

Candida, Aspergillus

fungi

Droplet

Large particles >5 microns
Travel short distances <6-8 feet
Close proximity is necessary

Mask, gown, gloves

Airborne

Small particles
Able to travel long distances via droplets and dust

N95 or PAPR, negative-pressure room

Elements of Standard Precautions

Hand hygiene
Environmental cleaning and disinfection
Soiled resident care equipment and devices
Personal protective equipment (PPE)
Resident placement

Assume that all of the following are infectious

Blood
Body fluids
Secretions
Excretions (except sweat)
Non-intact skin
Mucous membranes

Employers, government; subsidize care, want to lower costs

purchasers

Hospitals, nursing homes, RTs, nurses, etc.; deliver care

providers

Process claims and payments; can accept/reject claims

payers

contact(direct/indirect)

Gloves, gown

chain of infection

• Pathogen (germ)

• Reservoir (where it lives)

• Exit route (how it leaves)

• Transmission (how it spreads)

• Entry route (how it enters a new host)

• Susceptible host (person at risk)

Process of Communication

• Sender/source

• Message

• Encoding

• Channel (medium)

• Decoding

• Receiver

• Feedback

Closed-ended

yes/no answers

apie model

Assessment

Identify learning needs, readiness to learn

Planning

Set goals & objectives tailored to the patient

Implementation

Teach using clear strategies (verbal, visual, demonstration)

Evaluation

Determine if learning occurred; adjust as needed

Transferring Patients

• Assess physical condition.

• Communicate steps clearly.

• Keep feet apart, knees bent.

• Use mechanical aids (gait belt, slide board).

• Never twist—pivot your feet.

• Have enough staff for the patient’s size.

During World War II in the 1940s employers began to offer their employees heal benefits. Which is a reason for doing so?

It was a way to recruit potential employees and retain those already employed

The National Health Expenditure (NHE) percentage of the United States Gross Domestic Product (GDP) has decreased since 1960

False

Medicare became law in 1965. What was the purpose for enacting and passing this legislation?

It provided health care for retirees no longer covered by their employer

This group, also known as the insurer, negotiates and administers insurance

Plans

This is the largest health care insurer in the United States

Medicare

This is a system used to classify hospital cases into one of 467 groups, intended to identify "products" that a hospital provides

Diagnosis Related Group (DRG)

Administered by Medicare, this is a 29 question survey designed to measure a patients satisfaction of their hospital stay(s)/experience(s)

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

This is a medical code set that is used by health care profession to report medical, surgical, and diagnostic procedures that they performed

Common Procedural Terminology (CPT)

This is an approach where clinicians and patients make decisions together using the best available evidence

Shared decision making

Which of the following is NOT part of Medicares model for reimbursing health care facilities for their services?

The quantity of the services provided

In what decade did insurance companies (ie Blue Cross) begin to start?

1920s

Treating patients as individuals considering their lifestyle and beliefs is an example of

Compassion

Examples of this professional trait include honesty, admitting to errors and being confidential

Integrity

Which of the following professional traits can be termed as commitment to advocate for the interests of others over ones own self interests?

Altruism

When assessing a patient which of the following questioning strategies is the most effective?

Open ended questions

In the APIE model which of the 4 major components of the patient education process is most likely to be overlooked?

Assessment

Give one example of a patients education program that was used in the presentation

Smoking cessation

Which of the following learning dimensions includes all intellectual behaviors and requires thinking?

Cognitive

Which of the following are included in the process of communication?

Sender, Message, and Receiver

In the APIE model which of the following involves the actual process of teaching?

Implementation

Which of the following are factors that affect communication?

Literacy Level

Language Barriers

Lack of readiness for change

Interruptions

Cultural and Spiritual Beliefs

HIPAA provides a framework for the establishment of nationwide protection for all of the following except...

Personal finance records

A covered entity is

Any healthcare professional who has direct patient relationships and anyone who is required by law to follow HIPAA rules

A patients medical record may be legally accessed by anyone in the healthcare facility

False

While health care providers must follow HIPAA rules, health insurance companies are NOT responsible for protecting patient information

False

If any direct or indirect patient identifiers are present the information is PHI and subject to HIPPA protection

True

This is a set of moral principles or standards that guide conduct by which human actions may be judged

Ethics

Which of the following is not a barrier to being ethical?

Ease of doing the right thing

This principle of medical ethics refers to the patients independence or liberty

Autonomy

This principle of medical ethics refers to helath care workers acting in the best interests of their parents

Beneficence

This principle of medical ethics refers to fairness with respect to the distribution of medical resources

Justice

The idea of "Do No Harm" can be attributed to whom?

Hypocrites

Which section of the patient chart would contain the patients information pertaining to their smoking history, alcohol use, and exercise regimen?

Social History

Which section of the patient chart would contain information pertaining to the patients parents, siblings, and children?

Family History

Which section of the patients chart would contain information pertaining to the patients subjective feelings concerning their present illness?

Review of Symptoms

Which of the following is responsible for assigning tasks, issuing orders and directing the resuscitative effort during a code?

Code Team Leader

Heart disease, Cancer, COPD, and Alzheimers disease are all examples of

Terminal Disease

An ongoing discussion between the physician, the patient, and the proxy decision maker to plan for future medical care in the event a patient becomes unable to make his or her own decisions about health care is the definition of

Advanced care planning

Patients receiving palliative care are NOT allowed to receive curative and/or therapeutic treatments

False

This type of care is reserved for those patients whose prognosis is less than six months and focuses on alleviating pain

Hospice Care

The United States spends more than any other country in the world on healthcare per capita which has lead to an increase in longevity.

False

In the study dealing with respiratory therapists and end of life discussions presented in the Advanced Care presentation, which of the following statements are true?

-A vast majority of RTs are involved in terminal extubations

-Less than 1/3 of RTs felt they were adequately educated in terminal illness

-Less than 10% of RTs are involved in end of life discussions with patients and their families

-Over half of the RTs surveyed wanted more formal education around terminal patient care.