Download 2011-2012 CJW HIPAA Safety and Infection Control Test

Safety, Infection Control and HIPAA
ANSWER KEY
For Affiliated Programs
August 2011– August 2012
Revised August 2011
1
CJW Medical Center
Student Education Review
1) If you see smoke or fire, you should R.A.C.E. What does R.A.C.E stand for?
a) Run and Catch the Elevator
b) Rescue, Alarm, Contain and Extinguish
c) Relax, Aid, Comfort, and Encourage
d) Report, Alert, Contain, and Escape
2) To report a fire at either campus of CJW Medical Center, you would dial:
a) 0
b) 911
c) 511
d) 5111
3) At CJW Medical Center, the emergency code announced for a fire is _Code Red__
4) What would you do before entering a room where you suspect a fire?
a) Knock on the door before opening it to ensure patient privacy
b) Put on personnel protective equipment
c) Feel the door for warmth; if warm or hot, do not enter
d) Feel the door for warmth; if warm or hot, take a fire extinguisher with you as you
enter the room
5) Which of the following are safety violations?
a) Code Blue Cart in the hallway
b) Fire Doors propped open
c) Linen cart in the hallway
d) Oxygen tank laying on the bottom of a stretcher
e) All of the above
f) All except A
6) A piece of medical equipment has failed while it was being used in the care of the
patient. You should:
a) Provide appropriate care for the patient
b) Remove the equipment from the patient
c) Notify your instructor or preceptor immediately
d) Gather all equipment and accessories used; take this promptly to the unit director
or supervisor
e) All of the above are correct
7) Which of the flowing three (3) elements are associated with radiation exposure?
a) Time, Distance, Type of Radiation
b) Distance, Source, Time
c) Time, Distance, Shielding
d) Amount of Radiation, Time, Exposure
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8) Your patient is scheduled for an MRI. Prior to accompanying the patient to the MRI
suite, you should:
a) Confirm with your instructor that it is “OK” for you to accompany the patient
b) Verify with your instructor that it is safe for you to accompany the patient
c) Provide hand-off communication to the floor nurse regarding your other patients
prior to leaving the patient care unit
d) All of the above are correct
9) When providing care to a patient with Latex Allergies, you should
a) Provide patient with an allergy bracelet indicating the latex allergy
b) Post “Latex Allergy” signs on the door and over the head of the bed
c) Use 2 bottom sheets when making the bed or stretcher for this patient
d) Obtain Latex free supplies from Central Sterile Supply
e) All of the above are correct
10) What should you do to minimize the likelihood of an injury from lifting?
a) Bend at the hips and knees; keep your back straight
b) Maintain a wide base of support while lifting
c) Utilize help when needed
d) All of the above are appropriate
11) What are the two (2) patient identifiers that are used at CJW Medical Center
a) Name and Social Security Number
b) Name and Date of Birth
c) Name and Account Number
d) Account Number and Medical Record Number
12) Veronica is nauseated and vomits partially digested food into the emesis basin.
Some of the emesis splashed into your face. You should:
1. Notify the Unit Director or charge nurse of the exposure
2. Notify your instructor or preceptor
3. Go immediately to the Emergency department
4. Wash your face and hands
a)
b)
c)
d)
e)
1, 2, and 3 are correct
1, 2, and 4 are correct
1, 3, and 4 are correct
2, 3, and 4 are correct
All of the above are correct
13) Your responsibility related to Standard Precautions include:
a) Proper disposal of sharps
b) Practice good hand hygiene
c) Keep the medication cart in the hallway on a patient in contact isolation
d) Both A and B
e) All of the above are correct
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14) Mr. Lopez has an order for “removal of PEG tube.” Mr. Lopez is on standard
precautions. What personal protective equipment (PPE) should the instructor and
student put on prior to the removal of the PEG tube?
(1) A yellow gown
(2) A patient gown
(3) Gloves
(4) Mask with face shield
(5) N-95 mask
a)
b)
c)
d)
e)
1 and 3
1, 3, and 4
1, 3 and 5
1 and 3 only
All of the above are appropriate
15) The physician ordered sequential compression devices to your patient’s legs. You
have received the equipment from Central Sterile Supply. You notice a green plastic
tag on the pump. You should.
a) Remove the tag as this is the indicator that the device is clean
b) Do not remove the tag; this indicates Bio-Med has checked the pump
c) Do not remove the tag; this indicates the annual preventative maintenance has
been done
d) Do not remove the tag; this indicates that this piece of equipment is rented by the
hospital.
16) Which of the following is considered Regulated Medical Waste?
a) Accuchek Glucose testing strip
b) Unused Red plastic bag
c) A dirty sanitary napkin
d) A dirty diaper
17) It is not necessary to wear gloves when performing a bedside Accuchek®?
a) True
b) False
18) You are preparing your patients 9:00 a.m. medications. Your instructor said to
“prepare the medications, then come and get me to review with you prior to
administering them.” You have prepared the medications and are ready for your
instructor to check them. You should:
a) Place the medications on top of the cart inside the patient’s room while you look
for the instructor
b) Place the medications on top of the cart inside the patient’s room; lock the
medication cart prior to looking for your instructor
c) Ask the patient’s visitor to “watch the cart” while you look for your instructor
d) Lock the cart; keep the medications in your possession while you look for
your instructor
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19) While you have been in school, you have been working for CJW Medical Center as
a nurse tech. It is acceptable to use your employee Accuchek ID number when
working in the hospital as a student.
a) True
b) False
20) Which of the following statement(s) is true regarding linen?
