Electronic Medical Records Flashcards, test questions and answers

HIPAA

SBAR

Heart rate 1. normal 2. low 3. high

Respiration 1. normal 2. low 3. high

blood pressure (systolic / diastolic) 1. normal 2. low 3. high

Oxygen Saturation (02 sats) 1. normal 2. low medicare levels for home? collapsed alveoli / lung lobe is termed?

CBC (Stands for, includes (6))

Hematocrit/hemoglobin 1. normal values (male v. female) 2. patients with ahemoglobin value < (?) should not be treated (PT contraindication)

Platelets (normal value, low, contraindication for PT when...?)

Exercise guidelines (Samuelson 2010) - Most current guidelines for thrombocytopenia

Bradycardia 1. signs/symptoms (4) 2. causes (3)

Tachycardia 1. signs/symptoms(6) 2. causes (7)

Bradypnea 1. causes (5)

Tachypnea 1. causes (5)

Orthopnea

Signs of HTN (4)

Hypotension symtoms (3)

signs of hypoxia (4)

Anemia 1. defined 2. causes (6), symptoms (9)

WBC count 1. Normal values

Neutropenia 1. definition 2. cause

Neutropenic precautions

INR 1. purpose 2. normal 3. Reasons for elevated values 4. contraindications

BMP 1. What it stands for 2. What lab values are included (do not have to memorize values).

Glucose: normal values, pre-diabetic, DM

Hemoglobin A1C (HgA1C) 1. use 2. normal val. 3. diabetic goals 4. 1% drop of HgA1C = (?%) decrease in diabetic complications

Hypoglycemia signs

hyperglycemia

Diabetic foot care

Potassium: normal value physical therapy precautionary values

Hypokalemia causes clinical signs

hyperkalemia causes clinical signs

Sodium: normal values Hyponatremia Hypernatremia

Order of increased O2 support

Reasons for intubation

What does ETT/mechanical respiration control?

Passy Muir Valve

Pt's sometimes "self extubate", pull their ETT out. What are the implications of this?

PCA vs. Nerve Blocks vs. Epidural

Oral vs. IV pain meds

Pain control ladder

What are the signs of narcotics overdose, and what drug is used to counteract said overdose?

Heparin v. coumadin/warfarin v. Lovenox

Function of anticoagulants

NPO

Venous dopplers

Transfer PRBC

Cardiac enzymes

CT scans

The role of neurontin/lyrica for neuropathic pain, valium /flexeril for muscle spasms

AV fistula precautions

Sternotomy precautions

Hip dislocation precautions (posterior)

paralysis of intestinal tract

Lumbar Punctures

Angiogram

Weight bearing statuses

Non-Weight bearing x 2 (UE)

can NWB 1 LE use cane

Knee scooter-

w/ TDWB/TTWB, how much force can you apply through affected extremity? Where should you apply weight

TDWB/TTWB difference from NWB

If (B) PWB, can you do gait training

Non -weight bearing x 1 UE, LE Can only do what transfers...?

w/ PWB make sure to

PFWB (platform weight bearing) - associated w/

Levels of Assist

most equipped position to suggest DME for discharge?

Patients are admitted to an acute care hospital for the following reasons

A patient is ready for discharge from the hospital from a medical standpoint when the patient...

_____?_____ is considered household ambulation for discharge purposes **

3 hr rule

ABI unit

coma stim

Can get new wc every __?____ years per medicare

____?____ is the standard adult size

Usually ____?_____ weight limit for 18" wc

WC > ___?___ may be difficult for doors

renting a wheelchair in the hospital is common, but beyond a certain point

Insurance will pay for a bedside commode every ___?___ years

bedside commode can be used what 3 places

bedside commode Almost mandatory if

sliding board appropriate pt.'s

things medicare doesn't cover

can get a walker every _____?____ yrs

crutch weight bearing Wooden Metal Bariatric up to

Know weight limits of your equipment Crutches metal (?), wooden (?) WC 18" (?) # Walkers (?) # Hospital wall mounted commodes (?) #

HHPT v. outpatient

SNF pt.'s put in how much work?

Typical rehab facilities only accept patients ____?___ yrs old or greater.

NAACCR's primary role is to represent and serve as a forum for the organization, operation, quality control, and statistical reporting for: Select one: a. hospital-based cancer registries. b. population-based cancer registries. c. specialty cancer registries. d. all of the above

Neoplasia is a synonym for cancer, which is often used among medical professionals Select one: a. True b. False

Hospitals are responsible to identify the list of ICD-9-CM codes that are mandatory to include on the disease index file to meet state reporting requirements. Select one: a. True b. False

Which of the following is NOT true of probabilistic record linkage systems? Select one: a. They take into consideration the weighted match probabilities of the different data variables b. They make it feasible and efficient to link large public health datasets in a statistically justifiable manner c. They rely on exact variable matches d. They allow valid matches even when small typographical errors exist in the name or social security number in one or more records of a patient

Match the following actions with the appropriate guidelines. 1. Producing complete, accurate and timely information 2. Truthfully and accurately representing credentials, education and experience 3. Revocation of the CTR credential 4. Providing lists of patients for marketing purposes a. Confidentiality and Privacy b. Professionalism c. Discharge of entrusted professional duties and responsibilities d. Breach of ethical conduct sanction

Standards for data management procedures for hospitals and population-based registries develop together and have been defined by the same standard setters. Select one: True False

Benign tumors may grow and interfere with bodily function, but they rarely leave the body part where they originate. Select one: a. True b. False

In active casefinding procedures, registry personnel retrieve and screen the source documents, such as disease indices, pathology reports, and autopsy documents except: Select one: a. surgery schedules b. admission and discharge documents c. doctor prescriptions d. radiation oncology

Standard-setting organizations include the CoC, SEER, NPCR, and NAACCR. Select one: True False

An old item is no longer relevant when: Select one: a. one or more new response categories is added to the older item. b. the old item is dropped, and no longer coded. c. both a and b above d. neither a nor b above

The completeness of casefinding must be monitored for quality control purposes. Select one: a. True b. False

Consolidation rules determine which data inconsistencies can be resolved automatically and when to assign precedence of one category over another. Select one: True False

Cancer was first observed in humans Select one: a. in 1842 by an Italian physician. b. in 2500 B. C. c. between 460 and 370 B. C. d. in 1629 in England.

Match the following actions with the appropriate solutions. 1. Keeping data secure 2. Transmission of confidential data 3. Appropriate release of data 4. Computer failure a. Explicit administrative authorization b. Data encryption c. Passwords, audit control d. Automatic back up system

A serious breach of confidentiality can result in the cancer registrar being fired (terminated). Select one: a. True b. False

Protected health information is anything that connects a patient to his or her health information. Select one: a. True b. False

Step assessments evaluate each step required to perform the job. Select one: a. True b. False

For the majority of registries, it is better to hire an outsourcing company than to hire permanent staff. Select one: a. True b. False

The process of safeguarding data by copying or duplicating files onto computer media separate from the original location is: Select one: a. Compiling b. Clusters c. Graphic user Interface d. Backup

The National Cancer Registrars Association adopted a "Professional Practice Code of Ethics" that outlines the principles of professional conduct and provides members of the NCRA with definitive and binding guidelines of conduct. Select one: a. True b. False

Casefinding is a systematic method of identifying all potentially eligible cases that are to be included in the registry database. Select one: a. True b. False

An edit over-ride is the Edits feature that allows a user to note that the data are unusual, but correct. Select one: a. True b. False

It was _____ that made possible the examination of cells and cellular activity and helped people better understand disease-causing organisms. Select one: a. better surgical tools b. better microscopes c. magic spells d. direct observation of the human body

The purpose of an Edit Set is to group individual edits. Select one: a. True b. False

It is common for a cancer registry to receive multiple types of casefinding source documents that belong to the same patient, even if those source documents have the same admission (or source) date. Select one: a. True b. False

Office design standards call for desks to be facing each other with approximately 4 to 5 feet between desks. Select one: True False

The term surveillance as applied to public health means: Select one: a. monitoring death certificate cause of death information. b. monitoring the occurrence of selected health conditions in the population. c. studying the cause of cancer. d. recording information on a disease.

Required data sets are the same for all standard setters. Select one: True False

The disease index is the primary casefinding source used by central registries to identify incident cases. Select one: a. True b. False

WHO, ACS, and AJCC developed standard codes for topography, morphology and extent of tumor spread. Select one: True False

The Self Instructional Manuals for Tumor Registrars series is published by: Select one: a. NCRA. b. SEER. c. NAACCR. d. CoC.

