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Sorrentino: Mosby’s Textbook for Nursing Assistants, 7th Edition
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Chapter 1: Introduction to Health Care Agencies
MULTIPLE CHOICE
- An acute illness is
A. | A sudden illness from which a person is expected to recover |
B. | An ongoing illness for which there is no known cure |
C. | An illness which is slow or gradual in onset |
D. | An illness for which there is no reasonable expectation of recovery |
ANS: A REF: 1, 3
- An ongoing illness that is slow or gradual in onset and for which there is no known cure is
A. | An acute illness |
B. | A chronic illness |
C. | A terminal illness |
D. | A physical illness |
ANS: B REF: 1, 3
- A nursing pattern that brings services from departments to the bedside is
A. | Primary nursing |
B. | Team nursing |
C. | Patient-focused care |
D. | Case management |
ANS: C REF: 1, 8
- Functional nursing is
A. | A nursing care pattern focusing on tasks and jobs |
B. | A nursing care pattern in which an RN is responsible for the person’s total care |
C. | When a team of nursing staff is led by an RN who decides the amount and kind of care each person needs |
D. | When services are moved from departments to the bedside |
ANS: A REF: 1, 8
- An RN is responsible for the person’s total care. This is
A. | Team nursing |
B. | Primary nursing |
C. | Functional nursing |
D. | Patient-focused care |
ANS: B REF: 2, 8
- Persons living in nursing centers are called
A. | Patients |
B. | Clients |
C. | Residents |
D. | Individuals |
ANS: C REF: 3
- Persons receiving care in hospitals are called
A. | Patients |
B. | Clients |
C. | Residents |
D. | Individuals |
ANS: A REF: 3- 4
- Which is not a purpose of health care?
A. | Health promotion |
B. | Rehabilitation and restorative care |
C. | Detection and treatment of disease |
D. | Training nursing assistants and other students |
ANS: D REF: 2
- Who has the most authority in a nursing service department?
A. | Nurse manager |
B. | Charge nurse |
C. | Staff nurse |
D. | Director of nursing |
ANS: D REF: 7
- An assisted living residence
A. | Provides three meals a day and housekeeping and laundry services |
B. | Is for persons with terminal illnesses |
C. | Provides complex, ongoing rehabilitation |
D. | Is for persons with chronic mental illness |
ANS: A REF: 4
- Assisted living residences provide the following except
A. | Housing |
B. | Help with personal care |
C. | Complex medical care |
D. | Social activities |
ANS: C REF: 4
- These individuals give basic nursing care under the supervision of a licensed nurse.
A. | Nurse practitioners |
B. | Social workers |
C. | Nursing assistants |
D. | Medical technologists |
ANS: C REF: 6
- A nursing assistant may report to another nursing assistant if that person has more experience.
A. | True |
B. | False |
ANS: B REF: 1, 7- 8
- The nursing team involves the following except
A. | Doctors |
B. | RNs |
C. | LPNs |
D. | Nursing assistants |
ANS: A REF: 1, 7
- Nursing assistants may report to the following except
A. | An RN |
B. | An LPN/LVN |
C. | A nurse team leader |
D. | Another nursing assistant |
ANS: D REF: 6-8
- Nursing assistants may report to the following except
A. | An RN |
B. | The medical director |
C. | An LPN/LVN |
D. | A primary nurse |
ANS: B REF: 6-8
- Who assesses, makes nursing diagnoses, plans, implements, and evaluates nursing care?
A. | RNs |
B. | LPNs |
C. | Nursing assistants |
D. | Case managers |
ANS: A REF: 6-7
- The nursing team is managed by the medical director.
A. | True |
B. | False |
ANS: B REF: 7
- You are part of
A. | The health team and the nursing team |
B. | The board of trustees |
C. | The case management team |
D. | The prospective payment system |
ANS: A REF: 1, 4, 7
- Who assesses and plans for the nutritional needs of patients and residents?
A. | The RN |
B. | The dietitian |
C. | The pharmacist |
D. | The doctor |
ANS: B REF: 6
- LPNs/LVNs are supervised by
A. | Doctors, dentists, and RNs |
B. | Physical therapists and occupational therapists |
C. | Agency administrators |
D. | Social workers, pharmacists, and RNs |
ANS: A REF: 8
- Who is responsible for diagnosing and treating diseases and injuries?
A. | The doctor |
B. | The nurse practitioner |
C. | RNs |
D. | Physician’s assistant |
ANS: A REF: 6
- Who helps patients, residents, and families with social, emotional, and environmental issues affecting illness and recovery?
A. | The speech-language pathologist |
B. | The podiatrist |
C. | The activities director |
D. | The social worker |
ANS: D REF: 6
- Who makes policies for health care agencies?
