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問題一覧
1
What is the definition of morality?
personal belief system derived from family, school, religion and environment
2
what is the definition of professional ethics?
commonly held, written values that guide professional behavior
3
5 basic ethical foundations
autonomy, beneficence, nonmaleficence, justice, confidentiality
4
When can you engage in a non-therapeutic relationship with a patient?
any time there is a differential in power between staff and patient, personal relationship is unacceptable
5
American medical associations stance regarding sexual activities with patients?
sexual activities with patients are unethical
6
patient perception of Healthcare based on
interactions with members of health care team
7
5 principles of communication
1. requires sender, message and receiver 2. channels are verbal, nonverbal and written 3. goal is obtain info, inform, explore problems, release tension 4. effectiveness determined by setting and attitudes of those involved in comm process 5. know what you'll say and say what you mean
8
what influences patients assessment of treatment worth/overall success of a treatment program
your behavior towards patient, coworkers and professional staff
9
define acceptance
a series of positive behaviors that convey respect for the patient as an individual
10
What should you do if you're in doubt about a feeling the patient has expressed?
paraphrase back to patient for clarification
11
describe a civil tort liability
a civil wrong that injures a person or property of another person. Involves a personal lawsuit or money damages
12
define assault
a threat of physical harm that creates fear of imminent bodily injury or an apprehension or unwanted touching
13
two types of defamation of character
slander - someone says something false. libel - generally written/printed defamation
14
examples of negligence
failure to inform, failure to consult, causation, damages
15
who is responsible for Dx disorders/ordering treatment
credentialed provider or physician
16
What medical care is a minor allowed to consent for treatment?
pregnancy, birth control counseling, venereal disease, substance abuse, medical emergencies
17
Conditions under which an involuntary admission usually occurs
when too ill to recognize the illness or can't act on their behalf to protect their interests
18
When an active duty members involuntarily admitted, what is time period for an independent review?
72 hours
19
What did the surgeon general say concerning ethical issues concerning confidentiality
Each profession that provides mental health treatment embraces confidentiality as a core ethical principle.
20
What organization besides Congress has spelled out very specific patient rights
the joint commission
21
What can occur in the medical community without ethical controls?
Unscrupulous medical professionals are free to experiment and mistreat patients.
22
TJC is most interested in speaking with
you
23
What is the definition of a joint commission standard
A statement of expectation concerning a degree or level of requirement, excellence or attainment in quality of performance.
24
What does The Joint Commission team do at the conclusion of their meetings?
meet and Integrate findings
25
Who makes the final decision regarding joint commission accreditation
The joint commission accreditation committee
26
specific functions of the HSI
Evaluate preparedness of active duty and reserve component medical units to fulfill the readiness mission; Provide an objective appraisal of management and make recommendations for improvement to commanders and higher headquarters; Identify instance with a fraud waste and abuse; evaluate the effectiveness and efficiency with which healthcare resources are managed.
27
basic tenet of the HSI scoring process
Based on the unit goal of meeting mission requirements.
28
what led to the CDC issuing universal precautions in 1985?
spread of HIV that caused AIDS epidemic
29
primary focus of standard precautions
reduce risk of microorganism transmission
30
responsibilities of ICC
Collect data on all infections acquired within a facility, investigate the cause of any breakout, Educate all personnel of current concepts in prevention and control of infections.
31
where has HIV been found and how does it spread
found in bodily fluids (namely blood and discharge from sexual organs), spread by unprotected contact with these fluids
32
min amount of time to wash hands
15 seconds
33
how do you know if you haven't applied enough sanitizer to clean your hands
if hands are dry after only 10-15 seconds of rubbing
34
function of neurological system
transmit and recieve messages from control center in brain
35
nervous system divided into
central, peripheral
36
affects nervous system adversely
smoking, lack of sleep, poor diet, stress
37
what are your rights under AFOSH
1. the right to request inspection of any area you feel is unsafe for you or a patient 2. access the health and fire prevention regulations 3. right to decline a task that you reasonably believe will cause death or serious bodily harm, coupled with the reasonable belief there is not enough time to seek redress through normal hazard reporting procedures 4. eight to use official time to participate in AFOSH programs
38
what AFI spells out your responsibilities under AFOSH
AFI 91-301, AIR FORCE OCCUPATIONAL AND ENVIRONMENTAL SAFETY, FIRE PROTECTION AND HEALTH PROGRAM
39
5 rights related to drug administration
right drug, dose, patient, route, time
40
elements to keep separate to prevent fire
fuel, oxygen, heat
41
things to report on AF form 765?
fatalities, injuries req. hospitalization or involving 3+ people, property damage, injuries related to lost time on incidents, accidents or unusual occurences
42
who receives af form 765 once completed
MTF commander
43
what 3 factors are usually present to produce crisis
event, meaning of event to significant others, nature/extent of individual or family's coping mechanisms
44
type of crisis often predicted
developmental
45
events that normally result in a Situational crisis
unexpected loss, loss of job, natural disaster
46
define restriction
limitation, to confine and keep within limits; to restrain
47
6 examples of Preagressive behavior
pacing, interest in weapons, sleep disturbance, withdrawal, hyperactivity, change in voice level
48
how do you determine if seclusion is necessary
patient's specific condition or needs
49
when should seclusion be used
when other therapeutic measures fail
50
Active phases of assaultive cycle
trigger, escalation, crisis, recovery
51
what is the most important part of positioning for self protection
maintain safe distance
52
best method of response is chokehold is applied to you
spinning choke release and yell
53
3 key factors to remember when alone and trying to physically control patient
is there a clear/present danger of physical injury to warrant physical intervention? can you physically control patient alone? is there a good chance patient may get hurt?