When is the patient's written authorization to release information required? Select one: a. in most cases, when patient information is going to be shared with anyone for reasons other that treatment, payment or health care operations b. upon admission to a hospital c. when patient information is to be shared among two or more clinicians involved in the treatment of the patient d. when patient information is used for billing a private insurer

A future direction of cancer registry computer systems will be to replace DBMSs with systems for harvesting the increasing power, size, and complexity of fourth and fifth generation computing hardware. Select one: True False

Typically, more than ______% of all cancers are histologically confirmed. Select one: a. 30 b. 50 c. 75 d. 90

Only hospital-based cancer registries are allowed to collect and report "reportable by-agreement" cases. Population-based registries, including the state central cancer registries, are forbidden to report these cases by federal law. Select one: a. True b. False

When were the first standard edits made available? Select one: a. 1950 b. 1985 c. 1987 d. 1996

Should you access your medical record via the computer system at your facility? Select one: a. yes b. no

A metafile contains everything necessary to edit the data, except the data. Select one: a. True b. False

In the casefinding process, a suspense file is kept so that the status of casefinding can be ascertained at any time. Select one: a. True b. False

The fourth step of the budget cycle is: Select one: a. Presentation b. Adoption, or Approval c. Administration, or Execution d. Monitoring

GenEdits, a computerized edit-checking software: Mark all choices that apply! Select one or more: a. improves the quality of the cancer data. b. standardizes the way data are checked for validity. c. is very expensive for registries to purchase. d. is only available in a DOS-based format.

While healthy, normal cells carry out specific functions to sustain life; cancer cells serve no useful purpose in the body. Select one: a. True b. False

What does HL7 stand for, and what is it? Select one: a. Hell Level Seven is where registrars are tortured in Dante's Inferno. b. Hi Low Seven is a soft drink popular in the registry community. c. Hepatic Liver Seven is an advanced stage of liver cancer. d. Health Level Seven is a widely used data exchange standard in the healthcare industry. e. Help Language Seven is the seventh edition of a popular scripting language for help systems.

Registry staff can include: Select one: a. epidemiologists. b. CTRs. c. abstractors. d. follow-up clerks e. statistical analysts f. All of the above g. None of the above

Rapid case ascertainment is the process of identifying cases quickly for epidemiologic protocols. Select one: a. True b. False

A court order to provide certain documents, such as medical records, is called a subpoena. Select one: a. True b. False

The central registry DMS is most often used to manage data directly entered by one or more registrars. Select one: a. True b. False

Demographic data consist of the primary site of the malignancy, its cell type, and the extent of disease. Select one: a. True b. False

An explanation of privacy practices is generally referred to as a Notice of Privacy Practices (NPP). Select one: a. True b. False

The National Program of Cancer Registries (NPCR) Cancer Surveillance System (CSS) was authorized by the National Cancer Act in 1971. Select one: a. True b. False

Factors affecting staffing for follow-up include number of cases being followed, type of population being followed and the longevity of the registry. T/F

Step assessments are a not a necessary part of time-motion studies. T/F

The accuracy of surgery schedules as a source of casefinding depends on appropriate documentation of orders and diagnoses at the time of surgery. T/F

A hospital with an ACoS-approved cancer program is not required to maintain a cancer registry. T/F

Standard 4.8 requires the cancer committee, or other appropriate leadership body, to implement and document at least two (2) improvements that directly affect cancer patient care. T/F

Edit rejection rates can be monitored by the computer and be used to measure against a standard that is set for _________ accuracy levels. Select one: a. acceptable b. Average c. above average d. high

In order to receive a commendation for Standard 5.2 (RQRS), the facility must participate in in RQRS during the entire 3-year accreditation period and: Select one: a. submit all eligible cases for 25% of the valid performance measures b. submit all eligible cases for 50% of the valid performance measures c. submit all eligible cases for 75% of the valid performance measures d. submit all eligible cases for 100% of the valid performance measures

A future direction of cancer registry computer systems will be to replace DBMSs with systems for harvesting the increasing power, size, and complexity of fourth and fifth generation computing hardware. T/F

Each year, the cancer committee offers at least 1 cancer-related educational activity, other than cancer conferences, to physicians, nurses, and other allied health professionals. The activity is focused on the use of: Select one: a. AJCC staging b. Clinical trial accrual c. SEER Summary Staging d. all of the above e. None of the above

All categories of program accreditation have the same CoC cancer conference requirements. T/F

Which of the following are considered "passive" follow-up linkage sources? Select one: a. Motor vehicle/driver license files b. Centers for Medicare and Medicaid Services c. State voter registration files d. All of the above e. None of the above

Which method of record matching is the preferred method? Select one: a. Deterministic b. Probabilistic c. Hierarchical d. Highest Value

Failure to consolidate records can lead to overcounting or undercounting cancer incidence. T/F

The cancer committee is responsible for developing a reportable list that identifies all types of cases to be included in the cancer registry database. T/F

Under what circumstances can confidential cancer registry data be made available? Select one: a. for marketing products to cancer patients. b. to help healthcare institutions recruit new patients. c. to provide follow up information to an approved facility. d. to aid insurance companies or employers trying to determine a patient's medical status.

Cancer as a disease was first recorded by the _____ . Select one: a. Chinese b. Indians c. Egyptians d. Babylonians

A reportable list is usually developed by the central registry, is composed of all the reportable case types collected by a cancer registry, and clarifies the types of diagnoses that are not reportable. T/F

Lifetime follow-up on cancer patients is important for the accurate analysis of survival outcomes. T/F

Which data format(s) are recommended by NAACCR to laboratories for reporting pathology report text information electronically to central registries? Select one: a. HL7 b. Pipe-delimited c. Both a and b d. Neither a nor b

Reference date refers to the effective date on or after which all reportable cases should be registered in a registry database. T/F

Computerized edit checks are a cost effective way to assess accuracy, and should be routinely applied to 100% of the registry's cases T/F

The NCRA mission statement is: Select one: a. Serving professionals who provide data that make a difference in the war on cancer. b. To promote education, credentialing, and advocacy for cancer registry professionals. c. Networking, Mentoring, and Making a difference. d. All of the above.

Any facility whose cancer committee develops and disseminates a report of patient or program outcomes to the public each year during the survey cycle will be awarded a commendation for Standard 1.12 (Public Reporting of Outcomes): T/F

It was _____ that made possible the examination of cells and cellular activity and helped people better understand disease-causing organisms. Select one: a. better surgical tools b. better microscopes c. magic spells d. direct observation of the human body

Honorable discharge of the Association's responsibilities is one of the guidelines addressed in the NCRA Professional Practice Code of Ethics. T/F

Cancer data collection begins by identifying cancer cases (case finding). T/F

The first hospital-based cancer registry was organized at Yale-New Haven Hospital in Connecticut. The first population-base registry, which was also established in Connecticut, was established in what year? Select one: a. 1913 b. 1930 c. 1935 d. 1956

Why is a relational database structure better for storing registry data than a NAACCR data exchange record? Select one: a. Registry data are logically grouped into records such as patient demographics and cases. b. The NAACCR record is designed for data exchange, not storage. c. Some NAACCR data exchange fields simply do not make sense to store in a registry database. d. The NAACCR data exchange record can accommodate only a fixed number of therapy records. e. All of the above

All of the following are core data items needed for successful follow-up except: Select one: a. insurance status. b. cancer status. c. date of last contact. d. none of the above are needed.

Retrospective cases are discussed after the completion of all treatment, primarily for the purpose of education, and are not intended to influence the management of patient care. T/F

Providers or facilities who diagnose a patient with cancer, but do not treat that patient's disease, are exempt from reporting that case. T/F

Cancer registrars need to be concerned with confidentiality regarding: Select one: a. patient information. b. identity of the health care professional. c. identification of the institution. d. all of the above.

