Healthstream Exam (2023/ 2024 Update) 100% Correct | Questions and Verified Answers| Graded A
Healthstream Exam (2023/ 2024 Update)
100% Correct | Questions and Verified
Answers| Graded A
QUESTION
A code green in the hospital building (601 Children’s Lane) is activated by dialing 1, 2 and
saying “Code Green”. What are the other three items that you must provide for the Operator?
Answer:
Floor number, Unit, and Bed Number
QUESTION
What is the appropriate intervention to use when an individual is experiencing tension reduction
(the regaining of rationality after a person physically “acts out”)?
Answer:
Establish therapeutic rapport
QUESTION
When would you activate a Code Green?
Answer:
All of the above
Rationale: Yes, that’s correct. All of the above warrants activating a Code Green.
QUESTION
What is the appropriate response to an individual in the anxiety behavior level?
Answer:
Be Supportive
QUESTION
What are the four behavior levels of the CPI Crisis Development Model?
Answer:
Anxiety, Defensive, Acting-Out Person, Tension Reduction
QUESTION
A Code Green should be activated whenever an individual is demonstrating potential or actual
disruptive, violent, or erratic behavior.
Answer:
True
Rationale: Yes, that’s correct. A Code Green is an emergency response code that will be called
whenever an individual is demonstrating potential or actual disruptive, violent, or erratic
behavior.
QUESTION
Which of the following is a role of the department staff while waiting for the Code Green
Team/Police to arrive?
Answer:
Attempt verbal de-escalation techniques
QUESTION
The five members of the Code Green Response Team are:
Answer:
Security Officer, Nursing Administrative Supervisor, Emergency Department Technician, Social
Work, Patient Relations Specialist
QUESTION
What is true about Personal Space?
Answer:
Personal Space is usually about 1 1/2 – 3 feet and includes the aura around the body and personal
property. Personal space is impacted by culture, gender, hygiene, size, age, mood, body
language, and familiarity.
QUESTION
If an employee does not follow our health system’s principles of corporate compliance, the
employee could lose his or her job.
Answer:
True
Rationale: Failure to follow CHKDHS principles of corporate compliance may result in
disciplinary actions up to and including termination of employment.
QUESTION
A Compliance Program:
Answer:
All of the Above.
Rationale: A Compliance Program is the name of a process that helps us make sure that all
employees know and follow federal and state laws and regulations. The OIG has recommended
seven elements be present in a compliance program.
QUESTION
Reports of suspected compliance problems made to the Corporate Compliance Hotline are
confidential and may be made anonymously.
Answer:
True
Rationale: Reports of suspected compliance problems made to the Corporate Compliance
Hotline are confidential and may be made anonymously.
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All of the following are good response practices in an active shooter event except for:
Running up to responding law enforcement and asking for help
In an active shooter situation, you must quickly determine the most reasonable way to protect your own life. The first possibility to consider is:
If safely able to evacuate, run to a safe area
When an active shooter situation is in progress, what is usually required to stop the shooter and mitigate harm to victims?
Immediate deployment of law enforcement
If you can safely notify 911 about an active shooter while it is happening, what additional information should be provided to the list below?
Location of the incident
Number of shooters, if more than one
Physical description of shooters
Number and type of weapons held by the shooter
How many people are with you, if you are in a secure area
Number of potential victims
After an active shooter incident is over, participants and subjects matter experts should analyze the event, and:
Develop an after action report that describes how the facility, campus partners and community integrated and responded. Identify lesson’s learned and revise response plans as needed.
When evacuating the premises during an active shooter incident, your responsibilities to others involve:
Warning and preventing others from entering an area where the active shooter may be
When law enforcement officers arrive an active shooter incident, their first priority is to:
Find and incapacitate the shooter
In the Active Shooter Response Plan, the emergency notification system would include provisions about alerting all of the following parties about an active shooter event except for:
Media
Building occupants are likely to follow the lead of staff who remain calm and act as trained during an emergency situation?
