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PAS 2
PAS 2
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1
Not Autonomy
freedom, as of the will or one’s action; the autonomy of the individual
Independence in one’s thoughts or actions
Freedom to run away and wreak havoc on everyone
Freedom from external control or influence; independence
2
•The durable power of attorney allows
Allows appointment of an agent to speak on behalf of the patient
Allows appointment of an agent to communicate the patient’s wishes
Allows the patient to appoint an agent
Allows the patient to makes sure agent is aware of and understand wishes
3
Death is a failure of treatment, not natural
False
True
4
Which is better for burnout?
Adding tons of friends on Facebook or social media
Hanging out with friends and family irl
5
The purpose of the teams and teamwork domain is to
be efficient, effective, and equitable.
plan and deliver patient/population-centered care that is safe and timely
Apply relationship-building values & principles of team dynamics to perform
Compete for a good position
6
Varying degrees of legal partnership and marital status still exist in US for same-sex couples
True
False
7
Which is not one of the 3 subcompetencies of the values/ethics competency domain
Place the interest of pts at the center of interprofessional health care
Embrace the cultural diversity and individual differences that characterize
Work w/ those who receive care, provide care and those who support delivery
Participate in discussions and debates regarding how to treat the patients
8
__ in 10 healthcare workers have considered leaving the profession and more than half are burned out
5
1
4
3
9
What describes negligence
Analysis of near misses provides the opportunity to id and remedy system
care that falls below the recognized standard of care
No patient harm
loss of limb
10
What is interprofessional education?
occurs when students from four or more professions learn to collaborate
care delivered by intentionally created small work groups in health care
when many health workers from different professions work together with pts
occurs when students from two or more professions learn to collaborate best
11
How do you begin disclosing errors to the patient
Elicit questions or concerns and address them
Describe the course of events, using non-technical language
Express personal regret and apologize
State there has been an error
12
what is the worst medical error
A
I
D
G
13
Which is an error of planning
deviation from a process of care that may or may not cause harm
The use of a wrong plan to achieve an outcome
The failure of a planned action
An unintended act (either the result of omission or action)
14
Not a qualification for HOSPICE
once goals of care have switched from cure to comfort
patient usually must have a prognosis of 6 months or less to enter hospice
1 year left to live
a patient must have a terminal illness
15
Which is the third stage of the team development model
Storming
Norming
Performing
Forming
16
•Advanced directives are documents that
Appoint of a health care agent.
Traditionally include a living will
When they want receive or stop medical treatment
provide instructions relating to future health care
17
Paternalism gave way to
Autonomy
Discipline
Honesty
Self-determination
18
Family decides for you
False
True
19
POLST should NOT be readily accessible to
Other caregivers
Emergency medical personnel
Your primos
Assisted living facility staff
20
WOF is NOT one way you can monitor/work with your inner emotional energy barometer
Use a scale from 1 to 10 (1 = no energy and 10 = high energy).
You have to recognize your level and then push through by working harder
Try to pick a regular time each week to check in with yourself.
If you notice you’re feeling down and exhausted, you need to refuel
21
What does BT mean
twice daily
bathtime
twice bimonthly
bedtime
22
the failure of a planned action
is an an error of
planning
omission
action
execution
23
Which RR: Communicate with team members to clarify each member’s responsibility in executing components
RR6
RR4
RR7
RR5
24
True or false: Conflict is expected
True
False
25
Which is not an Interprofessional Competency
Self-integration
Role Recognition
Ethics and Attitude
The patient-central role
26
What is Interprofessional team-based care?
When the Dr works with a surgeon and a PA to conduct surgery
care delivered by a doctor and an NP on a singular patient
When the Dr works with the PA to help a Pt
care delivered by small groups in health care w/ collective goal/identity
27
What is the first stage of Team Development
Storming
Forming
Norming
Performing
28
WOF is one of the 4 competencies of IPE
Interprofessional comm
Value/ethics
Roles/responsibilities
teams/teamwork
29
Which is not a barrier to interprofessional education?
