What causes metrorrhagia? (and is the reason it's the most significant form of menstrual dysfunction).
Answer: cancer, benign tumours of the...
What causes metrorrhagia? (and is the reason it's the most significant form of menstrual dysfunction).
What causes menorrhagia? Difference between onset in early life and later in life.
What causes menorrhagia? Difference between onset in early life and later in life.
Onset in early life: usually an endocrine disturbance.
Later...
How do you treat secondary dysmenorrhea?
How do you treat secondary dysmenorrhea?
Answer: Depends on the cause. Medical or surgical intervention possibly...
How can you diagnose secondary dysmenorrhea?
How can you diagnose secondary dysmenorrhea?
Answer: Laparoscopy is often done if medications for PRIMARY dysmenorrhea is ineffective...
What is secondary dysmenorrhea?
What is secondary dysmenorrhea?
Answer: Menstrual pain caused by specific organic conditions such as endometriosis, uterine fibroids, adenomyosis,...
How do you treat primary dysmenorrhea?
How do you treat primary dysmenorrhea?
Symptomatic control.
Analgesics like aspirin or tylenol to relieve cramping or low back pain.
Prostaglandin...
What mnfts occur in severe primary dysmenorrhea?
What mnfts occur in severe primary dysmenorrhea?
Answer: systemic manifestations like: headache, nausea, vomiting, diarrhea, fatigue, irritability,...
What are the mnfts of primary dysmenorrhea (not severe)?
What are the mnfts of primary dysmenorrhea (not severe)?
Answer:
Full, lower abdominal crampy or achy pain, spasmodic or colicky;
often radiates...
Tell me about the pattern of primary dysmenorrhea symptoms?
Tell me about the pattern of primary dysmenorrhea symptoms?
Answer: They begin 1-2 days before menses; peak on first flow day; subside within...
When does primary dysmenorrhea start?
When does primary dysmenorrhea start?
Answer: It occurs with ovulatory menstruation beginning 6 months to 2 years after menarche (first peri...
Again, there is a primary and secondary form of dysmenorrhea. What is primary dysmenorrhea?
Again, there is a primary and secondary form of dysmenorrhea. What is primary dysmenorrhea?
Answer: menstrual pain that is not associated with...
Describe the pathogenesis of dysmenorrhea?
Describe the pathogenesis of dysmenorrhea?
Answer:
excessive production of prostaglandins --> causing painful contraction of the uretus and arteriolar...
How do you treat amenorrhea?
How do you treat amenorrhea?
Answer: Based on correcting underlying cause with cyclic progesterone or combined estrogen-progesterone regimens...
How do you diagnose amenorrhea?
How do you diagnose amenorrhea?
Answer:
Depends on cause.
Hx & Px w/ emphasis on bleeding pattern
Endocrine tests (FSH/LH ratio, prolactin, testosterone)
Beta-hCG...
What are some causes of secondary amenorrhea?
What are some causes of secondary amenorrhea?
Answer:
Ovarian, pituitary, or hypothalamic dysfunction
Intrauterine adhesions
Infections (TB)
pituitary...
What is secondary amenorrhea?
What is secondary amenorrhea?
Answer: The cessation of menses for at least 6 months in a woman who once had normal cycles...
What are the 4 (weird name) causes of primary amenorrhea?
What are the 4 (weird name) causes of primary amenorrhea?
Answer:
Gonadal dysgenesis
Congenital mullerian agenisis
testicular feminization
hypothalamic-pituitary-ovarian...
There are two types of amenorrhea, primary and secondary, what are the characteristics of primary amenorrhea?
There are two types of amenorrhea, primary and secondary, what are the characteristics of primary amenorrhea?
Answer: Failure to menstruate...
When the basic pattern of bleeding is UNchanged and episodes of bleeding or spotting occur, what is it often due to?
When the basic pattern of bleeding is UNchanged and episodes of bleeding or spotting occur, what is it often due to?
Answer: Due to organic lesions...
When the basic pattern of bleeding is changed, what is it often due to?
When the basic pattern of bleeding is changed, what is it often due to?
Answer: Due to a lack of ovulation and disturbances in the pattern of...
What kind of dysfunctional bleeding can occur in post-pubertal women?
What kind of dysfunctional bleeding can occur in post-pubertal women?
Answer:
Absent or scanty periods.
Infrequent periods.
excessive or irregular...
What are the patterns of menstrual bleeding in a HEALTHY women?