True
Which of the following statements is true?
Regardless of the type of workplace violence, the chances for prevention improve with increased awareness of potential warning signs and rapid response to a problem
What is Biomedical Services phone number?
668-7355
The large middle number on the color coded service tag sticker signifies:
Next service due date month
The numbers on CHKD clinical equipment asset tags should all be the same.
False Numbers MUST BE different to allow unique tracking of all clinical equipment, per Joint Commission standards. This is an essential part of work order requests.
“All Emergency service requests for clinical equipment should be submitted through KDNet.”
False While KDNet is checked regularly for requests, it is to be used for routine repair requests.
Which of the following lists 3 required parts of a work request?
CHKD asset tag number; Location of equipment; Description of the problem
LOW risk clinical equipment:
All of the above
Rationale: Low Risk Equipment does not receive routine preventive maintenance. Therefore, no PM sticker is placed on it. The only sticker it has is an ASSET TAG!
All CHKD/ CMG/ CSSG clinical equipment receive computer printed bar-coded asset tags.
True
Rationale: Remember, “CSSG” and “CMG” is printed on the bottom left portion of the label, preceding the number.
If a piece of clinical equipment needs to be serviced after hours (> 16:30), you should:
Call the Hospital Nursing Supervisor
If the missing child event is not in your immediate work area you do not have to respond when you hear Code Pink announced overhead?
False
An Abductor may pose as a health care professional?
True
What types of situations put a child at risk for abduction by a family member?
All of the above.
What color code is announced overhead by the operator when a child is missing?
Code Pink
On admission to PICU, a child’s mother informs you of a custody dispute going on between herself and the child’s father. With this information you should consider which of the following interventions?
Both B and C
Parents report that they cannot locate their child. Which intervention should you consider?
Dial 1, 2 and ask the hospital operator to initiate “Code Pink” response
What shielding strategies can be implemented at CHKD to protect the child at risk for abduction?
All of the above
An effective means of halting an abductor’s plans is to approach a person, using eye contact and ask the question “May I help you?”
True
If a patient abduction occurs, do not allow visitors or staff to leave the area unless cleared by the police.
True
Family members of the missing child should remain in the patient’s room or the place last seen in case the child returns.
False
If an individual is kicking, biting and throwing harmful objects they are exhibiting what behavior level?
Acting-Out
If an individual threatens you, you shouldn’t take it seriously because they are just upset and wouldn’t really hurt you.
False
Rationale: Yes, that’s correct. Take all threats seriously.
What is the appropriate staff response to a patient or visitor who is swearing (exhibiting defensive behavior level)?
Set Limits
If you are located in an office building, you would activate a code green by:
Dial “9-911” or “911” to obtain immediate assistance from the police. Report your incident to the dispatcher and answer questions calmly to facilitate appropriate response.
When setting limits with a defensive individual, the limits should be…
All of the above.
Rationale: Yes, that’s correct. Limits will be most effective when they are Simple & Clear, Reasonable and Enforceable.
Items that should be documented before, during, or after the code green are:
All of the above.
Rationale: Yes, that’s correct. All of these factors are needed to evaluate the effectiveness of the Code Green Response.
A code green in the hospital building (601 Children’s Lane) is activated by dialing 1, 2 and saying “Code Green”. What are the other three items that you must provide for the Operator?
Floor number, Unit, and Bed Number
What is the appropriate intervention to use when an individual is experiencing tension reduction (the regaining of rationality after a person physically “acts out”)?
Establish therapeutic rapport
When would you activate a Code Green?
All of the above
Rationale: Yes, that’s correct. All of the above warrants activating a Code Green.
What is the appropriate response to an individual in the anxiety behavior level?
Be Supportive
What are the four behavior levels of the CPI Crisis Development Model?