1. Store extra clean linens in the patient room for easy access
2. Place bloody linens in a red bag and take to the soiled linen cart
3. Place bloody linens in a blue plastic bag place in a red trash can
4. It is acceptable to place the soiled linen bag on the floor while
providing a.m. care and changing the bed linens
5. If the soiled linen bag is too heavy, it is ok to “drag” the bag” to the
soiled linen cart to prevent a back injury
a)
b)
c)
d)
e)
1, 2, and 4 are correct
1, 3, and 5 are correct
1, 3, 4 and 5 are correct
All of the above are correct
None of the above are correct
21) You received a physician’s order to administer a TST (tuberculin skin test) to your
patient. You should:
a) Wait for pharmacy to send the skin test and administer under the supervision of
your instructor
b) Contact your instructor immediately as you should not be providing care to
a patient with suspected or confirmed TB
c) Put an N 95 respirator mask on the patient
d) Ask the patient if he has any recent exposure to someone with TB
22) Which of the following are not acceptable for faculty and students who are in a
patient care area?
1. Shoes with open toes or heals
2. Capri pants
3. Visible, tasteful tattoos
4. Nose piercing
a)
b)
c)
d)
1, 2 and 3are not acceptable dress
1, 3, and 4 are not acceptable dress
2, 3, and 4 are not acceptable dress
None of the above are acceptable
23) Mr. Ramsey is on contact isolation. After checking his blood glucose with the
Accuchek® machine, you should:
a) Spray the machine with Dispatch® and allow to air dry
b) Spray Dispatch® on a clean, dry cloth, wipe the machine, allow to air dry
c) Use a Sani-wipe® to clean the machine
d) Any of these methods are acceptable
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24) You have obtained a clean catch urine specimen on your patient. The proper
method for labeling this specimen prior to sending to the lab is:
a) Place a chart label on the lid of the specimen cup; add the date, time, and your
initials to the label without writing on the bar code
b) Place a chart label on the side of the specimen cup; add the date, time, and
your initials to the label without writing on the bar code
c) It does not matter where you put the label as long as you include the date and
time the specimen was collected and your initials
25) Ms. Henderson is on droplet isolation for influenza. After administering Ms.
Henderson’s medications, you should:
a) Wipe the top of the medication cart and the scanner with Sani-wipes® after
leaving the room
b) You do not take the medication cart into a patient room with any type of isolation
c) Wipe the top of the medication cart and the scanner with Sani-wipes® prior
to leaving the room
d) It is not necessary to use Sani-wipes® on the medication cart or scanner
because the patient is not on contact isolation
26) Morgan is a 6 year-old child admitted to Pediatrics with shortness of breath, fever
and wheezing. After Dr. Seuss, the pediatrician makes rounds, you learn that
Morgan has the chicken pox. As a student, your next step would be:
a) Take some cool clothes to Morgan and her mom to help with the fever and the
itching
b) Check the medication record to see if something is ordered for the fever
c) Check the medication record to see if something is ordered for the itching
d) Notify your instructor immediately
27) What type of isolation will Morgan need?
Airborne and Contact Isolation
28) Because you had chicken pox as a child, you do not need to follow any isolation
precautions.
a) True
b) False
29) Mr. Wilson is on contact isolation for MRSA. There are no yellow isolation gowns in
the room’s isolation box. The department assistant has gone to get more isolation
supplies. It is acceptable to use a clean patient gown to cover your clothes when you
go into the room.
a) True
b) False
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HIPAA/Security Quiz
1) Patient confidentiality means keeping private, all personal information about a patient,
revealing only what is necessary to take care of that patient.
a) True
b) False
2) Patients expect that their medical records will be kept confidential.
a) True
b) False
3) Because federal and state laws help protect confidential patient information, confidential
information can never be shared without written patient consent.
a) True
b) False
4) Because you cared for a patient last week and because you are genuinely concerned about
the patient, you have the right to access the patient’s confidential information when not
actively participating in the delivery of patient care.
a) True
b) False
5) Once you complete your clinical rotation, you have no further obligations to protect the
confidential information about a patient who visited the medical center.
a) True
b) False
6) It is not appropriate to share your password with another staff member.
a) True
b) False
7) Discussing Mrs. Brown’s medical information is appropriate while riding the city bus.
a) True
b) False
8) Office staff members, hospital employees, physicians, affiliated faculty and students are
audited regularly to help identify appropriate and inappropriate use of the computerized
medical record.
a) True
b) False
9) Patients who have had their confidential information violated are never compensated for
damages.
a) True
b) False
10) It is not your responsibility to help protect confidential medical information
a) True
b) False
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11) The ladies at church tell you, “Mrs. Feels Sick is in the hospital again. Since you are
working on that unit, I am sure you know her condition. What’s wrong with her now?” You
tell them:
a) “Mrs. Feels Sick had a heart attack and will be in the hospital for several days. I know
she would want you to know.”
b) “I am not able to discuss that with you. Maybe, her husband would share some
information with you.”
c) “She is in the hospital because the doctor admitted her after she collapsed in the office.”
d) “Everything is wrong with Mrs. Feels Sick.”
