Deck 6: Workplace Behavior

Question 1

Being held to a standard of practice means that:

A)while learning and practicing,an HUC must adhere to a certain set of standards.
B)the HUC must perform at a similar level of competence as other HUCs who work under similar circumstances.
C)HUCs are not negligent even if they fail to uphold the standard,given that they are not nurses.
D)if the duty is not in the HUC job description,it may be performed if intentions are in good faith for the patient.

Answer 1

the HUC must perform at a similar level of competence as other HUCs who work under similar circumstances.

Question 2

Which of the following is TRUE of the patient's paper medical record?

A)Any mistake may be erased or obliterated.
B)If a pen is not available,a pencil may be used to write in the chart.
C)White-out may be used only if information is written in the wrong chart.
D)The medical record is a permanent legal document,and only authorized personnel may have access to this chart.

Answer 2

The medical record is a permanent legal document,and only authorized personnel may have access to this chart.

Question 3

A co-worker insists on telling sexually suggestive jokes that make the HUC very uncomfortable.The first thing the HUC should do is:

A)nothing,because the two of them will have to continue working together.
B)advise the person to stop the offending behavior and that it is unwelcome.
C)quit,and do not tell anyone the reason.
D)ask to be transferred to another floor for "personal reasons."

Answer 3

advise the person to stop the offending behavior and that it is unwelcome.

Question 4

Even if an HUC makes an error for which there is a cause of action,the hospital is also liable for this negligence under the principle known as:

A)res ipsa loquitur.
B)respondeat superior.
C)veni vidi vici.
D)e pluribus unum.

Question 5

If a 6-year-old patient is admitted as the result of suspected child abuse,the agency most likely to receive this report is:

A)NINP.
B)CPS.
C)APS.
D)SNAT.

Question 6

Medical mistakes may account for approximately 98,000 deaths each year.Incorrect transcription due to poor doctors' handwriting may contribute to this problem.If paper charts are used,and the HUC is unable to read a stat medication order,he/she must:

A)ask the patient what the doctor told him or her during the exam.
B)ask the doctor if still at the desk or call the doctor's office for clarification.
C)do his or her best to transcribe the order because it is stat.
D)call another HUC to find out what the doctor usually orders for patients with this diagnosis.

Question 7

A registered nurse (RN)is running behind schedule and asks the HUC to give aspirin to an elderly patient who will not realize that the HUC is not allowed to administer medications.The HUC should:

A)take the aspirin to the patient;it's just an over-the-counter drug.
B)ask the patient if she would mind that the nurse is not administering the aspirin.
C)tell the RN that an HUC cannot administer medications.
D)call other HUCs to ask if they have ever administered medications.

Question 8

A basic set of principles that define our concepts of right or wrong in given situations is known as:

A)a job description.
B)a performance appraisal.
C)a code of ethics.
D)values clarification.

Question 9

A basic purpose of the performance appraisal is to provide feedback about the employee's performance.An employee could improve his or her appraisal by:

A)keeping a diary of accomplishments and in-services attended during the period since the last appraisal.
B)reminding the nurse manager about his or her ranking in the upper 10% of the school class.
C)asking all co-workers to put in a good word with the nurse manager.
D)planning a nursing unit party 2 weeks prior to the evaluation.

Question 10

A good method for protecting patient confidentiality would be:

A)trusting that all hospital employees have the right to view a patient's chart.
B)asking outside personnel for picture identification prior to their viewing the patient's chart.
C)sending the chart through the pneumatic tube system.
D)faxing pages of the chart to a caller who has identified himself as a doctor from another state and the son of a patient.

Question 11

Which of the following statements is TRUE regarding HUC standards of practice?

A)An expert witness will judge an HUC's performance on the basis of performance of HUCs of the same age.
B)The standard of care applied by the expert witness is the same,irrespective of one's education and experience.
C)An expert witness who judges an HUC is usually an RN.
D)An HUC must remain current with literature,procedures,and practices in his or her area and must fulfill responsibilities as defined in the HUC job description.

Question 12

You try to be sensitive to the problems and needs of others and are careful in your wording of potentially sensitive communication.You are said to be exercising:

A)tactfulness.
B)consciousness.
C)honesty.
D)empathy.

Question 13

Which of the following is true about workplace appearance?

A)Employees who are attired in the latest style,although considered offensive by some,will relate better to younger patients,so it should not matter what the patient's parents think.
B)Sculptured nails and nail polish are entirely acceptable and pose no risk.
C)Perfumes,colognes,aftershave,and hair spray should be worn very lightly or not at all.
D)The appearance of the employee makes no impression on the facility.