Anxiety, Defensive, Acting-Out Person, Tension Reduction
A Code Green should be activated whenever an individual is demonstrating potential or actual disruptive, violent, or erratic behavior.
True
Rationale: Yes, that’s correct. A Code Green is an emergency response code that will be called whenever an individual is demonstrating potential or actual disruptive, violent, or erratic behavior.
Which of the following is a role of the department staff while waiting for the Code Green Team/Police to arrive?
Attempt verbal de-escalation techniques
The five members of the Code Green Response Team are:
Security Officer, Nursing Administrative Supervisor, Emergency Department Technician, Social Work, Patient Relations Specialist
What is true about Personal Space?
Personal Space is usually about 1 1/2 – 3 feet and includes the aura around the body and personal property. Personal space is impacted by culture, gender, hygiene, size, age, mood, body language, and familiarity.
If an employee does not follow our health system’s principles of corporate compliance, the employee could lose his or her job.
True
Rationale: Failure to follow CHKDHS principles of corporate compliance may result in disciplinary actions up to and including termination of employment.
A Compliance Program:
All of the Above.
Rationale: A Compliance Program is the name of a process that helps us make sure that all employees know and follow federal and state laws and regulations. The OIG has recommended seven elements be present in a compliance program.
Reports of suspected compliance problems made to the Corporate Compliance Hotline are confidential and may be made anonymously.
True
Rationale: Reports of suspected compliance problems made to the Corporate Compliance Hotline are confidential and may be made anonymously.
All hospitals should have a compliance program in place.
True
Rationale: All hospitals should have a compliance program in place to improve quality of care and ensure that all employees know and follow federal and state laws and regulations.
Every employee can help us adhere to our compliance program by:
All of the Above.
Rationale: Among other ways, every employee can help us adhere to our compliance program by following our organization’s core values and behavioral standards, learning laws and regulations that affect their areas and following them, and conducting business in a professional and ethical manner.
As part of our policies on corporate compliance, we only allow access to patient information as permitted by state and federal privacy laws.
True
Rationale: As part of our policies on corporate compliance, we only allow access to patient information as permitted by state and federal privacy laws.
Who is the Corporate Compliance Officer at CHKDHS?
Tina Allen
As part of our principles on corporate compliance, we:
All of the Above.
Rationale: Among other things, we submit claims only for services rendered, utilize vendors who follow CHKDHS standards and the law, and only allow access to patient information as permitted by state and federal privacy laws such as for legitimate business or patient care purposes as part of our principles on corporate compliance.
If you upcode a bill by incorrectly claiming services that were not provided and the hospital receives a higher payment than it would if the billing accurately reflects the services provided, this is a correct billing practice.
False
Rationale: As part of our policies on corporate compliance, we expect that patients are billed accurately for the services that were provided to the patient.
According to the Office of the Inspector General (OIG), hospitals should:
All of the Above.
Rationale: The OIG recommends, among other things, that hospitals should establish compliance standards of conduct, policies, and procedures, conduct effective training for all employees, and develop a means by which employees can report unlawful activity.
Which material best carries electricity?
Wet skin.
An insulator conducts electricity.
False
Rationale: That’s right! Conductors conduct electricity.
Hospital-owned patient care equipment is identified by…
An asset tag.
So they will continue to work during a power outage, critical items should…
Be plugged into emergency power outlets.
Only equipment that is directly attached to the patient is considered patient care equipment.
False
Rationale: Congratulations! Any equipment used to care for patients is considered patient care equipment.
What is the safest way to save a victim caught in an electrical current?
Shut the power off at the circuit breaker.
When filing an incident report of an electrical hazard, which of the following are required?
All of the above.
Rationale: Great! You need to notify your supervisor and the appropriate department as well as fill out an incident report form.
When removing a malfunctioning piece of equipment from service, you should…
Both A and B.
Rationale: Right! Unplug it to stop it from malfunctioning and mark it as defective to keep other people from using it.