Attitudes of faculty and administration
Silos promoting isolation and inhibit collaboration
The complexity of academic scheduling
Physical space in health care facilities
30
which website has comprehensive state-by-state listing of nationwide status for same-sex couples.
hospital.edu
fakewebsite.co
randomwebsite.com
lambdalegal.org
31
Which years were the survey of physician attitudes and what percent followed the policy of nondisclosure
1977- 76%
1979- 98%
1961, 88%
1972- 90%
32
WOF does NOT aid in Role Recogntion and Conflict Management
Awareness of roles and responsibilities
Educate each other on their roles and responsibilities
Constantly telling those beneath you that they are inferior
Role of reflection and team assessment
33
Joint Commission required to report root cause analysis performed in what year
2010
1995
1987
2000
34
What does MgSO4 commonly get misinterpreted as
Morphine sulfate
magnesium sulfite
Manganese sulfate
Magnesium sulfate
35
In what year were the IPEC core competencies get released
2005
2001
1999
2000
36
We have to worry about when to tell the patient, not how
True
False
37
Which is a benefit of IPP in Clinical Practice
Cost efficiency
Improved quality of care
Interprofessional care improves short-term patient outcomes
Reduced redundancies, medication duplications, medical errors, and gaps
38
Which is not included in the 7 Team Characteristics Required for Successful IPP in Clinical Practice
Heedfulnes
Trust
Discipline
Diversity
39
Which results in a medical error
Good communication
Patient misuse because of poor understanding of the directions for use
Ambiguities in names, directions for use, medical abbreviations or writing
Good procedures or techniques
40
What does IN mean
intranasal
injection
IV
Intrajugular
41
WOF is not one of the top 8 mistake causes
Comm Problems
Technical failures
Staffing attitude
Human problems
42
Which is paired accurately?
RR4: Communicate one’s roles and responsibilities clearly
RR3: Forge relationships w/ other professions to improve care
RR9: Use unique abilities of members of the team to optimize patient care
RR1: Recognize one’s limitations in skills, knowledge, and abilities.
43
AD, AS, AU intended meaning
alternate drugs, alternate sensitivities, alternate understanding
right ear, left ear, each ear
the right eye, left eye, each eye
right nostril, left nostril, each nostril
44
WOF is not one of the questions demonstrated in the video that are suggested to be used as a debrief checklist
What went well?
Was communication clear?
Was task assistance requested or offered?
What is it that I aimed to achieve with the patient?
45
What percent of Americans take more than 5 meds?
20
30
40
15
46
Which is RR1
Engage diverse healthcare professionals who complement
Explain the roles and responsibilities of other care providers
Communicate one’s roles and responsibilities clearly
Recognize one’s limitations in skills, knowledge, and abilities.
47
Which does not describe sentinel event
In 2000, the Joint Commission required to report root for analysis
never event
a pt safety event that results in death, permanent harm, or severe harm
unexpected occurrence involving death, physical or psychological injury
48
who is at the center of the multidisciplinary team?
Patient
PA
Dr
NP
49
3rd leading cause of death in the US
Cancer
Accidents
Medical Error
Respiratory disease
50
When does Interprofessional Collaborative Practice occur?
occurs when many health workers from many jobs debate about who is best
occurs when one health worker works together w/ pts and communities
occurs when many health workers from many jobs work alone w/ pts
occurs when many health workers from many jobs work together w/ pts
51
IPP addresses the Triple Aim by ____ the quality of care while ____ costs and ______ patient satisfaction.
increasing, increasing, reducing
Increasing, reducing, increasing
reducing, increasing, increasing
reducing, increasing, reducing
52
Unplugging from work means not checking email or doing paperwork off the clock
True
False
53
Which does not describe an adverse effect
Injury caused by med management rather than underlying condition
An error that does not result in pt harm
classified as preventable/unpreventable
prolongs hospitalization, produces disability at discharge, or both
54
Which is not a barrier to interporfessional practice?
Fee-for-service reimbursement structure
Silos promoting isolation and inhibit collaboration
Lack of training and experience in IPP
Physical space in health care facilities
55
Describe the main focus of interprofessional communication domain.
Communicate about what is going to be for lunch
Discuss how to read EKGs during said lunch time
Communicate in a manner that supports a team approach to the care/tx
Argue about the best patient turnout
56
Which mneumonic helps decrease med errors
ATUNE
ABSTAIN
ADHERE
AVOID
57
What is the definition of medical error?
the use of a wrong plan to achieve an aim.
preventable AE of care, whether or not it is evident or harmful to the pt
the cause of increased morbidity because of a misuse of medication
The failure of a planned action to be completed as intended
58
what describes a near miss
falls below the standard of care
Opportunity to id and remedy the system failures before harm
loss of limb
The error doesn't result in patient harm
59
What does AVOID stand for
Anterior, villi, old age, interests, dose, more facts
Allergies, vitamins, old age, interactions, dose, marriage
Adhere to drugs, vitamins, OTC, intelligence, drugs, markings
Allergies, vitamins, old drugs, interactions, dependence, mendel
60
Which is RR2
Communicate with team members to clarify each member’s responsibility
Explain the roles and responsibilities of other care providers
Engage in professional and interprofessional development to enhance team
Recognize one’s limitations in skills, knowledge, and abilities
61
Which is not a step for triple aim?
