Medical Terminology and Concepts, Exams of Nursing

Download Medical Terminology and Concepts and more Exams Nursing in PDF only on Docsity! CCMA NHA EXAM 2024 ( WITH ANSWERS ) RATED A| BEST FOR REVISION | VERIFIED BY EXPERTS | GUARANTEED PASS What is within the scope of practice for a CCMA ? - ANSWER 1. Educating patients on how to take their medication 2. Health promotion of the patient. 3. Performing an EKG. 4. Taking patients vitals. 5. Performing urinalysis. 6. Performing a throat culture. 7. Patient education. What is outside the scope of practice ? - ANSWER 1. Diagnosing patients. 2. Administering narcotics. 3. Interpreting laboratory results. 4. Pathogenic identification. 5. Performing an Arterial Blood Gas (ABG) What is assault ? - ANSWER Open threat of bodily harm against another person. What is battery ? - ANSWER An action that causes bodily harm. How do you define fraud ? - ANSWER Deception with the intent to deprive another person of his or her own rights. What is invasion of privacy ? - ANSWER Intruding on a patients private affairs, or disclosure of private information. Example: Entering a patients room without knocking or having permission. Malpractice ? - ANSWER The negligent delivery of professional services. Negligence ? - ANSWER The failure to do something that a reasonably prudent individual would do under similar circumstances. Spousal abuse/ Intimate partner abuse ? - ANSWER Provides a list of organizations within the local community that can assist in the situation. What should you do if you suspect child abuse ? - ANSWER Report suspected child abuse to the provider. Tort ? - ANSWER A civil wrong committed against a person or property. (fraud) Chain of custody ? - ANSWER In legal context, refers to the chronological documentation showing the paper trail, custody, control, transfer, analysis, and disposition of physical or electronic evidence. Sample evidence must be sealed in front of patient. (drug screen) What is the purpose of the CLIA ? - ANSWER Clinical laboratory Improvement Amendment sets quality standards and issues certifications for human laboratories. Health Insurance Portability and Accountability Act (HIPPA) - ANSWER Then right to inspect, review, and to receive a copy of your medical records and billing records that are held by health plans and healthcare providers covered by the privacy rule. What are the two main purposes of HIPPA ? - ANSWER 1. To provide continuous health insurance coverage for workers who lose or change their job. 2.To reduce the administrative burdens and cost of healthcare by standardizing the electronic transmission of administrative and financial transactions and protects the patients personal medical information and confidentiality. Medicaid provides healthcare coverage for whom ? - ANSWER Provides health insurance for the medically needy. Medicare is for ? - ANSWER Federal insurance plan that generally covers those over the age of 65 and is considered an entitlement because most have paid into the system through there employer. Tricare is ? - ANSWER Healthcare for military personal and their dependents to receive care form a civilian provider at the expense of the federal government. What is the purpose of Workers Compensation ? - ANSWER Wage replacement and medical benefits for those injured on the job. Advance Beneficiary Notice (ABN) - ANSWER Waiver of liability, is a notice a provider should give you before you receive a service if, based on Medicare coverage rules, your provider has reason to believe Medicare will not pay for the service. The bill will be the patients responsibility. What is coinsurance ? - ANSWER An amount a policy holder is responsible for according to their insurance policy. The policy holder must meet a specific amount before the insurance company will pay their portion. What is a copay ? - ANSWER A specific amount of money based on the patients insurance policy that must be paid at time of service. deductible ? - ANSWER Specific amount of money a patient must pay out-of-pocket before the insurance carrier begins paying for service in a calendar year. Explanation of benefits (EOB) ? - ANSWER A statement detailing what services were paid, denied, or reduced in payment by the patients insurance company. Preauthorization ? - ANSWER A decision by your health insurer or plan that that a health care service, treatment, plan, perscription drug, or durable medical equipment is medically necessary. Precertification ? - ANSWER The process of obtaining eligibility, certification, or authorization and collecting information from the health plan prior to impatient admissions and selected ambulatory care Referral ? - ANSWER The process of directing or redirecting to a medical specialist or agency for definitive treatment. (Some insurance companies require this) Verification of