What are the patterns of menstrual bleeding in a HEALTHY women?
Answer: Menstrual bleeding tends to be fairly consistent in healthy women with...
Which of the following is considered to be a primary source of information?
Which of the following is considered to be a primary source of information?
A) The inpatient census.
B) Vital statistics collected by the NCHS.
C)...
Which user of statistics has the primary job of supporting terminally ill patients and their families?
Which user of statistics has the primary job of supporting terminally ill patients and their families?
A) Home health agencies
B) Nursing facilities
C)...
A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? Select all that apply.
A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? Select all that apply.
a. Flexible...
A patient referred to the eating disorders clinic has lost 35 pounds in 3 months. For which physical manifestations of anorexia nervosa should a nurse assess? Select all that apply.
A patient referred to the eating disorders clinic has lost 35 pounds in 3 months. For which physical manifestations of anorexia nervosa should a nurse...
A 5-year-old child was diagnosed with encopresis. Which assessment finding would the nurse expect associated with this diagnosis? The child:
A 5-year-old child was diagnosed with encopresis. Which assessment finding would the nurse expect associated with this diagnosis? The child:
a. frequently...
Three months ago a patient diagnosed with binge eating disorder weighed 198 pounds. Lorcaserin (Belviq) was prescribed. Which current assessment finding indicates the need for reevaluation of this treatment approach? The patient:
Three months ago a patient diagnosed with binge eating disorder weighed 198 pounds. Lorcaserin (Belviq) was prescribed. Which current assessment finding...
Which nursing diagnosis is more appropriate for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient diagnosed with bulimia nervosa who purges?
Which nursing diagnosis is more appropriate for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for...
A nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Which response by the nurse is appropriate?
A nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Which response by the nurse...
Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization?
Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization?
a. Urine output 40 mL/hr
c. Serum potassium...
Physical assessment of a patient diagnosed with bulimia often reveals:
Physical assessment of a patient diagnosed with bulimia often reveals:
a. prominent parotid glands.
b. peripheral edema.
c. thin, brittle hair.
d....
A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for the primary purpose of:
A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for the primary purpose of:
a. maintaining...
A nurse provides health teaching for a patient diagnosed with binge-purge bulimia. Priority information the nurse should provide relates to:
A nurse provides health teaching for a patient diagnosed with binge-purge bulimia. Priority information the nurse should provide relates to:
a. self-monitoring...
Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa?
Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa?
a. Assist the patient to identify triggers to binge...
A nurse provides care for an adolescent patient diagnosed with an eating disorder. Which behavior by this nurse indicates that additional clinical supervision is needed?
A nurse provides care for an adolescent patient diagnosed with an eating disorder. Which behavior by this nurse indicates that additional clinical supervision...
An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient:
An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient:
a. to eat a small meal after...
A psychiatric clinical nurse specialist uses cognitive-behavioral therapy for a patient diagnosed with anorexia nervosa. Which statement by the staff nurse supports this type of therapy?
A psychiatric clinical nurse specialist uses cognitive-behavioral therapy for a patient diagnosed with anorexia nervosa. Which statement by the staff...
The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "monitor for complications of refeeding." Which system should a nurse closely monitor for dysfunction?
The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "monitor for complications of refeeding." Which system...
Which nursing intervention has the highest priority as a patient diagnosed with anorexia nervosa begins to gain weight?
Which nursing intervention has the highest priority as a patient diagnosed with anorexia nervosa begins to gain weight?
a. Assess for depression and...
A patient was diagnosed with anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is currently 2.7 mg/dL. Which nursing diagnosis applies?
A patient was diagnosed with anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The...
Disturbed body image is a nursing diagnosis established for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor?
Disturbed body image is a nursing diagnosis established for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate...
Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely?
Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current...
Which presentations suggest the possibility of a factitious disorder, self-directed type? Select all that apply.
Which presentations suggest the possibility of a factitious disorder, self-directed type? Select all that apply.
a. History of multiple hospitalizations...
A patient diagnosed with a somatic symptom disorder has been in treatment for 4 weeks. The patient says, "Although I'm still having pain, I notice it less and am able to perform more activities." The nurse should evaluate the treatment plan as:
A patient diagnosed with a somatic symptom disorder has been in treatment for 4 weeks. The patient says, "Although I'm still having pain, I notice it...
A patient reports fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results were normal, but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect?
A patient reports fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results were normal, but...