Question 14

The HUC had an unusually busy day and as a result made an error while transcribing a medication.The medication was given,and the patient suffered an adverse reaction as a result.The ethical principle breached with this mistake is:

A)autonomy.
B)nonmaleficence.
C)veracity.
D)confidentiality.

Question 15

Which of the following is permissible in maintaining patient confidentiality?

A)Verbally repeating patient information to a co-worker on another floor
B)Allowing access to the patient chart for any hospital employee
C)Discussing medical treatment with the patient's niece
D)Referring all telephone calls from police personnel to the nurse manager

Question 16

One of the principles in the patients' bill of rights is that one should refrain from inflicting harm on a patient.An HUC,while transcribing doctors' orders,missed stat orders,and the treatment delay caused harm to the patient.The principle breached is:

A)confidentiality.
B)nonmaleficence.
C)autonomy.
D)veracity.

Question 17

The principles of respect,veracity,nonmaleficence,and confidentiality may be found in:

A)the code of ethics.
B)a job description.
C)Maslow's hierarchy of needs.
D)the patients' bill of rights.

Question 18

A person's behavior in the workplace is influenced and affected by:

A)the size of the hospital.
B)how meaningful or important the work is to that person.
C)the distance the job is from home.
D)the number of days off per year.

Question 19

Values clarification is important for the health unit coordinator (HUC)who is preparing to be a competent professional.Values conflicts would include opinions regarding:

A)social and spiritual issues.
B)personal finances.
C)negligence.
D)legalities.

Question 20

One element of an informed consent is that:

A)anyone related to the patient may sign,giving the patient's consent.
B)a telephone consent may be considered legal as an informed consent as long as at least one hospital employee has heard the verbal consent given after the procedure,and its risks have been explained.
C)the person who is appropriate to sign has been informed of the procedure and its risks and understands them.
D)the doctor has carefully reviewed the procedure with the patient's nurse,who is prepared to care for the patient postoperatively.

Question 21

A person with a conviction from his younger days who is completing an application for a position in health care should:

A)not disclose and hope that it will not be discovered during the background check.
B)fully disclose and write in a lengthy explanation.
C)write in "Not willing to discuss."
D)answer the question by writing in "Yes,will discuss during the interview."

Question 22

Under HIPAA,health care providers are required to:

A)provide religious counseling for patients upon request.
B)provide security for both paper and electronic individual health information.
C)provide legal counsel for patients upon request.
D)routinely provide each patient with a copy of his or her chart upon discharge from a health care facility.

Question 23

Prior to a clinical experience or employment,TJC requires the following:

A)a college communications class.
B)a tetanus shot.
C)HIPAA in-service.
D)legalities in-service.

Question 24

An employee is denied a promotion for failing to submit to a manager's sexual advances.Specifically,this employee is said to be a victim of:

A)sexual assault.
B)sexual violence in the workplace.
C)quid pro quo.
D)intimidating working environment.

Question 25

The HIPAA Security Rule applies to:

A)covered entity (CE).
B)PHI.
C)individually identifiable health information (IIHI).
D)electronic protected health information (EPHI).

Question 26

One of the three sources that laws are derived from is:

A)the Bill of Rights
B)the Constitution
C)Congress
D)the Supreme Court

Question 27

As a mentor to a new HUC,which of the following would you offer as advice to avoid legal problems?

A)"Don't worry about reading the job description;everything one needs to know about what to do on this unit will be covered during orientation on the nursing unit.Just write it down."
B)"It's not necessary to spend that much time reading up on new policies and procedures.Everyone is so helpful on this unit;they'll tell you what you need to know."
C)"Don't assume anything.Even though you are new,question orders,policies,and procedures that don't seem appropriate to what you learned in school."
D)"If you can help out a nurse,do it,even if it is not in the HUC's job description.Going that extra mile helps the overall functioning of the unit."

Question 28

The primary objective of the Security rule is to protect the confidentiality,integrity,and availability of:

A)ARRA.
B)IIHI.
C)APS.
D)CPS.

Question 29

The purpose of the Health Insurance Portability and Accountability Act of 1996 (HIPAA)is to:

A)protect the confidentiality of private individual health information.
B)standardize health care nationally.
C)standardize health care teaching facilities.
D)protect the hospital and health care workers from being sued.

