KAREN ANN QUINLAN MEMORIAL FOUNDATION 2019 ANNUAL IN-SERVICE QUIZ

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Total number of correct answers out of 30.

Please read the manual before completing the test. To view a larger version of the manual click the arrow in the top right corner below.

1. Cultural Competency demonstrates the following skills: *

a. Knowledge and understanding of a client’s culture. b. Accepting and respecting cultural differences. c. Adapting care to be similar with the client’s culture. d. All of the above

2. What is the Corporate Compliance Plan intended to do? *

a. To help achieve and maintain KAQ’s goal of delivering quality medical care. b. To make sure all employees follow the Standards of Conduct. c. To make sure this hospice complies with federal and state laws and regulations. d. All of the above.

3. The Compliance Plan includes what three main areas? *

a. Code of Conduct b. Compliance Practices and Procedures. c. Regulated Conduct and Guidelines. d. All of the above.

4. Rush hour traffic is a big challenge in our work. When you are in a tight situation you may try to reduce your stress response by: *

a. Calling your supervisor b. Blow your horn so people will get going c. Listen to your favorite music channel and relax until it eases up d. Go back home, it isn’t worth it.

5. If you incur a needle stick, the first thing you should do is: *

a. Notify the supervisor b. Wash the affected area with warm water for 30 seconds c. Wash with soap and water for at least one full minute. d. Go to the nearest hospital to have blood drawn

6. Which of the following resistant organisms infects you by direct and indirect contact with an infected patient: *

a. MRSA (Methocillin resistant staphylococcus aureus) b. VRE (Vancomycin resistant enterococcus) c. C-diff (Clostridium difficile) d. All of the above

7. SPAE stands for Serious Preventable Adverse Event, which is: *

a. Death of patient due to an accident or an event that we could have prevented b. Death by expected natural causes c. Fall of a patient while on service resulting in loss of a limb d. A & C

8. The Department of Health has made it mandatory to have a Patient Safety Committee. *

a. True b. False

9. Blood borne pathogens can be resisted by the staff through the use of the following techniques: *

a. Maintain intact skin b. Wear appropriate barriers when handling blood and body fluids c. Appropriate hand washing before and after giving care d. All of the above

10. Confidentiality tips include: *

a. Get written authorization to release information or take photos b. Be mindful of your surroundings when discussing patients c. Don’t talk in public about patients or any patient concern d. All of the above

11. The Medicare Conditions of Participation mandate a Quality Assessment and Performance Improvement program be maintained in every hospice in order to: *

a. Be a good steward of their monies b. Lower the falls risk for the hospice patient c. Enable the program to prove that they are a quality agency d. Prevent fraud and abuse in the Medicare system

12. If you see that a Medical device is not working in the patient’s home, you would want to: *

a. Call the supervisor and report it b. Notify the police department for assistance c. Put a red tag on it so the nurse can see it d. Try to fix it so the patient may use it

13. Karen Ann Quinlan does have a policy in place related to the Patient Safety Act. *

a. True b. False

14. Ways to help someone in Bereavement can include: *

a. Active Listening, Reassurance, Respecting Privacy b. Be unsupportive, Don't listen, Judge how they are grieving c. Offer concrete services, invade their privacy, and watch TV. d. Give them your laundry, ask them to make a meal for you, ask them to babysit

15. Symptoms of Anticipatory Grief may include: *

a. Hunger, anger, and disappointment b. Anger, depression, and sadness c. Crying, laughing, and humming d. Planning a party, buying a dress, getting a makeover

16. When a bag or portfolio is used by nursing in a patient’s home, what elements are important to its use and care? *

a. It should always be leather because it is sturdier b. The bag or portfolio may be placed on a clean, dry, hard surface and protected by small barrier pad while in use in the home c. Don’t carry any items into a patient’s home d. Don’t clean it as it will lessen the protective barrier on the fabric

17. Hand washing is the single most important way to prevent the spread of infection. To ensure compliance and provide optimal safety for the staff: *

a. Wash your hands daily no matter how you feel b. Look at your hands often and wash them if they look dirty c. Wash hands when you arrive at a home, before and after using gloves and when you leave the home. d. Only wash hands when you arrive prior to giving care to the patient

18. Many of the staff are driving a lot to provide the care needed. In the winter, what tips are beneficial to your safety? *

a. Try to do as much work from home as possible b. Stock survival supplies in your car such as scraper, kitty litter, jumper cables, YakTrax, extra washer fluid, blanket c. Be selective on the assignments you will accept d. No change is necessary you should always act safely

19. Workman’s Compensation is in place to protect the employees but it is only effective when the appropriate people are made aware. What incidents must be reported? *

a. Lifting a patient made your back feel very weird b. You received two memos in your mail slot instead of the usual one memo c. You passed a bad accident on Newton Sparta Road d. It is imperative that you be home by five tonight

20. Some days just don’t go well and today I felt I was harassed in the office. What is my first step? *

a. Deal with it, you are an adult b. Resignation is your only recourse c. Notify your supervisor and report the facts of the encounter d. This may be a good time for a vacation

21. What type of personal protective equipment (PPE) is needed when an air borne organism is present in a home *

a. A gown b. Goggles c. Booties d. Mask

22. As employees of a home care agency, we are required to report suspected or known evidence of abuse, neglect or exploitation. These present in three different categories and they are: *

a. Domestic Elder Abuse b. Institutional Elder Abuse c. Self-neglect or Self-Abuse d. All of the above

23. Which of the following items are examples of Karen Ann Quinlan Hospice’s core values? *

a. Excellent and compassionate patient care. b. Legal and ethical integrity. c. A safe and healthy employment environment. d. All of the above.

24. If the patient is unable to tell the nurse about their pain, what is the most appropriate scale for the nurse to utilize? *

a.1-10 pain scale b. Face Scale c. FLACC scale d. None of the above

25. Regardless of age, personal conditioning is a smart way to protect ourselves from injury. One example may be: *

a. Gentle stretching exercises b. Core strengthening exercises c. Balancing exercises d. All of the above

26. Where do I find the list of the family members to whom I may speak about the patient’s medical issues? *

a. A phone directory is the best place b. We can talk to anyone who has a sincere interest in this patient’s condition c. The face sheet has a list in the Patient Alert section d. The care plan has a list under transfer procedures

27. If our families are experiencing a challenge that does not seem to have a clear resolution causing a big dilemma, which committee may be able to assist the team? *

a. Patient Safety Committee b. Ethics Committee c. Education Committee d. Infection Control Committee

28. Ways to support someone experiencing Anticipatory Grief may include: *

a. Plan a party, buy a dress, and get a makeover b. Physically hold them up, play the radio, watch television c. Offer reassurance, listen to them, and give them emotional support d. Give emotional support, only listen when you have time, and keep busy

29. Tuberculosis is spread through the air from one person to another. How does the bacillus get into the air in the first place? *

a. High level of air pollution b. When a TB patient coughs or sneezes c. Inadequate household cleaning practices d. When we see blood in the sputum

30. In our overarching Disaster Plan the following processes are mandatory: *

a. Hazard Vulnerability Analysis (HVA) b. Communication Plan c. Policy and Procedure for the agency response d. Training and Testing on the process e. All of the above