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Fundamental Concepts and Skills for the Patient Care Technician, 2nd Edition by Kimberly
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Townsend Little, PhD, RN, WHNP-BC, CNE
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Chapter 1-35 v
Chapter 01: Today’s Healthcare
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MULTIPLE CHOICE v
1. Which of the following must the patient care technician (PCT) recognize regarding the
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v healthcare delivery system? v v
a. It includes all states.
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b. It affects the illness of patients.
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c. Insurance companies are not involved. v v v v
d. The major goal is to achieve optimal levels of healthcare.
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ANS: D v
The PCT must recognize that in the healthcare delivery system, the major goal is to achieve
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optimal levels of healthcare. The healthcare system consists of a network of agencies, facilities,
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and providers involved with healthcare in a specified geographic area. Insurance companies do
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have involvement in the healthcare system. The illness of patients is not necessarily affected by
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the healthcare system.
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OBJ: 1 v v
2. What is required by the healthcare team to identify the needs of a patient and to design care to meet
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those needs?
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a. The white board v v
b. The nurse’s notes v v
c. The physician’s order sheet v v v
d. An individualized care plan v v v
ANS: D v
An individualized care plan involves all healthcare workers and outlines care to meet the needs of
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the individual patient. The white board, physician’s order sheet, and nurse’s notes do not identify
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the needs of the patient nor are they designed to assist all members of the healthcare team to meet
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those needs.
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OBJ: 3 v v
3. How does an interdisciplinary approach to patient treatment enhance care?
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a. By improving efficiency of care v v v v
b. By reducing the number of caregiversv v v v v
c. By preventing the fragmentation of patient care
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d. By shortening hospital stay v v v
ANS: C v
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, An interdisciplinary approach prevents fragmentation of care by involving and including all care
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providers. An interdisciplinary approach does not improve the efficiency of care, reduce the
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number of caregivers, or shorten hospital stay.
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OBJ: 3, 4 v v v
4. How may a newly licensed practical nurse/ licensed vocational nurse (LPN/LVN) practice?
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a. Independently in a hospital setting v v v v
b. With an experienced LPN/LVN v v v
c. Under the supervision of a physician or registered nurse (RN) v v v v v v v v v
d. As a sole practitioner in a clinic setting
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ANS: C v
An LPN/LVN practices under the supervision of a physician, dentist, or RN. An LPN/LVN is not
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to practice independently in a hospital setting, under the supervision of a more experienced
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LPN/LVN, or as a sole practitioner in a clinic setting.
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OBJ: 5 v v
5. What document identifies the roles and responsibilities of the LPN/LVN?
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a. The nurse’s employer v v
b. College Accreditation Standards v v
c. Nurse Practice Act v v
d. Nurse Association Code v v
ANS: C v
The LPN/LVN functions under the Nurse Practice Act. The nurse’s employer may outline the
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working responsibilities of the nurse, but it is the nurse’s responsibility to make sure they stay
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within their scope of practice as described by the Nurse Practice Act.
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OBJ: 5 v v
6. What is the title of the American Hospital Association’s 1972 document that outlines the
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v patient’s expectations to be treated with dignity and compassion?
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a. Code of Ethics v v
b. Patient’s Bill of Rights v v v
c. The Omnibus Reconciliation Act (OBRA) v v v v
d. Advance directives v
ANS: B v
The title of the American Hospital Association’s 1972 document that outlines the patient’s
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expectations is the Patient’s Bill of Rights. Patient expectations are not outlined in the Code of
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Ethics, OBRA, or advance directives.
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OBJ: 2 v v
7. What system reduces the number of employees but still provides quality care for patients?
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a. Team nursing v
b. Cross-training
c. Use of critical pathways v v v
d. Case management v
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