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From the Status Board, what button from the right side menu do you click on to start documenting the cares you provided to your patients?
A.
Interventions
B.
Outcomes
C.
Process Plan
D.
Notes
Correct Answer
A. Interventions
Explanation To start documenting the cares provided to patients, you would click on the "Interventions" button from the right side menu on the Status Board. This button is most likely specifically designed for documenting the specific interventions or treatments given to patients, allowing for easy and organized documentation of the care provided.
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2.
How do you exit PCS?
A.
By clicking on the black X in the upper right hand corner
B.
By clicking on the Exit PCS button
C.
By restarting the computer
D.
Both A and B
Correct Answer
D. Both A and B
Explanation Both A and B are correct answers because there are two ways to exit PCS. The first way is by clicking on the black X in the upper right-hand corner of the screen. The second way is by clicking on the Exit PCS button. Both methods will successfully exit PCS.
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3.
When you get a new admission, what is the first thing you must do in order to be able to document in PCS?
A.
Add a Standard of Care (SOC) to the patient
B.
Add a Care Plan to the patient
C.
Remove the patient from your status board
D.
None of the above
Correct Answer
A. Add a Standard of Care (SOC) to the patient
Explanation In order to be able to document in PCS, the first thing you must do when you get a new admission is to add a Standard of Care (SOC) to the patient. This is important as the SOC provides a framework for documenting the patient's care and treatment. It helps ensure that all necessary information is captured and documented accurately, allowing for effective communication and continuity of care among healthcare professionals. By adding the SOC, you can begin documenting the patient's progress and any interventions or treatments provided.
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4.
Which button will allow you to enter a Standard of Care or add more interventions for you to document on for your patient?
A.
Document
B.
Edit Status
C.
Select Status
D.
Add Intervention
Correct Answer
D. Add Intervention
Explanation The button "Add Intervention" will allow you to enter a Standard of Care or add more interventions for you to document on for your patient. This button provides the option to include additional interventions or treatments that are necessary for the patient's care and can be documented for future reference.
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5.
The color purple in Meditech typically means:
A.
You have duplicate items on your intervention worklist
B.
You need to save your documentation
C.
Nothing, this in the normal background color
D.
That you need to add a care plan for the patient
Correct Answer
B. You need to save your documentation
Explanation The color purple in Meditech typically means that you need to save your documentation. This color is used as a visual indicator to remind users to save their work before proceeding. It serves as a prompt to ensure that important information is not lost and that the documentation is properly saved in the system.
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6.
When you completely finished documenting on an intervention and will never need to use the intervention again, what should you do?
A.
Nothing
B.
Change the status of the intervention to complete
C.
Add a new Standard of Care to the patient
D.
Remove the patient from your status board
Correct Answer
B. Change the status of the intervention to complete
Explanation When you have finished documenting on an intervention and will never need to use it again, it is important to change the status of the intervention to complete. This helps to keep the record of the intervention up to date and accurately reflects that it has been completed. By changing the status to complete, it ensures that the intervention is properly documented and closed out in the system.
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7.
What is the Associated Data column used for?
A.
Showing protocols that you need to document an intervention
B.
Editing your documentation
C.
Pulling data from the EMR/Open Chart so you can see what was last documented on the patient
D.
Tells you the next scheduled time an intervention is due to be documented on
Correct Answer
C. Pulling data from the EMR/Open Chart so you can see what was last documented on the patient
Explanation The Associated Data column is used for pulling data from the EMR/Open Chart so you can see what was last documented on the patient. This allows healthcare professionals to easily access and review the patient's previous medical records and documentation. It provides a convenient way to track the patient's medical history and ensure continuity of care.
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8.
What are the two sets of documents that need to be completed within 24-hours of the patient admission?
A.
The Past Medical History and the Admission Database
B.
The Personal Hygiene Assessment and the Admission Database
C.
The General Education Record and the Past Medical History
D.
