1.
I pledge to demonstrate the core values of the American Nurses Association Code of Ethics by upholding the standards of honesty and integrity. By answering "Yes", I certify that I am the person taking this test.
Correct Answer
A. Yes
Explanation
The given correct answer is "Yes". This answer indicates that the person taking the test pledges to demonstrate the core values of the American Nurses Association Code of Ethics by upholding the standards of honesty and integrity. By selecting "Yes", they certify that they are the person taking the test.
2.
Who is the organ procurement agency for RHJ VAMC?
Correct Answer
B. LifePoint
Explanation
CPM 00-14-16; T:drive>All CPMs> type "Organ" in the search box
3.
The following are nurses’ actions in the event of a blood transfusion reaction except:
Correct Answer
A. Collect 2 seven ml lavender tubes of blood from distant site from the transfusion.
Explanation
CPM 113-13-01. T drive- All CPMs—type “blood transfusion ” in the search box
4.
When a patient in the CBOC shows signs and symptoms of a stroke, nursing staff will call 911 for transport to the nearest Acute Ischemic Stroke center (facility).
Correct Answer
A. True
Explanation
T:\Clinical Guidelines & Protocols\Protocols\Nursing Protocol Signs and Symptoms of Acute Ischemic Stroke (04-24-15)
5.
It is the policy for RHJVAMC and CBOCs where Primary Care, Women's Health and/or Mental Health services are provided, that access to clinically appropriate services extending beyond normal business hours are available at least once on weekdays (Wednesday) and once every weekend (Saturday), at times and venues that match Veteran demand and expectation.
Correct Answer
A. True
Explanation
Extended Hours Access for Veterans at Medical Centers and Selected Community Based Outpatient Clinics (CBOCs) CPM No. 11-14-51
6.
Prostate cancer screening should occur with the following populations (Select all that apply)
Correct Answer(s)
B. Men who choose to be tested age 40 years or higher with highest risk factors (several first-degree relatives diagnosed with prostate cancer at an early age (younger than age 65))
C. Men who choose to be tested age 45 or older at high risk for developing prostate cancer (African American men and men who have a first-degree relative diagnosed with prostate cancer at younger than 65 years of age)
Explanation
Prostate Cancer Screening CPM NO.11C-14-10 Located on the T-Drive
7.
It is VHA policy that any Veteran receiving care at more than one VHA facility must have that care coordinated by the preferred facility, and that non-preferred facilities must expedite care provided to traveling veterans with unexpected medical needs.
Correct Answer
A. True
Explanation
CPM 11-C-11-11 Coordinated Care Policy for traveling Veterans located on the T-drive
8.
When a veteran/ caller is reporting suicidal or homicidal thoughts or other crises to the Ralph H. Johnson Department of Veterans Affairs Medical Center telephone operator or to other staff they should: (select all which apply)
Correct Answer(s)
A. When a Nurse, Physician, Social Worker, Physician Assistant or Psychologist receives a call, they will triage the call, determine the appropriate clinical intervention and initiate a rescue if needed.
B. When possible make a warm transfer (allows for all three parties to be on the line at the same time)
C. Veterans who call the Medical Center with expressed suicidal or homicidal thoughts during duty hours (8:00 a.m. – 4:30 p.m.) will be referred to the Psychiatry Access Center Team (PAC) pager 17359 (MUSC Simon).
D. NEVER PLACE A CALL ON HOLD
Explanation
ICPM116-11-06 NTERVENTION FOR SUICIDAL/HOMICIDALPATIENTS VIA TELEPHONE Located on the T-drive
9.
According to The Missing Patient policy, an at-risk patient includes one who is (select all which apply):
Correct Answer(s)
A. Legally committed.
B. Physically or mentally impaired with increased risk of harm to self or others
C. Assigned a court appointed legal guardian.
D. Lacking cognitive ability (either permanently or temporarily) to make relevant decisions
Explanation
CPM 07B-13-01 Missing Patient Policy located on the T-drive
10.
Proper identification of a patient prior to check-in or initiation of care is important in ensuring that care and information are given to the right patient. It is the policy at RHJ VAMC to use 2 unique patient identifiers such as:
Correct Answer
D. Having the patient state their FULL Name and FULL Social Security Number
Explanation
CPM 118-14-23; Patient Identification
11.
It is Medical Center policy that all outpatient clinic appointments, meeting the definition of an encounter, are made in Count Clinics using the VistA Scheduling software in a fashion that best suits patients’ clinical needs and preferences; this includes, but is not limited to: appointments made for clinic visits; VA provided home care; consultations; and medical, surgical, dental, rehabilitation, dietetic, nursing, social work, and mental health services and procedures.
Correct Answer
A. True
Explanation
CPM NO.11-15-41 OUTPATIENT SCHEDULING PROCESSES AND PROCEDURES
12.
According to the F.A.S.T. acronym, which of the following can be signs and symptoms of a stroke. Select all that apply:
Correct Answer(s)
A. Sudden weakness
B. Trouble speaking
C. Sudden severe headache
E. Inability to move one side
Explanation
Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (ASI)
13.
Patients will be screened for eligibility in the Home Telehealth program to improve clinical outcomes and/or resource utilization. Those patients who are eligible for the Home Telehealth program may include:
Correct Answer(s)
A. Patients who have chronic diseases and are high risk, high cost and/or have high utilization patterns
C. Patients whose participation in the program may be expected to contribute to improved clinical outcomes
Explanation
CPM 11G-13-02 "Home Telehealth" go to T:drive, CPM (all services), Geriatrics
14.
According to the Home Telehealth (HT) policy, patients being considered for enrollment must meet the following inclusion criteria:
Correct Answer(s)
A. Currently enrolled in a VA Patient Aligned Care Team (PACT) Clinic or Specialty Care Clinic
B. Is willing to fully participate in the program
C. Lives in a home environment in which daily care and management of medical problems is feasible
D. Is willing to accept the technology in the home and have access to required utilities
E. Demonstrates competency in safely operating and maintaining HT technology
Explanation
CPM 11G-13-02 "Home Telehealth", go to T: drive> CPM (all services)> Geriatrics
15.
Home Telehealth is provided to ensure the implementation of treatment goals, to avoid duplications of services, and to ensure continuity of care in the event of consultation with other professionals, admission to the hospital or discharge to other levels of care.
Correct Answer
A. True
Explanation
"Home Telehealth" CPM 11G-13-02 (go to T: drive, CPM all services, Geriatrics, Home Telehealth)
16.
When Home Telehealth services are terminated, the equipment will be retrieved and patient satisfaction, self-efficacy, and function will be assessed as appropriate. A patient's participation in a Home Telehealth program may be terminated when:
Correct Answer(s)
A. The patient has achieve clinical goals
B. The patient/caregiver no longer wishes to participate in the program or use the technology
D. The Care Coordinator is unable to contact the patient or the patient refuses to connect/transmit despite numerous calls by the staff
Explanation
CPM 11G-13-02 "Home Telehealth" (go to t:drive, CPM all services, Geriatrics, Home Telehealth)