COPE Health Scholars - Written Exam

Which of the following is true regarding Protected Health Information (PHI)?

Which of the following is true regarding Protected Health Information (PHI)?

All of the above

a. PHI include information about a person's physical health, mental health, provided care and payment for that care
b. Name, DOB, address and other identifying information such as a tattoo
c. PHI is considered confidential under HIPAAd. All of the above

What does HIPAA stand for?

Health Insurance Portability & Accountability Act

When reading a co-worker's Facebook page, you see that they have taken a picture of a patient's unusual injury with their cell phone and posted it online, but the patient's name is not mentioned.

Report the suspected breach to your privacy officer or supervisor.

Define a breach as it relates to HIPAA

A breach is the acquisition, access, use or disclosure of unsecured PHI, in a manner not permitted by HIPAA, which poses a significant risk of financial, reputation or other harm to the affected individual

In the event of a HIPAA breach/violation, where information is negligently/knowingly obtained and disclosed, which of the following could face fines and civil penalties?

All of the above

a. Health Scholars who access or disclose unnecessary medical information
b.Staff who access patient's medical records
c. Hospital or medical group

Describe the steps of inspiration:

Diaphragm contracts and oxygen is inhaled

Where would you normally palpate the pulse on a conscious adult patient for the purpose of measuring his or her heart rate?

Radial Artery

The longest and least accurate method for measuring body temperature is:

Axillary

If a patient's O2 saturation is found to be 98%, then...

98% of the hemoglobin binding sites are occupied

Which statement regarding pain and pain level is true?

Pain is the single most common reason that individuals seek medical attention

Where would you normally palpate the pulse on an unconscious adult patient for the purpose of measuring his or her heart rate?

Carotid Artery

Six hours before your scheduled shift, an emergency arises and you will not be able to perform your weekly participant duties. You must do which of the following?

Call the Charge Nurse of your department and Email your Department Coordinator

If a Scholar's family member is admitted to their program site, which of the following can they do when at the site but not on shift?

Comfort their parent and advocate for them

If a Scholar observes another Scholar taking a selfie with a patient, what should they do?

Remind the Scholar of CHS and site policies, ensure the picture is deleted from all folders in the phone, and then report the situation to the Charge Nurse and Program Manager

Which of the following statements are true about CHS Programs' wireless device policy?

Wireless devices need to be turned off and stored during shift hours (department designated storage location or Scholar's car)

True or False: Scholars are prohibited from reporting to their shift using or under the influence of drugs/alcohol.

True

If a Scholar wants to publish an article, school paper, research poster, etc. with site or program data, what actions must they take?

Request written approval for data/logo use from the PM and the appropriate site department

If an active Scholar plans to accept employment at a CHS Programs site, what should the Scholar do?

Inform their site PM for program success story and inquire about any conflict of interest policies that would prevent continued participation in CHS Programs

If a Scholar receives a suspension email requesting dates/times they are available for a counseling session, how soon does the Scholar need to reply and how soon do they need to attend a counseling session?

48 hours; 2 weeks

If a Scholar's back is hurting the morning they wake up for their shift, so much so that they have difficulty getting out of bed, what should they do?

Cancel their shift by emailing their Department Coordinator, call the unit 15 minutes after the shift start time to inform the unit staff, and attend to back pain with health care professional input

A Scholar developed a close bond with a patient and would like to stay in touch with them post discharge. Which of the following actions can the Scholar take?

Wish the patient well and thank them for choosing the site for their place of care

If a Scholar comes to their shift with every component of their uniform except their uniform polo shirt, what should they do according to the CHS Policies and Procedures?

Go home because you cannot perform your shift without your full uniform

Social determinants of health include all of the following except...

Gender

Healthcare is paid for through taxes, premiums by individuals & employers, and by patients. Two examples of insurance types in healthcare are government and private. Which of the following describes two government programs?

Medicare and Medicaid

Which of the following answers is incorrect regarding the ACA?

Extends coverage on parent health policies until 28

Which of the following is the adequate way to speak to a nonresponsive patient who recently suffered a stroke?

Continually communicate in a normal voice with the patient regardless of their awareness

What is one of the functions of the liver?

Detoxifies drugs

The immune system is the ______ line of defense.

3rd

Which of the following is true about patient positioning?

Fowler's position is 45-60 degrees, semi-fowler's is approximately 30 degrees

You enter a room and find a patient who is sweating and complaining of left arm pain. What do you think is happening to this patient?

