Fy16 Home Based Primary care Policy Review

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| By Milly
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Milly
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Quizzes Created: 37 | Total Attempts: 86,842
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Fy16 Home Based Primary care Policy Review - Quiz

Annual Nursing Education review of policies, procedures, and protocols for Home Based Primary Care RNs. Must be completed by March 31, 2016 with a minimum score of 90.


Questions and Answers
  • 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.

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
    Explanation
    The given statement indicates that the person taking the test pledges to demonstrate the core values of the American Nurses Association Code of Ethics, specifically by upholding the standards of honesty and integrity. By answering "Yes", the person certifies that they are indeed the individual taking the test.

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  • 2. 

    Who is the organ procurement agency for RHJ VAMC?

    • A.

      LifeCare

    • B.

      LifePoint

    • C.

      LifeChoice

    • D.

      LifeLine

    Correct Answer
    B. LifePoint
    Explanation
    CPM 00-14-16; T:drive>All CPMs> type "Organ" in the search box

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  • 3. 

    What would you do if your SCI patient was showing symptoms of Autonomic Dysreflexia? 

    • A.

      Sit patient upright

    • B.

      Loosen any restrictive clothing

    • C.

      Palpate patient's bladder for distention

    • D.

      Do a general survey to seek and eliminate the cause of symptoms

    • E.

      All of the Above

    Correct Answer
    E. All of the Above
    Explanation
    CPG 12-2013 Spinal Cord Injury Treatment Guidelines for Physicians and Nurses. Located on the T drive--Clinical Guidelines and Protocols---Clinical Practice and Guidelines. Type "spinal" in the search box.

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  • 4. 

    Nursing staff are responsible for documenting reported falls in CPRS. Falls will be tracked and reported quarterly. 

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    T:drive---All CPMs---type "falls" in the search box.

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  • 5. 

    Prostate cancer screening should occur with the following populations (Select all that apply) 

    • A.

      Men older than 75 years of age

    • 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)

    • D.

      All men

    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

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  • 6. 

    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) 

    • 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

    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

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  • 7. 

    According to The Missing Patient policy, an at-risk patient includes one who is (select all which apply): 

    • 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

    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

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  • 8. 

    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:

    • A.

      Having the patient state their FULL Name and Room Number

    • B.

      Having the patient state their LAST Name and LAST 4 of their Social Security Number

    • C.

      Having the patient state their FULL Home Address

    • D.

      Having the patient state their FULL Name and FULL Social Security Number

    Correct Answer
    D. Having the patient state their FULL Name and FULL Social Security Number
    Explanation
    CPM 118-14-23; Patient Identification

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  • 9. 

    The following are nursing actions in the event of a blood transfusion reaction except: 

    • A.

      Collect (2) - seven ml lavender tubes of blood from a site that is distal to the transfusion site.

    • B.

      Notify blood bank.

    • C.

      Notify physician.

    • D.

      Label the tubes as immediate post-transfusion reaction.

    Correct Answer
    A. Collect (2) - seven ml lavender tubes of blood from a site that is distal to the transfusion site.
    Explanation
    CPM 113-13-01. T drive- All CPMs—type “blood transfusion ” in the search box

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  • 10. 

    What are the signs and symptoms of a blood transfusion reaction? (Select all that apply)

    • A.

      Dizziness

    • B.

      Chills

    • C.

      Fever

    • D.

      Flushing of skin

    Correct Answer(s)
    A. Dizziness
    B. Chills
    C. Fever
    D. Flushing of skin
    Explanation
    CPM 113-13-01. T drive---All CPMs, type "blood transfusion" in search box

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  • 11. 

    The HBC RN is responsible for the initial review of HBC Patient Rights and Responsibilities with the patient and caregiver, and for documenting this in the medical record. Which of the following is true regarding Patient Rights and Responsibilities (select all that apply):

    • A.

      The HBC Patient Rights and Responsibilities document is given to patients admitted to the program as part of the HBC Admission folder

    • B.

      Progress note entries are made to document instances of patients electing to exercise their rights in a negative manner (e.g. refusals of treatment), and team member responses to these

    • C.

