Deck 5: Communicating With the Health Team

Question 1

Which is required by OBRA for nursing center residents?

A) The Kardex
B) The Minimum Data Set (MDS)
C) Daily charting on the progress notes
D) E-mail and electronic messages

Answer 1

The Minimum Data Set (MDS)

Question 2

Which is a symptom?

A) Noisy respirations
B) Pulse rate of 78
C) Cough
D) Nausea

Answer 2

Nausea

Question 3

Which statement about medical records is incorrect?

A) Each page has the person's identifying information.
B) They are legal documents.
C) They are used to communicate information about a person.
D) All agency staff can access them.

Answer 3

All agency staff can access them.

Question 4

Agencies have policies about medical records. Policies address the following except

A) Medical terms
B) Abbreviations
C) Signing entries
D) Correcting errors

Question 5

Collecting information about a person is

A) Assessment
B) Gossip
C) Implementation
D) Evaluation

Question 6

The method nurses use to plan and deliver nursing care is the

A) Nursing process
B) Nursing care plan
C) Nursing diagnosis
D) Nursing intervention

Question 7

Which has the same meaning for everyone?

A) Hot
B) Warm
C) Elevated temperature
D) Temperature of 99 $\degree$ F

Question 8

You are working in a nursing center. Where would you record information about the person's weight, vital signs, and elimination?

A) The admission sheet
B) The progress notes
C) Flow sheets and graphic sheets
D) The Kardex

Question 9

Which does not promote communication?

A) Being brief and concise
B) Giving information in the order the events occurred
C) Presenting facts
D) Talking about two subjects at once

Question 10

This section has the person's identifying information. It is used to complete forms that require the same information.

A) The admission information
B) The progress notes
C) The activities of daily living flow sheet
D) The Kardex

Question 11

Which is a sign?

A) Dizziness
B) Nausea
C) Urine color yellow
D) Headache

Question 12

Which of the following is a type of card file?

A) The admission sheet
B) The progress notes
C) The activities of daily living flow sheet
D) The Kardex

Question 13

Communication is

A) The verbal account of care and observations
B) The written account of care and observations
C) The exchange of information
D) The medical record

Question 14

Symptoms are

A) Objective data
B) Subjective data
C) Seen, felt, touched, or heard
D) Observed

Question 15

Which is the first step of the nursing process?

A) Nursing diagnosis
B) Planning
C) Assessment
D) Evaluation

Question 16

An action is taken by the nursing team. Care is given in this step. This action is

A) A nursing diagnosis
B) A nursing intervention
C) An evaluation
D) The nursing process

Question 17

The health team exchanges information. They send and receive messages. This is

A) Gossip
B) Communication
C) Reporting
D) Resolving conflict

Question 18

You use your senses to

A) Collect information about the person
B) Record
C) Report
D) Determine the symptoms a client is having

Question 19

Information that you can see, hear, feel, or smell is

A) Assessment
B) Observation
C) Objective data
D) Subjective data

Question 20

You work on the east wing at Sugar Creek Nursing Center. Your aunt is a resident on the west wing. Which is correct?

A) You can read her medical record.
B) You can visit her during break times.
C) You can discuss her condition with staff that cares for her.
D) You can ask the RN to report changes in your aunt's condition to you.

Question 21

You are reporting to the nurse. You should do the following except

A) Be prompt, thorough, and accurate
B) Give the person's name and room and bed number
C) Report what co-workers did
D) Use your notes

Question 22

Which statement is correct?

A) Nursing assistants do not have a role in the nursing process.
B) Nursing process steps can be done in any order.
C) The nursing process is the same as the care planning process.
D) The nursing process deals with the person's nursing needs.

Question 23

OBRA requires

A) A nursing care plan
B) A patient care plan
C) A comprehensive care plan
D) An agency care plan

Question 24

The nurse communicates delegated tasks to you by using

A) The nursing process
B) An assignment sheet
C) The Minimum Data Set (MDS)
D) Resident Assessment Protocols (RAPs)

Question 25

Which statement about electronic charting is incorrect?

A) Log in using a co-worker's password.
B) Check the time your entry was made.
C) Check for accuracy.
D) Save your entry.

Question 26

The standard clock time is 7:29 PM. In 24-hour clock time this is

A) 7:29 PM
B) 729
C) 0729
D) 1929

Question 27

When recording, you should do the following except

A) Write neatly
B) Use correct spelling, grammar, and punctuation
C) Skip lines
D) Record only what you did yourself

Question 28

The RN uses assessment information to

A) Make medical diagnoses
B) Make nursing diagnoses
C) Change the care plan
D) Implement the care plan

Question 29

The nursing process is on-going. However, the steps (assessment, nursing diagnosis, planning, implementation, and evaluation) stay the same.

Question 30

The nursing care plan contains the following except

A) The doctor's orders
B) Nursing diagnoses
C) Goals for care
D) Measures for each goal

Question 31

Which statement about charting is incorrect?