Improve the patient experience of care (quality and satisfaction)
Improve the health of populations
Improve the per capita cost of health care
Reduce the per capita cost of health care
62
Multivitamin not being ordered in what severity of medical error
C-unlikely to cause harm but reached pt
G-perminant harm
E- temporary harm
A- no error
63
Which is not an example of Interprofessional team-based care?
Palliative care team
The medical comm team
Rapid response team
Operating room team
64
____ of people who receive CPR survive.
5% to 10%
15% to 20%
9% to 15%
2% to 6%
65
Which are the 3 sub-competencies of the values/ethics competency
Place interest in the populations served by the interprofessional team
Demonstrate high standards of ethical conduct & quality of care
Manage ethical dilemmas specific to the patient and population care
Respect the dignity and privacy of pts with confidentiality during care
66
Burnout can have dangerous results, not including
low blood pressure
substance abuse
depression
damaged relationships and mistakes at work
67
WOF domains focuses on the use of knowledge of role & other professions to assess and address needs of pts & populations
Ethics/values
Roles/Responsibilities
teams/teamwork
Interprofessional comm
68
What is not an example of a sentinal event?
Wrong-site procedure
Unintentional retention of foreign body in pt after surgery
Loss of limb or function
There was an error that didn't harm the pt
69
1 in __ Medicare pts recieving care in a hospital are victims of medical errors
10
3
5
7
70
How many patients die annually from medicine errors
2-5K
4-8K
8-10K
7-9K
71
Ara A is
Acetaminophen
Zidovudine
Hydrocortisone
Vidarabine
72
Which can help reduce medication errors
Using computerized provider order entry (CPOE) systems
Implementing support systems to check for drug & drug-allergy interactions
Disregarding an active medication allergy list
Not maintaining an active medication list
73
What does TeamSTEPPS stand for?
Strategies and Tools to Enhance Performance and Patient's Safety
Stress Takes Everyone's Precious Prolonged Sleep
Scoring and Testing to Establish Proper Procedures and Steps
Strategies and Tools to Establish Proper Performance and Safety
74
True or false- The PA students training is a new concept
True
False
75
The person appointed on behalf of the patient may be called a
surrogate
representative
proxy
health care agent
76
Error that could didn't reach the pt
B
A
D
C
77
Each member of the team functions as part of a multidisciplinary team by each
evaluating the doctor and collaborate on developing a financial plan
evaluating the patient and collaborate on developing a patient care plan
talking with the patient and debate on developing a patient care plan
evaluating the cause of death and arguing on who is to blame
78
Roughly _____ Americans are misdiagnosed each year
12 Million
13 Million
16 Million
10 Million
79
Which is not one of the 6 organizations that developed the core competencies?
American association of colleges of osteopathic medic
American Association of Dentristry
American Dental Education Association
American Association of Colleges of nursing
80
Medical errors caused how many deaths estimated in the US annually
500K
315K
250K
117K
81
µg stands for milligram
True
False
82
Don't invest your time and energy in the things you can’t control, because doing so leads to feelings of helplessness.
True
False
83
Which are the requirements to be a good leader?
Bribing to keep your position despite the health code violations
A clear understanding of the roles of other health professionals
Able to communicate with others
Attitude: foster respect, willingness to collaborate, & openness to others
84
what is NOT one way organizations tackle burn out
extra time off
make sure that workers have time at work to finish tasks that don’t involve
flexible deadlines
giving them extra work in order to test their ability
85
POLST is also known as
COLST
ROLST
HOLST
MOLST
86
which can prevent a med error
Inquire about allergies or adverse reactions every time
Use checks and balances amongst the healthcare team.
Encourage patients to learn about their health
Make sure your patients ask questions.
87
WOF is not a warning sign of burnout
mood changes, tearfulness and changes in appetite or sleep
drinking more alcohol than usual or using it as a way to cope
begin to feel irritable and are having more interpersonal conflict
pressing snooze one time
88
In regards to never events, what is something you have to do that was established in Texas, 2015
Report the event
Disclose the error
Waive all associated costs
Apologize to the patient
89
What is medical error I
Error that could have necessitated intervention to sustain life
temporary harm requiring hospitalization
No error
Resulted in death
90
True or False, you don't have to exercise to prevent burnout
True- you really don't need to
False, practice what you preach
91
•Two portions of an advanced directive
Secular work
Familial wishes
Living will portion
Durable power of attorney for health care
92
Competency 1, Values/Ethics for Interprofessional Practice specifically works for and is based on:
Work w/ ppl of other professions to maintain a climate of mutual respect
Embrace cultural diversity
Work w/ ppl of the same job to maintain a climate of mutual respect
Place the interest of patients and populations at the center