HIPAA and PHI Quiz
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Questions and Answers

What is the role of a function similar to a primary care MD?

Function in similar role as primary care MD

When you're repositioning a patient up or down in bed, what is an effective method to maintain proper body mechanics?

Keep your nose between your toes

What is the correct number to dial to report an incident to the program manager via the emergency pager line?

(888) 248-2914

You should always keep a _____ center of gravity by flexing the hips and knees instead of bending at the waist.

<p>low</p> Signup and view all the answers

When you log roll a patient, the side rails that the patient is turning towards should always be _____.

<p>up</p> Signup and view all the answers

What are two different communication strategies?

<p>non-verbal and verbal</p> Signup and view all the answers

Which of the following is considered an incident and/or injury that needs to be reported? (Select all that apply)

<p>All of these</p> Signup and view all the answers

Please select the appropriate patient identifiers. (Select all that apply)

<p>White board in main nurses' station</p> Signup and view all the answers

Which of the following are examples of HIPAA breaches? (Select all that apply)

<p>All of these are examples of HIPAA breaches</p> Signup and view all the answers

Scholars are able to discard PHI, as long as it is disposed of in the appropriate locked bin or shredding box.

<p>False</p> Signup and view all the answers

You should always lift with your _____ never with your _____.

<p>legs, back</p> Signup and view all the answers

When performing the swivel technique, one hand should be placed on the ___ and the other should be placed over and behind the ___.

<p>scapula, knees</p> Signup and view all the answers

When interacting with patients, you should maintain a ______ boundary.

<p>professional</p> Signup and view all the answers

A relationship that allows the application of professional knowledge, skills, abilities, and experiences towards meeting the needs of the patient is called a(n) ______ relationship.

<p>therapeutic</p> Signup and view all the answers

Which of the following is true regarding Protected Health Information (PHI)?

<p>All of the above</p> Signup and view all the answers

What does HIPAA stand for?

<p>Health Insurance Portability &amp; Accountability Act</p> Signup and view all the answers

What should you do if you see a co-worker posting a patient's unusual injury online?

<p>Report the suspected breach to your privacy officer or supervisor.</p> Signup and view all the answers

Define a breach as it relates to HIPAA.

<p>A breach is the acquisition, access, use or disclosure of unsecured PHI, in a manner not permitted by HIPAA, which poses a significant risk of financial, reputation or other harm to the affected individual.</p> Signup and view all the answers

In the event of a HIPAA breach/violation, which of the following could face fines and civil penalties?

<p>All of the above</p> Signup and view all the answers

Describe the steps of inspiration.

<p>Diaphragm contracts and oxygen is inhaled.</p> Signup and view all the answers

Where would you normally palpate the pulse on a conscious adult patient for measuring heart rate?

<p>Radial Artery</p> Signup and view all the answers

What is the longest and least accurate method for measuring body temperature?

<p>Axillary</p> Signup and view all the answers

If a patient's O2 saturation is found to be 98%, what does that indicate?

<p>98% of the hemoglobin binding sites are occupied.</p> Signup and view all the answers

Which statement regarding pain and pain level is true?

<p>Pain is the single most common reason that individuals seek medical attention.</p> Signup and view all the answers

Where would you normally palpate the pulse on an unconscious adult patient for measuring heart rate?

<p>Carotid Artery</p> Signup and view all the answers

If an emergency arises six hours before your scheduled shift, what should you do?

<p>Call the Charge Nurse of your department and Email your Department Coordinator.</p> Signup and view all the answers

If a Scholar's family member is admitted to their program site, what can they do but not on shift?

<p>Comfort their parent and advocate for them.</p> Signup and view all the answers

If a Scholar observes another Scholar taking a selfie with a patient, what should they do?

<p>Remind the Scholar of CHS and site policies, ensure the picture is deleted from all folders in the phone, and then report the situation to the Charge Nurse and Program Manager.</p> Signup and view all the answers

Which of the following statements are true about CHS Programs' wireless device policy?

<p>Wireless devices need to be turned off and stored during shift hours (department designated storage location or Scholar's car)</p> Signup and view all the answers

Scholars are prohibited from reporting to their shift using or under the influence of drugs/alcohol.

<p>True</p> Signup and view all the answers

What actions must a Scholar take if they want to publish an article using data from their site?

<p>Request written approval for data/logo use from the PM and the appropriate site department.</p> Signup and view all the answers

What should a Scholar do if they plan to accept employment at a CHS Programs site?

