mitc
26
qumc

Which factor has the most influence in determining an individual's attitude?
his or her mental view of the world
Correct. An individual's mental views are the most important factor in determining attitude.
working conditions
Incorrect. While working conditions may affect how we feel at times, mental attitude allows individuals to choose how they respond to the conditions around them.
family background
Incorrect. While family background contributes to attitude, individuals can create their own mental views of the world.

What is the first step in reducing personal stress?
Identify the sources of stress that are under your control.
Correct. Looking for sources of stress and identifying which can be eliminated or reduced is the first step in reducing stress.
Avoid all stressful situations.
Incorrect. This is not realistic. Life has many sources of stress. Health care work, by its very nature, can be stressful. The first step in reducing stress is to identify the stressors over which you have control so you can eliminate or change them.
Ignore conditions that cause stress.
Incorrect. This is not possible for most people. Some stressful situations must be dealt with, especially when it comes to work. The first step is identifying the stressors over which you have control so you can eliminate or change them.

What is the value of learning to prioritize?
It can decrease stress.
Correct. By ranking items that need to be done in order of importance, you decrease conflict between too many responsibilities.
It eliminates stressors.
Incorrect. External stressors are not under a person's control.
It is an effective meditation technique.
Incorrect. Prioritizing does not involve meditation.

Which of the following is the best example of professional behavior?
Be flexible to change.
Correct. Willingness to adapt to change is essential.
Be very clear on what your job is, and stay within its boundaries.
Incorrect. Perform all duties as assigned and needed.
Identify the type of patient you work best with, and take only those assignments.
Incorrect. Today's population is very diverse, and one must work well with a variety of patients.

Which of the following statements is true regarding the term "professionalism"?
It can be described as "caring competence."
Correct. This is one way of expressing the true meaning of professionalism.
It refers to those health care workers with advanced degrees.
Incorrect. Any individual can demonstrate professionalism through his or her behaviors.
It is something learned only after many years of dedicated service in health care.
Incorrect. Everyone can demonstrate professionalism through their behaviors at any time and in any setting.

How is the term "professional distance" best exemplified in the health care setting?
by maintaining a healthy balance in the worker-patient relationship
Correct. This is the definition of professional distance.
by showing patients that you can be their friend and help them through their crises
Incorrect. It involves demonstrating a caring attitude without the goal of becoming patients' friend.
as the distance required to prevent the spread of microorganisms
Incorrect. Professional distance is an attitude, not an infection control issue.

What should you do first to learn about the sick leave policy at a new job?
Check the employee manual.
Correct. It is always best to check the facility's resources first when you have a question about employment policies.
Ask your supervisor.
Incorrect. You should first check the employee manual. Then, if you have more questions, you can ask your supervisor.
Ask someone who has worked there a long time.
Incorrect. Even experienced coworkers may not have accurate information. You should first check the employee manual. Then, if you have more questions, you can ask your supervisor.

Which of the following is the best definition of "self-directed learning"?
activities you plan and carry out to increase your skills and knowledge
Correct. Self-directed learning refers to any activities you plan and carry out to increase your skills and knowledge.
courses for which you earn CEUs
Incorrect. Self-directed learning refers to any activities you plan and carry out to increase your skills and knowledge. These may or may not result in earning CEUs.
learning new skills by yourself
Incorrect. Learning by yourself may be a part of self-directed learning, but it primarily involves any activities you plan and carry out to increase your skills and knowledge. These may or may not involve other people.

Who determines whether the credits offered by a class or workshop will count toward the credits needed for renewal of your certification or license?
the agency that grants the certification or license
Correct. The agency that grants the certification or license determines what credits it will accept.
your employer
Incorrect. The agency that grants the certification or license determines what credits it will accept.
the organization that is offering the class or workshop
Incorrect. The agency that grants the certification or license determines what credits it will accept.

Which of the following statements is true regarding prejudice?
Prejudice is having negative feelings about a person based on assumptions.
Correct. Prejudice is having negative feelings about a person based on assumptions.
To overcome prejudice, one must agree with the beliefs and actions of others.
Incorrect. Some behaviors may be harmful to the patient, and it is important for the health care worker to encourage change.
It is best to ignore individual differences that you do not agree with.
Incorrect. In order to assist a patient to change when necessary, it is necessary to listen and understand his or her beliefs and motivations.