Which statement(s) is (are) true? Select one: a. Computer monitors should be placed with the top line at or below the eye level. b. Monitors should be directly in front of or facing windows. c. Monitors should be placed more than two arm-lengths away. d. All of the above e. None of the above

How many prevention programs are required to be provided each year in most CoC-accredited programs. Select one: a. one b. two c. three d. four

The CoC provides marketing information to local media for each CoC-accredited program. T/F

Which matching method follows this rule: "A match cannot be made if one data file is missing a critical data field"? Select one: a. Deterministic b. Probabilistic c. Hierarchical d. Highest Value

Prospective cases are presented for discussion at the time of initial diagnosis with an emphasis on establishing accurate staging (clinical or pathologic), treatment options based on national treatment guidelines, and expected patient management plans. T/F

The cancer conference policy or procedure is used to establish the annual cancer conference activity. The policy or procedure addresses which of the following: Select one: a. Cancer conference frequency and format b. Attendance rate of physician participants c. Discussion of stage d. Number of case presentations e. Options for clinical trial participation f. All of the above g. None of the above

The central registry DMS is most often used to manage data directly entered by one or more registrars. T/F

The advantages of ___________________ casefinding include sharing the labor costs and burden of reporting with other departments. Select one: a. Active b. Passive c. Active and Passive d. Reporting requirements and mechanisms

he difference between quality control and quality assurance is: Select one: a. quality control is monitoring the processes and methods used to ensure quality, while quality assurance is a planned set of activities. b. quality control is a planned set of activities, while quality assurance is monitoring the processes and methods used to ensure quality. c. neither a nor b above d. both a and b above

Quality of design: Select one: a. Relates to the restrictions and functions mandated by the design of the system (ensures that the fundamental intent is correct) b. Is the degree to which the product adheres to the design specifications and tolerances (the product itself is reproduced accurately) c. Is the degree to which the final form of the product or service meets the needs of the consumers (the end product is useful) d. All of the above

If the matching criteria are too loose, many "false" matches may result in the wrong patients being linked together. T/F

Quality of performance: Select one: a. Relates to the restrictions and functions mandated by the design of the system (ensures that the fundamental intent is correct) b. Is the degree to which the product adheres to the design specifications and tolerances (the product itself is reproduced accurately) c. Is the degree to which the final form of the product or service meets the needs of the consumers (the end product is useful) d. All of the above

Services and supplies are line items traditionally found in ___________ budgets. Select one: a. Capital b. Operating c. Direct d. Indirect

Electronic pathology reporting systems are based on the ability to scan documents for key terms to determine reportability. T/F

These two methods for measuring data accuracy can be combined to provide direct descriptive information on the quality of the data and the reliability of the abstractors in the cancer registry studied. Select one: a. Visual editing and acceptance sampling b. Computerized edit checks and visual review c. Process controls and designed studies d. Reabstracting and case studies

How often should a registry plan to replace desktop computers? Select one: a. Every year b. Every 2 years c. Every 3 to 5 years d. Every 6 to 1 0 years e. Only when the IT department is willing to do it

The Cancer Committee is ultimately responsible for developing a cancer conference plan in a CoC-accredited facility. T/F

Protected health information is anything that connects a patient to his or her health information. T/F

Two factors in determining staffing needs are (1) facility and state requirements of the registry, and (2) an assessment of realistic time frames to meet facility, state, and/or national standard-setters' requirements. T/F

Which can be a cancer registry budget item(s)? Select one: a. Funds for supplies, including providing snacks or drinks at meetings b. Travel costs for meetings c. Cost of electricity, heat, housekeeping, and maintenance staff d. Salaries for registry staff e. All of the above f. None of the above

The most important technological advance for cancer registries in the past two decades has been the development and widespread acceptance of the NAACCR data exchange standard. T/F

One of the major milestones of the National Cancer Registrars Association is the development of a code of ethics. T/F

Cancer registries in North America use which set of rules for determining multiple primaries for solid tumors? Select one: a. IARC rules b. ACCC rules c. SEER Multiple Primary and Histology Coding Rules implemented January 1, 2007

A computer or dedicated hardware device that restricts access between a protected network and an external network is a(n) __________. Select one: a. WAN b. Firewall c. Ethernet d. MAC

f a patient has multiple primary cancers: Select one: a. all records will be updated with the date of last contact, but the cancer status will need to entered separately. b. all records are updated with the date of last contact. but record cancer status only if the patient still has evidence of disease. c. all records are updated with the date of last contact. The cancer status is not updated when performing patient follow-up. d. none of the above.

One of the biggest challenges to cancer registrars will continue to be: Select one: a. finding a good job. b. keeping up with changes in data collection, coding, and reporting standards. c. getting the proper education for the job. d. all of the above.

Which of the following are challenges to standardizing data edits? Select one: a. differing computer language in registry systems b. standard specifications may be programmed differently c. incomplete editing of data during data entry d. documentation of edit algorithms used are not always available for data researchers e. data collected and consolidated from varied reporting sources and applications are not always uniform, therefore, data analysis may be affected f. standard changes are difficult to synchronize across software providers g. registries use different software providers h. all of the above are challenges

The cancer registry policy and procedure manual must specify that current CoC data definitions and coding instructions are used to describe all reportable cases. T/F

The National Program of Cancer Registries (NPCR) Cancer Surveillance System (CSS) was authorized by the National Cancer Act in 1971. T/F

Timeliness is critical to a registry quality-control process. The methods for evaluating timeliness are (indicate all that are correct) : Select one: a. visual review. b. reabstraction study. c. casefinding audit. d. lag-time report.

Prospective cases include which of the following types of cases: Select one: a. Newly diagnosed and treatment not yet initiated b. Previously diagnosed, initial treatment completed, but discussion of adjuvant treatment or treatment for recurrence or progression is needed. c. Newly diagnosed and treatment not yet initiated. d. Previously diagnosed, and discussion of supportive or palliative care is needed. e. Choices a and c f. Choices b and d g. All of the above h. None of the above

It is appropriate to access the medical records of a family member if you are concerned about their treatment, and to let them know about other possible treatment options. T/F

Edits contain the logic to edit each field. T/F

Other than the EMR, clinical data used to populate registries may be derived from:: Select one: a. Billing systems b. Pathology/laboratory databases c. Other registries d. All of the above e. None of the above

Non-registry staff could miss the collection of cases with diagnostic terms that may not sound: Select one: a. benign b. ambiguous c. cancerous d. pleasant

Only hospital-based cancer registries are allowed to collect and report "reportable by-agreement" cases. Population-based registries, including the state central cancer registries, are forbidden to report these cases by federal law. T/F

An effective data quality management program is dependent on timely, complete, and high-quality data. T/F

The hospital DMS shares many functions with the central registry DMS. Which of the following is NOT a function of the central registry DMS? Select one: a. importing and consolidating complete abstracts from external sources b. conducting record linkages with data files from external agencies c. interfacing with the hospital electronic medical record system to allow direct import of d. all are functions of the central registry DMS

The term surveillance as applied to public health means: Select one: a. monitoring death certificate cause of death information. b. monitoring the occurrence of selected health conditions in the population. c. studying the cause of cancer. d. recording information on a disease.

If the matching criteria are set at "exact," no matches will be missed. T/F

The national averages for abstracting are _____ minutes per abstract and _______ abstracts per year. Or approximately ____ abstracts per day. Select one: a. 40, 604, 4 b. 30, 604, 4 c. 30, 610, 5 d. 40, 610, 5

What are some of the factors that contribute to the costs of performing follow-up? Select one: a. Postage fees b. Staffing hours c. Both a and b d. There are no costs related to follow-up

Which of the following describes a law that is prescribed by legislative enactments? Select one: a. Common law b. Statutory law c. Administrative law d. Regulatory law

What is an essential element of proper disaster recovery planning? Select one: a. Housing registry offices and computers in locations above the flood stage b. Providing a reliable backup and recovery system c. Installing an Uninterruptible Power Supply d. Equipping all technical staff with beepers e. Configuring computer servers with fail-safe and redundant components

Normally, federal law preempts state law. The exception occurs when state law is: Select one: a. less strict than federal law b. more strict than federal law c. less effective than federal law d. less confusing than federal law

A serious consequence of a finding of guilt for an ethics violation is revocation of the CTR credential. T/F

A disease index is a listing of patients seen in a hospital, both inpatient and outpatient, with ICD-9-CM diagnosis codes. T/F

Viruses, worms, and spyware are examples of computer malware. T/F

One of the biggest challenges to cancer registrars will continue to be: Select one: a. finding a good job. b. keeping up with changes in data collection, coding, and reporting standards. c. getting the proper education for the job. d. all of the above.

Cases entered into the suspense file that are later determined not to be reportable are: Select one: a. Moved the master patient index b. Moved to the history file c. Remain in the suspense file d. Linked to the master patient index

Only manual methods of reviewing pathology reports must include a way to track reports to ensure that each report has been included in the registrar's review. T/F

All activities (abstracting, follow-up, casefinding, etc.) in the cancer registry must be performed by a Certified Tumor Registrar. T/F

If a person has the ability to access facility of company systems or applications, they have a right to view any information contained in that system or application. T/F

Recoding audits provide verification that coding guidelines and rules are correct as applied by the data collectors. T/F

According to the eligibility standards, diagnostic imaging and radiation therapy services must be available on site. T/F

Which procedure(s) should be done to ensure that all costs have been included in the budget? Select one: a. Keep records of invoices, costs b. Analyze information from previous budgets c. Check with other registrars d. Review information supported by NAACCR or NCRA e. All of the above f. None of the above

The Cancer Registry Quality Control Plan has procedures to monitor and evaluate which of the following: Select one: a. Abstracting timeliness b. Accuracy of Abstracted Data c. AJCC or other appropriate stage of the cases is discussed and documented for the five major sites seen at the facility d. Casefinding e. NCDB Data Submission f. Percentage of information coded as unknown g. All of the above h. None of the above

A __________ is a logical network partition that allows computers within the partition to be seen from the "outside". Select one: a. LAN b. WAN c. DMZ d. MAC

The first national cancer registry program was established by: Select one: a. CoC. b. NPCR. c. SEER. d. ACS.