<p>Inform their site PM for program success story and inquire about any conflict of interest policies that would prevent continued participation in CHS Programs.</p> Signup and view all the answers

If a Scholar receives a suspension email requesting dates/times for a counseling session, how soon must they reply?

<p>48 hours; 2 weeks</p> Signup and view all the answers

If a Scholar's back hurts the morning of their shift, what should they do?

<p>Cancel their shift by emailing their Department Coordinator, call the unit 15 minutes after the shift start time to inform the unit staff, and attend to back pain with healthcare professional input.</p> Signup and view all the answers

What actions can a Scholar take to stay in touch with a patient post-discharge?

<p>Wish the patient well and thank them for choosing the site for their place of care.</p> Signup and view all the answers

What should a Scholar do if they come to their shift without their uniform polo shirt?

<p>Go home because you cannot perform your shift without your full uniform.</p> Signup and view all the answers

Social determinants of health include all of the following except...

<p>Gender</p> Signup and view all the answers

Which describes two government programs in healthcare?

<p>Medicare and Medicaid</p> Signup and view all the answers

Which of the following answers is incorrect regarding the ACA?

<p>Extends coverage on parent health policies until 28</p> Signup and view all the answers

Which statement is true about patient positioning?

<p>Fowler's position is 45-60 degrees, semi-Fowler's is approximately 30 degrees.</p> Signup and view all the answers

What may indicate that a patient is experiencing a myocardial infarction when you find them sweating and complaining of left arm pain?

<p>They are possibly having a Myocardial Infarction.</p> Signup and view all the answers

HPI is an acronym that means?

<p>History of Present Illness.</p> Signup and view all the answers

Define Targeted Therapy.

<p>Use of agents specific for cancer cells that do not harm normal cells.</p> Signup and view all the answers

True or False: Trendelenburg Position is when a patient's head is low and legs are elevated.

<p>True</p> Signup and view all the answers

What should you inform a patient requesting to turn up their oxygen?

<p>Inform the patient that you are not authorized to assist with this task and call for their nurse to assist.</p> Signup and view all the answers

Which of the following is a common medical procedure in a hospital setting?

<p>All of these</p> Signup and view all the answers

All transmission-based precautions have the following in common EXCEPT:

<p>False</p> Signup and view all the answers

What is the required wet time for TB and C.diff spores when using Dispatch wipes?

<p>TB: 2 minutes; C.diff: 3 minutes.</p> Signup and view all the answers

What should you do upon leaving a patient's room in contact isolation if you did not wear the appropriate PPE?

<p>Notify the Charge Nurse, notify the Program Manager, wash hands thoroughly, and examine clothing for contact with bodily fluids.</p> Signup and view all the answers

If you are working with someone who has a language barrier, what should you NOT do?

<p>Walk away.</p> Signup and view all the answers

It is okay to call an older lady 'sweetie pie' because she is sweet.

<p>False</p> Signup and view all the answers

Cultural Awareness is NOT:

<p>Knowing where someone was born.</p> Signup and view all the answers

Which of the following situations does not require reporting?

<p>Scholar assists with a C.diff patient while wearing full PPE</p> Signup and view all the answers

Which of the following is NOT an example of harassment?

<p>High five</p> Signup and view all the answers

What could you have done to prevent fainting after assisting in cleaning a patient with explosive diarrhea?

<p>Performed internal checks before going into the room.</p> Signup and view all the answers

Which of the following symptoms is a sign that you might faint?

<p>Loss of vision.</p> Signup and view all the answers

What should you do if a patient is comatose?

<p>Never ignore a patient. Use facial expressions, body language, and speak softly with intention to communicate with the patient.</p> Signup and view all the answers

How can a Health Scholar help during the dying process?

<p>Assist the patient care team in preparing the body; respect the patient's advanced directives; show compassion to the patient and the family.</p> Signup and view all the answers

What is one of the impacts of a healthcare facility losing its accreditation?

<p>Loss of payments from federally funded Medicare and Medicaid programs.</p> Signup and view all the answers

What kind of national patient safety goal would come out of the Quaid sentinel event?

<p>Use of medicines safely goal.</p> Signup and view all the answers

Which is NOT an Accrediting Agency?

<p>All of these are accrediting agencies</p> Signup and view all the answers

What interventions can be taken with young adults knowing they are at high risk for increased stress?

