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Chapter 1. Today’s Healthcare.
Townsend: Fundamental Concepts and Skills for the Patient Care Technician, 2E
ALL CHAPTERS
MULTIPLE CHOICE ANSWERS INCLUDED
1. Which of the following must the patient care technician (PCT) recognize regarding the
healthcare delivery system?
a. It includes all states.
b. It affects the illness of patients.
c. Insurance companies are not involved.
d. The major goal is to achieve optimal levels of healthcare.
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ANS: D
The PCT must recognize that in the healthcare delivery system, the major goal is to achieve
optimal levels of healthcare. The healthcare system consists of a network of agencies,
facilities, and providers involved with healthcare in a specified geographic area. Insurance
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companies do have involvement in the healthcare system. The illness of patients is not
necessarily affected by the healthcare system.
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OBJ: 1
2. What is required by the healthcare team to identify the needs of a patient and to design care to
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meet those needs?
a. The white board
b. The nurse’s notes
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c. The physician’s order sheet
d. An individualized care plan
ANS: D
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An individualized care plan involves all healthcare workers and outlines care to meet the
needs of the individual patient. The white board, physician’s order sheet, and nurse’s notes do
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not identify the needs of the patient nor are they designed to assist all members of the
healthcare team to meet those needs.
OBJ: 3
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3. How does an interdisciplinary approach to patient treatment enhance care?
a. By improving efficiency of care
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b. By reducing the number of caregivers
c. By preventing the fragmentation of patient care
d. By shortening hospital stay
ANS: C
An interdisciplinary approach prevents fragmentation of care by involving and including all
care providers. An interdisciplinary approach does not improve the efficiency of care, reduce
the number of caregivers, or shorten hospital stay.
OBJ: 3, 4
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4. How may a newly licensed practical nurse/ licensed vocational nurse (LPN/LVN) practice?
a. Independently in a hospital setting
b. With an experienced LPN/LVN
c. Under the supervision of a physician or registered nurse (RN)
d. As a sole practitioner in a clinic setting
ANS: C
An LPN/LVN practices under the supervision of a physician, dentist, or RN. An LPN/LVN is
not to practice independently in a hospital setting, under the supervision of a more
experienced LPN/LVN, or as a sole practitioner in a clinic setting.
OBJ: 5
5. What document identifies the roles and responsibilities of the LPN/LVN?
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a. The nurse’s employer
b. College Accreditation Standards
c. Nurse Practice Act
d. Nurse Association Code
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ANS: C
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The LPN/LVN functions under the Nurse Practice Act. The nurse’s employer may outline the
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
6. What is the title of the American Hospital Association’s 1972 document that outlines the
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patient’s expectations to be treated with dignity and compassion?
a. Code of Ethics
b. Patient’s Bill of Rights
c. The Omnibus Reconciliation Act (OBRA)
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d. Advance directives
ANS: B
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The title of the American Hospital Association’s 1972 document that outlines the patient’s
expectations is the Patient’s Bill of Rights. Patient expectations are not outlined in the Code of
Ethics, OBRA, or advance directives.
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OBJ: 2
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7. What system reduces the number of employees but still provides quality care for patients?
a. Team nursing
b. Cross-training
c. Use of critical pathways
d. Case management
ANS: B
Cross-training reduces the number of employees by training one employee to do more than
one job without altering the quality of patient care. Team nursing, use of critical pathways,
and case management do not reduce the number of employees while continuing to provide
quality care for patients.
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