Question 30

An employee has received two written warnings for excessive absences and tardiness.The behavior trait involved that is missing in this employee's work ethic is:

A)empathy.
B)dependability.
C)trustworthiness.
D)tactfulness.

Question 31

Which of the following guidelines is inappropriate elevator etiquette?

A)It is not necessary to continue to push the button when the button is lit.
B)Stand aside and allow people to exit before you try to enter an elevator.
C)When an employee is on a timed break,personnel who are transporting patients should wait for another elevator.
D)When you are riding in an elevator and going to a higher floor in the building,stand to the side or in the back,so others may exit on their floors.

Question 32

Explain two purposes of the Health Information Technology for Economic and Clinical Health (HITECH)Act.

A)Recruit doctors and recruit nurses
B)Encourage the use of the latest technology and instruction on the use of the latest technology
C)Increase the numbers of computers and iPads used in hospitals
D)Stimulate the adoption of electronic health records (EHR)and widen the scope of privacy and security protections available under HIPAA

Question 33

Discussion of patient information is necessary for treatment reasons.In which of the following situations may one discuss patient information and still maintain appropriate confidentiality of the patient record?

A)A visitor stops at the nursing station and asks the HUC what the diagnosis is for the patient who shares a room with her husband.
B)The HUC meets a staff nurse from another nursing unit in the cafeteria during lunch.The nurse asks about the diagnosis of a celebrity who was just admitted.
C)A police supervisor is on the floor to investigate a police matter and notices that his closest friend was just admitted through the emergency department and is in a coma.This police officer is known to have the highest integrity.He asks the HUC why his friend has been admitted.
D)The nurse has asked the HUC to notify a family in the waiting room that their family member will return from the cath lab within an hour.

Question 34

One suggestion to prepare for an in-person or a phone interview would be to:

A)role play.
B)poll friends who have had interviews.
C)ask employees what to say.
D)be natural-do not prepare.

Question 35

A person's values are formed by the age of:

A)18.
B)16.
C)6.
D)21.

Question 36

The HIPAA Patient Privacy Rule establishes regulations for the use and disclosure of protected health information (PHI),and it mandates that health care facilities provide all patients with a copy of:

A)the projected cost of the patient's stay.
B)a list of all licensed personnel working at the facility.
C)the health facility's privacy policies.
D)the health facility's operating license.

Question 37

The HUC notices a visitor who is using threatening gestures when talking to a nurse.The best course of action for the HUC is to:

A)call the nurse manager to assess the situation.
B)immediately look at the schedule to see if there is a male orderly working and call him.
C)approach the visitor,gently ask what the problem is,and attempt to solve the matter.
D)present a calm attitude and call security immediately.

Question 38

When the EMR with CPOE is implemented,the HUC:

A)may have unlimited access to the patient's EMR.
B)is privy to demographic PHI and will be responsible for scanning certain documents into the patient's EMR.
C)has absolutely no access to the patient's EMR.
D)has the same transcription responsibilities as with paper charts.

Question 39

A statute of limitations is:

A)the part of a job description that outlines the limitations of one's responsibilities.
B)the time within which the plaintiff must bring a civil suit.
C)a law passed by the legislature that defines the extent of information about the patient that may be released.
D)a marble structure erected in front of the hospital that defines the extent of this hospital's care as accredited by the Joint Commission (TJC).

Question 40

When working on a nursing unit,the personal cell phone should be:

A)turned off.
B)used if text messaging is being used.
C)set on a low ring tone.
D)answered on the second ring.

Question 41

A beneficial method of preparing for completing a job application or for writing a resume would be to:

A)poll friends and co-workers to find what your assets are.
B)make up some items that would draw attention.
C)not prepare,because it is best to be spontaneous.
D)do a self-assessment on paper.

Question 42

A newly hired HUC anticipates that she may be late for work on a certain date and wants to know what the guideline is for calling in late to the nursing unit.The best way for the HUC to find out what the hospital guideline is would be to:

A)ask a working HUC.
B)ask one of the nurses.
C)assume that all hospitals have the same policy.
D)find the guideline in the employment packet provided during orientation.

Question 43

A student arrived on the nursing unit for clinical dressed inappropriately and with what smelled like alcohol on his breath (according to the nursing unit manager).The HUC instructor would likely:

A)send the student home immediately with instructions to return tomorrow.
B)check the student's breath to determine if it does smell like alcohol.
C)request that the student be tested for drugs.
D)ask the student if he has had alcohol in the past 24 hours.If not,the student would be allowed to stay on the unit.