<p>Support their feelings and recognize that they may be struggling to balance all of their roles and responsibilities.</p> Signup and view all the answers

Which age group is most at risk for trauma due to abuse, asthma, fluid imbalance due to gastroenteritis, and injury related to falls?

<p>Preschool &amp; School Age</p> Signup and view all the answers

Which age group is most at risk for substance abuse, depression and suicide, and sexually transmitted diseases?

<p>Adolescents</p> Signup and view all the answers

Which age group is most at risk for decreased skin integrity, aspiration, sleep pattern disturbances, falls, and sensory and perceptual alterations?

<p>Older Adults (Geriatrics)</p> Signup and view all the answers

Which factors contribute to emotional tension in a healthcare setting?

<p>All of these</p> Signup and view all the answers

When hiding during an active shooter incident, you should remain in hiding until?

<p>Law enforcement gives the all clear.</p> Signup and view all the answers

One of the biggest myths of workplace violence is that an individual 'just snapped.'

<p>True</p> Signup and view all the answers

What is displayed by someone in the workplace who blames others, has a short fuse, or is intolerant to frustration?

<p>Behaviors of concern.</p> Signup and view all the answers

The appropriate response to an active shooter incident involves:

<p>All of these</p> Signup and view all the answers

What may be examples of triggers for workplace stress?

<p>A reprimand, termination, financial problems, divorce, or perceived slights.</p> Signup and view all the answers

Which of the following is NOT an example of proper fire safety guidelines?

<p>Carts should be in the middle of the hallway</p> Signup and view all the answers

What is the purpose of material safety data sheets (MSDS)?

<p>To list information such as precautions and possible hazards of a chemical.</p> Signup and view all the answers

In what order should you proceed with these steps when responding to a fire?

<p>II, I, III (Orient yourself to the location of fire extinguishers &amp; evacuation routes; Close doors to contain the fire &amp; smoke; Activate the alarm &amp; call the code).</p> Signup and view all the answers

What do fire extinguishers do to put out fires?

<p>Eliminate oxygen.</p> Signup and view all the answers

How do you properly use a fire extinguisher?

<p>Pull the pin out, Aim the nozzle, Squeeze the handle, Sweep side to side.</p> Signup and view all the answers

If David needs bleach to clean up a spill but finds a bottle of cleaning solution with no label, what should he do?

<p>Look for a bottle with a label.</p> Signup and view all the answers

What should you do after Nurse Betty calls a code at the patient's bedside?

<p>Wait at the patient's bedside or right outside the door for the team to show up so you can explain what happened to the whole team.</p> Signup and view all the answers

What should you do if Mr. Jones begins speaking normally with no facial droop?

<p>Continue to go alert his nurse of what happened.</p> Signup and view all the answers

What should you do if you ask Mr. Jones about his dog's name and do not understand his response?

<p>Immediately get the nurse.</p> Signup and view all the answers

What code should you call if a person stops breathing?

<p>Code Blue.</p> Signup and view all the answers

As a health scholar, you are not able to participate in CPR.

<p>False</p> Signup and view all the answers

Which code is associated with a person who is combative or disruptive?

<p>Code Gray</p> Signup and view all the answers

Which pieces of equipment are used to help with safe patient handling?

<p>All of these</p> Signup and view all the answers

In 2010, what was the incident rate of MSDs per 10,000 healthcare workers?

<ol start="249"> <li></li> </ol> Signup and view all the answers

When moving a patient, you should focus on the strength in your ______ to move the weight?

<p>Legs.</p> Signup and view all the answers

How can you describe the path toward violence?

<p>Evolutionary.</p> Signup and view all the answers

Of the 11 HCAHPS measures, scholars can directly impact:

<p>Both of these answers</p> Signup and view all the answers

Who of the following individuals is NOT a part of the inpatient care team?

<p>Emergency Room Physician, MD</p> Signup and view all the answers

Which of the following careers is NOT a part of the allied health careers?

<p>Licensed Vocational Nurse</p> Signup and view all the answers

What is one similarity between the Medical Doctor (Allopathic Doctor) and Doctor of Osteopathic Medicine programs?

<p>Medical education.</p> Signup and view all the answers

True or False: A program participant can perform a task outside of their scope of practice as long as they get direct approval/training from a staff member.

<p>False</p> Signup and view all the answers

A program participant can perform all of the following duties, EXCEPT:

<p>Chart vitals</p> Signup and view all the answers

What is your role as a program participant in the patient care team?

<p>Engage in basic patient care tasks.</p> Signup and view all the answers

True or False: Each of your shifts will involve spectacular, once-in-a-lifetime situations.

