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Review for Final exam Health Science II Name: __KEY

Use these questions to help you prepare. It is your responsibility to go through your notes, old tests and openers. Completed study guide is due ________________, worth 100 points.

Unit 1.01 Career

1. What should a healthcare professional look like regarding:

Dress- Neat, Clean, Wrinkle Free, Closed toe & Supportive Shoes

Hair - Clean Neat pulled back if long

Nails - Short clean natural nails

Name tag - on and visible at all times

2.Match the characteristic with the definition.

_B_ ability to work well with others a. responsibility

_F_ positive attitude and enjoying work b. team player.

_E_ using good judgment in what you do c. empathy

_H_ saying the kindest thing in a difficult d. dependability

situation

_C_ being able to identify with another person’s e. discretion

feelings or situation

_G_ learn from feedback from others f. enthusiasm

_A_ willing to be held accountable for actions g. accept criticism

_D_ reliable and prompt h. tact

3. How long does one go to school after high school to earn:

a. Bachelors degree ____4 years___

b. Associates degree _________2 years____________

c. Master’s degree _______5-6 years_____

d. Doctorate ___________6-8 years_____

4. What is the purpose of a cover letter? Letter of introduction, let employer know you are interested in position.

5. What are 5 things that should be included on a resume? Personal identifying information, education, career objective, skills, work experience, accomplishments, references.

6. What are two “do’s” for an interview, and two “don’ts”: DO- send a follow-up thank you note, be on time or early, be prepared for difficult questions, ask questions about facility/position. DON’T- answer discriminatory questions, take a cell phone to interview, chew gum.

Unit 1.02 Communication

7. List 3 examples of non-verbal communication: gestures, touch, body language, eye contact, facial expressions.

8. List 3 examples of verbal communication: Written- letter, note, email, text. Spoken- Tone of voice and vocabulary.

9. Identify each barrier as Personal, Physical, Cultural, or Environmental:

a. An emergency room doctor is having trouble understanding his Spanish-speaking patient; Cultural

b. An elderly patient in a wheelchair cannot access the pharmacist due to steps outside the building. Physical

c. A nurse attempts to explain discharge instructions to a patient in a noisy room. environmental

d. The doctor tells a patient she has “cholelithiasis”. Personal

e. A male social worker wants to discuss hospice care with a Middle Eastern female patient: cultural

10. The dental hygienist tells her patient how to clean her dentures. The patient nods in understanding. Using the communication model, identify the sender, the receiver, the message and the feedback. Dental Hygienist- Sender Patient- Receiver How to clean dentures- message Nod-Feedback

11. What is the appropriate way to correct an error that you have written in a patient chart?

Make a straight line through the statement. Record date & initial Do NOT erase or use whiteout.

12. Determine if the following is a form of Oral Reporting, Written Reporting, or Electronic Reporting:

a. A nurse records the patient’s vital signs on a computerized chart: electronic

b. The nurse tells her supervisor that the patient’s temperature is elevated: oral

c. The nurse writes down the vital signs on the flow chart in the patient record: written

Unit 1.03 Finances

13. Match the health plan with the description:

_C_ for military and their families a. Workers Compensation

_B_ government plan based on income b. Medicaid

_F_ government plan for anyone over 65 c. Tricare

_E_ focuses on disease prevention d. Medigap

_G_ group of healthcare providers who provide e. HMO

services to a group at a reduced rate.

f. Medicare

_D_ pays the difference between bill

and what Medicare pays g. PPO

_A_ plan for workers injured on the job

14-16: Jane Doe pays $250 a month for her ACME insurance plan. Whenever she goes to the doctor, she must pay $15 at each visit. When she was hospitalized for pneumonia recently, she was required to pay $500 before her insurance would pay the rest of the bill.

14. What is the $500 payment called? Deductible

15. What is the $250 a month called? Premium

16. What is the $15 payment called? Co-payment

17. What is a DRG? How is it used? Diagnostic Related Group- system used to classify diagnoses into similar groups & is used to determine the amount Medicare pays a health care provider.

18. What is the difference between outpatient and inpatient care? Outpatient does not stay overnight and inpatient does.

19. Give 2 examples of telemedicine: imaging- digital x-rays, telehealth, home telehealth, talking to a provider on a screen like skype or face time.

20. The Veterans Health Administration takes care of what type of patients? Former military personnel and their families including survivors and retired military.