Inter-record edit checks examine data items within a particular patient's abstract. T/F

The survey process is the same for every facility. T/F

The enactment of the Benign Brain Tumor Cancer Registries Amendment Act is an example of why registrars need to be aware not only of pertinent new legislation, but also of amendments to existing legislation. T/F

An abstract has an edit error that states the Surgery Summary of Scope of Regional Lymph Nodes (SurgSumScopeRegLN) field conflicts with the number of lymph nodes examined and number of lymph nodes positive. What kind of edit check is this? Select one: a. Allowable range check (edit) b. Interitem check (edit) c. Interrecord check (edit) d. Interdatabase check (edit)

How often should time-motion studies be performed? Select one: a. At predetermined intervals, or when a new or change of responsibilities occurs b. Several times a year, when the assigned person gets around to it c. Once a year d. When an employee leaves

All of the following are true of the Accredited Cancer Program Performance Report except that it: Select one: a. provides the Accreditation Award b. identifies the facility, surveyor, and date of the survey c. provides a summary of the program deficiencies. d. identifies the program as an Outstanding Achievement Award recipient

Registry staff can call the patient or his/her next of kin to discuss the patient's current cancer status. T/F

All of the following are core data items needed for successful follow-up except: Select one: a. insurance status. b. cancer status. c. date of last contact. d. none of the above are needed.

For all eligible analytic cases, a 90% follow-up rate is maintained from the cancer registry reference date. T/F

Cancer registries in North America use which set of rules for determining multiple primaries for solid tumors? Select one: a. IARC rules b. ACCC rules c. SEER Multiple Primary and Histology Coding Rules implemented January 1, 2007

The Commission on Cancer of the American College of Surgeons requires accredited cancer programs to meet which follow-up standard? Select one: a. Maintain an 80% follow-up rate for all eligible analytic patients from the cancer registry reference date b. 90% follow-up rate must be maintained for all eligible analytic patients diagnosed within the last 5 years, or from the cancer registry reference date, whichever is shorter c. Both a and b d. None of the above

Reasons for possible changes of a reference date include: Select one: a. Changes in personnel b. Changes in data processing c. Changes in data acquisition methods d. Changes in facility ownership

A cell may become cancerous if anything goes wrong in the process of cell reproduction. T/F

All categories of cancer programs are required to develop and disseminate a report of patient or program outcomes to the public. T/F

Follow-up can be done by checking the hospital records to determine whether the patient has been seen in the facility. T/F

Statistical quality-control principles include acceptance sampling, process control, and designed studies. T/F

Which of the following is NOT true of probabilistic record linkage systems? Select one: a. They take into consideration the weighted match probabilities of the different data variables b. They make it feasible and efficient to link large public health datasets in a statistically justifiable manner c. They rely on exact variable matches d. They allow valid matches even when small typographical errors exist in the name or social security number in one or more records of a patient

Issues with program activity should be addressed after the survey. T/F

Many physicians view cancer conference as the equivalent to a second opinion and communicate the case presentation discussion to their patients. T/F

Consistency, reliability, validity, reproducibility, and concordance are terms that can be used to describe: Select one: a. accuracy b. completeness c. timeliness d. acceptance sampling

When consolidating cases manually, the results of consolidation can be different based on the reviewer's experience, caseload, and knowledge of special ascertainment or coding rules. T/F

NAACCR's primary role is to represent and serve as a forum for the organization, operation, quality control, and statistical reporting for: Select one: a. hospital-based cancer registries. b. population-based cancer registries. c. specialty cancer registries. d. all of the above

Which matching method follows this rule: "A match cannot be made if one data file is missing a critical data field"? Select one: a. Deterministic b. Probabilistic c. Hierarchical d. Highest Value

Currently in the United States, which governing agencies set reporting standards for hospital and population-based registries? Select one: a. American College of Surgeons (ACoS) Commission on Cancer (CoC) b. National Program of Cancer Registrars (NPCR) c. Surveillance, Epidemiology, and End Results (SEER) d. All of the above

Which statement(s) regarding the advantages of outsourcing the cancer registry is (are) true? Mark all that apply! Select one or more: a. The number of staff can often be increased or decreased quickly. b. Short- or long-term commitments can be negotiated. c. On-site or remote staffing can be negotiated. d. Specific aspects/projects or the entire responsibility of the cancer registry can be negotiated. e. None of the above

n addition to following federal and state legal requirements concerning patient confidentiality, the cancer registrar must also be aware of pertinent regulations formulated by their own institution. T/F

The difference between quality control and quality assurance is: Select one: a. quality control is monitoring the processes and methods used to ensure quality, while quality assurance is a planned set of activities. b. quality control is a planned set of activities, while quality assurance is monitoring the processes and methods used to ensure quality. c. neither a nor b above d. both a and b above

Reabstracting studies are usually performed on __________. Select one: a. All cases abstracted during a year b. A small sample of cases c. 10% of cases d. All coded data

Cancer refers to a single disease characterized by uncontrolled growth and spread of abnormal cells. T/F

The resource that serves as a reference on cancer registry data requirements and data coding standards is: Select one: a. Cancer Program Standards 2009 b. Facility Oncology Data Standards c. Cancer Registry Management, Principles and Practice d. Registry Operations and Data Standards

Which quality method is most costly? Select one: a. Independent case ascertainment b. Reliability study c. Reabstracting study d. CoC survey review

Which items affect staffing? Select one: a. The facility type b. Type and number of physician requests c. Number of meetings for which the registrar is a participant or staff d. Budget e. All of the above f. None of the above

An explanation of privacy practices is generally referred to as a Notice of Privacy Practices (NPP). T/F

A combination of active and passive casefinding is _____ system in registries today. Select one: a. a rarely used b. an outdated c. an experimental d. commonly used

Radiation oncology logs should be reviewed for new cases as well as for collecting follow-up. T/F

In the casefinding process, a suspense file is kept so that the status of casefinding can be ascertained at any time. T/F

Cancer conferences with commercial support should include the "disclosures" and "transparency" documents if CE's are provided. T/F

Visual edits Select one: a. are objective in the sense that all editors will identify the same b. cannot be used to identify global errors, either by an individual or at the registry level c. manually compare the text with the coded data items to identify coding errors or other inconsistencies d. all of the above

The two methods of matching (linking patient data files) are: Select one: a. Hierarchical and Most Frequent b. Deterministic and Probabilistic c. Known and Unknown d. Highest Value and Time Submitted

The Self Instructional Manuals for Tumor Registrars series is published by: Select one: a. NCRA. b. SEER. c. NAACCR. d. CoC.

Which statement(s) regarding the advantages of having permanent cancer registry staff is (are) true? Mark all that apply! Select one or more: a. Permanent staff can work remotely. b. Traditionally, there are no housing costs. c. Staff members know the facility and the job expected of them. d. There is consistent staffing. e. None of the above

Copies of patient information may be disposed of in any garbage can in the facility, or placed in the recycle bins. T/F

Time-motion studies examine the time it takes to perform a job. T/F

Record consolidation rules include: Select one: a. Hierarchy rules b. Most frequent c. Known over unknown d. All of the above

What type of network allows registry staff in different cities to share computer resources? Select one: a. Local Area Network b. Web Enabled Network c. Wide Area Network d. Virtual Network Environment e. Internet Accessible Network