A. | The board of trustees |
B. | The health team |
C. | The PPO |
D. | Medicare and Medicaid |
ANS: A REF: 4
- The goal of rehabilitation is
A. | To return persons to the highest possible level of physical and mental functioning |
B. | To reduce the risk of illness |
C. | To help the person make simple life-style changes |
D. | To do as much as possible for the person |
ANS: A REF: 2
- Rehabilitation starts when the person is discharged from the hospital.
A. | True |
B. | False |
ANS: B REF: 2
- A hospice is
A. | A skilled nursing facility |
B. | A home health care agency |
C. | A health care program for persons who present dangers to themselves or others |
D. | A health care agency or program for persons who are dying |
ANS: D REF: 1, 4
- A federal health insurance program for persons 65 years of age and older is
A. | Private insurance |
B. | Group insurance |
C. | An HMO |
D. | Medicare |
ANS: D REF: 9
- Medicaid is
A. | A preferred provider organization |
B. | A private insurance plan bought by individuals |
C. | A federal health insurance program for persons with disabilities |
D. | A health care payment program sponsored by the federal government and operated by the states |
ANS: D REF: 9
- The goal of the health team is to
A. | Provide quality care |
B. | Carry out the doctor’s orders |
C. | Develop care plans for patients and residents |
D. | Follow agency policies and procedures |
ANS: A REF: 4
- What must an agency have to operate and provide care?
A. | A certificate |
B. | Accreditation |
C. | Policies and procedures |
D. | A license |
ANS: D REF: 9
- Accreditation for health care agencies is
A. | A voluntary process that signals quality and excellence |
B. | Required to receive Medicare and Medicaid funds |
C. | A federal requirement for a health care agency to operate |
D. | A process required by preferred providers |
ANS: A REF: 9
- You have an important role in meeting standards and in the survey process. You must do the following except
A. | Provide quality care |
B. | Interview patients and families |
C. | Help keep the agency clean and safe |
D. | Follow agency policies and procedures |
ANS: B REF: 10
- Surveys are done to see if agencies meet set standards. Your role in the survey process involves the following except
A. | Having good work ethics |
B. | Answering surveyor questions honestly and completely |
C. | Conducting yourself in a professional manner |
D. | Reviewing the nursing department budget |
ANS: D REF: 10
Sorrentino: Mosby’s Textbook for Nursing Assistants, 7th Edition
Test Bank
Chapter 5: Communicating With the Health Team
MULTIPLE CHOICE
- The health team exchanges information. They send and receive messages. This is
A. | Gossip |
B. | Communication |
C. | Reporting |
D. | Resolving conflict |
ANS: B REF: 56
- Communication is
A. | The verbal account of care and observations |
B. | The written account of care and observations |
C. | The medical record |
D. | The exchange of information |
ANS: D REF: 56
- Which has the same meaning for everyone?
A. | Hot |
B. | Warm |
C. | Elevated temperature |
D. | Temperature of 99° F |
ANS: D REF: 56
- The nurse uses a medical term that you do not understand. What should you do?
A. | Pretend to understand. |
B. | Look the word up in a medical dictionary. |
C. | Ask a co-worker for an explanation. |
D. | Ask a doctor what the word means. |
ANS: B REF: 56
- 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 |
ANS: D REF: 56
- These statements are about medical records. Which is incorrect?
A. | Each page must have 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. |
ANS: D REF: 57
- 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 you aunt’s condition to you. |
ANS: B REF: 57
- Health care agencies have policies about medical records. Policies generally cover the following except
A. | Medical terms |
B. | Abbreviations |
C. | Signing entries |
D. | Correcting errors |
ANS: A REF: 57
- A patient asks to see his chart. What should you do?
A. | Give it to him. |
B. | Tell the nurse. |
C. | Tell the doctor. |
D. | Make a copy for him. |
ANS: B REF: 57
- Which form has the person’s identifying information?
A. | The admission sheet |
B. | The progress notes |
C. | Activities-of-daily-living flow sheet |
D. | Kardex |
ANS: A REF: 57
- You are working in a nursing center. Where would you record information about the person’s hygiene, elimination, and sleep?
A. | The admission sheet |
B. | The progress notes |
C. | Activities-of-daily-living flow sheet |
D. | Kardex |
ANS: C REF: 61
- Which of the following is a type of card file?
A. | The admission sheet |
B. | The progress notes |
C. | Activities-of-daily-living flow sheet |
D. | Kardex |
ANS: D REF: 61
- Which of the following are used to record frequent measurements or observations?
A. | Kardex |
B. | Flow sheets |
C. | Progress notes |
D. | Health history sheets |
ANS: B REF: 61
- You are reporting to the nurse. Which is incorrect?