They are possibly having a Myocardial Infarction

HPI is an acronym which means:

History of Present Illness

Define Targeted Therapy

Use of agents specific for cancer cells that do not harm normal cells

True or False: Trendelenburg Position is when a patient's head is low and legs are elevated

True

A patient who is experiencing respiratory symptoms requests that his oxygen be turned up. How would you respond?

Inform the patient that you are not authorized to assist with this task and call for their nurse to assist

Which of the following is a common medical procedure in a hospital setting?

All of these

Catheter
IV
Ventilator
Intubation

All transmission-based precautions have the following in common EXCEPT:

Can be eliminated if strict hand washing were enforced at all times

What is the required wet time for TB AND C. diff spores when using the following Dispatch wipes?

TB: 2 minutes; C. diff: 3 minutes

Upon leaving a patient's room where you assisted the patient to the bathroom, you notice you are in a contact isolation room. What should you do?

All of these

Notify the Charge Nurse that you did not wear the appropriate PPE (gloves and gown) while in the room

Notify program Manager

Thoroughly wash hands with soap and water

Examine clothing to ensure there was no contact with the patient's body fluids

You are working with a person that has a language barrier and is trying to tell you something you don't understand. You should NOT:

Walk away

You are working with an older lady that reminds you of your grandmother. It is okay to call her "sweetie pie" because she is sweet.

False

Cultural Awareness is NOT:

Knowing where someone was born

Which of the following situations does not require reporting?

Scholar assists with a C. diff patient while wearing full PPE

Which of the following is NOT an example of harassment?

High five

While assisting to clean a patient with a case of explosive bloody diarrhea, you begin to feel dizzy, light-headed and nauseous. You wake up & find yourself laying down on a gurney in the Emergency Dept. What could you have done to prevent this?

Performed internal checks before going into the room

Which of the following symptoms is a sign that you might faint?

Loss of vision

If a patient is comatose should you ignore them?

Never ignore a patient. Use facial expressions, body language, speak softly with intention to communicate with the patient.

How can a Health Scholar help during the dying process?

All of the answers

Assist the patient care team in preparing the body; assist taking the body to the morgue

Respect the patient's advanced directives

Show compassion to the patient and the family

What is one of the impacts of a health care facility losing their accreditation?

Loss of payments from federally funded Medicare and Medicaid programs

What kind of national patient safety goal would come out of the Quaid sentinel event?

Use of medicines safely goal

Which is NOT an Accrediting Agency?

All of these are accrediting agencies

The Joint Commission

Det Norske Veritas (DNV)

Healthcare Facilities Accreditation Program (HFAP)Healthcare Facilities Accreditation Program (HFAP)

What interventions can be taken with young adults, knowing they are high at risk for increased stress?

Support their feelings and recognize that they may be struggling to balance all of their roles and responsibilities

Which age group is most at risk for trauma due to abuse, asthma, fluid imbalance due to gastroenteritis, and injury related to falls?

Preschool & School Age

Which age group is most at risk for all of the following: substance abuse, depression and suicide, and sexually transmitted diseases?

Adolescents

Which age group is most at risk for decreased skin integrity, aspiration, sleep pattern disturbances, falls, and sensory and perceptual alterations?

Older Adults (Geriatrics)

There are many factors that contribute to emotional tension. In the healthcare setting factors are:

All of these

Anger directed at the hospital or healthcare system

Patients and visitors with fear of the unknown especially related to the patient's condition

Patients in pain

When hiding during an active shooter incident, you should remain in hiding until:

Law enforcement gives the all clear

One of the biggest myths of workplace violence is that an individual "just snapped."

True

What is being displayed by someone in the workplace who blames others, has a short fuse, or is very intolerant to frustration?

Behaviors of concern

The appropriate response to an active shooter incident involves:

All of these

Understanding hospital plans and policies

Discussing the "what if" scenarios with coworkers and leadership

Having a plan

Identifying hiding locations within your work environment

Knowing the behavioral warning signs for escalating violence

A reprimand, termination, financial problems, divorce, or even perceived slights may be examples of:

Trigger

Which of the following is NOT an example of proper fire safety guidelines?

Carts should be in the middle of the hallway

What is the purpose of material safety data sheets (MSDS)?

To list information such as precautions and possible hazards of a chemical.

In what order should you proceed with these steps when responding to a fire? I. Close doors to contain the fire & smoke II. Orient yourself to the location of fire extinguishers & evacuation routes III. Activate the alarm & call the code

II, I, III

What do fire extinguishers do to put out fires?