The best way for the health care worker to deal with personal prejudice is to:
carefully examine his or her own beliefs
Correct. Everyone has prejudices to some degree, and being aware of them is the first step to dealing with them.
deny having them
Incorrect. Everyone has prejudices to some degree, and being aware of them is the first step to dealing with them.
accept them
Incorrect. Prejudices can interfere with effective interpersonal relationships. Examining one's own beliefs is the first step to dealing with prejudices.

If a patient expresses an idea about health care with which you disagree, the first thing to do is:
listen carefully
Correct. Learning why the other person has this idea can help you better deal with the situation.
let him or her know why you disagree
Incorrect. Understanding why someone has an idea can help you find ways to better communicate and help him or her change, if necessary. This starts with listening carefully.
ignore what he or she said
Incorrect. Listening carefully is key to understanding the ideas of others.

Successful communication is achieved when which of the following occurs?
The message is correctly interpreted by the receiver.
Correct. When the receiver understands the message, the goal has been met.
The message is correctly interpreted by the sender.
Incorrect. The sender is the one communicating the message.
The receiver and sender agree.
Incorrect. Agreement is not required; only understanding of the message is important.

Rolling one's eyes in dismay at a comment is an example of what type of communication?
nonverbal
Correct. Nonverbal communication includes facial expressions.
leading
Incorrect. A leading question incorporates part of the answer in the wording of the question.
expressiveness
Incorrect. This is not a type of communication.

Which of the following best describes successful communication?
The message is correctly interpreted by the receiver.
Correct. Successful communication occurs when the message is correctly interpreted by the receiver.
The sender speaks clearly.
Incorrect. Speaking clearly is important, but it does not guarantee successful communication.
The receiver agrees with the message.
Incorrect. Agreement is not required for successful communication to occur.

A physical therapist assistant greets her patient, prepares and gives clear instructions about performing an exercise, and then leaves the room. Which appropriate communication step did she miss?
Check for understanding.
Correct. Checking for understanding is a critical step.
Set a goal.
Incorrect. Checking for understanding is the critical step omitted.
Listen to the patient's response.
Incorrect. Checking for understanding is the critical step omitted.

What is the spelling rule regarding a final silent "e" when adding a suffix that begins with a vowel?
Drop the final silent "e" before adding a suffix that begins with a vowel.
Correct. This is the correct spelling rule.
Double the final silent "e" before adding a suffix that begins with a vowel.
Incorrect. Drop the final "e"; do not double it.
The silent "e" rule actually refers to adding a prefix, not a suffix.
Incorrect. Dropping the final silent "e" does refer to adding a suffix.

When is it most important to include a well-written conclusion in a report?
always
Correct. All reports should have a well-written conclusion.
when the report extends beyond a couple of pages
Incorrect. All reports should have a well-written conclusion.
when your supervisor will be placing it in your permanent record
Incorrect. All reports should have a well-written conclusion.

Which of the following statements is true regarding the central processing unit (CPU) of a computer?
It is located inside the computer.
Correct. The CPU is located inside the computer.
It includes the keyboard and mouse.
Incorrect. The keyboard and mouse are peripherals.
It cannot perform calculations or manipulate data.
Incorrect. The CPU performs calculations and manipulates data.

What is the difference between computer hardware and software?
Hardware includes the physical components of the computer, and software includes the computer programs that contain instructions that enable the computer to function.
Correct. This is the correct distinction between hardware and software.
Software includes the physical components of the computer, and hardware includes the computer programs that contain instructions that enable the computer to function.
Incorrect. This is a reversal of the definitions.
Hardware and software are both part of the central processing unit (CPU).
Incorrect. The CPU is hardware, but software is not a part of the computer hardware.

Which of the following is a potential consequence of using computers in the health care system?
Patients feel that health care is becoming depersonalized.
Correct. Many patients have felt that the use of computers has depersonalized health care.
There are more errors made.
Incorrect. Computers have not contributed to increases in errors.
Data is less accessible.
Incorrect. Data is more readily available.

Which of the following is a type of charting one may encounter in a health care facility?
SOAPIE
Correct. SOAPIE stands for subjective, objective, assessment, plan, intervention, and evaluation.
SOUP
Incorrect. The proper term is SOAP, not SOUP.
charting by expectation
Incorrect. The proper term is charting by exception, not expectation.

What is the best method to follow when correcting an error in charting?
Make one line through the error, and then write the correct information.
Correct. The original information must remain visible.
Erase or white-out the error, and write in the correct information.
Incorrect. The original information must remain visible.
Scribble out the error so as not to confuse it with the correction.
Incorrect. The original information must remain visible.