Chapter 22: Spiritual Health MULTIPLE CHOICE 1. The student nurse asks why he needs to assess a patient's spirituality when he can call the chaplain. What response by the nurse is best? a. "This way you learn what is involved in a spiritual assessment." b. "Students need to perform all aspects of patient care." c. "Regulatory organizations list this as a required BSN competence." d. "All patients should have a spirituality assessment." ANS: C Although there is some truth to all options, several regulatory groups list conducting a spiritual assessment as a vital skill for nurses, including the American Association of Colleges of Nursing, the Joint Commission, and the American Nurses Association. DIF: Understanding REF: p. 414 OBJ: 22.1 TOP: Assessment MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 2. The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority? a. New mother, older child at home b. Faces terminal diagnosis c. Needs to change medications d. Pleasant but quiet ANS: B There are many cues to alert the nurse that a patient might have unmet spiritual needs, including facing a terminal illness. The nurse should conduct spiritual assessments on all patients, but this one is the priority. DIF: Analyzing REF: p. 420 OBJ: 22.4 TOP: Assessment MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 3. A patient has the nursing diagnosis Spiritual Distress. What assessment by the patient best indicates that an important goal has been met? a. Observed praying quietly b. Indecisive about treatment c. Asks nurse if God exists d. Executes living will ANS: A Patients may have spiritual distress when facing situations that threaten their meaning and purpose in life, such as in the face of a terminal diagnosis. Patients often express anger, frustration, neediness, or crying. The patient who has worked through this situation and is able to pray has best shown goal attainment. Indecision and questioning do not indicate the resolution of this diagnosis. Executing a living will may be an indication of pragmatism. DIF: Evaluating REF: pp. 420-421 OBJ: 22.5 TOP: Evaluation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 4. The nurse concerned about a patient's spiritual needs can best address this by which action? a. Leaving a note on the chart for other professional b. Calling the chaplain to come see the patient c. Collaborating during interdisciplinary rounds d. Informing the provider of the patient's needs ANS: C Spiritual care must be multidisciplinary in order to be most effective. The nurse best addresses patients' spiritual needs by discussing them during interdisciplinary rounds. DIF: Applying REF: p. 414 | pp. 420-422 OBJ: 22.6 TOP: Communication and Documentation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 5. A patient is concerned that she will not be able to maintain her dietary restrictions while in the hospital. What nursing diagnosis is most appropriate for this patient? a. Spiritual distress b. Impaired religiosity c. Moral distress d. Decisional conflict ANS: B Impaired religiosity occurs when a patient is unable to maintain religious rituals and practices. The other diagnoses are not related. DIF: Applying REF: p. 421 OBJ: 22.5 TOP: Planning MSC: NCLEX Client Needs Category: Psychosocial Needs NOT: Concepts: Culture 6. A patient is considering a life-saving procedure that is not accepted by his faith community. What nursing diagnosis is a priority as the nurse plans care? a. Spiritual distress b. Impaired religiosity c. Moral distress d. Decisional conflict ANS: C Moral distress can occur when there is a conflict between medical care and religious beliefs. This is the diagnosis the nurse should consider when planning care. The other diagnoses may exist as well, but they are not manifested by this conflict. DIF: Analyzing REF: p. 421 OBJ: 22.5 TOP: Planning MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 7. A patient asks the nurse to pray with him. The nurse is an atheist and uncomfortable with this request. What action by the nurse is best? a. Deny the request because of atheistic beliefs. b. Offer to call the chaplain instead. c. Agree to sit with the patient while he prays. d. Ask the patient if he will meditate instead. ANS: C Although the nurse is uncomfortable with the request, the patient's needs (not the nurse's) come first. The nurse should attempt to honor the request while not imposing his/her ideas of religion and spirituality on the patient. The best option is to agree to sit with the patient while he prays himself. This is consistent with caring behaviors and fulfilling the patient's needs. Denying the request does nothing to address the patient's needs. The nurse can offer to call the chaplain in addition to sitting with the patient. Asking the patient to change his practices is unethical. DIF: Applying REF: pp. 422-423 OBJ: 22.7 TOP: Integrated Process: Caring MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 8. A nurse is concerned about not consistently meeting the spiritual needs of patients. What action by the nurse is best? a. Care for own spiritual needs b. Begin a meditation practice c. Consult the chaplain d. Read books on the subject ANS: A To avoid burnout and a decreased ability to attend to the spiritual needs of patients, nurses must take care of their own spiritual needs first. This may include meditation, consultations, and reading, but other activities can guide the nurse into a reflective practice that will allow better spiritual care. DIF: Applying REF: p. 423 OBJ: 22.3 TOP: Integrated Process: Caring MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 9. The student nurse asks why spirituality is important in health care. What response by the registered nurse is best? a. "All people have a spiritual aspect to their beings." b. "Spirituality affects behavior, which also affects health." c. "Knowledge of it is needed to understand a patient holistically." d. "People who are less spiritual have worse outcomes." ANS: B Spirituality affects behavior, which has a direct impact on health. Spirituality is a universal concept, but all people may not recognize it in themselves. Holistic knowledge is indeed based in part on spirituality, but that does not give the student information on a concrete link. Less spiritual people may or may not have worse outcomes. DIF: Understanding REF: p. 414 OBJ: 22.1 TOP: Integrated Process: Teaching/Learning MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 10. A patient who claims to be very involved in church is near death. What action by the nurse is best? a. Get permission to contact the religious leader. b. Allow the family to stay at the patient's bedside. c. Call the hospital chaplain to come to the bedside. d. Ask if the patient and family want to pray. ANS: A Organized religions use rituals to mark important life events such as birth, marriage, and death. This patient would most likely want end-of-life rituals as practiced in his/her church. The nurse's best action is to contact the religious leader (with permission) of that church or institution. Allowing the family to remain at the bedside is important but not the best option to care for the patient's spirituality needs. The hospital chaplain is a valuable resource, but the patient's own religious leader would be better. Praying with the family is always acceptable, but it is best to let the family take the lead in prayer. DIF: Applying REF: p. 415 | p. 420 OBJ: 22.2 TOP: Implementation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 11. A patient, who is an adherent Muslim, is in a burn unit with severe burns. The patient has high caloric requirements but is refusing to eat during Ramadan. What action by the nurse is best? a. Insert a feeding tube and provide enteral feedings. b. Ask the provider about Total Peripheral Nutrition. c. Call the patient's religious leader for advice. d. Tell the patient he has to eat to get better. ANS: C With permission, the nurse should consult with the patient's religious leader on this situation. There may be exceptions to the rule to fast during Ramadan for medical conditions. The other options ignore the patient's religious preferences, and both the tube feeding and parenteral nutrition have potential serious side effects. DIF: Applying REF: p. 418 | p. 420 | p. 422 OBJ: 22.2 TOP: Integrated Process: Communication and Documentation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 12. A patient in the hospital is an adherent Muslim. Which of the five pillars of Islam can the nurse assist the patient in meeting? a. Praying five times a day b. Having privacy c. Personal cleanliness d. Giving alms e. Maintaining modesty ANS: A The five pillars of Islam are: believe in one God, pray five times a day facing Mecca, giving alms to the less fortunate, fasting during Ramadan, and making a pilgrimage to Mecca. The nurse is best able to help the patient maintain the practice of praying five times a day while hospitalized. DIF: Applying REF: p. 418 OBJ: 22.3 TOP: Integrated Process: Caring MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 13. A nurse works in a pediatric oncology unit and is feeling depressed and discouraged. What initial action by the nurse is best? a. Apply for a job transfer to another unit. b. Consult with the hospital chaplain. c. Make an appointment with Employee Assistance. d. Ask other nurses how they deal with the stress. ANS: B Hospital chaplains are great resources for nurses experiencing burnout, moral distress, or spiritual distress. The nurse can take all options, but a consultation with the chaplain is the best place to start to see if the issue can be resolved. The chaplain has a wider range of perceptions and tools than do the other staff nurses. DIF: Applying REF: pp. 422-423 OBJ: 22.6 TOP: Integrated Process: Communication and Documentation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 14. A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others? a. Offering the family written information on grief support groups. b. Asking the family if there is someone the nurse can call for them. c. Having the hospital social worker or chaplain sit with the family. d. Offering to stay with the family during this difficult time. ANS: B Promoting connectedness means recognizing that family and friends are providing at least some of the patient's spiritual care. The nurse best assists when offering to call someone for the patient or family. The other options may be appropriate but are not directly related to connectedness. DIF: Applying REF: p. 422 OBJ: 22.7 TOP: Integrated Process: Communication and Documentation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 15. The charge nurse overhears a new nurse telling a patient that he should no longer follow his vegetarian diet because his protein needs are so high and because "God made animals for us to eat." What action by the charge nurse is best? a. No action is necessary for the charge nurse to take. b. Reinforce the nurse's teaching on proper diet. c. Offer to call the dietitian to work with the patient. d. Privately speak to the nurse about this conversation. ANS: D The nurse should not share opinions or religious edicts with patients when those beliefs contradict the patient's. The charge nurse should counsel the new nurse about this practice. The patient may hold deep convictions about being a vegetarian and may feel disapproval from the nurse, which will impact the nurse-patient relationship. The other options are not appropriate, although the charge nurse could suggest the new nurse collaborate with the dietitian and patient to determine high-protein foods the patient finds acceptable.