eligibility ? - ANSWER Before care is provided, it is important to verify that a patients eligibility for service is active. CPT ? - ANSWER Current Procedural Terminology ICD ? - ANSWER International classification of disease Each diagnostic and procedural code allows for submission of services for reimbursement from insurance companies and to provide statistical data for research. There are how many characters used in ICD ? - ANSWER Three to Seven First character is used for what ? - ANSWER Main term when searching in alphabetical order Second and third characters ? - ANSWER Numeric codes Fourth, Fifth, six, or seventh ? - ANSWER Being alphabetic or numeric What is a modifier ? - ANSWER Indicates one procedure was used multiple times on a patient. What is Advance Booking ? - ANSWER Making an appoint for a patient in advance. What is Clustering ? - ANSWER Seeing patients on the same day at the same time. Double Booking ? - ANSWER Two patients are given the same appointment time. What should you do if the provider is LATE ? - ANSWER Offer to reschedule a patients appointment the provider is late. New Patient ? - ANSWER A patient who has not been seen by the provider before or who has not been seen in three or more years is considered a new patient for billing purposes. How should test be scheduled ? - ANSWER Schedule the least invasive test first if a patient is having multiple test. Wave scheduling ? - ANSWER Three or Four patients are scheduled every half hour and are seen in the order in which they arrive at the office. Aerophagia ? - ANSWER Swallowing air alopecia ? - ANSWER Sudden increased hair loss Anthropometric ? - ANSWER Used to asses the size, shape, and composition of the human body, BMI or a growth chart. Chief Complaint (CC) ? - ANSWER The primary symptom that a patient states as a reason for seeking medical care. Cirrhosis ? - ANSWER Chronic liver disease. Cholecystectomy ? - ANSWER Removal of the gallbladder. Dysuria ? - ANSWER Painful difficult urination, Common cause is medication Dextrocardia ? - ANSWER The heart points to the right side instead of the left. Transition of Care ? - ANSWER Refers to the cordination and community of healthcare during a movement of a patient from one healthcare setting to another or to home. ABG's - ANSWER Arterial Blood Gas CC - ANSWER Chief Complaint CBC - ANSWER Complete Blood Count -ectomy - ANSWER Surgical removal -itis - ANSWER Inflammation Nephr/o - ANSWER Kidneys -ology - ANSWER Study of Ophth - ANSWER eye Oto - ANSWER ear PE - ANSWER Physical Examination ROM - ANSWER Range of Motion STI - ANSWER Sexually transmitted infection UA - ANSWER Urinalysis BP - ANSWER blood pressure CABG - ANSWER coronary artery bypass graft CXR - ANSWER Chest X-Ray I & O - ANSWER Intake and Output K - ANSWER Potassium NS - ANSWER No Show O2 - ANSWER Oxygen OTC - ANSWER Over the counter -plasty - ANSWER Surgical reconstruction PO - ANSWER By mouth STAT - ANSWER immediately TB - ANSWER Tuberculosis UTI - ANSWER Urinary tract infection Cardiologist - ANSWER Diagnosis and treats diseases of the heart. DO ( Doctors of Osteopathy ) - ANSWER Similar to medical doctors but have a holistic approach. Endocrinologist - ANSWER Treats patients who suffer from hormonal imbalances. Treats diabetes, thyroid disorders, pituitary disorders, and other hormonal diseases. Nurse Practitioner (NP) - ANSWER Advanced academic training past beyond the registered nurse (RN) Orthopedics - ANSWER Concerned with correction of deformities of the skeletal system Pathologist - ANSWER Study causes and effects of diseases, performs autopsies and analyzes tissue samples. Physicians Assistant - ANSWER Practice medicine under the direction and supervision of a licensed MD Medical Doctor. Radiology - ANSWER The science dealing with X-Ray and other high-energy radiation, especially the use of such radiation for the diagnosis and treatment of diseases. Dorsal Recumbent - ANSWER Laying flat on the back with the knees bent Fowler's - ANSWER Upright sitting position with the exam table raised to a 90° angle.° Best position to help a patient who is having difficulty breathing. Lithotomy - ANSWER Lying flat on the table with buttocks at the end of the table and feet resting in stirrups. Vaginal examination, giving birth Prone - ANSWER Lying flat on the abdomen with arms above the head. (face down) Supine - ANSWER Laying flat on the back with arms down to the sides. Used for doing EKG's, measuring an infant, any procedure that requires a patient to be laying flat. Ophthalmoscope - ANSWER Used to examine and see inside the structures of the eye. Otoscope - ANSWER Used to look inside the ear. Sphygmomanometer - ANSWER Instrument used to measure blood pressure Weighing - ANSWER If a patient is having trouble standing then have them use a walker by placing the walker over