Which of the following is a major purpose of medical documentation?
It helps ensure good patient care.
Correct. Good documentation helps the health care worker provide good patient care.
It prevents patients from suing.
Incorrect. The patient cannot be prevented from filing a lawsuit, but good documentation provides information to aid in the defense.
It keeps regulatory agencies from doing site visits.
Incorrect. Site visits are required by many regulatory agencies; good documentation ensures compliance.

Which of the following is an example of a chief complaint?
The patient states he made an appointment because he has been nauseated.
Correct. The chief complaint is the reason the patient is seeking medical care.
The physician determines the patient has a gastric ulcer.
Incorrect. This is a diagnosis.
The health care worker takes the vital signs.
Incorrect. This is part of the objective data collection.

Which is the most appropriate action for a patient who is febrile?
increase intake of fluids
Correct. A patient running a fever is more apt to become dehydrated.
stay as warm as possible
Incorrect. Warmth will increase the temperature.
decrease intake of fluids
Incorrect. A patient running a fever is more apt to become dehydrated.

What is the first step you should take when observing an abnormal condition in a patient?
Immediately report the condition to your supervisor.
Correct. Any change in condition must be reported.
Note the condition on the patient's chart.
Incorrect. This step comes after reporting to the supervisor.
Check on the patient again in a few hours.
Incorrect. Immediate reporting allows for intervention before the condition worsens.

What does it mean when a patient reports his pain dropping from an 8 to a 2 after receiving pain medication?
The medication has been effective.
Correct. A decreasing number indicates a decreasing pain level.
The medication regimen needs to be reevaluated.
Incorrect. The drop in the pain scale shows good relief of pain.
The pain cannot be controlled.
Incorrect. A decreasing number indicates a decreasing pain level.

Assessing the urinary system includes which of the following questions?
Does the patient have nocturia?
Correct. Nocturia is getting up at night to urinate.
Has there been any sudden change in weight and appetite?
Incorrect. This question applies to the digestive system.
Is the gait normal or altered?
Incorrect. Gait is the manner of walking and is related to the musculoskeletal system.

Performing a psychosocial assessment includes which of the following questions?
What are the emotional responses?
Correct. Emotional responses are related to the psychosocial assessment.
What are the vital signs?
Incorrect. Vital signs are part of the circulatory system assessment.
Is the patient experiencing dyspnea?
Incorrect. Dyspnea, or difficulty breathing, is part of the respiratory assessment.

The Heimlich maneuver is performed when the patient:
has an obstructed airway
Correct. This is a method to relieve an obstructed airway.
is not breathing
Incorrect. If the airway is not obstructed, then rescue breathing is done.
is not breathing and has no pulse
Incorrect. If the patient is not breathing and has no pulse, CPR is performed.

When a victim is stung and you see the stinger, what is the best action to take?
Remove it by scraping it with your finger.
Correct. This method removes the stinger while minimizing the release of any venom.
Remove it with tweezers.
Incorrect. Using tweezers forces more venom into the victim.
Leave it intact for later identification.
Incorrect. Attempt to remove the stinger by scraping it with your finger or a credit card.

What is the most appropriate action to take when a victim's life is in danger but he or she refuses to give consent for care?
Call EMS.
Correct. Care cannot be given without consent.
Assume the victim is not thinking straight, and proceed with care.
Incorrect. Care cannot be given without consent.
Receive permission from a family member.
Incorrect. Care cannot be given without the victim's consent.

What should a rescuer do when a dressing that was applied to stop bleeding becomes saturated?
Place additional dressings on top of the old dressings.
Correct. Removing the old dressings may increase bleeding.
Replace the dressing with fresh, dry dressings.
Incorrect. Removing the old dressings may increase bleeding.
Place a tourniquet above the bleeding area.
Incorrect. Do not apply a tourniquet; just reinforce the dressings.

Which emergency condition requires the immediate use of rescue breathing?
The victim is not breathing but has a pulse.
Correct. This victim only needs respiratory support.
The victim is not breathing and does not have a pulse.
Incorrect. This victim requires full cardiopulmonary resuscitation (CPR).
The victim is showing signs of shock.
Incorrect. If the victim is breathing, he or she does not need rescue breathing.

A Health Maintenance Organization (HMO) is composed of health care providers who:
offer a predetermined medical care benefit package
Correct. An HMO provides a predetermined medical care benefit package.
offer medical care benefits for large companies only
Incorrect. An HMO is not limited to large companies.
offer services to elderly and low-income patients
Incorrect. An HMO does not limit coverage to elderly and low-income patients.