A patient who experienced a myocardial infarction was transferred from critical care to a step-down unit. The patient then used the call bell every 15 minutes for minor requests and complaints. Staff nurses reported feeling inadequate and unable to satisfy the patient's needs. When the nurse manager intervenes directly with this patient, which comment is most therapeutic?
A patient who experienced a myocardial infarction was transferred from critical care to a step-down unit. The patient then used the call bell every...
A nurse assesses a patient diagnosed with conversion (functional neurological) disorder. Which comment is most likely from this patient?
A nurse assesses a patient diagnosed with conversion (functional neurological) disorder. Which comment is most likely from this patient?
a. "Since...
A patient with fears of serious heart disease was referred to the mental health center by a cardiologist. Extensive diagnostic evaluation showed no physical illness. The patient says, "My chest is tight, and my heart misses beats. I'm often absent from work. I don't go out much because I need to rest." Which health problem is most likely?
A patient with fears of serious heart disease was referred to the mental health center by a cardiologist. Extensive diagnostic evaluation showed no...
Which assessment data would help the health care team distinguish symptoms of conversion (functional neurological) disorder from symptoms of illness anxiety disorder (hypochondriasis)?
Which assessment data would help the health care team distinguish symptoms of conversion (functional neurological) disorder from symptoms of illness...
A nurse plans health teaching for a patient with generalized anxiety disorder who begins a new prescription for lorazepam (Ativan). What information should be included? Select all that apply.
A nurse plans health teaching for a patient with generalized anxiety disorder who begins a new prescription for lorazepam (Ativan). What information...
A patient performs ritualistic hand washing. Which action should the nurse implement to help the patient develop more effective coping?
A patient performs ritualistic hand washing. Which action should the nurse implement to help the patient develop more effective coping?
a. Allow the...
A patient experiencing panic suddenly began running and shouting, "I'm going to explode!" Select the nurse's best action.
A patient experiencing panic suddenly began running and shouting, "I'm going to explode!" Select the nurse's best action.
a. Ask, "I'm not sure what...
An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defense mechanism is evident?
An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defense mechanism is...
A person speaking about a rival for a significant other's affection says in an emotional, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating:
A person speaking about a rival for a significant other's affection says in an emotional, syrupy voice, "What a lovely person. That's someone I simply...
Two staff nurses applied for promotion to nurse manager. The nurse not promoted initially had feelings of loss but then became supportive of the new manager by helping make the transition smooth and encouraging others. Which term best describes the nurse's response?
Two staff nurses applied for promotion to nurse manager. The nurse not promoted initially had feelings of loss but then became supportive of the new...
A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as a prn anxiolytic?
A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as...
Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, "The nurse manager had a headache the day I was interviewed." Which defense mechanism is evident?
Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, "The nurse manager had...
A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which question would be most appropriate for the nurse to ask?
A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which question would be most appropriate for the nurse to ask?
a....
A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings and concerns. What is the rationale for this intervention?
A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings and concerns. What is the rationale for this intervention?
a....
A patient preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is most appropriate?
A patient preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is most appropriate?
a....
A patient with an abdominal mass is scheduled for a biopsy. The patient has difficulty understanding the nurse's comments and asks, "What do you mean? What are they going to do?" Assessment findings include tremulous voice, respirations 28, and pulse 110. What is the patient's level of anxiety?
A patient with an abdominal mass is scheduled for a biopsy. The patient has difficulty understanding the nurse's comments and asks, "What do you mean?...
A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which action should the nurse perform first?
A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which action should the nurse perform first?
a. Verify...
A patient being treated with paroxetine (Paxil) 50 mg po daily for depression reports to the clinic nurse, "I took a few extra tablets earlier today and now I feel bad." Which assessments are most critical? Select all that apply.
A patient being treated with paroxetine (Paxil) 50 mg po daily for depression reports to the clinic nurse, "I took a few extra tablets earlier today...
A patient diagnosed with major depression shows vegetative signs of depression. Which nursing actions should be implemented? Select all that apply.
A patient diagnosed with major depression shows vegetative signs of depression. Which nursing actions should be implemented? Select all that apply.
a....
A student nurse caring for a patient diagnosed with depression reads in the patient's medical record, "This patient shows vegetative signs of depression." Which nursing diagnoses most clearly relate to the vegetative signs? Select all that apply.
