Question 1

For a patient with an illness,terminal indicates that:

Accepted Answer

A) the patient will need extensive surgery. 
B) isolation procedures are needed. 
C) the illness will end in death. 
D) the illness will last for an extended time. 
A) the patient will need extensive surgery. 
B) isolation procedures are needed. 
C) the illness will end in death. 
D) the illness will last for an extended time. C

Question 2

The purpose of a patient care conference is to:

Accepted Answer

A) develop and/or modify a plan for the patient's care. 
B) discuss a patient's attitude about his or her care. 
C) develop a patient's financial payment plan for the care provided. 
D) make decisions regarding which doctor will care for the patient. 
A) develop and/or modify a plan for the patient's care. 
B) discuss a patient's attitude about his or her care. 
C) develop a patient's financial payment plan for the care provided. 
D) make decisions regarding which doctor will care for the patient. A

Question 3

The patient's doctor may write an order for a room change for which of the following two primary reasons?

Accepted Answer

A) Change in status of acuity or the need for an isolation room 
B) Patient personality differences or change in status of acuity 
C) Request for a change in nurse assignment or the need for an isolation room 
D) To cluster doctor's patients on one unit or patient personality differences 
A) Change in status of acuity or the need for an isolation room 
B) Patient personality differences or change in status of acuity 
C) Request for a change in nurse assignment or the need for an isolation room 
D) To cluster doctor's patients on one unit or patient personality differences A

Question 4

The doctor has written a discharge order with an order for a four wheel walker (FWW)to be supplied to the patient for home use.The person who would likely arrange for the FWW works in:

Accepted Answer

A) custodial care. 
B) pastoral care. 
C) central services. 
D) social services. 
A) custodial care. 
B) pastoral care. 
C) central services. 
D) social services.

Question 5

A patient who leaves the hospital AMA:

Accepted Answer

A) has a disease of interest to the American Medical Association. 
B) is leaving without doctor approval. 
C) has an asthma-related allergy. 
D) has an appointment with the associated medical admissions department. 
A) has a disease of interest to the American Medical Association. 
B) is leaving without doctor approval. 
C) has an asthma-related allergy. 
D) has an appointment with the associated medical admissions department.

Question 6

Which task might the HUC have regarding the deceased patient's organ donation?

Accepted Answer

A) Asking the patient's family to sign the form to donate their family member's organ(s) 
B) Calling the patient's doctor and asking if the patient is going to donate an organ 
C) Notifying the morgue of the patient's death and preparing all required forms for the patient's family to sign when and if requested to do so 
D) Transporting the patient to the morgue 
A) Asking the patient's family to sign the form to donate their family member's organ(s) 
B) Calling the patient's doctor and asking if the patient is going to donate an organ 
C) Notifying the morgue of the patient's death and preparing all required forms for the patient's family to sign when and if requested to do so 
D) Transporting the patient to the morgue

Question 7

A patient approaches the nursing station and tells the HUC that he is not happy with his doctor or his care and he is leaving the hospital AMA now! The appropriate action by the HUC would be:

Accepted Answer

A) ask the patient to be seated until the nurse is advised. 
B) ask the patient if he wants a wheelchair and assistance. 
C) tell the patient to return to his room and stop being silly. 
D) call an orderly to restrain the patient and then notify his nurse. 
A) ask the patient to be seated until the nurse is advised. 
B) ask the patient if he wants a wheelchair and assistance. 
C) tell the patient to return to his room and stop being silly. 
D) call an orderly to restrain the patient and then notify his nurse.

Question 8

Which type of discharge occurs without doctor approval?