None of the above
Correct Answer
A. The Past Medical History and the Admission Database
Explanation The correct answer is The Past Medical History and the Admission Database. These two sets of documents are important for the patient's admission process and need to be completed within 24 hours. The Past Medical History provides information about the patient's medical background, previous illnesses, surgeries, and medications. The Admission Database includes details about the patient's current condition, vital signs, initial assessment, and any immediate interventions required. Both sets of documents are crucial for the healthcare team to have a comprehensive understanding of the patient's medical history and current status.
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9.
When you are documenting a group assessment (ex: Past Medical History or System Flowsheet), which button do you use to navigate to the next piece of the assessment while you are documenting?
A.
The Document button
B.
The Select Status button
C.
The File button
D.
The Go To button
Correct Answer
D. The Go To button
Explanation The Go To button is used to navigate to the next piece of the assessment while documenting a group assessment such as Past Medical History or System Flowsheet. This button allows the user to easily move to the next section without having to manually search for it. It provides a convenient and efficient way to navigate through the assessment and ensure that all necessary information is documented accurately.
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10.
What is something called that can be documented in more than one location (ex: pulse, BP, wounds)?
A.
An episode
B.
An occurrence
C.
A problem
D.
An issue
Correct Answer
B. An occurrence
Explanation An occurrence is something that happens or takes place. In this context, it refers to something that can be documented in more than one location, such as pulse, blood pressure, and wounds. These are events or incidents that can be recorded or documented at different locations or instances.
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11.
When you are finished documenting an Intervention, what button do you click to save your documentation?
A.
Edit
B.
Return
C.
Document
D.
Save
Correct Answer
D. Save
Explanation After completing the documentation of an intervention, the appropriate button to click in order to save the documentation is "Save". This button will ensure that all the entered information is stored and saved for future reference or review. Clicking on the "Save" button will prevent any loss of data and ensure that the documentation is successfully saved in the system.
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12.
What kinds of medications are documented as part of the Home Medications in the past Medical History?
A.
Herbal
B.
Over the counter medications
C.
Prescription drugs
D.
All of the above
Correct Answer
D. All of the above
Explanation The Home Medications section of the past Medical History documents all kinds of medications, including herbal remedies, over the counter medications, and prescription drugs. This section aims to provide a comprehensive record of the patient's medication history, allowing healthcare professionals to have a complete understanding of the medications the patient has been taking.
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13.
What information must you record with your Home Medication Documentation?
A.
Name of drug, dosage, frequency, reason, and last taken date/time
B.
Name of drug, dosage, and frequency
C.
Name of drug, how long patient has been taking drug, side effects of medication
D.
Patient name, name of drug, reason for taking drug
Correct Answer
A. Name of drug, dosage, frequency, reason, and last taken date/time
Explanation The correct answer is to record the name of the drug, dosage, frequency, reason, and last taken date/time. This information is important for proper medication management and tracking. Knowing the name of the drug ensures that the correct medication is being administered. Dosage and frequency help in determining the appropriate amount and timing of the medication. The reason for taking the drug provides insight into the patient's medical condition and treatment plan. Lastly, recording the last taken date/time helps in monitoring adherence to the medication regimen and avoiding potential drug interactions.
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14.
What are you required to do based on hospital policy if your patient has smoked in the past 12-months?
A.
Offer them a cigarette break Q4
B.
Inform the charge nurse
C.
Confiscate their cigarettes
D.
Provide smoking cessation information to the patient and document it approprioately; ask if they are interested in nicotine replacement therapy while they are in the hospital
Correct Answer
D. Provide smoking cessation information to the patient and document it approprioately; ask if they are interested in nicotine replacement therapy while they are in the hospital
Explanation Based on hospital policy, if a patient has smoked in the past 12 months, the appropriate action is to provide smoking cessation information to the patient and document it appropriately. Additionally, it is also recommended to ask if the patient is interested in nicotine replacement therapy while they are in the hospital. This approach aligns with the goal of promoting the patient's health and well-being by offering support and resources to quit smoking.
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15.
On your intervention worklist, any column with a _____________ background can be changed or updated directly by clicking on the screen.
A.
Pink
B.
Green
C.
Gray
D.
Blue
Correct Answer
C. Gray
Explanation On the intervention worklist, any column with a gray background can be changed or updated directly by clicking on the screen.
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