54
in what situation is the single interim control hold suggested?
transport of confused, mildly reluctant patient
55
during patient restraint, key action word is
the cue to begin procedure
56
where should clients body be positioned if 2 point restraints are used
one arm and opposite leg secured to bedframe
57
what should be determined prior to introducing any medication?
any physiological etiology should be ruled out
58
objective of administering psychopharmacological restraint
decrease agitation by sedation
59
what method is quickest administration of medication
intravenous (IV)
60
why are some medications mixed at the time of administration
synergistic effect
61
define racism
distinction, exclusion, restrictions or preferences based on race, color, decent or national/ethnic origin with the purpose of nullifying/impairing the recognition, enjoyment, or exercise, on equal footing of human rights and fundamental freedoms in the political, economic, social, cultural or any other field of public life
62
define prejudice
adverse judgement or opinion formed without knowledge/examination of the facts or a preconceived preference or idea
63
define discrimination
to make a distinction; differentiate or act on the basis of prejudice
64
what is a stereotype
conventional, formulaic, usually oversimified conception, opinion, or belief of a person, group, event or issue
65
what two language cues are considered important
eye contact and use of personal space
66
four comfort zones in western culture
intimate, personal, social and public
67
What kind of key cultural skill might a counselor incorporate into his or her evaluation process?
years in country, generations in the country, fluency in English, family support, education level, social status change, obstacles of acculturation
68
suggested strategies to improve cultural competence
read books, attend cultural events, talk to peers/supervisors, talk to patient
69
four categories sociologists use to ID old age
young old (65-75), old (75-85), old old (85-100) and elite old (100+)
70
When is alcoholism addressed among the aged?
when secondary to the physical consequences of alcohol use
71
when were baby boomers raised
post war prosperity
72
What advances have women continued to pursue since the 1920s?
equal right to careers traditionally held by men, management positions, equal pay/benefits, work environments free of harassment and glass ceilings
73
Studies have shown that women are typically overdiagnosed with what conditions
depression, anxiety. dependent personality disorder, borderline personality disorder
74
what aspect makes briefings most effective
precise and compact
75
excellent guide in helping you prepare for a briefing
AFH 33-337 The tongue and quill
76
How does the guided discussion method of teaching enhance learning?
exchanging ideas, opinions, experiences to reach conclusions that support learning objectives
77
disadvantages to guided discussions
time consuming, limited to class size, knowledge and experience
78
Which briefing is tailored for personnel on a second or subsequent permanent change station?
newcomers orientation
79
During what time do unit commanders ensure personnel complete suicide awareness training.
20 month air expeditionary force training cycle
80
During what step of the lesson planning process would you modify an objective or rearrange points?
researching the topic
81
support for your topic can be presented to an audience in what forms
definitions, examples, comparisons testimony, stats
82
purpose of the motivation part of the lesson
To show the audience or students how the lesson relates to them and why they need to know the material.
83
what is AHLTA
the electronic health record system that came after CHCS II and before MHS genesis
84
what purpose does the outpatient medical records serve other than document storage?
planning, documentation, communication, data and protection
85
Who is responsible for keeping all caregivers informed of documentation, maintenance, and release of information procedures?
director of patient administration
86
How should you document the patient's visit if the outpatient medical record is not available?
document on SF 600
87
What forms are located on the left side of the MHS record?
DD form 2005, clinic information sheet, SF 513
88
What does it mean to have MHS records underdouble lock?
locked in filing cabinet in a locked room
89
How long are MHS records maintained in the clinic after the patient's last visit?
2 years
90
how are FAP records maintained and located in family advocacy?
filed under the name of the sponsor with entire family's notes maintained in one record
91
what are the sections of the FAP record
1. administrative 2. data collection instruments 3. record/file cross-reference 4. supportive documents 5. intervention management tools 6. chronological documentation
92
what should you do with the FAP record to prepare it for retirement
remove from 6 part folders to fit in boxes
93
where are medication administration records normally maintained
in the Kardex or MARS
94
What form does the physician use to transmit written orders for patient care and treatment to the nursing staff?
AF form 3066, Doctor's Orders
95
What form is used by the physician to write the fin progress note before closure of the record?
SF 509, Medical Record - Progress Notes
96
how does the budget process begin
a budget call
97
who gathers all the budgets for the MTF
resource management office
98
items usually procured through capital budgets
land, buildings, and other large value items
99
items usually procured through operating budgets
clinic operating supplies, TDYs, equipment
100
how are ethical and legal matters related to managed care often masked
acts of genuine kindness or appreciation