This is the Annual test for the Mental Health Nursing Staff in Riverside County.  Nothing about de-escalating for patient safety.  Rating - Poor

Table of Contents

 

Riverside County Regional Medical Center
Annual Recertification Test
2001
Mental Health Nursing Staff

 REORIENTATION & CONFIDENTIALITY

 

1. A patient who happens to be your neighbor is admitted to RCRMC. You are concerned about her and ask the nurse caring for him how she is. The nurse should respond:
   1. She is doing well. The biopsy was negative.
   2. I'm sorry, that information is confidential. You may want to speak to her family.
   3. Here's her chart. Why don't you check it out?

   PATIENT RIGHTS & RESPONSIBILITIES

    

2. It is not necessary to advise a patient of the identity and professional status of any individual providing care to him/her.
   True        False

   PERFORMANCE IMPROVEMENT & INCIDENT REPORTING

    

3. Falls and medication errors involving patients should be reported on what form?
   1. Incident Report.
   2. Event Report.
   3. Occurrence Report.
   4. Accident Report.

    

4. Continuous Quality Improvement is:
   1. a work philosophy that encourages every member of the organization to find new a better way of doing things.
   2. first line staff making all organizational decisions.
   3. upper management making all organizational decisions.

    

5. The RCRMC model is:
   1. Measure, Design, Assess, Reevaluate, and Improve.
   2. Design, Measure, Assess, Improve, and Reevaluate.
   3. Design, Assess, Measure, Improve, and Reevaluate.
   4. Assess, Measure, Design, Improve, and Reevaluate.

   CULTURAL COMPETENCE

    

6. The belief or value in a culture may affect a patient’s response to healthcare.
   True         False

    

7. Understanding various cultures can help us deliver better care to the patient.
   True        False

   INFECTION CONTROL

    

8. The most effective and easy method for preventing the spread of disease/infections is:
   1. Wearing gloves.
   2. Giving antibiotics.
   3. Handwashing.
   4. None of the above.

    

9. If I feel I have been exposed to a Blood Borne Pathogen I will:
   1. Go to the Emergency Room.
   2. Notify my supervisor, and fill out the necessary paperwork required.
   3. Call my personal physician.
   4. Do nothing and keep working.

    

10. Standard Precautions replaces and encompasses all of the following: Universal Precautions, Blood and Body Fluid Precautions, and Body Substance Isolation.
    True        False

     

11. Droplet Precautions are used for diseases that can be transmitted by coughing and sneezing, if a caregiver is within approximately three feet of a patient (e.g. rubella).
    True        False

     

12. Contact Precautions require the wearing of a gown and gloves if a caregiver anticipates contact with the patient or their environment.
    True        False

     

13. Standard Precautions apply to only certain patients.
    True        False

     

14. If I need any information regarding bloodborne pathogens, what to do in case of an exposure to them, and more information on bloodborne pathogens, I can find all this information in:
    1. Surveillance, Prevention, and Control of Infections Manual (Infection Control Manual).
    2. Telephone directory.
    3. Fire and Disaster Manual.

     

15. Any room may be used when placing a patient in airborne isolation.
    True        False

    EMPLOYEE HEALTH

     

16. Proper body alignment, lighting, and chair height will help prevent musculoskeletal and visual problems.
    True        False INFECTION CONTROL

     

     

17. After a blood/body fluid exposure you must notify your supervisor and the Employee Health Nurse immediately.
    True        False

     

18. Hepatitis B is a serious illness that can be spread through breaks in the skin, needle sticks, sharing personal items and intimate contact with an infected person.
    True        False

     

19. Hepatitis C is a virus transmitted through blood contact and can affect the liver causing the need for a liver transplant.
    True        False

     

20. Treatment for exposure to HIV should be started within one hour of exposure.
    True        False

    ELECTRICAL SAFETY

     

21. It is the responsibility of Plant Operations to check for the safety sticker on electrical equipment.
    True        False

    HOSPITAL SAFETY

     

22. You are responsible as an employee for:
    1. The safety of yourself, coworkers, and clients in the workplace.
    2. To instruct others on their responsibilities.
    3. Providing appropriate safety equipment.
    4. To get your job done as quickly as possible.

     

23. What government agency requires an IIPP?
    1. EPA.
    2. SCAQM.
    3. CalOSHA.
    4. DOT.

     

24. What is the purpose of SMDA?
    1. Protect patients from poorly designed and malfunctioning medical devices.
    2. To have a reporting structure in place to inform manufacturers and the FDA of potential problems with medical devices.
    3. To ensure medical devices are safe for their intended use.
    4. All of the above.

     

25. Current Material Safety Data Sheets (MSDS) must be available in each department for staff to view regarding hazardous chemicals used in their workplace.
    True        False

    CODES

     

26. What is a "Code Blue"?
    1. A person in need of emergency medical care.
    2. Approaching tornado.
    3. A possible fire in the building.
    4. None of the above.

     

27. What is a "Code Yellow"?
    1. Bomb Threat.
    2. Hazardous Materials Spill.
    3. Child/Infant Abduction.
    4. A Urine Sample Spill.

