Midterm

Question 1

what should be identified with a self assessment? (5)

Answer 1

(1) values
(2) beliefs
(3) biases
(4) assumptions
(5) preferences (communication and learning styles)

Question 2

what are the some different types of restraints? (4)

Answer 2

(1) physical (mechanical)
(2) chemical (drugs)
(3) bed rails (all 4)
(4) wheelchair seat belt

Question 3

when are restraints indicated for a patient? (2)

Answer 3

(1) pt. poses risk to themselves or others

2) requires it for treatment (surgical

Question 4

what are the requirements of restraints?

Answer 4

(1) MD order updated every 24 hours

2) patient must be monitored (continuously, hourly, 4-6 hours depending upon the setting

Question 5

what is HIPPA?

Answer 5

Health Insurance Portability and Accountability Act

Question 6

according to HIPPA, how long do you have to fulfill a patient request for their medical records?

Answer 6

within 30 days

Question 7

what do code Red, Blue, Orange, Grey and Silver mean in a hospital?

Answer 7

(1) Red: fire
(2) Blue: heart or respiratory emergency
(3) Orange: hazardous material spill
(4) Grey: combative person
(5) Silver: person with weapon / hostage situation

Question 8

what do the codes external triage and internal triage mean in a hospital?

Answer 8

(1) external triage: external disaster

(2) internal triage: internal emergency

Question 9

what is the HITECH Act and what benefits does it have?

Answer 9

(1) Health Information Technology for Economic and Clinical Health
(2) allowed for accurate patient data to be shared easily with other providers (includes electronic prescriptions)

Question 10

what does H and P mean?

Answer 10

History and Physical (usually written by a physician)

Question 11

what does HPI stand for?

Answer 11

history of present illness

Question 12

who typically fills out progress notes?

Answer 12

it’s typically an interdisciplinary effort

Question 13

what are reference values for WBCs? what are abnormal values?

Answer 13

Normal: 5.0-10.0
Trending upwards: >11.0
Trending downwards: <4.0

Question 14

what are reference values for Platelets? what are abnormal values?

Answer 14

Normal: 140-400
Trending upwards: >450
Trending downwards: <150

Question 15

what are reference values for hemoglobin? what are abnormal values?

Answer 15

Normal Men: 14-17.4 g/dL
Normal Women: 12-16 g/dL
Low Critical: <5-7
High Critical: >20

Question 16

what are reference values for HTC? what are abnormal values?

Answer 16

Normal Men: 42-52%
Normal Women: 37-47%
Low Critical: <15-20%
High Critical: >60%

Question 17

what are reference values for blood glucose AND fasting plasma glucose? what are abnormal values?

Answer 17

Normal BG: 70-100 mg/dL
Fasting PG: 90-130 mg/dL
Trending upwards: >200
Trending downwards: <70

Question 18

what are reference values for A1C? what are abnormal values?

Answer 18

Normal: <5.7%
Pre-diabetes: 5.7-6.4%
Diabetes mellitus: >6.5

Question 19

what are reference values for pH? what are abnormal values?

Answer 19

Normal: 7.35-7.45
Acidosis: <7.35
Alkalosis: >7.45