Unit 1.04 Legal/Ethical Issues

21. What could a health care worker be accused of in the following situations?

a. An orthopedic surgeon operates on the wrong knee: malpractice

b. A dentist removes a patient’s tooth without their consent. battery

c. A nurse makes negative, untrue statements about a colleague. Defamation, Slander

d. The CNA in a nursing home locks a patient in her room. False imprisonment

e. The CNA in a long term care facility does not turn her bedridden patient all shift: negligence

22. List 3 conditions under which a patient would be considered to have a legal disability. Minor-under 18 y.o. mentally incompetent, under influence of drugs or alcohol, semi or unconscious persons.

23. Which legislation (Patients Bill of Rights, OBRA, HIPAA or Patient Self-Determination Act) address the following issues?

a. Allows Bob to have a copy of his medical records from Healthy Hospital. HIPAA

b. A patient admitted to Healthy Hospital for surgery is encouraged to complete an advanced directive. Patient self determinationAct

c.. Allows Mr. Davis to know the names of his doctors. Patients Bill of Rights

d. Protects the privacy of patient information. HIPAA

e. Requires training for CNAs who work in The Laurels Nursing Home. OBRA

24. What is the difference between tort law and criminal law? TORT LAW- involves disputes between people or organizations & protection of peoples rights, does not involve a contract, can result in physical injury, property damage, or reputation damage. CRIMINAL LAW- protects people fromt hose who pose a threat to society or are a danger to the public.

25. Abortion, euthanasia, and selection of organ transplant recipients are examples of ethical dilemmas (meaning no clear right or wrong answer).

Unit 1.05 Concepts of Teamwork

26. Determine if forming, storming, norming, performing or adjourning stage of teambuilding:

a. Drama club presents a play they have been working on at the elementary school. Performing

b. A new health sciences club has their first meeting. forming

c. Club members come up with several ideas for a fundraiser before deciding on having a bake sale. Storming/norming

d. Football team meets after a game to review what they did right or wrong. adjourning

27. Determine if the following leadership styles are laissez-faire, democratic, or autocratic:

a. Tells everyone what to do without getting input. autocratic

b. Lets the group run more or less independently laissez-faire

c. Makes decisions based on the good of the people. Democratic

d. Makes all the decisions for the group. autocratic

e. Gets input from members of the group. democratic

28. The reactive strategy to conflict involves acting, adjusting, accommodation, and avoiding. Which describes the following situation?

a. Members of a club walk out because they can’t stop arguing. avoiding

b. Both sides give up a bit of what they want and seek common ground. adjusting

c. The club chairman tells the group what the solution to the problem is. acting

d. HOSA club members who really want blue t-shirts allow the students who want red t-shirts to have their way. accomodation

29. Characteristics of an effective team matching:

a. consensus decisions b. common purpose

c. open communication d. complimentary skills

_B_ HOSA members planning a blood drive ask Susie to make posters because she is artistic, and ask Steve to speak to the homerooms because he is a good public speaker.

_C_ A surgeon encourages members of the OR team to express concerns.

_D_ A surgical team works together to complete a complex brain surgery.

_A_ Members of the French club take a vote on where to eat after school.

Unit 1.06 Fundamentals of Wellness

30. The food group you need the most of every day: Vegetables

31. How much sodium should you have (maximum) per day? 2300mg or 1 tsp

32. What are three things that can happen to your body under stress? Fight or flight response, prolonged stress=diseases like- allergies, depression, digestive disorders, headaches, heart disease, high BP, muscle tension.

33. What are 3 medical conditions that can be controlled in part by regular exercise? Abnormal cholesterol, diabetes, obesity

34. What are 3 ways to reduce stress? Use time wisely, compromise, use serenity prayer, say “no”, exercise, eat healthy foods.

35. True or false: (correct the false statements)

__T__a. Massage therapy helps to increase circulation and reduce stress.

__F__b. All alternative medicine modalities have been scientifically proven to be effective.

__T__c.. Prayer and herbal medicines are the two most common used types of CAM.

__F__d. Diabetes is tested with a pap smear.

__T__e. Cholesterol testing is done to check risk for heart disease.

__F__f. Colonoscopy is used to diagnose prostate cancer.

__T__g. A person with low hemoglobin has anemia.

Unit 2.01 Safety Procedures

36. When lifting a heavy box, what are 3 rules you should keep in mind? Carry object close to the body, get help if object is heavy, use two hands to lift.

37. What does the acronym RACE mean in dealing with a fire? R-rescue/remove anyone in danger, A- Activate the alarm, C-contain the fire, E-extinguish the fire, evacuate the area.

38. What does the acronym PASS mean in using a fire extinguisher? P-Pull the pin, A-aim the nozzle at the base of the fire, S-squeeze the handle, S-Sweep from side to side at base of fire.