<p>False</p> Signup and view all the answers

Which historical event led to the expansion of allied health careers?

<p>World War II</p> Signup and view all the answers

What is one similarity between the Nurse Practitioner and Physician Assistant roles?

<p>Function in a similar role as primary care MD.</p> Signup and view all the answers

Study Notes

Protected Health Information (PHI)

  • PHI encompasses a person’s physical and mental health, care received, and payment for that care.
  • Identifying details such as name, date of birth, and address are included under PHI.
  • PHI is confidential and protected under HIPAA regulations.

HIPAA Overview

  • HIPAA stands for the Health Insurance Portability and Accountability Act.
  • It ensures the confidentiality and protection of personal health information.

Reporting Violations

  • Suspected breaches of privacy, such as posting patient images online, must be reported to a privacy officer or supervisor.

Definition of a Breach

  • A breach involves the unauthorized acquisition or disclosure of unsecured PHI, potentially causing harm to the individual.

Consequences of HIPAA Violations

  • All involved parties, including healthcare staff and institutions, can face fines and civil penalties for unauthorized access or disclosure of medical information.

Respiratory Function

  • Inspiration occurs when the diaphragm contracts, allowing oxygen to be inhaled.
  • For pulse measurement in adults, the radial artery is typically palpated consciously, while the carotid artery is used in unconscious patients.

Temperature Measurement

  • Axillary temperature measurement is the least accurate and longest method.

O2 Saturation

  • An O2 saturation of 98% indicates 98% of hemoglobin binding sites are occupied.

Pain and Medical Attention

  • Pain is the primary reason individuals seek medical care.

Shift Cancellations

  • In case of an emergency preventing a shift, notify the Charge Nurse and email the Department Coordinator.

Privacy Guidelines for Scholars

  • Scholars can comfort and advocate for family members but must follow rules regarding privacy and professional boundaries.

Wireless Device Policy

  • Wireless devices must be turned off and stored during shift hours to ensure patient confidentiality.

Prohibition of Drugs/Alcohol

  • Scholars are prohibited from reporting to their shifts under the influence of drugs or alcohol.

Publication of Data

  • Scholars need written approval for any use of site or program data in publications.

Attendance and Availability

  • Scholars must respond to suspension emails within 48 hours and attend counseling sessions within two weeks.

Health Scholar Responsibilities

  • Cancellations for health issues should involve notifying the Department Coordinator and unit staff, as well as seeking medical attention if necessary.

Patient Interaction Post-Discharge

  • Scholars can express well wishes and gratitude to patients upon discharge but should maintain professional distance.

Uniform Compliance

  • Failure to wear complete uniform components, such as a polo shirt, necessitates leaving to rectify the issue.

Social Determinants of Health

  • Factors impacting health include socioeconomic status, education, and environment, but gender is not included.

Healthcare Funding

  • Healthcare funding sources include taxes, private premiums, and patient payments, with Medicare and Medicaid as key government programs.

Affordable Care Act (ACA)

  • The ACA does not extend coverage to individuals up to the age of 28 on parental policies.

Communication with Patients

  • Maintain normal communication with nonresponsive patients, even when their awareness is unclear.

Liver Functions

  • The liver detoxifies drugs and processes nutrients.

Immune System Defense

  • The immune system functions as the third line of defense against pathogens.

Patient Positioning

  • Fowler's position is set at 45-60 degrees while semi-Fowler's is about 30 degrees.

Myocardial Infarction Symptoms

  • Sweating and left arm pain in a patient may indicate a myocardial infarction.

HPI Definition

  • HPI stands for History of Present Illness, crucial for medical assessments.

Cancer Treatment Concepts

  • Targeted therapy selectively attacks cancer cells while sparing healthy cells.

Trendelenburg Position

  • This position involves lowering the head while elevating the legs.

Patient Care Protocol

  • Only authorized individuals can adjust patient oxygen levels; staff should be consulted.

Common Medical Procedures

  • Common procedures include catheterization, IV insertion, and intubation.

Transmission-Based Precautions

  • Hand hygiene cannot eliminate the need for transmission-based precautions.

Infection Control Protocols

  • Wet times for disinfectants against TB and C. diff are specifically defined.

Contact Isolation Protocol

  • After exiting a contact isolation room, notify supervisors and follow proper hygiene protocols.

Communication Barriers

  • Walk away from a language barrier situation is inappropriate; seek assistance instead.