A student nurse caring for a patient diagnosed with depression reads in the patient's medical record, "This patient shows vegetative signs of depression."...
The admission note indicates a patient diagnosed with major depression has anergia and anhedonia. For which measures should the nurse plan? Select all that apply.
The admission note indicates a patient diagnosed with major depression has anergia and anhedonia. For which measures should the nurse plan? Select all...
A patient diagnosed with depression repeatedly tells staff, "I have cancer. It's my punishment for being a bad person." Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.
A patient diagnosed with depression repeatedly tells staff, "I have cancer. It's my punishment for being a bad person." Diagnostic tests reveal no cancer....
A patient diagnosed with major depression does not interact with others except when addressed, and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the patient. Which communication technique will be effective?
A patient diagnosed with major depression does not interact with others except when addressed, and then only in monosyllables. The nurse wants to show...
Major depression resulted after a patient's employment was terminated. The patient now says to the nurse, "I'm not worth the time you spend with me. I am the most useless person in the world." Which nursing diagnosis applies?
Major depression resulted after a patient's employment was terminated. The patient now says to the nurse, "I'm not worth the time you spend with me....
What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy treatment?
What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy treatment?
a. Nutrition and hydration
b....
A patient diagnosed with depression begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. The nurse should provide information to the patient and family about:
A patient diagnosed with depression begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. The nurse should provide information...
A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve. The nurse is most at risk for feelings of:
A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve....
A patient diagnosed with major depression tells the nurse, "Bad things that happen are always my fault." Which response by the nurse will best assist the patient to reframe this overgeneralization?
A patient diagnosed with major depression tells the nurse, "Bad things that happen are always my fault." Which response by the nurse will best assist...
A patient diagnosed with depression is receiving imipramine (Tofranil) 200 mg qhs. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?
A patient diagnosed with depression is receiving imipramine (Tofranil) 200 mg qhs. Which assessment finding would prompt the nurse to collaborate with...
A patient says to the nurse, "My life doesn't have any happiness in it anymore. I once enjoyed holidays, but now they're just another day." The nurse documents this report as an example of:
A patient says to the nurse, "My life doesn't have any happiness in it anymore. I once enjoyed holidays, but now they're just another day." The nurse...
An adult diagnosed with major depression was treated with medication and cognitive behavioral therapy. The patient now recognizes how passivity contributed to the depression. Which intervention should the nurse suggest?
An adult diagnosed with major depression was treated with medication and cognitive behavioral therapy. The patient now recognizes how passivity contributed...
A patient became depressed after the last of the family's six children moved out of the home 4 months ago. Select the best initial outcome for the nursing diagnosis Situational low self-esteem related to feelings of abandonment. The patient will:
A patient became depressed after the last of the family's six children moved out of the home 4 months ago. Select the best initial outcome for the nursing...
A patient became severely depressed when the last of the family's six children moved out of the home 4 months ago. The patient repeatedly says, "No one cares about me. I'm not worth anything." Which response by the nurse would be the most helpful?
A patient became severely depressed when the last of the family's six children moved out of the home 4 months ago. The patient repeatedly says, "No...
An individual is experiencing problems with memory. Which of these structures are most likely to be involved in this deficit? Select all that apply.
An individual is experiencing problems with memory. Which of these structures are most likely to be involved in this deficit? Select all that apply.
a....
A nurse prepares to administer a second-generation antipsychotic medication to a patient diagnosed with schizophrenia. Additional monitoring for adverse effects will be most important if the patient has which co-morbid health problems? Select all that apply.
A nurse prepares to administer a second-generation antipsychotic medication to a patient diagnosed with schizophrenia. Additional monitoring for adverse...
Consider these medications: carbamazepine (Tegretol), lamotrigine (Lamictal), gabapentin (Neurontin). Which medication below also belongs with this group?
Consider these medications: carbamazepine (Tegretol), lamotrigine (Lamictal), gabapentin (Neurontin). Which medication below also belongs with this...
An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?
An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?
a. H1 c. Acetylcholine
b....
A drug blocks the attachment of norepinephrine to 1 receptors. The patient may experience:
A drug blocks the attachment of norepinephrine to 1 receptors. The patient may experience:
a. hypertensive crisis.
c. severe appetite disturbance.
b....
The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm3. Select the nurse's best action.
The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm3. Select the nurse's best action.
a. Report...
A nurse instructs a patient taking a drug that inhibits monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of:
A nurse instructs a patient taking a drug that inhibits monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of:
a. cardiac...
