1.
Child abuse or neglect is reportable because:
Correct Answer
C. A child is vulnerable and can't leave the situation
Explanation
Child abuse or neglect is reportable because a child is vulnerable and unable to leave the situation. This means that they are dependent on adults for their safety and well-being. Reporting such cases is necessary to ensure the protection of the child and to provide them with the necessary support and intervention to address the abuse or neglect they may be experiencing.
2.
Why is spousal abuse not a legally reportable offense?
Correct Answer
B. A spouse who is not otherwise incapacitated is able to leave the situation
Explanation
Spousal abuse is not a legally reportable offense because a spouse who is not otherwise incapacitated is able to leave the situation. This suggests that if a spouse is able to physically and mentally leave the abusive situation, they have the agency to report the abuse themselves if they choose to do so. It implies that the responsibility lies with the victim to take action rather than relying solely on legal intervention.
3.
Can a patient refuse care?
Correct Answer
A. Yes
Explanation
Yes, a patient has the right to refuse care. This is based on the principle of patient autonomy, which recognizes that individuals have the right to make decisions about their own medical treatment. Informed consent is an important aspect of healthcare, and patients have the right to accept or decline any recommended treatment or procedure. However, there may be certain situations where a patient's refusal of care could have serious consequences for their health, in which case healthcare professionals may need to intervene and provide necessary care.
4.
When do advance directives go into effect?
Correct Answer
C. When the patient can no longer make their own health care decisions
Explanation
Advance directives, such as living wills or durable power of attorney for healthcare, go into effect when the patient becomes unable to make their own healthcare decisions. These legal documents allow individuals to express their wishes regarding medical treatment and appoint someone to make decisions on their behalf if they are incapacitated. Until the patient is unable to make their own decisions, their preferences can be communicated directly to healthcare providers. Once they are no longer able to do so, the advance directives become effective and guide medical decisions.
5.
Since toddlers have limited communication skills, it is not necessary to introduce yourself to them.
Correct Answer
B. False
Explanation
Toddlers may have limited communication skills, but it is still important to introduce oneself to them. Introducing oneself helps to establish a connection and build trust with the toddler. It also teaches them social skills and helps them understand the concept of meeting new people. Therefore, it is necessary to introduce oneself to toddlers, even if they have limited communication skills.
6.
Adolescents need approval, appreciation, and privacy.
Correct Answer
A. True
7.
Because elders fear loneliness, they usually enjoy depending on others for assistance.
Correct Answer
B. False
Explanation
Elders may fear loneliness, but it does not necessarily mean that they enjoy depending on others for assistance. Some elders may prefer to be independent and not rely on others for help. Therefore, the statement is false.
8.
Once you hurt your back, your chances of hurting it again are:
Correct Answer
A. Higher
Explanation
Once you hurt your back, the muscles and tissues in that area may weaken or become more susceptible to injury. This can increase the likelihood of hurting your back again in the future. Additionally, if the initial injury was due to poor posture or improper lifting techniques, not correcting these habits can also increase the chances of re-injury. Therefore, the correct answer is "Higher."
9.
One way of preventing back strain is to avoid storing heavy objects above shoulder height.
Correct Answer
A. True
Explanation
Storing heavy objects above shoulder height can increase the risk of back strain because it puts additional strain on the muscles and joints of the upper body. Lifting heavy objects from a high position can also make it more difficult to maintain proper lifting technique, further increasing the risk of injury. By avoiding storing heavy objects above shoulder height, individuals can help reduce the strain on their back and minimize the risk of injury.
10.
The first step in the care planning process is:
Correct Answer
B. Comprehensive assessment
Explanation
The first step in the care planning process is a comprehensive assessment. This involves gathering all relevant information about the patient's physical, emotional, and social well-being. It includes collecting data through interviews, physical examinations, and reviewing medical records. This assessment helps healthcare professionals understand the patient's current health status, identify any potential risks or problems, and develop an individualized care plan that addresses the patient's specific needs and goals.
11.
The patient and family ______________ be included in developing the plan of care and treatment goals.
Correct Answer
A. Should
12.
A complaint is a verbal issue or concern about patient care or access to care issues.
Correct Answer
A. True
13.
A grievance can be written or verbal.
Correct Answer
A. True
14.
If you have any concerns about the quality of care or safety of your patients, who should you report it to?
Correct Answer
A. Report immediately to the charge nurse or supervisor
15.
If you observe a caregiver asking a patient for money for gas, what should you do?
Correct Answer
A. Report it to the supervisor immediately
16.
If you do not agree with a patient's belief and know that it might harm them, what should you do?
Correct Answer
A. Respect their beliefs
17.
The nutritionist should include the patient's family when teaching a patient about dietary restrictions to gain information bout the patient's culture and food preference.
Correct Answer
A. True
18.
Medical Equipment must be inspected every five years.
Correct Answer
B. False
19.
A disaster code is called when there is:
Correct Answer
D. All of the above
20.
All healthcare facilities use the same names for all emergency codes.
Correct Answer
B. False
21.
All healthcare facilities use the same names for all emergency codes.
Correct Answer
B. False
22.
Ethics are based on personal values and beliefs that guide the decision-making process.
Correct Answer
A. True
23.
Whose responsibility is it to ensure the safety of patients?
Correct Answer
D. Everyone working on the unit
24.
Side effects of some medications can increase a patient's risk for a fall.
Correct Answer
A. True
25.
Side effects of some medications can increase a patient's risk for a fall.
Correct Answer
A. True
26.
You may use and dispense patient information to anyone that calls and inquires about the patient's condition.
