Wilkins Chapter 21

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  1. The patients medical record is a(n):
    a. financial document
    b. legal document
    c. education tool
    d. all of the above
    d. all of the above
  2. What is the primary goal of the Joint Commission?
    A. Monitor financial reimbursement of hospitals
    B. Monitor the ethical practice of medicine at healthcare organizations
    C. Review healthcare organizations to improve the quality of healthcare and patient safety.
    D. Provide healthcare workers with a safe work environment.
    C. Review healthcare organizations to improve the quality of healthcare and patient safety.
    (this multiple choice question has been scrambled)
  3. Which of the following organizations influences what needs to be documented in a patients medical record?
    A. Center for Medicare and Medicaid Services (CMS)
    B. Financial intermediaries
    C. The Joint Commission
    d. all of the above.
    C. The Joint Commission
    (this multiple choice question has been scrambled)
  4. Which of the following definitions is consistent with negligence?
    A. Failure to document a procedure performed on a patient
    B. Failure to explain to a patient the purpose of a therapy
    C. Failure to obtain a license to practice despite good clinical performance
    D. Failure to use a reasonable amount of care that results in injury or damage to another.
    D. Failure to use a reasonable amount of care that results in injury or damage to another.
    (this multiple choice question has been scrambled)
  5. Which of the following conditions is NOT required for the legal definition of negligence?
    A. The plaintiff suffered a legally recognizable injury
    B. The defendant owed a duty of care to the plaintiff
    C. The defendant breached that duty
    D. The defendant's breach of duty of care did not cause the plaintiff's injury
    D. The defendant's breach of duty of care did NOT cause the plaintiff's injury.
    (this multiple choice question has been scrambled)
  6. Which of the following outlines the professional standards for respiratory therapists?
    I. AARC clinical practice guidelines
    II. Respiratory care practice act and regulations
    III. Place of employment
    IV. The Joint Commission
    A. I, II, and III
    B. II and IV
    C. I, II, and IV
    D. I, II, III and IV
    D. I, II, III, and IV
    (this multiple choice question has been scrambled)
  7. The absence of information or lack of documented recognition of specific problems could result in one of the following situations:
    A. Reduction in the workload
    B. Probation status for the clinician at fault
    C. Malpractice
    D. Reduction in salary for the respiratory therapist
    C. Malpractice
    (this multiple choice question has been scrambled)
  8. Which of the following sections of the patient assessment or procedures should be charted immediately?
    A. Drugs and their dosages
    B. Date and time of test or treatment
    C. Vital signs
    D.Result, or response to treatment, including adverse reactions
    C. Vital signs
    (this multiple choice question has been scrambled)
  9. Which of the following words is not consistent with the definition of the SOAP charting method?
    A. Subjective
    B. Objective
    C. Assesment
    D. Physical exam
    D. Physical exam
    (this multiple choice question has been scrambled)
  10. All of the following are examples of "objective" data, except?
    A. The physicians interpretation of the patient's ECG
    B. Observation of a patient's sleep apnea
    C. Laboratory results
    D. The patients report of the amount of sputum that he or she produces daily.
    D. The patient's report of the amount of sputum that he or she produces daily.
    (this multiple choice question has been scrambled)
  11. According to experts, obtaining a good medical history from a patient can give you a ____% chance of correctly identifying a patient's problem before you do a single test.
    A. 50
    B. 30
    C. 70
    D. 90
    C. 70%
    (this multiple choice question has been scrambled)
  12. Which of the following data does NOT constitute part of the objective part of the SOAP charting method?
    A. Review of clinical laboratory data
    B. Review of symptoms
    C. Review of pulmonary function test results
    D. Vital signs
    B. Review of symptoms
    (this multiple choice question has been scrambled)
  13. What does the letter "I" stand for in the APIE method of documentation?
    A. Idiot
    B.Impact
    C.Implementation
    D. Inconsistencies
    E. Initiative
    C. Implementation
    (this multiple choice question has been scrambled)
  14. Which method of documentation is probably best for a clinician who is pressed for time?
    A. SBAR
    B.PIP
    C. APIE
    D. SOAP
    B. PIP
    (this multiple choice question has been scrambled)
  15. Which of the following charting methods has been promoted with implementation of rapid response teams?
    A. PIP
    B. SOAP
    C. SBAR
    D. APEI
    C. SBAR
    (this multiple choice question has been scrambled)
Author:
Anonymous
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46281
Card Set:
Wilkins Chapter 21
Updated:
2010-10-31 17:49:02
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Chapter 21 review
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