Patient Care Midterm

Valencia Barker- First quarter

When verifying a patient, how many identifiers do you need at minimum?

2

What is considered identifiers for patients?

All of the above:
Patient full name
Date of Birth
Medical Record Number

When imaging a patient and after identifying the patient, what do you need to confirm is correct before you start?

The Physician order of the exam

What is the definition of battery?

Occurs when someone inflicts physical harm on another in a medical setting

Performing surgery on the wrong patient and/or wrong part of the body is considered?

Malpractice - because it is a surgeon

What is assault?

Threatening them verbally or pretending to hit them

What is the definition of malpractice?

any act or omission by a physician during treatment of a patient that deviates from accepted norms of practice in the medical community and causes an injury to the patient

an act of charity, mercy, and kindness with a strong connotation of doing good to others including moral obligation

Beneficence

If a technologist touches a patient for positioning without the patients consent , this is considered?

Battery

Any act or omission by a physician during treatment of a patient that deviates from accepted norms of practice in the medical community and causes an injury to the patient is considered

malpractice

Misreading or ignoring laboratory results is considered?

negligence

A nurse demonstrating an ethical principle by holding a dying patients hand is considered

beneficence

Prescribing the wrong medication or giving the patient the wrong dosage is considered?

negligence

What is most commonly used in tort?

respondent superior

the principle that the occurrence of an accident implies negligence ("the thing speaks for itself")

Res Ipsa Loquitur

If a sponge is left inside a patient following surgery, what is this considered?

Res Ipsa Loquitur

An employer or principal legally responsible for the wrongful acts of an employee or agent, is such acts occur within the scope of the employment of agency is considered?

respondent superior

The S-number on an image is considered?

Exposure indicators

A student has the right to manipulate the exposure indicator?

False

The exposure index is a measure of the signal level produced by \______ for given for a given incident exposure transmitted through the patient, is proportional to the signal-to-noise ratio (SNR2)

Digital Detector

What is processing algorithms?

Designed to positively affect imagine quality by manipulating the original signal, so as to adjust the latitude and promote contrast, depending on the anatomic region imaged

what is considered brightness?

overall lightness or darkness of an image

The difference in density or difference in the degree of grayness between areas of the radiographic image is considered?

Contrast

A technologist should crop or mask after post-processing because the technologist did not collimate enough?

False

What is the process of selecting and removing a portion of the image

Cropping

the remove unwanted areas from the final image are considered

masking

there is a difference between masking and cropping

true

Failing to provide proper follow up care is considered

negligence

always repost incidents in which you are injured, even if the injury may seem minor at time?

true

any falls, accidents, or occurrences that result in injury or potential harm must be reported immediately to the departmental supervisor or radiologist or both?

True

an incident or accident report can be on the following

all of the above:
patient
visitor
member of the hospital

What does HIPAA stand for?

Health Insurance Portability and Accountability Act

Who does HIPPA apply to?

Hospitals
Physicians
Insurance companies
Labs
Pharmacies
Surgery Centers

What does HITECH stand for?

Health Information Technology for Economic and Clinical Health Act

When leaving protected information on voicemail, an answering machine, or FAX machine, which apply?

All of the above:
Avoid leaving sensitive information in this manner
Use a cover sheet identifying the proper recipient

Use a cover sheet identifying the proper recipient

If you are asked to send or leave messages, verify with the client or other approved individual that is okay to leave messages

What will happen if the PHI regulations have been violated?

All of the above:
Disciplinary actions by their employer

Employees who knowingly misuse protected health information may be subject to persecution, fines, and or imprisonment for up to 10 years

The healthcare system may face civil or criminal penalties and be substantially fined

As part of my job, I have access to a clients PHI. How do I know which family and friends can be told this information?

A, C, and D:
a - always ask the client who can receive this information
b - assume the patient has record in their file without checking
c - document the client's response in their medical record
d - have a medical release form in their file

Can I look up my own records online?

No! Healthcare employees have to ask another coworker to do it for them and have medical record release on file

HITECH increases the penalties for privacy and security violations?

True

What is an example of PHI?

All of the above:
Name
Email address
Dates
Medical record number

Workforce members have access to their own records?

False

What does NOPP stand for?

Notice of Privacy Practices

What one is considered a privacy right(s)?

All of the above:
breach notification
right to access
confidential communication

In a healthcare setting, Information protection is EVERYONE'S responsibility?

True

When accessing any computer in a healthcare setting always keep passwords, PINs, and access codes private?

True

When accessing any computer in a healthcare setting, never use tools or techniques to break/exploit security measures?

True

Reviewing images that I was involved in two weeks ago is okay to pull up on a healthcare setting computer?

True

Discussing Patient Information in an elevator is a violation of HIPPA?