A. | Be prompt, thorough, and accurate. |
B. | Give the person’s name, room and bed number, and the time you gave care or made observations. |
C. | Report what co-workers did. |
D. | Use your notes. |
ANS: C REF: 61
- 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 |
ANS: A REF: 61
- Anyone who reads your charting should know the following except
A. | What you observed |
B. | What you did |
C. | What your co-workers did |
D. | The person’s response |
ANS: C REF: 63
- 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. |
ANS: C REF: 63
- 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 |
ANS: C REF: 63
- These statements are about charting. Which 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. |
ANS: A REF: 63
- 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. | When you reported the changes to the nurse |
D. | When you called the doctor about the changes |
ANS: D REF: 63
- When charting, you should record
A. | Safety measures performed |
B. | What co-workers observed |
C. | What co-workers did |
D. | What the doctor said |
ANS: A REF: 63
- The clock shows 11:42 A.M. In 24-hour clock time this is
A. | 11:42 |
B. | 1142 |
C. | 2342 |
D. | 11:43 AM |
ANS: B REF: 63
- The clock shows 7:29 P.M. In 24-hour clock time this is
A. | 7:29 P.M. |
B. | 729 |
C. | 0729 |
D. | 1929 |
ANS: D REF: 63-64
- The clock shows 12:00 noon. In 24-hour clock time this is
A. | 12:00 noon |
B. | 12:00 |
C. | 1200 |
D. | Noon |
ANS: C REF: 63-64
- A suffix is
A. | Placed at the beginning of a word |
B. | The main part of the word |
C. | Placed at the end of a word |
D. | A shortened form of a word or phrase |
ANS: C REF: 56, 65
- Which term means located at or toward the front of the body or body part?
A. | Anterior |
B. | Distal |
C. | Medial |
D. | Posterior |
ANS: A REF: 56, 67
- Dys- means
A. | Without, not, lack of |
B. | Slow |
C. | Bad, difficult, abnormal |
D. | Inner, inside |
ANS: C REF: 65
- Olig- means
A. | Half |
B. | Under, decreased, less than normal |
C. | Small, scant |
D. | Many, much |
ANS: C REF: 65
- Tachy- means
A. | Bad, difficult, abnormal |
B. | Normal, good, well, healthy |
C. | Slow |
D. | Fast |
ANS: D REF: 65
- Poly- means
A. | Many, much |
B. | Before, in front of |
C. | Around |
D. | Large |
ANS: A REF: 65
- Arthro means
A. | Rib |
B. | Joint |
C. | Bone |
D. | Head |
ANS: B REF: 65
- Cyano means
A. | Heart |
B. | Skin |
C. | Sugar |
D. | Blue |
ANS: D REF: 66
- Angio means
A. | Heart |
B. | Artery |
C. | Vein |
D. | Vessel |
ANS: D REF: 65
- Derma means
A. | Water |
B. | Stone |
C. | Tongue |
D. | Skin |
ANS: D REF: 66
- Gastro means
A. | Stomach |
B. | Large intestine |
C. | Small intestine |
D. | Intestines |
ANS: A REF: 66
- Gluco means
A. | Blood |
B. | Water |
C. | Stone |
D. | Sweetness |
ANS: D REF: 66
- Hemo means
A. | Artery |
B. | Heart |
C. | Vein |
D. | Blood |
ANS: D REF: 66
- Hydro means
A. | Bladder |
B. | Water |
C. | Kidney |
D. | Air |
ANS: B REF: 66
- Myo means
A. | Spinal cord |
B. | Eye |
C. | Muscle |
D. | Straight, normal, correct |
ANS: C REF: 66
- Osteo means
A. | Spinal cord |
B. | Joint |
C. | Bone |
D. | Nerve |
ANS: C REF: 66
- Pnea means
A. | Breathing, respiration |
B. | Lung, air, gas |
C. | Nose |
D. | Lung |
ANS: A REF: 66
- Stomato means
A. | Stomach |
B. | Opening |
C. | Narrow, constriction |
D. | Mouth |
ANS: D REF: 66
- Toxico and toxo mean
A. | Poison |
B. | Heat |
C. | Chest |
D. | Clot |
ANS: A REF: 66
- Vaso means
A. | Artery |
B. | Vein |
C. | Blood vessel |
D. | Dilate |
ANS: C REF: 66
- The suffix -algia means
A. | Condition |
B. | Pain |
C. | Enlargement |
D. | Disease |
ANS: B REF: 66
- The suffix -emia means
A. | Removal of |
B. | Blood condition |
C. | Inflammation |
D. | Tumor |
ANS: B REF: 66
- The suffix -phagia means
A. | The study of |
B. | Destruction of |
C. | Disease |
D. | Swallowing |
ANS: D REF: 66
- The suffix -phasia means
A. | Swallowing |
B. | Speaking |
C. | Paralysis |
D. | Fear |
ANS: B REF: 66
- The suffix -rrhage means
A. | Discharge |
B. | Stitching |
C. | Excessive flow |
D. | Drooping |
ANS: C REF: 66
- The suffix -stomy means
A. | Removal of |
B. | Cutting into |
C. | Stomach |
D. | Creation of an opening |
ANS: D REF: 66
- The suffix -plegia means
A. | Paralysis |
B. | Swallowing |
C. | Speaking |
D. | Sagging |
ANS: A REF: 66
- The abbreviation ADL means
A. | Abdomen |
B. | Before meals |
C. | Activities of daily living |
D. | As desired |
ANS: C REF: inside back cover
- The abbreviation amb means
A. | Ambulatory |
B. | Amount |
C. | Abdomen |
D. | Morning |
ANS: A REF: inside back cover
- The abbreviation BRP means
A. | Twice a day |
B. | Blood pressure |
C. | Bathroom privileges |
D. | Bowel movement |
ANS: C REF: inside back cover
- The abbreviation c/o means
A. | Catheter |
B. | Complains of |
C. | Cancer |
D. | Cubic centimeter |
ANS: B REF: inside back cover
- How would you abbreviate height?