Which of the following is an immediate symptom of electrical shock?
Difficulty breathing.
Its OK to use a cheater adapter plug, as long as its only temporary.
False
Rationale: Congratulations! NEVER use a cheater adapter plug in a hospital!
The hospital will provide all supplies I need in the event I have to stay for an extended period due to hazardous conditions.
False, staff are asked to supplement hospital resources by developing a “Go Pack”. The “Go Pack” should contain enough food, water, linen, clothing, medication to last up to 4 days. Bringing in books, magazines and small games can help decrease stress during extended stays.
Only department leaders need to monitor weather and other potential/actual hazardous conditions.
False, this is everyone’s responsibility.
During a disaster staff should report to the Hospital Command Center?
False – Staff should continue normal daily activities, ensuring life safety of patients, visitors and staff and await IC directive.
Mass notification of event information to all staff.
Communication
Authorized people in building during disaster events.
Safety and Security
Personal Emergency Response Plan.
Role and Responsibility
Building a Go Pack to bring to the hospital during disasters.
Resource Management
Establishing alternative clinical areas during surge events.
Maintaining Clinical Activities
Plugging in all essential equipment into red outlets during disaster preparedness, response and recovery stages.
Utility Management
The All Hazard Emergency Operations Plan only addresses how the health system responds to a disaster?
False – The All Hazard Emergency Operations Plan (EOP) provides guidelines on how to:
- Prevent emergent events
- Mitigate impact on hospital operations
- Prepare
- Respond and recover
Health care emergency management involves only hospital staff?
False – Health care emergency management involves hospital, local, State and Federal government, private businesses and regulatory agencies integrating to ensure effective All Hazard Emergency Operations Plans (EOP)
You discover a small fire in a patient room. You remove all patients and close the door to the room. You then hurry to the nearest manual pull station to activate the fire alarm system. You return to the room with a portable extinguisher. You touch the closed door with the back of your forearm. The door feels warm. You should:
Notify your supervisor that the fire has grown too large to fight with an extinguisher, and stand by for instructions regarding patient evacuation.
You discover a fire in a patient’s room. True or False: You should try to put out the fire before removing the patient.
False
All of the following statements are true EXCEPT:
Surgical fires account for most fires in the healthcare setting.
Which of the following indicates that a fire is too large to fight with an extinguisher?
You are certain that it will take more than 20 seconds to put out the fire.
Which of the following statement is TRUE?
Move charts with patients.
Which of the following statements is true?
A faulty ECG machine could start a fire.
Automatic fire doors in healthcare facilities:
Decrease the need for patient relocation in the event of fire.
You enter a patient’s room and discover a small fire burning on the bed. The patient appears to have fallen asleep while smoking. You should immediately:
Call out for help to remove the patient from the room as quickly and safely as possible.
Fire doors and patitions help contain fires and decrease the need for patient evacuation.
True
You discover a fire in a patient room. You remove all patients from the room. You then close the room door and place a wet towel along the bottom of the closed door. Why?
All of these
Choose the answer that is FALSE. In an emergency situation.
The cradle drop is the safest transfer technique for the patient.
You are responsible for knowing all of the following EXCEPT:
How to coordinate both horizontal and vertical evacuations.
Which of the following can help prevent the spread of smoke and fire from a room?
All of these answers.
If you are unable to put out a fire with a single portable extinguisher, you should:
Confine the fire and prepare to evacuate.
Upon receipt of a new hazardous chemical, the Director/Manager will train employees in the use and safety of the hazardous chemical and ensure the MSDS is available on MSDSonline© and add to departmental inventory.
True
Rationale: Correct. Each department is responsible for maintaining their departmental inventory through continued review and update by their selected and trained administrator.
Exposure to a chemical that is a health hazard can occur through all of the following except:
All of these are exposure routes.