Eliminate oxygen

How do you properly use a fire extinguisher?

Pull the pin out, Aim the nozzle, Squeeze the handle, Sweep side to side

David needs some bleach to clean up a spill. He finds a bottle of cleaning solution, but there is no label on it. What should he do?

Look for a bottle with a label.

Nurse Betty thanks you for telling her what happened. She calls a code because as she is assessing the patient, his face droops again and he is not moving his right side. Your next action is to...

Wait at the patient's bedside or right outside the door for the team to show up so you can explain what happened to the whole team

As you are walking out of the room, Mr. Jones begins speaking with you again. He says he is sorry he took a little nap while you were talking. He tells you his dogs name is Barney. His speech is clear and he no longer has a facial droop. You should...

Continue to go alert his nurse of what happened

1. You're helping Mr. Jones eat his lunch. and talking about your dogs. Mr. Jones is speaking normally and you ask Mr. Jones what the name of his dog is. He responds but you don't understand what his response is. He also has a facial droop. You should..

Immediately get the nurse

If a person stops breathing what code should you call?

Code Blue

True or False: As a health scholar you are not able to participate in CPR.

False

Which of the following codes is associated with a person who is combative or disruptive?

Gode Gray

What are some pieces of equipment used to help with safe patient handling?

All of these

Slide Sheets
Boards
Mechanical Lifts
Air Mattresses

In 2010 what was the incident rate of MSDs per 10,000 health care workers?

249

When moving a patient you should focus on the strength in your _______ to move the weight?

Legs

How can you describe the path toward violence?

Evolutionary

Of the 11 HCAHPS measures, scholars can directly impact:

Both of these answers

Responsiveness of Hospital Staff: Answering call lights and rounding on patients to anticipate needs

Cleanliness and Quietness: Being vigilant about keeping a patient's room uncluttered and helping control noise levels, especially near patient rooms

Who of the following individuals is NOT a part of the inpatient care team?

Emergency Room Physician, MD

Which of the following careers is NOT a part of the allied health careers?

Licensed Vocational Nurse

What is one similarity between the Medical Doctor (Allopathic Doctor) and Doctor of Osteopathic Medicine programs?

Medical education

True or False: A program participant can perform a task outside of their scope of practice as long as they get direct approval/training from a staff member.

False

A program participant can perform all of the following duties, EXCEPT:

Chart vitals

What is your role as a program participant in the patient care team?

Engage in basic patient care tasks

True or False: Each of your shifts will involve spectacular, once-in-a-lifetime situations.

False

Which of the following historical events led to the expansion of allied health careers?

World War II

What is one similarity between the Nurse Practitioner and Physician Assistant roles?

Function in similar role as primary care MD

What is one similarity between the Nurse Practitioner and Physician Assistant roles?

Function in similar role as primary care MD

When you're repositioning a patient up or down in bed, an effective method to maintain proper body mechanics is to:

Keep your nose between your toes

What is the correct number to dial to report an incident to the program manager via the emergency pager line?

[phone]

You should always keep a _____ center of gravity by flexing the hips and knees instead of bending at the waist: this distributes weight evenly between the upper and lower body and maintains balance.

Low

When you log roll a patient, the side rails that the patient is turning towards should always be _____.

Up

What are two different communication strategies?

non-verbal and verbal

Which of the following is considered an incident and/or injury that needs to be reported?

All of these

You get a paper cut

A patient wants to file a complaint about a nurse

A patient fell while you were ambulating them

Please select the appropriate patient identifiers.

White board in main nurses' station, open ended question, patient identification wristband, ask patient nurse, check the patient chart

Which of the following are examples of HIPAA breaches?

All of these are examples of HIPAA breaches

Discussing private health information in public areas of the hospital, including the lobby of a hospital, an elevator or the cafeteria

All of these are examples of HIPAA breaches

Including a patient's history and treatment plan on social media without name or photo

True or False: Scholars are able to discard PHI, as long as it is disposed of in the appropriate locked bin or shredding box.

False

You should always lift with your _____ never with your _____.

Legs, Back

When performing the swivel technique, one hand should be placed on the ___ and the other should be placed over and behind the ___.

Scapula, Knees

When interacting with patients, you should maintain a ______ boundary.

Professional

A relationship that allows the application of professional knowledge, skills, abilities and experiences towards meeting the needs of the patient is called a(n) ______ relationship.

Therapeutic