.11. You are caring for a 65-year-old man with severe heart disease who is awaiting a heart transplant. It is during the Christmas season and he must stay in the hospital until the surgery or his death. His wife and physician consistently reinforce the severity of the situation and that he must stay in the hospital for tests. You are working the p.m. shift and he breaks down crying saying he doesn't want this and just wants to go home. What do you say? a. "If you go home, you will die." b. "What can I do to make your hospital stay better?" c. "You don't have to do this. What do you want to do?" d. "Can I call the chaplain for you?"

Yoost: Fundamentals of Nursing, 1st Edition Chapter 22: Spiritual Health Answer Key for Review Questions (Online-Only) MULTIPLE CHOICE 1. What is spirituality? Practicing religion Expressing meaningful aspects of self Yoga or other meditative practices Spending time with family ANS: B Spirituality is the expression of meaning and purpose in life. People have different methods of expressing this ... do not assume that any one method is universally helpful. LO: 22.1 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 2. What is transcendence? Out of body experience A meditative state A Higher Power Spiritual growth over time ANS: D Transcendence is moving beyond who you are toward who you will become. By definition, it is spiritual growth over space and time. LO: 22.1 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 3. If you have a patient of Indian heritage who is Hindu, what religious practices would affect nursing care? Patient will refuse pain medication because pain is due to bad karma Family may bring in hot or cold food and drink from home to help remove toxins Patient may have special head coverings that cannot be removed Religious leaders are usually involved in health care decision making ANS: B Hindus integrate both Western and Eastern medicine. They believe that disease is caused by toxins in the body and medicine helps remove toxins. Headdress and gurus are associated with Sikhism. LO: 22.2 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 4. If you have a Chinese patient, what is an appropriate question to determine religious practices? Are there any religious practices I need to know about to help care for you? What is your religion? Would you like to talk to a chaplain? Tell me about your family. ANS: A Chinese people have diverse religious practices. It is best to inquire what practices affect care. Do not assume a specific religion. LO: 22.2 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 5. What spiritual practices would you incorporate in your care for an American Indian patient from a reservation? Storytelling Native American foods Organic-based medications Native American dance and music ANS: A Storytelling is central to the religion. LO: 22.2 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 6. You have a male patient who is a follower of Islam. How would this affect your care? Integrate prayer times around care. Have the wife present during bathing. Provide for a kosher diet. Maintain the headdress covering. ANS: A Muslims pray 5 times a day facing Mecca with cleansing preparation (providing a washcloth is appropriate). Modesty is important, which implies that it is best to have a male assistant complete the bath. Muslims do not follow kosher diets or use a headdress. LO: 22.2 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 7. How do you best provide spiritual care to an infant? Meet basic feeding needs. Hold and rock the infant. Play with the infant using brightly colored soft objects. Set regular sleeping schedules. ANS: B Spiritual care for an infant is to promote love and compassion. LO: 22.3 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 8. What is the best way to provide spiritual care to a 2-year-old patient? Read a childhood story about good vs evil. Play hide and go seek and let the child find you every time. Let the toddler play with pretend medical supplies. Talk to the mother about special religious diets. ANS: A Toddlers need concrete examples of good vs evil to better understand meaning. LO: 22.3 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 9. You are caring for an 8-year-old who is receiving an intramuscular injection. The patient says, "You hurt me all the time. What did I do wrong?" What is your best response? "You didn't do anything wrong." "Why do you think you did anything wrong?" "Who told you that you did something wrong?" "It will only be a little bee-sting." ANS: B This question encourages the child to think about case and effect. . Spiritual care differs according to the patient's developmental age. For the school age child, spiritual growth happens as a result of finding meaning in social relationships and applying principles of ethical and moral reasoning. LO: 22.3 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 10. You are caring for a 28-year-old married man diagnosed with leukemia. He is hospitalized on reverse isolation. It is his anniversary and his wife is planning to visit. What would be appropriate nursing care to promote spiritual health? Assist him in planning a celebration of his anniversary. Ensure he has adequate pain medication to endure the visit. Maintain strict reverse isolation to prevent infection. Congratulate the couple on their anniversary. ANS: A Celebrating their anniversary promotes hope, love, and compassion, while fostering spiritual connections between the husband and wife. LO: 22.1 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health .

11. You are caring for a 65-year-old man with severe heart disease who is awaiting a heart transplant. It is during the Christmas season and he must stay in the hospital until the surgery or his death. His wife and physician consistently reinforce the severity of the situation and that he must stay in the hospital for tests. You are working the p.m. shift and he breaks down crying saying he doesn't want this and just wants to go home. What do you say? "If you go home, you will die." "What can I do to make your hospital stay better?" "You don't have to do this. What do you want to do?" "Can I call the chaplain for you?" ANS: C The patient is in spiritual distress looking for meaning and purpose in the situation. The nurse is helping the patient search for meaning

1. The nurse is caring for a 16-year-old boy receiving chemotherapy for testicular cancer. He says that his parents are religious and left a cross next to his bed for "good luck." What is the most appropriate response by the nurse? a. "Would you like to talk with a chaplain?" b. "Sounds like you are not very religious." c. "How well do you get along with your parents?" d. "What helps you get through tough times?"

10. How do people who participate in organized religion differ from nonreligious people? a. Religious people are healthier than spiritual people. b. Religious people are more spiritual than nonreligious people. c. Religious people express their spirituality through faith traditions. d. Religious people have spiritual practices, whereas nonreligious people do not have spiritual practices.

9. The nurse is caring for a Catholic patient who is going to surgery tomorrow. The patient states that she is afraid and asks the nurse to pray with her, although the nurse is not religious. What is the most appropriate response by the nurse? a. "I am not confident praying, but I will think about you tomorrow." b. "I need to take care of other patients right now, but I will be back." c. "I am uncomfortable praying. May I call the chaplain for you?" d. "I don't do that. Nurses are not allowed to do that at our hospital."

8. The nurse is caring for a 45-year-old woman who is a breast cancer survivor. What activity associated with her cancer experience will promote this patient's spiritual well-being? a. Attending church every week b. Ensuring she follows her medication regimen c. Genetic testing on family members d. Speaking about her cancer experience to increase breast cancer awareness

7. When caring for patients who are Jewish, how best can the nurse address their religious needs? a. Order a kosher diet. b. Allow time for prayer before each meal. c. Ask about religious holidays, particularly religious practices around the Sabbath. d. Ask about religious practices affecting care.

6. What is the most important aspect of providing spiritual care in nursing practice? a. Call a chaplain. b. Complete the FICA spiritual assessment and refer as needed. c. Recognize situations and patient behaviors indicating a spiritual need. d. Spend some time in self-reflection.

5. Which statement by a patient best illustrates reflection on a spiritual need? a. "My husband told me what to do about this situation, and I'm sure he's right." b. "There is little I can do now to change my circumstances. I just need to adapt." c. "I need to think a little more about how I feel about undergoing this treatment." d. "Whatever the physician wants to do is fine. I don't have much of an option."

4. A nurse assigned to the neonatal intensive care unit (NICU) has spent most of a day working with a critically ill infant, with the mother standing by. The infant experiences a cardiac arrest and does not survive. The mother spends an hour crying and holding the baby, saying good-bye. Which spiritual care intervention(s) is/are most appropriate for the nurse to implement? (Select all that apply.) a. If desired, briefly hold the baby to say good-bye after the mother leaves. b. Follow procedures to prepare the body for transport to the morgue. c. Visit the mother the next day to see how she is doing. d. Call the family spiritual adviser or the chaplain. e. Ask the mother if you could call a family member or friend to be with her.

3. The nurse has been caring for a patient who just died. The patient's daughter is crying uncontrollably, saying, "She was my best friend. I thought she would make it! I don't know what I am going to do." What is the nurse's best response? a. Express sympathy, and ask if she would like to talk with a chaplain. b. Give the daughter time to cry in her mother's room alone. c. Ask the daughter if her father is still living. d. Inquire if the daughter would like to pray.

2. A Buddhist patient has end-stage pancreatic cancer. In what spiritual practice would this patient most likely engage? a. Reading passages in the Vedas b. Visiting with the patient's guru c. Practicing tai chi d. Meditating on the meaning of life

8. The nurse who incorporates the HOPE framework assesses a Native-American patient for which of the following? (Select all that apply.) a. Desire for shaman to be present b. Personal use of herbs and prayers c. Desire to create a living will d. Power of storytelling for healing e. Involvement in church activities

7. When does the nurse assess patients' spirituality? (Select all that apply.) a. Upon admission b. New diagnosis c. Life-changing diagnosis d. When the chaplain makes rounds e. When facing treatment decisions

6. The nurse assessing a patient using the SPIRIT framework would ask which questions? (Select all that apply.) a. "Do you follow a particular religion?" b. "How involved in your church are you?" c. "Are there any practices I can help you with?" d. "How will your religion affect your care?" e. "What gives you hope in bad situations?"