A nurse cares for a group of patients receiving various medications, including haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Desyrel), and phenelzine (Nardil). The nurse will order a special diet for the patient who takes:
A nurse cares for a group of patients receiving various medications, including haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Desyrel),...
Which instruction has priority when teaching a patient about clozapine (Clozaril)?
Which instruction has priority when teaching a patient about clozapine (Clozaril)?
a. "Avoid unprotected sex."
b. "Report sore throat and fever immediately."
c....
A nurse can anticipate anticholinergic side effects are likely when a patient takes:
A nurse can anticipate anticholinergic side effects are likely when a patient takes:
a. lithium (Lithobid).
c. imipramine (Tofranil).
b. buspirone...
A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on the knowledge that paroxetine is a(n):
A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking...
A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect?
A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect?
a....
A drug causes muscarinic receptor blockade. The nurse will assess the patient for:
A drug causes muscarinic receptor blockade. The nurse will assess the patient for:
a. dry mouth.
b. gynecomastia.
c. pseudoparkinsonism.
d. orthostatic...
A patient diagnosed with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse expects the health care provider to prescribe a medication from which group?
A patient diagnosed with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse expects the health...
A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?
A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?
a....
Medicare rules state that the use of verbal orders should be infrequent and used only when the orders cannot be written or given electronically. In addition, verbal orders must be:
Medicare rules state that the use of verbal orders should be infrequent and used only when the orders cannot be written or given electronically. In...
A qualitative analysis of OB records reveals a pattern of inconsistent data entries when comparing documentation of the same data elements captured on both the prenatal form and labor and delivery form. The characteristic of data quality that is being compromised in this case is data:
A qualitative analysis of OB records reveals a pattern of inconsistent data entries when comparing documentation of the same data elements captured...
Before making recommendations to the Executive Committee regarding new physicians who have applied for active membership, the Credentials Committee must query the:
Before making recommendations to the Executive Committee regarding new physicians who have applied for active membership, the Credentials Committee...
The new electronic system recently purchased at your physician practice allows for e-prescribing, exchange of data to a centralized immunization registry, and it allows your physicians to report on key clinical quality measures. In all likelihood, your practice has succeeded in choosing a (an)
The new electronic system recently purchased at your physician practice allows for e-prescribing, exchange of data to a centralized immunization registry,...
A primary focus of screen format design in a health record computer application should be to ensure that:
A primary focus of screen format design in a health record computer application should be to ensure that:
A. programmers develop standard screen formats...
In preparation for an upcoming site visit by Joint Commission, you discover that the number of delinquent records for the preceding month exceeded 50% of discharged patients. Even more alarming was the pattern you noticed in the type of delinquencies. Which of the following represents the most serious pattern of delinquencies? Fifteen percent of delinquent records show:
In preparation for an upcoming site visit by Joint Commission, you discover that the number of delinquent records for the preceding month exceeded 50%...
Using a template to collect data for key reports may help to prompt caregivers to document all required data elements in the patient record. This practice contributes to data:
Using a template to collect data for key reports may help to prompt caregivers to document all required data elements in the patient record. This practice...
As the Coding Supervisor, your job description includes working with agents who have been charged with detecting and correcting overpayments made to your hospital in the Medicare Fee for Service program. You will need to develop a professional relationship with:
As the Coding Supervisor, your job description includes working with agents who have been charged with detecting and correcting overpayments made to...
Which of the following is a secondary data source that would be used to quickly gather the health records of all juvenile patients treated for diabetes within the past 6 months?
Which of the following is a secondary data source that would be used to quickly gather the health records of all juvenile patients treated for diabetes...
Stage I of meaningful use focused on data capture and sharing. Which of the following is included in the menu set of objectives for eligible hospitals in this stage?
Stage I of meaningful use focused on data capture and sharing. Which of the following is included in the menu set of objectives for eligible hospitals...
The information security officer is revising the policies at your rehabilitation facility for handling all patient clinical information. The best resource for checking out specific voluntary accreditation standards and guidelines is the:
The information security officer is revising the policies at your rehabilitation facility for handling all patient clinical information. The best resource...
Based on the following documentation in an acute care record, where would you expect this excerpt to appear?
Based on the following documentation in an acute care record, where would you expect this excerpt to appear?
"Initially the patient was admitted to...
Select the appropriate situation for which a final progress note may legitimately be substituted for a discharge summary in an inpatient medical record.