Personal Boundaries in Care

  • Addressing patients with informal terms like "sweetie pie" is unprofessional.

Cultural Awareness

  • Cultural awareness involves understanding beyond just geographical origins.

Reporting Requirements

  • Assisting a patient in contact isolation with appropriate PPE does not necessitate reporting.

Harassment Identification

  • High fives are not considered harassment.

Health Incident Prevention

  • Anticipate personal wellness to prevent workplace incidents during challenging care situations.

Signs of Impending Fainting

  • Loss of vision can indicate a strong possibility of fainting episode.

Patient Engagement

  • Patients in comatose states require continued communication to foster connection.

Supporting Dying Patients

  • Support includes respecting patient wishes and assisting in end-of-life preparations.

Accreditation Impact

  • Loss of accreditation from healthcare facilities leads to significant financial penalties.

Patient Safety Goals

  • Sentinel events, like Quaid, lead to revised national safety goals regarding medication safety.

Understanding Behavioral Concerns

  • Signs of blame and intolerance in workplace settings indicate troubling behaviors.

Active Shooter Protocol

  • Stay hidden until law enforcement gives the all-clear signal.

Trigger Factors

  • Examples of triggers include reprimands and perceived slights contributing to workplace violence.

Fire Safety Practices

  • Carts placed in hallways hinder fire safety and should be avoided.

Material Safety Data Sheets

  • MSDS provides critical hazard information regarding chemicals used in healthcare settings.

Fire Response Steps

  • Effective fire response requires awareness of evacuation routes and immediate alarm activation.

Fire Extinguishing Basics

  • Extinguishers work by eliminating oxygen, which is essential for fire to burn.

Safe Equipment Usage

  • Always ensure materials are labeled before use to maintain safety standards.

Patient Monitoring in Emergency

  • Remain available to explain patient conditions to the responding medical team during emergencies.

Communication and Reporting

  • Follow up with staff about patient recovery and incidents to maintain safety in care settings.

Calling Codes

  • Code Blue indicates a patient requiring immediate resuscitation due to stopping breathing.

CPR Participation

  • Scholars are permitted to participate in CPR under appropriate circumstances.

Combativeness Code

  • Code Gray signals a person who is combative or disruptive, requiring immediate supervision.

Safe Patient Handling Equipment

  • Assistive devices include slide sheets and mechanical lifts to promote safer patient handling.

MSD Incident Rates

  • In 2010, the incident rate for musculoskeletal disorders (MSDs) was reported at 249 per 10,000 healthcare workers.

Body Mechanics in Patient Lifting

  • Utilize leg strength for lifting patients to prevent injury.

Violence Pathway

  • Violence is often described as an evolutionary process leading to aggressive behavior.

HCAHPS Measures

  • Scholars can positively influence responsiveness and cleanliness within patient care settings.

Inpatient Care Team Roles

  • Emergency Room Physicians are not typically part of the inpatient care team.

Allied Health Careers

  • Licensed Vocational Nurses do not fall under the category of allied health careers.

Medical Programs Similarity

  • Both Allopathic and Osteopathic programs emphasize extensive medical education.

Scope of Practice

  • Tasks must align with a program participant's designated scope of practice without exceptions.

Duties of Program Participants

  • Participants may not chart vitals but can engage in basic patient care tasks responsibly.

Shifts and Responsibilities

  • Every shift may not present extraordinary scenarios; routine care is essential for patient safety.

Historical Impact on Careers

  • World War II significantly influenced the growth of allied health professions.

NP and PA Similarities

  • Nurse Practitioners and Physician Assistants function similarly to primary care physicians.

Body Mechanics for Patient Repositioning

  • Maintain proper posture by keeping your nose between your toes when repositioning patients.

Incident Reporting Protocol

  • Incidents such as patient complaints or minor injuries require documentation and reporting.

Patient Identification Protocols

  • Utilize multiple identifiers for accurate patient identification, including wristbands and direct questioning.

HIPAA Breach Examples

  • Discussing private health information in public or on social media constitutes a HIPAA breach.

Disposal of PHI

  • Scholars cannot dispose of PHI, even if in secure containers, without appropriate authorization.

Lifting Technique

  • Always lift using your legs, never from the waist, to maintain proper mechanics and prevent injury.

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Description

Test your knowledge about Protected Health Information (PHI) and the Health Insurance Portability and Accountability Act (HIPAA). This quiz covers key definitions and important facts that everyone should know about health information privacy.

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