One of the complaints insurance companies had about the fee-for-service model of reimbursement was that:
it rewarded the provider who prescribed the most services
Correct. The insurance companies were in the position to pay whatever was billed.
patients were discharged from the hospital too quickly
Incorrect. The complaint was that the hospital stays were too lengthy.
too many generic drugs were being prescribed
Incorrect. The complaint was that too many expensive brand-name drugs were being prescribed.

Which of the following is an example of an account receivable for a health care facility?
insurance reimbursement for services rendered
Correct. Payment owed to the facility for services provided is an account receivable.
payment due to pay for a new x-ray machine
Incorrect. This is an account payable.
wages owed to employees
Incorrect. This is an account payable.

What is it called when a physician is paid a set amount for each person covered by an insurance plan, regardless of how many services each person requires?
capitation
Correct. Capitation has a fixed amount for each person covered.
copay
Incorrect. The copay is the set amount paid for each visit.
negotiated fee
Incorrect. A negotiated fee is an amount preagreed upon to pay for specific services.

Which of the following services are best equipped to handle illnesses and injuries requiring immediate attention?
emergency and urgent care services
Correct. Emergency and urgent care services are the best choice for illnesses and injuries requiring immediate attention.
inpatient services
Incorrect. Emergency and urgent care services are the best choice for illnesses and injuries requiring immediate attention.
screening clinics
Incorrect. Emergency and urgent care services are the best choice for illnesses and injuries requiring immediate attention.

Which of the following interactions is with an internal customer?
A lab technician calls to report an abnormal result.
Correct. A lab technician works within the health care industry.
A patient calls to reschedule an appointment.
Incorrect. A patient is an external customer.
A daughter of a patient calls to inquire about her mother's status.
Incorrect. A patient's daughter is an external customer.

Which of the following approaches is best when communicating a criticism to a coworker?
Talk to him or her in person.
Correct. One-on-one communication is most effective.
Present it to him or her in writing.
Incorrect. One-on-one communication is more effective.
Inform the supervisor so he or she can communicate the criticism.
Incorrect. Personally speaking with the coworker is more effective.

What is the first step when starting the job search process?
Identify your qualifications.
Correct. Your qualifications will drive the rest of the process.
Research who is hiring.
Incorrect. The first step is to determine your qualifications.
Write your resume.
Incorrect. Identifying your qualifications must be done before your resume can be written.

Which of the following is the most effective networking method?
Tell as many people as possible that you are looking for a job.
Correct. This will maximize your chances of productive contacts.
Focus your energy on professionals who might be able to help you.
Incorrect. This limits your contacts.
Ask only people who can also serve as references when you apply for jobs.
Incorrect. This limits your contacts.

When is the recommended time frame for researching background information on a company?
before you arrive for an interview
Correct. This practice will serve you positively in many ways.
after the interview and before you are offered a job
Incorrect. This is too late for improving your chances to impress the interviewer.
prior to starting a new job
Incorrect. The purpose of researching background information is to interview better.

When is it appropriate to ask about salary, benefits, and office rules?
when the job offer is made
Correct. Asking prior to this is premature.
before setting the appointment so that you do not waste the employer's time
Incorrect. This shows more interest in personal gain than in the job.
at the beginning of the first interview to know if you are interested
Incorrect. This shows more interest in personal gain than in the job.

Which of the following questions is appropriate in the interview situation?
Why do you think we should hire you?
Correct. This is a possible interview question.
What is your date of birth?
Incorrect. This is an illegal question.
Do you have any children?
Incorrect. This is an illegal question.

If a coworker insists on telling jokes of a sexual nature in your presence, you should:
ask the person directly to stop telling the jokes in your presence
Correct. The first thing to do when you encounter offensive behavior of a sexual nature is to directly ask the person to stop.
report him or her to your supervisor
Incorrect. It is recommended that you first ask the person to stop the behavior. If it continues, and then report it to your supervisor or another designated person.
ignore it
Incorrect. Sexual harassment may persist if ignored. Ask the person to stop telling the jokes in your presence.

What is the most important reason for health care workers to have good attendance habits?
It helps ensure the consistency and quality of patient care and service.
Correct. It helps ensure the consistency and quality of patient care and service.
It keeps you from becoming unpopular with your coworkers.
Incorrect. While it is important to maintain good relations with coworkers, it is even more important to maintain the consistency and quality of patient care and service.
Employees with good attendance are more likely to receive pay raises.
Incorrect. While this may be true, it is not the most important reason. Good employee attendance helps ensure the consistency and quality of patient care and service.