Select the appropriate situation for which a final progress note may legitimately be substituted for a discharge summary in an inpatient medical record.
A....
As the Compliance Officer for an acute care facility, you are interested in researching recent legislation designed to provide significant funding for health information technology for your next committee meeting. You begin by googling:
As the Compliance Officer for an acute care facility, you are interested in researching recent legislation designed to provide significant funding for...
As supervisor of the cancer registry, you report the registry's annual caseload to administration. The most efficient way to retrieve this information would be to use:
As supervisor of the cancer registry, you report the registry's annual caseload to administration. The most efficient way to retrieve this information...
Which of the four distinct components of the problem-oriented record serves to help index documentation throughout the record?
Which of the four distinct components of the problem-oriented record serves to help index documentation throughout the record?
A. database
B....
The 2014 AHIMA Foundation's "Clinical Documentation Improvement Job Description Summative Report" identified that most Clinical Documentation Improvement Specialists report directly to the:
The 2014 AHIMA Foundation's "Clinical Documentation Improvement Job Description Summative Report" identified that most Clinical Documentation Improvement...
Accreditation by Joint Commission is a voluntary activity for a facility and it is:
Accreditation by Joint Commission is a voluntary activity for a facility and it is:
A. considered unnecessary by most health care facilities.
B....
Reviewing a medical record to ensure that all diagnoses are justified by documentation throughout the chart is an example of
Reviewing a medical record to ensure that all diagnoses are justified by documentation throughout the chart is an example of
A. peer review.
B....
As a new HIM manager of an acute care facility, you have been asked to update the facility's policy for a physician's verbal orders in accordance with Joint Commission standards and state law. Your first area of concern is the qualifications of those individuals in your facility who have been authorized to record verbal orders. For this information, you will consult the
As a new HIM manager of an acute care facility, you have been asked to update the facility's policy for a physician's verbal orders in accordance with...
As a trauma registrar working in an emergency department, you want to begin comparing your trauma care services to other hospital-based emergency departments. To ensure that your facility is collecting the same data as other facilities, you review elements from which data set?
As a trauma registrar working in an emergency department, you want to begin comparing your trauma care services to other hospital-based emergency departments....
Though you work in an integrated delivery network, not all systems in your network communicate with one another. As you meet with your partner organizations, you begin to sell them on the concept of an important development intended to support the exchange of health information across the continuum within a geographical community. You are promoting that your organization join a:
Though you work in an integrated delivery network, not all systems in your network communicate with one another. As you meet with your partner organizations,...
Which method of identification of authorship or authentication of entries would be inappropriate to use in a patient's health record?
Which method of identification of authorship or authentication of entries would be inappropriate to use in a patient's health record?
A. written...
Which of the following services is LEAST likely to be provided by a facility accredited by CARF?
Which of the following services is LEAST likely to be provided by a facility accredited by CARF?
A. chronic pain management
B. palliative care
C....
In your facility, the health care providers from every discipline document progress notes sequentially on the same form. Your facility is utilizing
In your facility, the health care providers from every discipline document progress notes sequentially on the same form. Your facility is utilizing
A....
In your facility it has become critical that information regarding patients who are transferred to the oncology unit be sent to an outpatient scheduling system to facilitate outpatient appointments. This information can be obtained most efficiently from:
In your facility it has become critical that information regarding patients who are transferred to the oncology unit be sent to an outpatient scheduling...
The health care providers at your hospital do a very thorough job of periodic open record review to ensure the completeness of record documentation. A qualitative review of surgical records would likely include checking for documentation regarding
The health care providers at your hospital do a very thorough job of periodic open record review to ensure the completeness of record documentation....
The Conditions of Participation requires that the medical staff bylaws, rules, and regulations address the status of consultants. Which of the following reports would normally be considered a consultation?
The Conditions of Participation requires that the medical staff bylaws, rules, and regulations address the status of consultants. Which of the following...
Which of the following least likely to be identified by deficiency analysis technician?
Which of the following least likely to be identified by deficiency analysis technician?
A. missing discharge summary
B. need for physician authentication...
During a retrospective review of Rose Hunter's inpatient health record, the health information clerk notes that on day 4 of hospitalization there was one missed dose of insulin. What type of review is this clerk performing?
During a retrospective review of Rose Hunter's inpatient health record, the health information clerk notes that on day 4 of hospitalization there was...
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