Test Bank For Fundamental Concepts and Skills for the Patient Care Technician, 2nd Edition by Kimberly Townsend Little, PhD, RN, WHNP-BC, CNE Chapter 1-35 Chapter 01: Today’s Healthcare MULTIPLE CHOICE 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. 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 companies do have involvement in the healthcare system. The illness of patients is not necessarily affected by the healthcare system. OBJ: 1 2. What is required by the healthcare team to identify the needs of a patient and to design care to
meet those needs? a. The white board b. The nurse’s notes c. The physician’s order sheet d. An individualized care plan ANS: D
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 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 3. How does an interdisciplinary approach to patient treatment enhance care? a. By improving efficiency of care 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 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? a. The nurse’s employer b. College Accreditation Standards c. Nurse Practice Act d. Nurse Association Code ANS: C
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 within their scope of practice as described by the Nurse Practice Act. OBJ: 5 6. What is the title of the American Hospital Association’s 1972 document that outlines the
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) d. Advance directives ANS: B
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. OBJ: 2 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. OBJ: 5 8. On what premise is Maslow’s Model of Health and Illness based? a. All needs are equally important. b. Basic needs must be met before the next level of needs can be met. c. Self-actualization is a primary need. d. Individuals prioritize needs the same way. ANS: B
Maslow’s Model of Health and Illness is based on the premise that basic needs must be met first. It is not based on all needs being equally important or that individuals prioritize needs the same way. Self-actualization is not a primary need according to Maslow. OBJ: 3, 4 9. What must the nurse realize when assessing physical and social environmental factors
affecting health and illness? a. They affect one another. b. They cause illness. c. They cause patients to react similarly. d. They can be separated. ANS: A
Although there is often a tendency to separate social factors from physical factors, remember that the two areas affect each other reciprocally. Physical and social factors affect each other, cannot be separated, and cause each patient to react in a unique manner. They do not necessarily cause illness or cause patients to react similarly, and they cannot be separated. OBJ: 3, 4 10. What system of comprehensive patient care considers the physical, emotional, and social
environment and spiritual needs of a person? a. Interdependent care b. Holistic healthcare c. Illness prevention care d. Health promotion care ANS: B
Holistic healthcare encompasses the physical, emotional, social, and spiritual aspects of the patient. Interdependent, illness prevention, and health promotion are incorrect as they do not represent the comprehensive patient care found in holistic healthcare. OBJ: 3 11. What is the wellness-illness continuum defined as? a. A concept that never changes
b. The range of a person’s total health c. A continuum influenced only by one’s physical condition d. An idea that focuses strictly on an individual’s social well-being ANS: B
The wellness-illness continuum is defined as the range of a person’s total health. This continuum is ever changing, and it is influenced by the individual’s physical condition, mental condition, and social well-being. Wellness represents the highest level of optimal health. Illness, at the opposite end of the spectrum, represents a diminished or impaired state of health. OBJ: 3
Chapter 02: The Role of the Patient Care Technician Townsend: Fundamental Concepts and Skills for the Patient Care Technician, 2nd Edition MULTIPLE CHOICE 1. How does using a Patient Care Technician help reduce the risk of infection? a. By increasing the times someone enters the room. b. By encouraging good hand washing practices. c. By reducing the amount of hand sanitizer that a facility orders. d. By reducing the number of staff coming in and out of a patient’s room. ANS: D
Hiring Patient Care Technicians reduces the number of staff a facility would need by having one person who can has the skills to complete many different tasks. This not only saves the healthcare institution time and money, it also decreases the number of staff coming in and out of a patient’s room, which may increase patient satisfaction and decreases the risk of infection.
OBJ: 2 2. Which is the most important consideration in choosing a uniform? a. It should be becoming and flattering to the body type. b. It should not be wrinkled by the end of the workday. c. It should give the wearer a professional and neat appearance. d. It should be fashionable. ANS: C
Uniforms should provide the wearer with a professional and neat appearance. While it should be flattering, that is not the most important consideration. It may become wrinkled by the end of the day. It may be fashionable, but the uniform may depend on the requirements of the facility. OBJ: 4 3. Extra advantages or benefits from working in a specific job are called a. prerequisites. b. perks. c. commissions. d. extras. ANS: B
Perks are extra advantages or benefits from working in a specific job that may or may not be commonly found in that particular profession, those things which are more attractive or interesting, such as having weekends off. OBJ: 4 4. A growing field of opportunity for employment for the PCT is in hemodialysis. What is
hemodialysis? a. Removal of blood to lower blood pressure b. Removal of urine to reduce the pressure on the bladder c. Removal of waste products to ease the workload of the kidney d. Removal of water to reduce the workload of the heart ANS: C
Hemodialysis is a procedure that removes waste products from the blood, which eases the workload on the kidney. All other options are incorrect. OBJ: 2, 3 5. The emergency room nurse may not delegate which of the following to the PCT? a. Urine pregnancy testing b. Blood draw for laboratories c. Diagnose the patient d. Finger-stick glucose testing ANS: C