A) You can chart a procedure before completing it.
B) You should use the person's exact words whenever possible.
C) You need to avoid terms with more than one meaning.
D) You need to record facts.

Question 32

The standard clock time is 11:42 AM. In 24-hour clock time this is

A) 11:42
B) 1142
C) 2342
D) 11:42 AM

Question 33

When should you report changes in the person's condition?

A) At once
B) At the end of your shift
C) Before you take your lunch break
D) During the end-of-shift report

Question 34

Care is given during the

A) Assessment step of the nursing process
B) Planning step of the nursing process
C) Implementation step of the nursing process
D) Evaluation step of the nursing process

Question 35

Which statement about the nursing process is correct?

A) The process is on-going.
B) The steps can be completed in any order.
C) It requires a doctor's order.
D) You are responsible for it.

Question 36

The agency allows you to record on charts. Which is incorrect?

A) Ink is used, not pencil.
B) Only agency-approved abbreviations are used.
C) Errors are erased.
D) All entries are signed with your name and title.

Question 37

The planning step of the nursing process involves the following except

A) Making nursing diagnoses
B) Setting priorities
C) Setting goals
D) Identifying nursing interventions

Question 38

Which step in the nursing process involves measuring if the goals set in the planning step were met?

A) Assessment
B) Planning
C) Implementation
D) Evaluation

Question 39

You are charting changes in the person's condition. You also need to chart the following except

A) That you informed the nurse of the changes
B) What you told the nurse about the changes
C) The time you reported the changes to the nurse
D) When you called the doctor about the changes

Question 40

Anyone who reads your charting should know the following except

A) What you observed
B) What your co-workers did
C) What you did
D) The person's response

Question 41

You have access to the agency's computer system. Which is correct?

A) You can open another person's e-mail.
B) You can use the computer to send personal e-mail.
C) You can use the computer to send confidential information to the nurse.
D) You can log off after making an entry.

Question 42

Which term means located at or toward the front of the body or body part?

A) Anterior
B) Distal
C) Medial
D) Posterior

Question 43

Which statement about computer use in health care agencies is correct?

A) You should use the computer to send information that requires immediate reporting.
B) You should use the computer to send jokes and other entertaining material.
C) You should enter information carefully and review your entry before saving.
D) You should use the computer to post your opinions and messages on the Internet.

Question 44

Cyan(o) means

A) Heart
B) Skin
C) Sugar
D) Blue

Question 45

Dys means

A) Without, not, lack of
B) Slow
C) Bad, difficult, abnormal
D) Inner, inside

Question 46

Gluc(o) means

A) Intestine
B) Water
C) Sweetness
D) Stone

Question 47

Oste(o) means

A) Spinal cord
B) Joint
C) Bone
D) Nerve

Question 48

The suffix -algia means

A) Condition
B) Pain
C) Enlargement
D) Disease

Question 49

The suffix -stomy means

A) Removal of
B) Cutting into
C) Stomach
D) Creation of an opening

Question 50

Olig means

A) Half
B) Without, not, lack of
C) Small, scant
D) Many, much

Question 51

You should answer a phone by the

A) Second ring
B) Fourth ring
C) Sixth ring
D) Eighth ring

Question 52

A suffix is

A) Placed at the beginning of a word
B) The main part of the word
C) Placed after a root
D) A shortened form of a word or phrase

Question 53

Stomat(o) means

A) Stomach
B) Mouth
C) Opening
D) Narrow, constriction

Question 54

Tachy means

A) Bad, difficult, abnormal
B) Normal, good, well, healthy
C) Slow
D) Fast

Question 55

The abbreviation ADL means

A) Abdomen
B) Before meals
C) Activities of daily living
D) As desired

Question 56

The suffix -phagia means

A) The study of
B) Destruction of
C) Disease
D) Swallowing

Question 57

Derma means

A) Water
B) Stone
C) Tongue
D) Skin

Question 58

The suffix -plegia means

A) Paralysis
B) Swallowing
C) Speaking
D) Sagging

Question 59

Arth(o) means

A) Rib
B) Joint
C) Bone
D) Head

Question 60

Vas(o) means

A) Artery
B) Vein
C) Blood vessel
D) Dilate

Question 61

To resolve a conflict with a co-worker, you should

A) Discuss the problem in front of a witness
B) Focus on facts and specific behaviors
C) Ask your supervisor to talk to the person
D) Give the problem time to go away

Question 62

The first step in problem solving is to

A) Define the problem
B) Collect information
C) Identify possible solutions
D) Ask your supervisor for time to talk

Question 63

Before putting a caller "on hold" you should

A) Find out if the call is about an emergency
B) Thank the person for calling
C) Take a message
D) Ask how long the caller can wait

Question 64

After taking a message, you should

A) Repeat the message and phone number back to the caller
B) Put the caller "on hold"
C) Transfer the caller
D) Lay the phone down