5. The student using the FICA Spiritual Health Assessment will consider which factors? (Select all that apply.) a. Faith and belief b. Focused practices c. Importance of faith d. Faith community involvement e. Address spirituality in care

4. Which actions by a nurse constitute spiritual care? (Select all that apply.) a. Baptizing a critically ill child per the parent's request. b. Leaving the room, giving the patient and family privacy for prayer. c. Considering developmental stage when planning care. d. Notifying the hospital chaplain of a patient's request. e. Praying with patients and families when requested.

3. The nurse who is aware of spirituality practices of major religions knows that which religions view health and illness as a process of balance or imbalance? (Select all that apply.) a. Catholicism b. Native American c. Hinduism d. Greek Orthodox e. Buddhism

2. The student nurse learns that spirituality consists of practices that lead to connection to which items? (Select all that apply.) a. Other people b. Nature c. Religious institutions d. Oneself e. Higher power

1. The nursing student learns which facts about religion and spirituality? (Select all that apply.) a. Spirituality focuses on the meaning of life to people. b. Religion and spirituality are mutually exclusive. c. Religion implies an organized way of worship. d. Religion provides the structure by which to understand spirituality. e. Spirituality is an individual practice that does not include others.

17. A patient is scheduled to have an MRI and has a metal religious icon pinned to his gown, which can't go in the scanner. What action by the nurse is best? a. Take the icon off the patient's gown until she returns. b. Give the icon to the patient's family for safekeeping. c. Pin the icon to the patient's pillow so it can go to radiology. d. Explain the restriction and ask the patient's preference.

16. A home health care nurse has been working with a patient who has the nursing diagnosis Spiritual Distress. After a few weeks of implementing the care plan, what method is best for the nurse to determine if goals have been met? a. Ask the patient to what extent he/she feels goals have been met. b. Ask the patient to rate the distress on a scale of 1-10. c. Assess for objective data to support goal attainment. d. Determine if the patient thinks the interventions are helpful.

15. The charge nurse overhears a new nurse telling a patient that he should no longer follow his vegetarian diet because his protein needs are so high and because "God made animals for us to eat." What action by the charge nurse is best? a. No action is necessary for the charge nurse to take. b.Reinforce the nurse's teaching on proper diet. c.Offer to call the dietitian to work with the patient. d.Privately speak to the nurse about this conversation.

14. A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others? a.Offering the family written information on grief support groups. b.Asking the family if there is someone the nurse can call for them. c.Having the hospital social worker or chaplain sit with the family. d.Offering to stay with the family during this difficult time.

13. A nurse works in a pediatric oncology unit and is feeling depressed and discouraged. What initial action by the nurse is best? a.Apply for a job transfer to another unit. b.Consult with the hospital chaplain. c.Make an appointment with Employee Assistance. d.Ask other nurses how they deal with the stress.

12. A patient in the hospital is an adherent Muslim. Which of the five pillars of Islam can the nurse assist the patient in meeting? a.Praying five times a day b.Having privacy c.Personal cleanliness d.Giving alms e.Maintaining modesty

11. A patient, who is an adherent Muslim, is in a burn unit with severe burns. The patient has high caloric requirements but is refusing to eat during Ramadan. What action by the nurse is best? a.Insert a feeding tube and provide enteral feedings. b.Ask the provider about Total Peripheral Nutrition. c.Call the patient's religious leader for advice. d.Tell the patient he has to eat to get better.

10. A patient who claims to be very involved in church is near death. What action by the nurse is best? a.Get permission to contact the religious leader. b.Allow the family to stay at the patient's bedside. c.Call the hospital chaplain to come to the bedside. d.Ask if the patient and family want to pray.

9. The student nurse asks why spirituality is important in health care. What response by the registered nurse is best? a."All people have a spiritual aspect to their beings." b."Spirituality affects behavior, which also affects health." c."Knowledge of it is needed to understand a patient holistically." d."People who are less spiritual have worse outcomes."

8. A nurse is concerned about not consistently meeting the spiritual needs of patients. What action by the nurse is best? a.Care for own spiritual needs b.Begin a meditation practice c.Consult the chaplain d.Read books on the subject

7. A patient asks the nurse to pray with him. The nurse is an atheist and uncomfortable with this request. What action by the nurse is best? a.Deny the request because of atheistic beliefs. b.Offer to call the chaplain instead. c.Agree to sit with the patient while he prays. d.Ask the patient if he will meditate instead. .

6. A patient is considering a life-saving procedure that is not accepted by his faith community. What nursing diagnosis is a priority as the nurse plans care? a.Spiritual distress b.Impaired religiosity c.Moral distress d.Decisional conflict

5. A patient is concerned that she will not be able to maintain her dietary restrictions while in the hospital. What nursing diagnosis is most appropriate for this patient? a.Spiritual distress b.Impaired religiosity c.Moral distress d.Decisional conflict

4. The nurse concerned about a patient's spiritual needs can best address this by which action? a. Leaving a note on the chart for other professional b. Calling the chaplain to come see the patient c. Collaborating during interdisciplinary rounds d. Informing the provider of the patient's needs

3. A patient has the nursing diagnosis Spiritual Distress. What assessment by the patient best indicates that an important goal has been met? a.Observed praying quietly b.Indecisive about treatment c.Asks nurse if God exists d.Executes living will

2. The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority? a.New mother, older child at home b.Faces terminal diagnosis c.Needs to change medications d.Pleasant but quiet

10. You are caring for a 28-year-old married man diagnosed with leukemia. He is hospitalized on reverse isolation. It is his anniversary and his wife is planning to visit. What would be appropriate nursing care to promote spiritual health? a. Assist him in planning a celebration of his anniversary. b. Ensure he has adequate pain medication to endure the visit. c. Maintain strict reverse isolation to prevent infection. d. Congratulate the couple on their anniversary.

9. You are caring for an 8-year-old who is receiving an intramuscular injection. The patient says, "You hurt me all the time. What did I do wrong?" What is your best response? a. "You didn't do anything wrong." b. "Why do you think you did anything wrong?" c. "Who told you that you did something wrong?" d. "It will only be a little bee-sting."

8. What is the best way to provide spiritual care to a 2-year-old patient? a. Read a childhood story about good vs evil. b. Play hide and go seek and let the child find you every time. c. Let the toddler play with pretend medical supplies. d. Talk to the mother about special religious diets.

7. How do you best provide spiritual care to an infant? a. Meet basic feeding needs. b. Hold and rock the infant. c. Play with the infant using brightly colored soft objects. d. Set regular sleeping schedules.

6. You have a male patient who is a follower of Islam. How would this affect your care? a. Integrate prayer times around care. b. Have the wife present during bathing. c. Provide for a kosher diet. d. Maintain the headdress covering.

5. What spiritual practices would you incorporate in your care for an American Indian patient from a reservation? a. Storytelling b. Native American foods c. Organic-based medications d. Native American dance and music

4. If you have a Chinese patient, what is an appropriate question to determine religious practices? a. Are there any religious practices I need to know about to help care for you? b. hat is your religion? c. Would you like to talk to a chaplain? d. Tell me about your family.

3. If you have a patient of Indian heritage who is Hindu, what religious practices would affect nursing care? a. Patient will refuse pain medication because pain is due to bad karma b. Family may bring in hot or cold food and drink from home to help remove toxins c. Patient may have special head coverings that cannot be removed d. Religious leaders are usually involved in health care decision making

2. What is transcendence? a. Out of body experience b. A meditative state c. A Higher Power d. Spiritual growth over time

What does telehealth have to do with HIT and informatics?

What is telemedicine focused on?

What does tele mean?

What is telehealth?

How are telehealth health services delivered?

What does telehealth allow?

What are worldwide drivers for telemedicine?

What should telehealth technology be included in?

What are primary chronic conditions used in telehealth?

What are Hub benefits of telehealth?

What are spoke benefits of telehealth?

What are telemedicine service contracts?

What are telemedicine outsourced services?

What is a broader definition of telehealth?

What are transmission formats?

What is store and forward?

What is real time?

What is remote monitoring?

What is telephony?

What are advanced technologies?

What are examples of real-time clinical telehealth?

What is telenursing?

What is the most developing area of telenursing today?

What can home care telenursing involve?

What are telehealth patient populations?

What is acute care?

What populations does telehealth manage?