12) A fellow student recently had a medical procedure performed and asks you to check on his
medical information for him. You should:
a) Direct him to contact Health Information Management (HIM)
b) Call the insurance company for him
c) Contact Health Information Management (HIM) for him
d) Direct him to speak with his attending physician
13) What is an FPO?
a) Facility Privacy Official
b) Facility Police Officer
14) Confidential Information includes all of the following except:
a) Patient Financial Information
b) User ID
c) Passwords
d) Clinical Information
15) Individually identifiable health information may not be
a) Faxed
b) Mailed
c) Sold
16) Which of the following can you disclose after your relationship with HCA ends?
a) Your salary
b) A patient’s diagnosis
c) The Company Marketing Strategy
d) Computer Network Configurations
17) Who is responsible for protecting patients’ individually identifiable health information?
a) CEO
b) ECO
c) Physician
d) All of the above
e) None of the above
18) It would be appropriate to release patient information to
a) The patient's (non-attending) physician brother
b) The transferring hospital’s personnel checking on the patient
c) The respiratory therapy personnel doing an ordered procedure
d) A retired physician who is a friend of the family
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19) If a person has the ability to access facility or Company systems or applications, they have a
right to view any information contained in that system or application?
a) True
b) False
20) Patient information may be attached within a company e-mail sent via the Internet to a
business associate to resolve questions related to a patient’s account
a) True
b) False
21) A patient listing given to a member of the clergy should be restricted by religion and may
have the following information except:
a) Patient name
b) Patient Social Security Number
c) Patient location
d) Patient condition in general terms
22) Which of the following is the appropriate person with whom to share patient information
even if the patient has NOT specifically authorized the release of information to the
individual:
a) A former physician of the patient who is concerned about the patient
b) A colleague who needs information about the patient to provide proper care
c) A friend of the patient
d) A pharmaceutical salesman who is offering a fee for a list of patients to whom he could
send a free sample of his product
23) The acronym for HIPAA stands for:
a) Health Information Protection and Accountability Act
b) Health Insurance Portability and Accountability Act
c) Health Information Publication and Accumulation Act
d) None of the above
24) Confidential Information must not be shared with another unless the recipient has
a) An OK from a doctor
b) The need to know
c) Permission from Human Resources
d) All of the above
25) HIPAA privacy regulations prevent facilities from storing the medical record at the patient’s
bedside
a) True
b) False
26) It is part of our responsibilities to learn and practice the many ways we can help protect the
confidentiality, integrity and availability of electronic information assets.
a) True
b) False
27) Patients have the right to access their health information
a) True
b) False
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28) What is the standard for accessing patient information?
a) A need to know for the performance of your job
b) If a physician asks you for the diagnosis of the patient
c) Just because you are curious
d) You are a relative of the patient
29) You can access your own medical record via the Meditech system?
a) True
b) False
30) If an employee has medical testing at an HCA facility, the appropriate way for him or her to
access the test results is:
a) Complete the release of information form in HIM and receive a copy of the results
b) Check the computer system for his or her own results
c) Get a fellow employee to access the results while looking over his or her shoulder
d) Call a friend in the department where the test was done to get the results for the
employee
31) Patient information is considered individually identifiable if which of the following elements
are included
a) Social Security Number
b) Name
c) Fingerprint
d) All of the above
32) Patients do not need to sign a form acknowledging receipt of the facility’s Notice of Privacy
Practices
a) True
b) False
33) Only clinicians may access a patient’s health information.
a) True
b) False
34) Under the privacy rule each facility must designate _________________ who is responsible
for the development and implementation of privacy policies and procedures for the facility.
a) A facility privacy official
b) A HIPAA Officer
c) An Ethics and Compliance Officer
d) A mediator
35) A visitor who asks for a patient by name may receive the following information except:
a. Patient name
b. Patient condition in general terms (e.g. stable, critical, etc.)
c. Patient location
d. Patient diagnosis
36) Copies of patient information may be disposed of in any garbage can in the facility.
a) True
b) False
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Your signature indicates that you:
•
•
•
Have read and understand the contents of the Educational Resource Handbook.
Understand and will follow policies concerning information privacy and security.
Have taken the Post-Test without receiving assistance.
Signature: ____________________________________________________________
Name Printed: __________________________________________________________
Name of Affiliated School: ________________________________________________
Date: _______________________________________________________
This document is to be kept on file by affiliated programs and available for audit
Revised August 2011
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