INPA Midterm UPDATED ACTUAL
Questions and CORRECT Answers
confidentiality - CORRECT ANSWER - - patients have access to medical records
- must obtain consent from patient before info is released for health related purposes
- use precautions to protect pt's info
- legally and ethically obligated to keep information about patients confidential
- don't disclose info to other patients, family members (unless granted), or health care staff not
involved
- ensure that computer is never left unattended w/ info still displayed
A patient with bipolar disorder has been admitted for suicide prevention. He asks the nurse for a
copy of his medical records, because he would like to read the therapist's notes from his last
session. Should the nurse comply with this request?
Yes
No - CORRECT ANSWER - No
documenting four P's of care - CORRECT ANSWER - - pain: level of pain using scale of
0 to 10, include interventions to reduce
- position: change patient's position and interventions to improve comfort
- possessions: within reach, include call light, beside table, and adaptive devices (glasses)
- potty: assistance to use toilet/bedpan, record output
formats for progress notes - CORRECT ANSWER - SOAP - subjective, objective,
assessment, plan
SOAP - SOAP plus evaluation
PIE - problem, intervention, evaluation
APIE - assessment, plan, intervention, evaluation
DAR - data, action, pt response
, Which of the following examples illustrates the benefit of collecting data using computerized
systems?
A. A hospital found that the highest readmission rate was for patients with congestive heart
failure.
B. The computer system lacks appropriate back-up personnel; therefore the nurse is assigned this
task.
C. The federal government has penalized the hospital for lack of compliance with electronic
medical records.
D. Data for elderly clients was cleared from the system to make more storage space for newborn
delivery rates. - CORRECT ANSWER - A. A hospital found that the highest readmission
rate was for patients with congestive heart failure.
health care associated infections - CORRECT ANSWER - - also called nosocomial
infections
- includes pneumonia, C. difficile, MRSA, VRE
- localized or systemic infections that were not present during admission to facility
- present in 1 out of every 20 patients
chain of infection - CORRECT ANSWER - - infectious agent: virus
- reservoir: oxygen, air, food, water
- portal of exit: mouth, nose, body openings, organs (sexual)
- transmission: airborne, contact, droplet
- portal of entry: mucous membranes, cuts
- host susceptibility: humans
course of infection by stage - CORRECT ANSWER - - incubation: virus enters body
- proximal: signs and symptoms
- illness: diagnosis, disease manifests
- convalescence: patient overcomes disease
Questions and CORRECT Answers
confidentiality - CORRECT ANSWER - - patients have access to medical records
- must obtain consent from patient before info is released for health related purposes
- use precautions to protect pt's info
- legally and ethically obligated to keep information about patients confidential
- don't disclose info to other patients, family members (unless granted), or health care staff not
involved
- ensure that computer is never left unattended w/ info still displayed
A patient with bipolar disorder has been admitted for suicide prevention. He asks the nurse for a
copy of his medical records, because he would like to read the therapist's notes from his last
session. Should the nurse comply with this request?
Yes
No - CORRECT ANSWER - No
documenting four P's of care - CORRECT ANSWER - - pain: level of pain using scale of
0 to 10, include interventions to reduce
- position: change patient's position and interventions to improve comfort
- possessions: within reach, include call light, beside table, and adaptive devices (glasses)
- potty: assistance to use toilet/bedpan, record output
formats for progress notes - CORRECT ANSWER - SOAP - subjective, objective,
assessment, plan
SOAP - SOAP plus evaluation
PIE - problem, intervention, evaluation
APIE - assessment, plan, intervention, evaluation
DAR - data, action, pt response
, Which of the following examples illustrates the benefit of collecting data using computerized
systems?
A. A hospital found that the highest readmission rate was for patients with congestive heart
failure.
B. The computer system lacks appropriate back-up personnel; therefore the nurse is assigned this
task.
C. The federal government has penalized the hospital for lack of compliance with electronic
medical records.
D. Data for elderly clients was cleared from the system to make more storage space for newborn
delivery rates. - CORRECT ANSWER - A. A hospital found that the highest readmission
rate was for patients with congestive heart failure.
health care associated infections - CORRECT ANSWER - - also called nosocomial
infections
- includes pneumonia, C. difficile, MRSA, VRE
- localized or systemic infections that were not present during admission to facility
- present in 1 out of every 20 patients
chain of infection - CORRECT ANSWER - - infectious agent: virus
- reservoir: oxygen, air, food, water
- portal of exit: mouth, nose, body openings, organs (sexual)
- transmission: airborne, contact, droplet
- portal of entry: mucous membranes, cuts
- host susceptibility: humans
course of infection by stage - CORRECT ANSWER - - incubation: virus enters body
- proximal: signs and symptoms
- illness: diagnosis, disease manifests
- convalescence: patient overcomes disease