Correct Answer
B. False
27.
Control of infection involves breaking the chain of infection. What 3 links in the infection chain must be present in
order for an infection to occur?
Correct Answer
D. Infectious agent, means of transmission, susceptible host
Explanation
An infection can only occur when there is an infectious agent present, such as a bacteria or virus, that can cause harm to the body. The means of transmission, which can include direct contact, airborne particles, or contaminated objects, is necessary for the infectious agent to be able to reach and enter a susceptible host. The susceptible host is an individual who is not immune or resistant to the infectious agent and can become infected. Therefore, all three links in the infection chain - infectious agent, means of transmission, and susceptible host - must be present for an infection to occur.
28.
If a patient has C. Diff, the best source to wash your hands with is:
Correct Answer
B. Soap and Water
Explanation
Soap and water is the best source to wash hands with when a patient has C. Diff. This is because alcohol-based soap is not effective against C. Diff spores, while soap and water can physically remove the spores from the hands. Additionally, soap and water is more thorough in removing other pathogens and dirt from the hands, providing better overall hand hygiene.
29.
You should always treat all body fluids as if they are infectious and avoid direct skin contact with them.
Correct Answer
A. True
Explanation
The statement is true because treating all body fluids as if they are infectious is a precautionary measure to prevent the spread of diseases. It is important to avoid direct skin contact with body fluids because they can contain pathogens such as bacteria, viruses, or other harmful microorganisms that can cause infections. By treating all body fluids as if they are infectious, individuals can protect themselves and others from potential health risks.
30.
Experts insist that the all-time #1 method for preventing the spread of infection is:
Correct Answer
D. Proper hand hygiene
31.
Why are healthcare workers at higher risk for developing latex allergy?
Correct Answer
A. Higher exposure to latex due to glove usage
32.
The development of dry, itchy, irritated areas on your hands is usually a sign of:
Correct Answer
B. Contact Dermitis
33.
Standards of Care are established by:
Correct Answer
D. All of the above
34.
An example of negligence is:
Correct Answer
A. Leaving a patient on a bed pan for an extended period of time
35.
You should never work around electrical appliances when your surroundings are wet.
Correct Answer
A. True
36.
Wet floors can cause slips and falls.
Correct Answer
A. True
37.
A patient's right to treatment or services includes the right to:
Correct Answer
B. Be transferred to another organization if the treating facility cannot provide care the patient needs/requests
38.
Which of the following activities would NOT maintain the patient's dignity?
Correct Answer
B. Exposing part of the patient's body during transfer
39.
The purpose of the patient safety plan is to:
Correct Answer
A. Improve patient safety and reduce risk
40.
Employees are asked to serve on QI teams because:
Correct Answer
D. All of the above
Explanation
Employees are asked to serve on QI teams because they know the systems best, it is important for them to be involved in the solution, and it helps maintain interest and pride in their work. By involving employees in the QI teams, their expertise and knowledge of the systems can be utilized effectively in finding solutions. Additionally, being involved in the solution-making process gives employees a sense of ownership and responsibility, which can increase their motivation and commitment towards their work. Furthermore, being part of QI teams helps employees stay engaged and interested in their work, fostering a sense of pride in their contributions.
41.
Data used to assess the quality of patient care includes:
Correct Answer
D. All of the above
Explanation
The correct answer is "All of the above" because data used to assess the quality of patient care includes medication error rates, patient satisfaction surveys, and nosocomial infection rates. These three factors are commonly used to measure the effectiveness of patient care and identify areas for improvement. Medication error rates indicate the safety of medication administration, patient satisfaction surveys provide insights into the patient experience, and nosocomial infection rates reflect the effectiveness of infection control measures. By considering all of these factors, healthcare providers can gain a comprehensive understanding of the quality of care being provided.
42.
Restraints should be the first intervention when caring for a patient that is at risk for falling out of bed.
Correct Answer
B. False
Explanation
Restraints should not be the first intervention when caring for a patient at risk for falling out of bed. Restraints should only be used as a last resort when all other interventions have been unsuccessful in preventing falls. Restraints can be physically and psychologically harmful to patients and should only be used when absolutely necessary and in accordance with legal and ethical guidelines.
43.
Side rails can be considered a form of restraint.
Correct Answer
A. True
Explanation
Side rails can be considered a form of restraint because they are used to prevent a person from falling out of a bed or chair. They act as a physical barrier, restricting the person's movement and freedom. While side rails are intended to provide safety and support, they can also limit a person's ability to move independently, thereby acting as a form of restraint.
44.
Incident reports should not be placed in the patient's medical record.
Correct Answer
A. True
Explanation
Incident reports are separate documents that are used to document any unexpected or adverse events that occur during a patient's care. These reports are typically used for internal purposes, such as quality improvement and risk management, and are not meant to be included in the patient's medical record. Keeping incident reports separate from the medical record helps to ensure that the information remains confidential and is only accessed by authorized personnel.
45.
Sexual Harassment occurs when:
Correct Answer
B. The conduct is unwelcomed
46.
You do not have to be the one being harassed to be a victim of sexual harassment.
Correct Answer
A. True
47.
If you encounter an extremely agitated, disruptive individual and feel the situation will push you beyond your capability or intervention, you should:
Correct Answer
D. Follow your institution's policy
48.
Which behaviors are indicative of a patient becoming aggressive?
Correct Answer
D. All of the above
49.
The single most reliable indicator of pain is:
Correct Answer
A. Patient self-report
50.
Your patient is elderly and does not understand the numerical pain scale. What would you choose as an alternative?
Correct Answer
B. The Wong-Baker faces pain scale