Accepted Answer

A) Exp 
B) Against medical advice (AM
A)  
C) Extended care facility (ECF) 
D) Skilled nursing facility (SNF) 
A) Exp 
B) Against medical advice (AM
A)  
C) Extended care facility (ECF) 
D) Skilled nursing facility (SNF)

Question 9

When preparing a discharged patient's paper chart to send to HIMS,the HUC should:

Accepted Answer

A) save the discharged patient's charts on the nursing unit (up to a week)until all signatures required are obtained. 
B) arrange all forms in charts in alphabetical order. 
C) sign the doctors' and/or nurses' signatures where missing on all chart forms. 
D) check for old records or split records and send them with the chart. 
A) save the discharged patient's charts on the nursing unit (up to a week)until all signatures required are obtained. 
B) arrange all forms in charts in alphabetical order. 
C) sign the doctors' and/or nurses' signatures where missing on all chart forms. 
D) check for old records or split records and send them with the chart.

Question 10

If a patient's condition worsens and the doctor writes a transfer order to transfer the patient to the intensive care unit (ICU),the HUC would:

Accepted Answer

A) discard the patient labels,because the ICU will create new ones. 
B) make a copy of the patient's record in case the patient should return to the unit when his or her condition improves. 
C) send the patient's remaining medications to the pharmacy. 
D) record the transfer on the nursing admission,discharge,and transfer (ADT)sheet and notify the receiving unit. 
A) discard the patient labels,because the ICU will create new ones. 
B) make a copy of the patient's record in case the patient should return to the unit when his or her condition improves. 
C) send the patient's remaining medications to the pharmacy. 
D) record the transfer on the nursing admission,discharge,and transfer (ADT)sheet and notify the receiving unit.

Question 11

Discharge planning involves:

Accepted Answer

A) evaluating all patients on a nursing unit for possible discharge to empty beds. 
B) determining who will assist the patient in packing his or her belongings. 
C) ensuring that a patient has a plan for continuing care after leaving the hospital. 
D) copying the patient's records to send home with the patient. 
A) evaluating all patients on a nursing unit for possible discharge to empty beds. 
B) determining who will assist the patient in packing his or her belongings. 
C) ensuring that a patient has a plan for continuing care after leaving the hospital. 
D) copying the patient's records to send home with the patient.

Question 12

Custodial care refers to:

Accepted Answer

A) care rendered by a priest,minister,or other religious figure. 
B) volunteer assistance on your floor. 
C) the parent with custody of the hospitalized child. 
D) nonmedical care such as bathing,feeding,and protecting the patient. 
A) care rendered by a priest,minister,or other religious figure. 
B) volunteer assistance on your floor. 
C) the parent with custody of the hospitalized child. 
D) nonmedical care such as bathing,feeding,and protecting the patient.

Question 13

A person most likely to assist patients and their families and physicians in developing a discharge plan of care tailored to meet the specific needs of the patient is the:

Accepted Answer

A) hospital billing office staff member. 
B) case manager. 
C) registered nurse (RN). 
D) health unit coordinator (HU
C) . 
A) hospital billing office staff member. 
B) case manager. 
C) registered nurse (RN). 
D) health unit coordinator (HU
C) .

Question 14

Holding information regarding a patient's discharge or pending discharge is a serious problem because:

Accepted Answer

A) this could result in delayed admission of another patient. 
B) nurses like to get new admissions. 
C) the patient's discharge could be canceled. 
D) the patient may be charged for another hospital day. 
A) this could result in delayed admission of another patient. 
B) nurses like to get new admissions. 
C) the patient's discharge could be canceled. 
D) the patient may be charged for another hospital day.

Question 15

When a patient is transferred from the ICU to a floor unit or from a floor unit to the ICU,the current orders:

Accepted Answer

A) are evaluated by the resident,who will discontinue orders as necessary. 
B) remain in effect until the attending doctor changes them. 
C) remain the same,with additional orders to be written as needed. 
D) are no longer valid and new orders are written. 
A) are evaluated by the resident,who will discontinue orders as necessary. 
B) remain in effect until the attending doctor changes them. 
C) remain the same,with additional orders to be written as needed. 
D) are no longer valid and new orders are written.

Question 16

The HUC may have which of following as a task to perform when a patient expires?

