STP - PATIENT HEALTH RECORDS AND PLAN OF CARE Flashcards

1
Q

In the STP, the facility shall maintain an individual ___ ___ for each patient.

  1. Bed and lamp
  2. Medication Card
  3. Clothes Closet
  4. Health Record
A
  1. Health Record
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2
Q

In the STP, the individual health record shall include:

  1. A list of pt care needs
  2. The plan for meeting behavioral objectives
  3. Development and implementation of individual care plan
  4. All the above
A
  1. All the above
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3
Q

In the STP, the plan for meeting behavioral objectives shall include but not be limited to:

  1. Resources to be used
  2. Frequency of plan review and updating
  3. Persons responsible for carrying out plans
  4. All the above
A
  1. All the above
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4
Q

In the STP the development and implementation of an individual care plan is based on ___ patient care needs.

  1. Suspected
  2. Identified
  3. Modified
  4. Defined
A
  1. Identified
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5
Q

In the STP, the care plan shall indicate which of the following?

  1. Care to be given
  2. Objectives to be accomplished
  3. Professional discipline responsible for each element of care
  4. All the above
A
  1. All the above
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6
Q

In the STP, the care plan objectives shall be ___.

  1. Believable
  2. Achievable
  3. Measurable
A
  1. Measurable
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7
Q

In the STP, the care plan shall be reviewed at least every ___ days.

  1. 30 days
  2. 60 days
  3. 90 days
  4. 120 days
A
  1. 90 days
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8
Q

In the STP, the care plan is updated as necessary by which of the following

  1. Nursing Staff
  2. Housekeeping
  3. Other professional personnel
  4. 1 & 3
A
  1. 1 & 3
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9
Q

In the STP, the care plan is reviewed at least every 90 days, but can be updated?

  1. When the pt is discharged
  2. When the pt changes rooms
  3. If there is a change in the pt condition
  4. None of the above
A
  1. If there is a change in the pt condition.
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10
Q

In the STP, the care plan shall be approved, signed and ___ by the physician.

  1. Initialed
  2. Dated
  3. Copied
  4. None of the above
A
  1. Dated
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11
Q

In the STP, there shall be at least ___ progress notes in the patient record.

  1. Weekly
  2. Monthly
  3. Quarterly
  4. Annually
A
  1. Monthly
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12
Q

In the STP setting, the monthly progress notes shall be specific to the needs of the pts and the program ___ and plans.

  1. Objectives
  2. Dates
  3. Documents
  4. Policies
A
  1. Objectives
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13
Q

In the STP, at the time of reassessment there shall be a ___ of the progress of the patient in the program, the appropriateness of the program objectives and the success of the plan.

  1. Definition
  2. Policy
  3. Summary
  4. All the above
A
  1. SUMMARY
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