the scale. Standard precautions - ANSWER Set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non intact skin, and mucous membranes. Basically treat everyone as if they are infected. Airborne - ANSWER Influenza, measles, tuberculosis Blood borne - ANSWER HIV Contact - ANSWER STI's Gloves - ANSWER Should always be worn if there is a risk of exposure to bodily fluids such as urine, blood, pus, ect..... Sharps Container - ANSWER A hard plastic container that is used to safely dispose of needles and other sharp objects. Always log that the container is removed when filled. Crohn's Diseases - ANSWER A type of inflammatory bowel disease Graves Disease - ANSWER An autoimmune disease that affects the thyroid, smoking may increase the risk of the disease and may worsen eye problems. Illness - ANSWER Subjective departure from wellness. Influenza - ANSWER A common viral infection that can be deadly , especially in the high-risk groups. Symptoms of Influenza include - ANSWER Body aches, sore throat, fever, coughing, runny nose, nausea, and overall fatigue Anatomy - ANSWER The study of the structures of living things. Physiology - ANSWER Function and process of all living organisms Red Blood Cells, erythrocytes, - ANSWER Transports oxygen throughout the body. Platelets, Thrombocytes - ANSWER Function is to stop bleeding by clumping and clotting at vessel injury. White Blood Cells - ANSWER Cells of the immune system that are involved in protecting the body. The least prevalent of these (WHITE BLOOD CELLS) - ANSWER Basophils comprising less than 1% of white blood cells Neutrophils account for roughly ? - ANSWER 60% of white blood cells Digestive system - ANSWER Absorption of nutrients complications Ulcers, polyps Endocrine System - ANSWER Transports hormones Complications Hypo, hyperthyroidism Integumentary System - ANSWER Protects underlying tissue Complications acne, burns, dermatitis Lymphatic - ANSWER Maintains tissue fluid balance Complications Immune disorders Muscular System - ANSWER Produces heat, Maintains body posture Complications Muscular dystrophy Nervous System - ANSWER Allows communication Complications epilepsy, Multiple sclerosis (MS) Reproductive System - ANSWER Secretes hormones, reproduction Complications Infertility, STI's Respiratory system - ANSWER Inhalation and exhalation Complications asthma, bronchitis Skeletal System - ANSWER Provides support, Protects organs Complications arthritis, osteoporosis Urinary System - ANSWER Maintains acid base balance Complications UTI, kidney stones Suture removal - ANSWER Use sterile thumb dressing forceps Surgical instruments - ANSWER Like hemostats and forceps; rinse thoroughly under cold water prior to disinfection and sterilization Autoclave - ANSWER A pressure chamber used to sterilize equipment requiring elevated temperatures and pressure Excretion - ANSWER The removal of a medication from the body. (typically through urination) Indication - ANSWER A condition which makes a particular treatment or procedure advisable. Metabolism - ANSWER Most important organ for drug metabolism is the liver. Bronchodilators - ANSWER Dilates the bronchi and bronchioles by decreasing resistance in the respiratory airways and increasing airflow to the lungs. Should stop using before a patient is scheduled for a pulmonary function test. Enteric Coated Tablets - ANSWER Contain an outer shell that prevents an oral tablet from dissolving until it reaches the intestines, often to prevent stomach irritation. Influenza Vaccine - ANSWER Must document expiration number and lot number in pt's medical record. Opiates - ANSWER Drug with morphine like affect, derived from opium to treat pain. Transdermal Patches - ANSWER Adheres to the patients skin and the medication is absorbed slowly Instruct the patient to write the date and time on each patch that is applied. Place the what on the outside pocket of a transport bag when transporting to an outside laboratory? - ANSWER Requisition Capillary Collection - ANSWER 1. Always wipe off the first drop of blood. 2.Apply direct pressure on the puncture site when performing a finger stick. A1C (Hemoglobin A1C) - ANSWER Determines the average blood sugar concentration for the proceeding two to three months to check for diabetes. Anaerobic Collection or Transport Device - ANSWER Absence of oxygen and do not expose to oxygen Aerobic Collection or Transport Device - ANSWER Presence of oxygen Arterial Blood Gas (ABG) - ANSWER Measures the oxygen and carbon dioxide in the blood from an artery. A CCMA cannot perform which test ? - ANSWER An ABG Blood Cultures - ANSWER Used to detect the presence of bacteria or fungi in the blood. A minimum of _______________ should be collected for each tube of blood? - ANSWER 8-10mL's Erythrocyte Sedimentation Rate (ESR) - ANSWER Checks for inflammation and the