39. Determine which type of fire extinguisher (A, B, C or D) should be used:

__B_a. On a gasoline fire _A_ e. Contains water.

__A_b. On a bed that is on fire. _BC_ f. Contains carbon dioxide.

__D_c. On certain metals. _C_ g. On an electric lamp.

__B_d. On a grease fire in the kitchen.

40. What are 4 things listed on an MSDS? Emergency Care instructions, precautions, instructions for use, procedures of clean up and disposal.

41. The main rule for any emergency situation is to remain CALM!.

Unit 2.02 Infection Control

42. The quality assurance committee is reviewing data on hand washing and hospital acquired infections. What is the type of condition they are concerned about? Nosocomial infections.

43.Match the parts of the chain of infection:

_D_ Chicken pox is spread through the air a. causative agent

_E_ Bob gets a large leg wound from shark bite b. reservoir

_F_ Mr. Smith is told to wear a mask when in public c. portal of exit

because he is on chemotherapy

d. mode of transmission

_B_ A dog carries rabies

e. portal of entry

_C_ Lucy has a cold and sneezes on her classmate

_A_ Varicella zoster f. susceptible host

44.Describe the correct procedure for washing your hands: Turn on water, we hands, add soap, scrub all surfaces of hands for 15 seconds, rinse without touching anything, get paper towel without contaminating hands, turn off faucet with paper towel, throw away paper towel (Don’t move it after turning water off-re-contaminate hands!)

45. What are 3 examples of PPE, and when should they be used? Gloves, gowns, masks, goggles. Anytime contamination with body fluids or soiled objects is likely.

46. Match the infection term with the definition:

_4_a. cause disease and infection 1. disinfection

_10 b. infections that occur when the body’s immune 2. sterilization

defenses are weakened. 3. antiseptic

_7_c. only a specific area of the body is infected 4. pathogenic

_8_d. affects the entire body 5. endogenous

_5_e. originates from within the body 6. exogenous

_6_f. originates outside the body 7. Local infection

_9_g. requires oxygen to live 8. Systemic infection

_2_ . completely free of pathogens, including spores and 9. aerobic

viruses, can’t be used on skin 10. Opportunistic infection

_1_i. free of bacteria, but not spores and viruses, can’t be used

on skin

_3_j. cleans off many germs, can be used on skin

3.01 Diagnostic and Therapeutic Services

47. Determine if each career is diagnostic or therapeutic:

Licensed practical nurse Therapeutic

Pharmacist Therapeutic

Mammographer Diagnostic

Clinical lab technician Diagnostic

Occupational therapist Therapeutic

48. Determine part of patient care process (Planning, Implementing, Evaluating):

a. Knee surgery patient Bob comes into PT office to establish what exercises are needed to strengthen the knee. planning

b. Bob comes weekly to appointments at the PT office for treatment implementing

c. the PT does tests and determines that Bob has met his goals. evaluating

49. What are 4 things included on a health history form: chief complaint, medical history, family history, social history, present illness, review of systems.

50. Assessment Terminology matching:

_D_doctor feels an enlarged liver on a patient a. stethoscope

_C_ nurse practitioner listens to lung sounds b. sphygmomanometer

_J_ER nurse notices a patient is grimacing c. ausculation

_B_ used to measure blood pressure d. palpation

_A_ used to listen to bowel sounds e. otoscope

_I_ used to move heavy patients f. reagent strips

_H_ used on the patellar tendon g. aural thermometer

_E_ used to look into a child’s ear h. reflex hammer

_G_ used to measure temperature in the ear i. mechanical lift

_F_ used to test urine for glucose j. observation

51. What are the normal values for adults at rest?

Pulse: 60-80 BPM

Respirations: 12-20 BPM

Systolic Blood pressure: 100-140 mmHg Diastolic BP: 60-90 mmHg

Temperature: Oral 97-100 degrees F

52. What are 2 differences between taking radial and apical pulse? Radial is felt/palpated at the wrist. Apical is auscultated/heard at the apex of the heart (chest- midclavicular line 5th intercostals space down)

53. Vision testing matching:

_D_ test for color blindness a. OS

_E_ screening test for visual acuity b. OU

_F_ device for testing for glaucoma c. OD

_B_ both eyes d. Ishihara test

_C_ right eye e. Snellen chart

_A_ left eye f. tonometer

54. When using crutches, how far below the axilla should the armrest be? 2”

55. How high should a walker be? Handles level with top of femur

56. What is a gait belt? Belt used to help support patient while ambulating or transferring and providing safety as needed should patient begin to fall or feel weak.