True

When should you contact your facility privacy official?

Potential patient privacy issue

When accessing any computer in a healthcare setting, make sure to use a device with virus protection software?

True

When accessing any computer in a healthcare setting, you should always log out of the system?

True

While accessing your work email on a household computer and you see the email has several misspelled words, you should open it immediately.

False

How many years in prison would you serve for obtaining or disclosing PHI with intent to sell, transfer or use it for commercial advantage, personal gain, or malicious harm?

!0 years

Its okay to disclose any confidential patient information with anyone who does not need to know it?

False

Workforce members may be sanctioned for privacy and security violations of PHI?

true

You can copy, store, or take home confidential information on paper, mobile devices, portable devices, or removable media at any time?

False

When creating a password while accessing any computer in a healthcare setting, you should never use?

Your birthday or names of kids, pets, or family members

If you have any questions regarding HIPPA, who would you contact for a copy of your facilities policy?

FPO

You can be fined how much for obtaining PHI under "False pretenses"

1,000-50,000

Posting patient information on social media is a HIPPA Violation

True

I can look up patient information at any time, no matter if I was involved in their case or not?

False

A slider board or sliding mat can be used to:

Facilitate a stretcher transfer

When a patient arrives by wheelchair and cannot stand to get onto the x-ray table, which of the following methods is the most appropriate?

Hydraulic lift

Patients who have not stood or walked since an accident, surgery, stroke, or heart attack should be transported by:

Stretcher

{{{When assisting a patient to sit from a supine position, or to lie down from a sitting position, you should place your arms under the shoulders and:}}}

Knees

Infants and toddlers are usually transported in:

Cribs

A feeling of faintness or light-headedness that occurs with changes in body positions after long periods of rest is termed:

Orthostatic hypotension

When an ambulatory patient has a week leg as a result of a stroke or other conditions, it is helpful to:

Position yourself on the patient's weak side

Patients who have undergone which of the following procedures must not flex at the hips more than 90 degrees:

Hip replacement via the anterior approach

What is NOT true about stroke patients when transferring them?

Let the patient move themselves

True or False: Always remember to use a broad base of support and keep your back straight?

True

Which of the following items is NOT useful for facilitating a stretcher transfer?

Transfer belt

When transferring a patient who is unable to assist with transfer from a stretcher, you should position the patients arms:

Across the chest

True or False: When using the air-assisted transfer device, deflate the air mattress once the transfer is complete?

True

True or False: another name for a stretcher is a cart or gurney?

True

Which method is NOT involved in the use of a stretcher transfer?

Patient gown

True or false: side rails mist also be in the elevated positions when patient is left unattended on the stretcher?

True

True or False: Gait belt should be used when assisting patients who are weak or unsteady?

True

Part of your initial assessment of a patients status should include assessment of body temperature by:

Evaluating skin temperature by touch

110/78 mm Hg is a typical measurement of which of the following vital signs?

Blood pressure

A serum Bilirubin test is used to measure:

Conjugated hemoglobin content in blood

When a patient's appearance takes on a bluish color, especially in the nail beds and mucous membranes of the mouth, the patient is described as:

Cyanotic

When a heart is measured by placing a stethoscope on the chest directly over the heart, this is called an:

Apical pulse

The term tachycardia refers to:

rapid heart rate

Which of the following instruments is used to monitor both the pulse and the oxygen saturation of the blood?

Pulse oximeter

True or False: It is always good patient care to offer your patient a blanket?

True

What is the normal range of body temperature when taking it orally?

96.8F- 99.8F

What does the AIDET stand for:

Acknowledge
Introduce
Duration
Explain
Thank

What is the color for a fall risk patient?

Yellow

Fewer than 12 breaths per minute is considered?

Bradypnea

What is considered high blood pressure? (name not range)

Hypertension

What is a normal range for blood oxygen level?

95-100%

True or False: A temperature of 100.4 or above is considered a fever?

True

which of the following is considered part of the four vital signs?

All of the above...
Pulse rate
Measurement of Temp
Blood pressure
Respiratory rate

The top figure is the \______________________ and pressure and is measuring the pumping action of the heart muscle itself.

Systolic

What are the reasons to place a chest tube?

All of the above...
Pneumothorax
Hemothorax
Plural Effusion
Empyema

Where is the location of the ICP Tube on the patient?

Normally Right lateral ventricle

What are the different types of Catheters that catch urine?

All of the above...
Condom Catheters
Suprapubic Catheters
Urinary Catheters

True or False: Suprapubic catheters are inserted through the abdomen

True

True or False: The tip of the Dobhoff tube can be placed either in the stomach or in the second or third portion of the duodenum to achieve post-pyloric feeding?

True