     

28. If a hazardous materials spill occurs, notification must be made to whom?
    1. Safety Coordinator
    2. Switchboard
    3. Co-workers
    4. All of the above.

     

29. Who is responsible for responding to a Code Green?
    1. Only men.
    2. Security Staff.
    3. Only nurses.
    4. Any staff member who has taken MAB training.

     

30. All employees should know where the nearest fire extinguisher and alarm pull station are located within or near their department.
    True        False

     

31. When the fire alarm sounds, and you are working in your department, you should stay where you are.
    True        False

     

32. Emergency power electrical outlets are red in color.
    True        False

     

33. To initiate a "Code Red" pick up the telephone and dial 1035.
    True        False

     

34. What is the most effective firefighting tool in preventing the spread of fire in a hospital?
    1. Doors
    2. Fire alarms
    3. Smoke detectors
    4. Standpipes

     

35. What does R.A.C.E. mean?
    1. Remove, advance, constrain, exhaust.
    2. Rescue, advise, continue, expect.
    3. Rescue, activate, contain, extinguish.
    4. Run, activate, contain, egress.

     

36. You should never use electrical equipment that has the ground pin broken off.
    True        False

     

37. The County of Riverside has implemented a ______________ with regard to threats and violent behavior in the workplace.
    1. Complete Tolerance Standard
    2. Zero Tolerance Standard
    3. Long, complicated policy
    4. No Standard at all

     

38. When a medical emergency at ITF arises, i.e. patient cuts their wrists, tries to hand themselves, or attempts to kill another person, you will:
    1. Notify the Team Leader or Designee.
    2. Notify the Nursing Shift Supervisor.
    3. Treat the injuries yourself and document the event in the client progress notes.
    4. Both A and B.

     

39. What is the hospital’s code for a bomb threat?
    1. "Code Black"
    2. "Code Orange"
    3. "Code Yellow"
    4. "Code Triage"

     

40. If inside during an earthquake, you should:
    1. Duck under sturdy furniture.
    2. Try to evacuate the structure.
    3. both a & b.
    4. None of the above.

     

41. After the shaking, you should:
    1. Expect aftershocks
    2. Check for people who might be trapped.
    3. Check for fire and fire hazards.
    4. All of the above.

    BODY MECHANICS

     

42. When lifting an object/patient, the steps in proper order you are to take are:
    1. Assess the load, keep the back straight and lift with the legs, hold away from the body. Do not twist.
    2. Assess the load, bend the knees and lift with the legs.
    3. Bend the knees, keep the back straight, lift with the legs and keep the load close. Do not twist.
    4. Assess the load, if too heavy, get help. When lifting, bend the knees, keep the back straight, and lift with the legs. Do not twist.

    HARASSMENT

     

43. The best thing to do if you feel you are being harassed is:
    1. Leave the room.
    2. Avoid the harasser.
    3. Confront the harasser, ask him/her to stop, and report the incident.
    4. Ask for a change in job assignment.

     

44. Sexual harassment is only asking for sexual favors.
    True        False

    CHILD AND ELDER ABUSE

     

45. A health practitioner is not required to report suspected child abuse.
    True        False

     

46. The two primary ways to prevent elder abuse is to increase awareness that a serious problem exist, and to learn how to report all suspicious acts.
    True        False

     

47. Abuse can be physical, emotional, or sexual.
    True        False

    ADVANCE DIRECTIVES

     

48. While working as an employee of the Health Services Agency, I can serve as a witness on an advance directive to someone unrelated to me by blood, marriage, or adoption.
    True        False

    AGE SPECIFIC TRAINING

     

49. Adults between the ages of 18 and 90 can be expected to have the same needs.
    True        False

     

50. As we get older, the possibility of declining hearing and sight decreases.
    True        False

    RESTRAINTS

     

51. "As needed" orders for restraints are not acceptable.
    True        False

     

52. Physician’s orders must be renewed every 4 hours for adults, every 2 hours for adolescents, and every 1 hour for pediatric patients.
    True        False

     

53. Restraints do not need to be padded.
    True        False

     

54. All patients in behavioral restraints will be observed at least every 30 minutes and patient care needs will be assessed and provided at least every 4 hours.
    True        False
    NURSING ASSISTANTS MAY STOP HERE, RNs & LVNs MUST CONTINUE.

    ACCU-CHEK

     

55. If "RUN CONTROLS" appears in the display, you should run controls that are in range before proceeding to do a patient test.
    True        False
56. To perform a test, the operator must enter a proper operator ID# and patient ID#.
    True        False
57. When coding the Accu-Chek Advantage monitor, you must use the Code Key from the same vial of test strips that you are using.
    True        False

     

58. The proper site for the finger puncture is on the side of the fingertip.
    True        False

     

59. Test results appear on both the GTS and monitor displays.
    True        False

     

60. Arterial, venous, or capillary blood may be used with the Accu-Chek Advantage monitor.
    True        False

     

 

 

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