57. What does the acronym SOAP mean? Subjective, objective, assessment, plan

58. What do the following terms/abbreviations mean?

Cheyne-Stokes abnormal breathing pattern- periods of dyspnea (difficult) and apnea (without)

Tachypnea rapid shallow respiration, over 25 BPM

Bradycardia pulse rate below 60 BPM

Cyanosis bluish discoloration of skin

Hypertension high blood pressure

gtts drops

DNR do not resuscitate

DOA dead on arrival

BP blood pressure

CBC complete blood count

Effleurage gentle strokes in massage that glide over skin without attempting to move deeper structures.

Axilla armpit

WNL within normal limits

SOB shortness of breath

ad lib as desired

59. What position would you put someone in for:

__F_ suspected shock a. prone

__E_ check the cervix in labor b. Sims/left lateral

__D_ check for bowel sounds c. Fowlers

__C_ eat in bed d. supine/horizontal recumbent

__B_ an enema e. lithotomy

__A_examine the spine f. Trendelenburg

3.02 Health Informatics

60. What does a medical transcriptionist do? Types medical information recorded by physicians.

61. Determine if CPT or ICD -9-CM codes should be used:

Stitches removed from a patient’s arm in the doctor’s office CPT

Diagnosis of rheumatoid arthritis ICD9CM

Sore throat ICD9CM

Blood work drawn at Urgent Care CPT

62. What is a CMS -1500? Health insurance claim form, documentation submitted to a third party payer or government program requesting reimbursement for health care services provided.

63. Put the following names in order using alphabetical filing system.

Bobby Jones 1

Bobby Q. Jones 2

Roberta Jones 4

Roberta Johnson 3

64. Put the following in order using the straight numeric system.

04328-11 2

24512-12 4

43301-11 5

03211-12 1

11432-11 3

65. Put the above in order using the terminal numeric system:

04328-11

11432-11

43301-11

03211-12

24512-12

3.03 Support Services

66. What are 3 elements of a therapeutic health care environment (e.g. hospital room)? Clean, clutter free, easy to navigate, in good repair, coordinate with surroundings, be visually calming/pleasing, use natural light for assessment purposes, offer a view of outside or a mural if not possible for a window.

67. Sterile technique true or false:

_F_ A sterile field is considered non-sterile in a 3” perimeter.

_T_ One should not turn one’s back on a sterile field.

_F_ The area from your knees up is considered sterile.

_F_ The drop technique means something dropped on the floor remains sterile for 5 seconds.

_T_ A nurse could hand a doctor a sterile instrument using the mitten technique.

_T_ An autoclave is used for sterilizing all surgical instruments.

_T_ When wrapping an instrument for autoclave, the item name and date should be written on the outside.

_F_ An autoclaved item is considered sterile for 60 days.

68. Agency matching:

_C_ Imposes standards to protect the environment a. FDA

_D_ develops an applies guidelines for disease prevention, b. CMS

located in Atlanta.

_B_ Administers Medicare, Medicaid programs c. EPA

_A_ Supervises development and testing of food and drugs d. CDC

_E_ implements job safety standards e. OSHA

3.04 Biotechnology

69. How long does it generally take to get a new drug from the research stage to FDA approval?

12 years

70. Determine what stage of clinical trials (I, II, III) would the following be:

II- 300 volunteers to determine the effective dose of a new heart medicine

III- 1200 paid volunteers at 3 different medical centers are placed on double-blind study of a new weight loss drug

I- 23 volunteers take a set dose of a new asthma medicine to test for safety

71. Determine if following uses of biotechnology would be considered Agricultural, Medicine/Health, or Chemical/Environmental applications:

a. forestry researchers develop a chestnut variety resistant to blight Agricultural

b. A new test is developed for people to do HIV testing at home Medical

c. biodegradable plastic drinking cups environmental

d. a new vaccine against the common cold medical

e. goats that produce milk containing a gene that treats cystic fibrosis medical

f. fungus-resistant variety of wheat agricultural

g. bacteria that like to eat oil environmental

72-75. ACME Pharmaceuticals has developed a process to turn recycled report cards into a sports drink (“Grader-Ade”). The report cards are ground up, the ink is chemically removed, and the paper is recombined with mouthwash to produce a new product, which is cleaned up, tinted red, and poured into 16- oz plastic bottles.

72. Which bio-processing stage is the synthesis? Report cards are ground up

73. The ground up paper is recombined with mouthwash and cleaned up in what stage? purification

74. In what stage is the final product put into bottles and labeled? Final dosage form preparation

75. What document would specify the exact steps needed to perform the process of converting report cards into the final product? __SOP_ What is the probable job title of the person who wrote this? Quality Assurance Associate

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