A. | h |
B. | H |
C. | ht |
D. | Hgt |
ANS: C REF: inside back cover
- How would you abbreviate gastrointestinal?
A. | gastro |
B. | gi |
C. | gstin |
D. | GI |
ANS: D REF: inside back cover
- The abbreviation noc means
A. | Negative |
B. | Night |
C. | Nothing |
D. | None |
ANS: B REF: inside back cover
- The abbreviation NPO means
A. | Negative |
B. | No person allowed |
C. | Nothing by mouth |
D. | Night privacy allowed |
ANS: C REF: inside back cover
- The abbreviation PC means
A. | Post-conference |
B. | Post-care |
C. | Before meals |
D. | After meals |
ANS: D REF: inside back cover
- The abbreviation po means
A. | By mouth |
B. | Per oral |
C. | Post-operative |
D. | Pre-operative |
ANS: A REF: inside back cover
- The abbreviation prn means
A. | When necessary |
B. | Preparation |
C. | Practical registered nurse |
D. | Preferred nursing |
ANS: A REF: inside back cover
- The abbreviation qid means
A. | Twice a day |
B. | Three times a day |
C. | Four times a day |
D. | Every night at bedtime |
ANS: C REF: inside back cover
- The abbreviation ROM means
A. | Range of motion |
B. | Roommate |
C. | Right outer muscle |
D. | Rest on Monday |
ANS: A REF: inside back cover
- The abbreviation stat means
A. | As soon as possible |
B. | At once |
C. | Station |
D. | Static |
ANS: B REF: inside back cover
- Proximal means
A. | At or near the front of the body or body part |
B. | The farthest from the center or from the point of attachment |
C. | Away from the midline |
D. | The part nearest to the center or to the point of origin |
ANS: D REF: 56, 67
- You have access to the agency’s computer system. Which is correct?
A. | You can use another person’s password to open 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 change your password following agency policy. |
ANS: D REF: 68-69
- These statements are about computer use in health care agencies. Which 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. | Authorized staff can retrieve deleted computer files. |
D. | You should use the computer to post your opinions and messages on the Internet. |
ANS: C REF: 69
- These statements are about computer use in health care agencies. Which is incorrect?
A. | You should share your password with co-workers. |
B. | You should use correct spelling, punctuation, and grammar. |
C. | You should prevent others from seeing what is on the screen. |
D. | You should double-check your entries. |
ANS: A REF: 69
- You should answer a phone by the
A. | Second ring |
B. | Fourth ring |
C. | Sixth ring |
D. | Eighth ring |
ANS: B REF: 70
- After taking a message, which is correct?
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 |
ANS: A REF: 70
- Before transferring a call, you should
A. | Explain that you are going to transfer the call |
B. | Lay the phone down and find out where to transfer the call |
C. | Take a message |
D. | Find out the reason for the call |
ANS: A REF: 70
- A phone message should contain the following information except
A. | The caller’s name and phone number |
B. | The caller’s social security number |
C. | The date and time |
D. | The message |
ANS: B REF: 70
- 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 |
ANS: A REF: 70
- When answering the phone in a patient’s home, you should
A. | Give the patient’s name and your name |
B. | Identify yourself by name and title |
C. | Simply answer with “hello” |
D. | Give your name and the name of the agency you work for |
ANS: C REF: 68
- 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 |
ANS: A REF: 70
- You have a conflict with a co-worker. In resolving the conflict, 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 |
ANS: B REF: 70
- Which statement is incorrect?
A. | Incomplete information can harm the person. |
B. | Patient and resident information is confidential. |
C. | When communicating, you must protect the person’s right to privacy. |
D. | To save time, record treatments and procedures before you complete them. |
ANS: D REF: 61, 63-64