      HBC staff members are aware of and honor patients' rights as outlined by the VHA and the HBC list of Patient Rights and Responsibilities

    • D.

      Patients and/or caregivers will participate in decisions regarding development of the treatment plan, and in on-going evaluations of the plan

    Correct Answer(s)
    A. The HBC Patient Rights and Responsibilities document is given to patients admitted to the program as part of the HBC Admission folder
    B. Progress note entries are made to document instances of patients electing to exercise their rights in a negative manner (e.g. refusals of treatment), and team member responses to these
    C. HBC staff members are aware of and honor patients' rights as outlined by the VHA and the HBC list of Patient Rights and Responsibilities
    D. Patients and/or caregivers will participate in decisions regarding development of the treatment plan, and in on-going evaluations of the plan
    Explanation
    PM 2.01 "Patient Rights and Responsibilities", go to T: drive and search "HBPC Policies"

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  • 12. 

    All of the following are true regarding referral to HBC except:

    • A.

      The veteran's primary care provider is not required to submit a consult for HBC services

    • B.

      HBC Program Director or designee assumes responsibility for determining the appropriateness of the referral

    • C.

      If a referral is from the community, the HBC team member responding to the initial inquiry writes pertinent data in an electronic progress note and requests that the PCP submit a consult to HBC

    • D.

      The veteran will remain with the PCP until HBC admission is arranged.

    Correct Answer
    A. The veteran's primary care provider is not required to submit a consult for HBC services
    Explanation
    PM 3.01 "Referrals and Admissions to HBC", go to T: drive and search HBPC Policies

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  • 13. 

    It is the responsibility of each HBC discipline to make an initial assessment of the HBC patient/caregiver and to initiate a plan of care. It is the responsibility of each team member to determine the appropriate frequency and scheduling of their home visits.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    PM 3.02 HBC Team Member Visits, go to T:drive and search HBPC Policies

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  • 14. 

    HBC staff who suspects abuse, neglect or exploitation will promptly report such instances to the HBC physician, the HBC Program Director and the social worker.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    PM 3.04 "Identification & Reporting of Abuse/Neglect Exploitation in the Home", go to T:drive and search HBPC policies

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  • 15. 

    Which of the following components will be addressed during follow up teaching for all HBC patients?

    • A.

      Medications

    • B.

      Disease Process

    • C.

      Discharge from HBC services

    • D.

      Emergency plans

    Correct Answer(s)
    A. Medications
    B. Disease Process
    D. Emergency plans
    Explanation
    PM 5.03 "HBC Patient/Caregiver Education", go to T:drive and search HBPC policies

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  • 16. 

    Care coordination is provided to ensure the implementation of the HBC treatment plan, to avoid unnecessary duplication of services, and to ensure continuity of care in the event of consultation with other services, admission to the hospital, transfer to other extended care services and facilities, or discharge to outpatient treatment.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    PM 6.01 "Coordination and Continuity of Care", go to T:drive and search HBPC policies

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  • 17. 

    In the event of an environmental disaster:

    • A.

      Patients will be instructed that if evacuation is necessary, they should take medications, special equipment and supplies with them.

    • B.

      The patient will be supplied with a list of emergency telephone numbers to be kept by his/her telephone (Fire Dept., EMS, VA).

    • C.

      Every effort will be made to contact high risk patients to apprise them of the situation and evaluate their status when staff can get to the office.

    • D.

      A special radio monitor tuned to the National Weather Service will be located in the HBC office for weather advisories.

    Correct Answer(s)
    A. Patients will be instructed that if evacuation is necessary, they should take medications, special equipment and supplies with them.
    B. The patient will be supplied with a list of emergency telephone numbers to be kept by his/her telephone (Fire Dept., EMS, VA).
    C. Every effort will be made to contact high risk patients to apprise them of the situation and evaluate their status when staff can get to the office.
    D. A special radio monitor tuned to the National Weather Service will be located in the HBC office for weather advisories.
    Explanation
    PM 9.08 "Severe Weather Plan", go to T:drive and search HBPC policies

    Rate this question:

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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 07, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 17, 2016
    Quiz Created by
    Milly
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