Rationale: Correct. Exposure to health hazards can occur through the eyes, skin, mouth, inhalation (breathing), ingestion (mouth) or injection.
It is safe to store cylinders of oxygen lying flat on the ground?
False
Rationale: Correct. It is never safe to store oxygen cylinders lying flat on the ground, cylinders should always be stored in an approved carrier or chained upright to wall in an approved base. Cylinders lying flat could become damaged, rupture and becomes “missiles”.
Material Safety Data Sheets are developed by chemical manufactures to provide specific information on chemicals, check all that apply:
Identify the chemical – Name, common name, manufacture information
Hazardous Ingredient
Physical Data
Health Information
Reactivity Data
Spill or Leak Procedures
Personal Protective Information
Special Precautions
Hazards come in the following forms:
All of the above
Liquids can be absorbed into the bloodstream through cuts?
True
Rationale: Correct. Liquids can be absorbed into the bloodstream through open wounds and through absorption.
Occupational Safety and Health Administration (OSHA) requires all employers to develop written hazard communication program?
True
Rationale: Correct. Under the Hazard Communication Standard all employers are required to develop a written hazard communication program.
CHKDHS has an online subscription service called MSDSonline©; it is located on KDnet and available for all staff to obtain printed copies of MSDS.
True
Rationale: Correct. All employees should be trained on how to access a MSDS through the online service available on KDnet.
Physical hazards of chemicals can include all of the following except:
Respiratory Distress
Hazardous gases are always easy to identify?
False
Rationale: Correct. Hazardous gases can be difficul to detect. Many gases do not have a distinctive color or odor.
A Doctor calls the office to find out about his niece’s diagnostic test results. You look in the medical record and note that a treatment relationship with the physician is not documented. You should,
Inform the Uncle that you are unable to disclose the information because a treatment relationship is not evident and that a valid authorization will be required from the patient/legal guardian.
To disclose protected health information by phone you must practice due diligence by verifying identification and confirming they have a legitimate right to the information.
True
Accounting of PHI disclosures must be tracked and documented in the medical record.
True
When a minor transitions to an adult as defined by state law, parents can still have unrestricted access to the patients protected health information.
False
Patient information handwritten or printed can be discarded into a regular trash can.
False
Your best friend is anxious about her child’s strep test results that were sent to the CHKD lab. The friend has been unsuccessful in reaching the physician’s office that ordered the test. You should:
Both B & C are correct.
Accounting of disclosures must be provided within 60 days of a written request.
True
Confidentiality means the responsibility to limit disclosures of private matters and information.
True
The Corporate Privacy Officer must be notified when a patient/legal guardian complains about a privacy violation or concern even if the issue appears to be resolved.
True
Federal Law requires CHKDHS to track access to a given patient’s computerized information.
True
A valid authorization is required from the patient/legal guardian prior to disclosing protected health information for treatment, payment and healthcare operations (TPO).
False
If you think you may have released PHI to an unauthorized individual, you should report this to your manager and to the Corporate Privacy Officer.
True
Billing/accounting information is not considered confidential patient or protected health information (PHI).
False
HIPAA is a federal regulation requiring and enforcing compliance with privacy, confidentiality and security of Protected Health Information (PHI).
True
The local news reports that a child has been taken to CHKD for treatment. It is okay to look up the child in the computer systems to see what is wrong and how they are doing as long as you don’t tell anyone.
False
It is okay to discuss patient information in a full waiting room environment.
False
A mom verbally requests staff not to share healthcare information with the legal father about their child. Staff should inform the legal mother that:
A & B are correct.
As a CHKDHS staff member, you are responsible for which of the following:
All of the above.
An accounting of disclosures must be maintained in the medical record for which of the following:
Reporting diagnostic results to the Public Health Department as required by law.
Your laptop or thumbdrive is stolen or misplaced, the device contains the patient names and dates of birth of over 600 CHKD patients, and the device is protected by a very strong password, CHKD must:
All of the above.