Deck 4: 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

You use your senses to

A) Collect information about the person
B) Record
C) Report
D) See, feel, hear, or touch symptoms

Answer 2

Collect information about the person

Question 3

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

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

Answer 3

Activities of daily living flow sheet

Question 4

Which has the same meaning for everyone?

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

Question 5

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

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

Question 6

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 7

Which is a sign?

A) Dizziness
B) Nausea
C) Fever
D) Headache

Question 8

A measure is taken by the nursing team. It helps a person reach a goal. The measure is

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

Question 9

Symptoms are

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

Question 10

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 11

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

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

Question 12

Which is the first step of the nursing process?

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

Question 13

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 14

Collecting information about a person is

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

Question 15

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

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

Question 16

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 17

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

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

Question 18

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 19

Which is a symptom?

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

Question 20

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.

Question 21

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 22

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 23

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

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

Question 27

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 28

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 29

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 30

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 31

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

Question 32

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 33

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 34

OBRA requires

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

Question 35

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 36

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 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

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 39

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 40

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 41

The abbreviation NPO means

A) Negative
B) No person allowed
C) Nothing by mouth
D) Night privacy allowed

Question 42

The suffix -phagia means

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

Question 43

The suffix -plegia means

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

Question 44

Dys means

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

Question 45

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

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

Question 46

Arthr(o) means

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

Question 47

Olig means

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

Question 48

Tachy means

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

Question 49

The suffix -algia means

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

Question 50

The abbreviation ADL means

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

Question 51

Gluc(o) means

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

Question 52

The suffix -stomy means

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

Question 53

How would you abbreviate height?

A) h
B) H
C) ht
D) Hgt

Question 54

Stomat(o) means

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

Question 55

Vas(o) means

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

Question 56

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 57

Cyan(o) means

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

Question 58

Oste(o) means

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

Question 59

Derma means

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

Question 60

The abbreviation amb means

A) Ambulatory
B) Amount
C) Abdomen
D) Morning

Question 61

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

Question 62

The abbreviation prn means

A) When necessary
B) Preparation
C) Practical registered nurse
D) Preferred nursing

Question 63

The abbreviation ROM means

A) Range of motion
B) Roommate
C) Right outer muscle
D) Rest on Monday

Question 64

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 65

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 66

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 double-check your entries.
D) You should use the computer to post your opinions and messages on the Internet.

Question 67

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 68

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 69

The abbreviation stat means

A) As soon as possible
B) At once
C) Station
D) Static

Question 70

You should answer a phone by the

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