distance the erythrocytes have settled over time. Follicle Stimulating Hormone (FSH) - ANSWER Would be ordered if a woman is having menopausal symptoms, such as night sweats and hot flashes. Fecal Occult - ANSWER Test to check for hidden blood in the stool Blood cannot be seen with ? - ANSWER The naked eye What does a fecal occult screen for ? - ANSWER diverticulitis, colon caner, etc... Glucose Tolerance Test (GTT) - ANSWER Used to diagnose diabetes and starts when the patient finishes drinking the glucose solution. Human Chorionic Gonadotropin (HCG) - ANSWER Urine Pregnancy Test Urinalysis - ANSWER Test of the urine used to detect and manage a wide range of disorders, such as UTI, Kidney disease, and diabetes. Invert tubes for proper mixture of what ? - ANSWER Additive in tubes Fill lavender tubes first when performing what ? - ANSWER Capillary Collection Apply safety device imminently after what ? - ANSWER After withdrawing needle from pt Prothrobin Time/International Normalized Ratio (PT/INR) - ANSWER Unexplained bleeding or inappropriate blood clot ( Test would go to coagulation) Light blue tube Have the pt make a fist but do not ? - ANSWER Pump Tie the tourniquet ________inches from the venipuncture site? - ANSWER 3-4 Clean the skin in an circular motion from - ANSWER Inside to outside Always wear gloves and never ? - ANSWER pop the fingertip of the glove off to feel for a vein. Insert the needle at a ________ degree angle or less for a multipurpose needle. - ANSWER 30 Insert a needle at ______ angle when using a winged infusion set (Butterfly Needle)? - ANSWER 15-20 Use ______ isopropyl alcohol to clean venipuncture site? - ANSWER 70% Always check the reagent solution ? - ANSWER Expiration Date A urine sample will be rejected if the specimen is not in what ? - ANSWER A sterile container Intermittent Fever - ANSWER Feverish periods lasting a few hours alternating with periods in which the temperature is normal Continuous Fever - ANSWER Fever that fluctuates, but does not return to normal. Indradermal - ANSWER 15 degree angle without aspiration Purified protein derivative/ tuberculosis (PPD/TB) Needle size should be 25ga to 28ga Only inject 0.1 tuberculin Subcutaneous - ANSWER 45 degree with aspiration Insulin injections Intramuscular - ANSWER 90 degree with aspiration Deltoid - ANSWER Lateral Shoulder Vastus Lateralis (Upper lateral thigh) - ANSWER should be used to perform a intramuscular injection on an infant. EKG - ANSWER Traces the electrical activity of the heart Atrioventricular Node (AV node) - ANSWER The electrical relay station between the upper and lower chambers of the heart. The atrioventricular node is stimulated node is stimulated after the sinoatrial node fires. Sinoatrial Node (SA node) - ANSWER The human pace maker is located in the right atrium of the heart. Electrodes - ANSWER small pads or patches that are attached to the skin and connected to leads. Cloth tape can be applied to hold down the leads if they are not sticking properly. Ensure the pt's skin is clean and dry. Holter Monitor - ANSWER Worn by a patient for 24 hours to evaluate the hearts function. Instruct pt not to bathe or shower to avoid the electrodes from getting wet. Leads - ANSWER An electrical connection attached to the body to perform an EKG Ground Lead - ANSWER Placed on the right leg Precordial leads - ANSWER Placed on the chest Infectious Agent - ANSWER Any microorganism that can cause disease Reservoir - ANSWER The place where the microorganism resides, thrives, and reproduces ex, food water, toilet seat, elevator buttons Portal of Exit - ANSWER The place where the organism leaves the reservoir, such as the respiratory tract, nose, mouth, internal tract, urinary tract, or blood and other body fluids. Mode of Transmission - ANSWER The means by which an organism transfers from one carrier to another. Portal of entry - ANSWER the opening where an infectious agent enters the host's body such as mucous membranes, open wound, or tubes inserted into the body Susceptible Host - ANSWER A person who is at risk for developing an infection from the disease. Maslow's Hierarchy of needs - ANSWER Self Actualization - ANSWER Morality, creativity, problem solving Self Esteem - ANSWER Confidence, achievement, respect Belonging - ANSWER Love, friendship, intimacy, family safety - ANSWER security of environment, employment, resources, health, property. Physiological - ANSWER Air, food, water, sex, sleep, and other factors toward homeostasis Angry Patients - ANSWER Take the patient to a private area so as not to disturb other patients that might be in the waiting room or within earshot. Eye Irrigation - ANSWER If body fluids or irritant chemicals contact the eyes flush for up to 15 min PASS - ANSWER P: PULL A: AIM S: Squeeze S: Sweep RACE - ANSWER Rescue Alert Contain Extinguish