Accepted Answer

A) Notifying the local newspaper 
B) Notifying the mortuary that has been requested by the family 
C) Calling the chaplain on call 
D) Calling the local radio station 
A) Notifying the local newspaper 
B) Notifying the mortuary that has been requested by the family 
C) Calling the chaplain on call 
D) Calling the local radio station

Question 17

A central services department (CSD)credit slip is used to:

Accepted Answer

A) give the discharged patient a credit to acquire supplies as needed. 
B) credit a patient's account for an item that was charged for but was not used. 
C) provide a reward to a patient for being a longtime patient. 
D) provide credit to an employee for exceptional performance. 
A) give the discharged patient a credit to acquire supplies as needed. 
B) credit a patient's account for an item that was charged for but was not used. 
C) provide a reward to a patient for being a longtime patient. 
D) provide credit to an employee for exceptional performance.

Question 18

An autopsy is the same as a(n):

Accepted Answer

A) coroner's case. 
B) postmortem examination. 
C) organ procurement. 
D) clinical death. 
A) coroner's case. 
B) postmortem examination. 
C) organ procurement. 
D) clinical death.

Question 19

When an order is written for a patient to be discharged to an ECF,which department likely will make the arrangements?

Accepted Answer

A) Physical therapy (PT) 
B) Nursing 
C) Security 
D) Social services 
A) Physical therapy (PT) 
B) Nursing 
C) Security 
D) Social services

Question 20

When a patient is transferred to another room on the same nursing unit,the HUC would:

Accepted Answer

A) notify the switchboard and the information center. 
B) rewrite the current orders on a new Kardex. 
C) obtain a new patient ID number for the patient. 
D) call all departments involved in the patient's care. 
A) notify the switchboard and the information center. 
B) rewrite the current orders on a new Kardex. 
C) obtain a new patient ID number for the patient. 
D) call all departments involved in the patient's care.

Exam 20: Discharge, transfer, and Postmortem Procedures

For a patient with an illness,terminal indicates that:

The purpose of a patient care conference is to:

The patient's doctor may write an order for a room change for which of the following two primary reasons?

The doctor has written a discharge order with an order for a four wheel walker (FWW)to be supplied to the patient for home use.The person who would likely arrange for the FWW works in:

A patient who leaves the hospital AMA:

Which task might the HUC have regarding the deceased patient's organ donation?

A patient approaches the nursing station and tells the HUC that he is not happy with his doctor or his care and he is leaving the hospital AMA now! The appropriate action by the HUC would be:

Which type of discharge occurs without doctor approval?

When preparing a discharged patient's paper chart to send to HIMS,the HUC should:

If a patient's condition worsens and the doctor writes a transfer order to transfer the patient to the intensive care unit (ICU),the HUC would:

Discharge planning involves:

Custodial care refers to:

A person most likely to assist patients and their families and physicians in developing a discharge plan of care tailored to meet the specific needs of the patient is the:

Holding information regarding a patient's discharge or pending discharge is a serious problem because:

When a patient is transferred from the ICU to a floor unit or from a floor unit to the ICU,the current orders:

The HUC may have which of following as a task to perform when a patient expires?

A central services department (CSD)credit slip is used to:

An autopsy is the same as a(n):

When an order is written for a patient to be discharged to an ECF,which department likely will make the arrangements?

When a patient is transferred to another room on the same nursing unit,the HUC would:

Health Unit Coordinating

Overview of Health Care Today

The Nursing Department and Medical Staff

Communication Devices and Their Uses

Communication and Interpersonal Skills

Workplace Behavior

Management Techniques and Problem Solving Skills for Health Unit Coordinating

The Patients Chart or Electronic Medical Record

Health Unit Coordinator Role in Processing of Electronic, preprinted, and Handwritten Doctors Orders

Patient Activity, patient Positioning, and Nursing Observation Orders

Nursing Intervention or Treatment Orders

Nutritional Care Orders

Medication Orders

Laboratory Orders

Diagnostic Imaging Orders

Other Diagnostic Studies

Treatment Orders

Miscellaneous Orders

Admission,preoperative,and Postoperative Procedures

Reports, infection Control, emergencies, and Special Services

Medical Terminology, basic Human Structure, and Disorders

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