Chapter 4 Communicating With The Health Team

Question 1

Abbreviations

Answer 1

A shortened form of a word or phrase

Question 2

Care plan

Answer 2

A record of the measures to be offered to the best care for the residents

Question 3

Chart

Answer 3

See medical records

Question 4

Communication

Answer 4

The exchange of information a message sent is received and correctly interpreted by the intended person

Question 5

Conflict

Answer 5

A clash between opposing interests or ideas

Question 6

Diagnosis

Answer 6

The term used when symptoms signs or reasons for a problem are identified

Question 7

Kardex

Answer 7

A type of card file that summarizes information found in the medical record medication’s treatments, diagnoses, routine care measures, equipment, and special needs

Question 8

Medical record

Answer 8

A written or electronic document of a person conditioned and response to treatment and care of referred to as a chart, clinical record, or health record

Question 9

Prefix

Answer 9

A word element placed before a root; it changes meaning of the word

Question 10

Progress note

Answer 10

A written description of the care given and the persons response and progress

Question 11

Recording

Answer 11

The written account of care and observation charting

Question 12

Root

Answer 12

A word element that contains the basic meaning word

Question 13

Suffix

Answer 13

A word element placed after a root; it changes the meaning of the word

Question 14

Word Element

Answer 14

A part of a word

Question 15

ADL

Answer 15

Activities of daily living

Question 16

EHR

Answer 16

Electronic Health Record

Question 17

EMR

Answer 17

Electronic Medical record

Question 18

EPHI

Answer 18

Electronic Protected Health Information

Question 19

HIPAA

Answer 19

Health Insurance Portability and Accountability Act

Question 20

MDS

Answer 20

Minimum data set

Question 21

OBRA

Answer 21

Omnibus Budget Reconciliation Act of 1987

Question 22

PHI

Answer 22

Protected Health Information

Question 23

POC

Answer 23

Point of Care

Question 24

Under OBRA residents have the right to

Answer 24

Know the information in their medical records

Question 25

Information about the persons adavance directive would be found in the

Answer 25

Admission sheet (Face Sheet)

Question 26

Which of the following would not be found on the activities of daily living ADL flow sheet?

Answer 26

Lab Results

Question 27

OBRA Requires that summaries of care (progress notes) be written at least

Answer 27

Every 3 months

Question 28

To communicate, should do the following Except?

Answer 28

Use terms with many meanings

Question 29

Mr. YU is discharged from the center. His medical record is

Answer 29

Permanent

Question 30

These statements are about medical record. Which is false?

Answer 30

Anyone working in the center can read them

Question 31

A person is weighed daily. The measurement is recorded on the

Answer 31

Flow sheet

Question 32

Where does the nurse describe the nursing care given?

Answer 32

Progress notes

Question 33

When recording, you do the Following Except

Answer 33

Erase errors

Question 34

These statements are about recording. Which is false??

Answer 34

Chart a procedure before completing it

Question 35

In the evening the clock shows 9:26. In 24-hours clock time

Answer 35

2126

Question 36

A suffix is

Answer 36

Placed after a root

Question 37

Which term related to the side of the body?

Answer 37

Lateral

Question 38

These statements are about computers in health care. which is False??

Answer 38

All employees have the same password

Question 39

You have access to centers computer. Which is true?

Answer 39

Email and messages are sent only to those needing the information

Question 40

Mrs. Parks asks you to answer her personal phone because she is unable to reach it. How should you answer?

Answer 40

Good morning, Tammy brown, nursing assistant speaking.

Question 41

A coworker is often late for work. This means extra work for you. To resolve the conflict, you should do the following EXCEPT?

Answer 41

Discuss the matter during the end -of - shift report

Question 42

The written guide giving directions about the nursing care a person should receive is the

Answer 42

Comprehensive care plan

Question 43

Flow sheets are

Answer 43

Used to record frequent measurements or observations

Question 44

During which step of the nursing process is care given ?

Answer 44

Implementation

Question 45

Which of the following is INCORRECT when recording on a residents chart?

Answer 45

Use a pencil in case you make a Mistake

Question 46

You have a disagreement with a co worker about your work schedule. You should

Answer 46

Ask to discuss the problem with your supervisor

Question 47

“A-nurse ignores me” is an example of what step in the problem solving process??

Answer 47

Define the problem

Question 48

Anterior means

Answer 48

At or towards the front of the body or body part

Question 49

What is the world that means inflammation of a joint?

Answer 49

Arthritis

Question 50

Shortened forms of words or phrases are

Answer 50

Abbreviations

Question 51

The prefix “ab” means

Answer 51

Away from

Question 52

The medical diagnosis and the nursing diagnosis are always the same

Answer 52

False

Question 53

The medical record is permanent legal documents

Answer 53

True

Question 54

Everyone who works in a nursing center has the right to read the residents records

Answer 54

False

Question 55

Assessment involves setting priorities and goals

Answer 55

False

Question 56

You may share your computer password with other members of the health team.

Answer 56

False

Question 57

Conflict in the work setting can affect the quality of care provided

Answer 57

True

Question 58

Knowing medical terminology is important in your work

Answer 58

True

Question 59

A prefix is often used alone

Answer 59

False

Question 60

The root contains the basic meaning of the word

Answer 60

True

Question 61

“Chest pain” is a symptom

Answer 61

True