Orientation Survey #2

1) A psychiatry consult is necessary in order to officially determine a patient’s capacity to make medical decisions?
A. True
B. False
2) Family and friends should not be used to interpret medical information because of issues related to:
A. Confidentiality, competence, and conflict of interest
B. Confidentiality, competiveness, and power of the patient
C. Competence, competiveness, and relationship
D. Their ability to cry when there is bad news
3) An example of narrating the care is:
A. “Dr. Smith will be in shortly. He is considered to be one of the best in his field.”
B. “That locket appears to have special meaning to you. Tell me more.”
C. “I am going to listen to your heart now.”
D. “I am sorry the resident ate your dessert. I will see if we can get another one up here promptly.”
4) It is ok to include why I believe a particular issue occurred in my description of the event in an incident report.
A. Yes
B. No
5) SBAR is a framework for communication of handoffs and focuses on the problem, not the people involved.
A. True
B. False
6) Complete medical record documentation is important for all of the following except:
A. Medication reconciliation
B. DRG and coding accuracy
C. Insurance eligibility
D. Discharge planning
7) Hospital Acquired Conditions are:
A. Preventable
B. High cost and high volume
C. Result in additional costs
D. Referred to as “never events”
E. All of the above
8) A patient comes into the emergency department for the 10th time in 4 months with the complaint of low back pain. The resident performs a cursory exam before presenting the patient as “drug seeking” to the attending. A database search reveals the patient has received 4 prescriptions for oxycodone recently. The patient is discharged without further work-up and later returns in septic shock from pyelonephritis. Which human factor occurred?
A. Availability heuristic
B. Confirmation bias
C. Pattern matching
D. Selectivity
9) Who do you contact when you have a patient for whom you suspect domestic violence is an issue?
A. Case Manager
B. Medical Director of Utilization
C. Social Worker
D. Crisis Hotline
10) The phrase “Present on Admission” differentiates conditions present at the time of admission from those conditions that develop during the inpatient admission.
A. True
B. False
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