What do chronic disease patients have?

What can a kiosk be used for in assisted living facilities or subacute care centers?

What then can happen to the vital sign reports?

What is monitoring workers and offter wellness program used for?

What are tools for home telehealth?

What is the most familiar household communication tool used in telehealthcare?

What telehealth tool can be in home?

What are medication management devices?

What does home telehealth software allow?

What does a DHR do?

What does advanced telemonitoring software have?

What are examples of sophisticated electronic protocols?

How do home telehealth programs differ?

What must be obtained?

What are legal and ethical aspects of telehealth?

What must information ensure?

What should patients and family have?

What must all involved parties, including the technical staff assistants have?

What are some considerations for patients?

What are ethical concerns?

What are other ethical concerns?

What does knowledge acquisition involve?

What is knowledge processing?

What happens after processing information?

What does the nurse consider?

What are social and cultural structures affecting telehealth?

What is the challenge for consumers and health care professionals with internet information?

What is consumer empowerment?

What is the digital divide?

What is the grey gap?

What is health literacy?

What is the eHealth Initiative (eHI)

What must web sites of organizations be and do?

What does promoting health literacy in school aged children present?

What do e-health programs need to be?

What is internet a source of?

What does the internet provide?

What does the Health on the Net (HON) Foundation survey describe?

What were identified as two of the most common symbols that power users look for?

What does HRSA work to do?

How does HRSA increase the use of telehealth?

What are adoption issues?

Nursing Informatics

Information

Information Must Be:

Disseminate

Data

Knowledge Acquistion

Empiricism

Rationalism

Core Business Systems

Core Business Systems

4 Core Business Systems

Informatics Nurse Specialist

Informatics Innovator

Informatics Nurse

Nursing Informatics

Ontological Approach

Archetype

Electronic Health Record

T.E.L.O.S

Interoperability

CPOE

Evidence Based Nursing

Core Public Health Function

Knowledge

Benefits of EHR

To be a Certified EHR, it must contain

Intrusion detection device

A patient's blood pressure is an example of

Learning how to apply computer science to nursing science is

Example of Nursing Imformatics

3 Sciences of Nursing Informatics

Examples of Knowledge Acquistion

Feed Back

Knowledge Processing

Knowledge Gereration

5 Specific Ways Knowledge is Developed

Epistemology

Ubiquity

Feasibility Study

Waterfall Development Model

Feasibility Indicators

5 Steps of Implementing a new software program

Proxy Server

Patient Care Support System

Benefits of Oder Entry Systems

Sharing information between systems

Static Approach

Knowledge Age

Clinical information system

Human Computer Interaction

HIMSS

Healthcare Information & Management Systems Soceity

Information Technology Revolution

Risk Assessment

Examples of Core Public Health Function

Websites you can refer to

Interactive Approach

Information Technology

Expert System

Decision Support System

Benefits of using Clinical Information Systems

Clinical Information System

Heuristic Evaluation

HONcode & Trust-e

Collaboration Groups

Stakeholders

Picture Archiving & Communication System

Systemized Nomenclature of Medicine

ANA Recognized Terminology

HITECH

Clinical Care Classification

Accessibility

Administrator's Use Which Systems

Cognitive Informatics

Work Flow

Gaming Simulation

Traffic Flow

Outpatient

Strategic Planning

Walk-In System

Appointment System

Consultation

NCVEI

AAHA

CVPM

Money owed to the practice by the client for the sale of goods and services

The total money taken in by a practice before subtracting expenses incurred

The amount of money left over after all business expenses are subtracted from the gross revenue

The measurement of the amount of money coming into and going out of the practice

A small amount of discretionary funds that are used to make small purchases for which it is not practice to write a check or use a credit card

A facility in which the practice conducted may include inpatient as well as outpatient diagnosis and treatment

A practice that conducts its work from a vehicle that can make farm or house calls

A facility that consists of a large staff of DVMs who provide clinical and hospital services, but who also perform significant research, along with education professional veterinary students.

A facility that is set up to allow large animals to be brought to the practice for examination or treatment.

A facility in which the practice conducted typically includes inpatient as well as outpatient diagnosis and treatment.

A facility in which veterinarians with a special interest in a specific species or area of veterinary medicine provide services.

A practice that is limited in the service it provides as they do not have the facilities to perform inpatient diagnostics or treatment

A facility in which the primary function is to treat and monitor critically ill or injured animals.

An option provided by some veterinary facilities that will treat emergencies but do not necessarily have veterinarians and staff on the premises during all operating hours.

A facility where services are provided by board certified veterinary specialists.

Basic animal husbandry

Performing Surgery

Updating Client and patient information

Animal restraint

Making appointments

Patient assessment

Client education

Filling prescriptions

Sending out vaccine reminders

Sponsoring a Little League team

Personal appearance of staff

Sincere care for an concern about each client

Creating a Facebook page for the practice

Sending out newsletters

Placing an advertisement in the Yellow Pages

One-stop shopping

A clean and attractive facility

A sign outside the practice

For a veterinary practice to be successful, most of the staff will play some type of role related to management. (T/F)

The types of staff positions that are needed will vary greatly depending on the size and type of practice. (T/F)

When it comes to naming veterinary facilities, the terms hospital, clinic, and office can be used interchangeably. (T/F)

When it comes to delegating tasks, the best-run clinics assign tasks to the lowest paid person who can legally and competently complete the task. (T/F)

In most well-run veterinary practices, job duties are performed by an staff member who is available to accomplish the task. (T/F)

Pet owners who have owned pets previously usually have a good understanding of the care their pet needs. (T/F)

A separate entrance and exit to the veterinary practice should be provided to make it easier for clients to enter and exit the practice. (T/F)

To save time during an appointment, it is okay to have a client restrain his or her own pet. (T/F)

If laboratory samples (e.g. blood, urine) need to be collected during an appointment, the patient should be taken to the treatment area. (T/F)

As long as clients wear the proper personal protective equipment, they can accompany their pet into the radiology suite. (T/F)

When discharging an animal and reviewing home care instructions with the client, it is best to have the client pay their bill before their pet is brought out to them. (T/F)

Anyone entering the operating room during a surgery, should be wearing the appropriate clothes, shoes, cap and mask. (T/F)

In a mixed animal practice, the same examination rooms are used for large-animal and small-animal patients. (T/F)

Many larger equine practices have a single room used for anesthetic induction and anesthetic recovery. (T/F)

Job descriptions should be used for hiring new employees and for replacing existing employees. (T/F)

If an applicant submits a resume and cover letter to a practice, there is no need to have them also complete a job application. (T/F)

When a practice hires a new staff member who has many years of experience from previous work at a different clinic, training is not necessary. (T/F)

Stress can be caused by both positive and negative life events. (T/F)

The terms marketing an advertising mean the same thing. (T/F)

The main goal of external marketing is to attract new clients to the practice. (T/F)

If a client does not respond to the first reminder they are sent, the practice should follow-up by sending a second reminder, and even a third reminder, if needed. (T/F)

Veterinary practices are relying less on the use of telephone Yellow Book advertisements as a marketing tool. (T/F)

Newspaper advertisements are a good marketing tool for a practice that is located in a larger metropolitan area. (T/F)

The money that a veterinary practice owes for the purchase of a new piece of equipment would be considered an asset of the practice. (T/F)

To insure that clients pay their bills in full at the time of service, clinics should not offer payment options to clients. (T/F)

If a pet is brought to the clinic with life-threatening injuries, the pet should be stabilized before a treatment plan/estimate is prepared. (T/F)

Pet insurance works in a similar manner to human health insurance. (T/F)

Ideally, physically counting the inventory in a veterinary practice should be done once a year. (T/F)

Some veterinary practices have completely eliminated paper medical records and replaced them with electronic medical records. (T/F)

Increased competition, new technology, increasing numbers of malpractice threats, and shifting client expectations have

In a typical veterinary practice, the person who acts as the CEO and delegates areas of responsibility is usually the

When it comes to practice management positions, individuals who are typically responsible for all activities of the practice and run the hospital in conjunction with the practice's owner(s) would be referred to as the

The best way to insure that all of the major pieces of equipment in a veterinary practice are cleaned and maintained on a regular basis is to

To minimize the amount of time clients have to wait in the reception area, there should be _____ examination rooms available for each veterinarian working on a particular day.

Placement of the laboratory and pharmacy in a central location is very important because

Practices need to get the maximum use of out of their storage area beacuse

It is more common to perform a necropsy when a large animal dies than when a small animal dies because

A client's judgment regarding the quality of medicine provided at a veterinary practice is generally based on

One of the most common selection criteria used by clients when choosing a veterinary practice is

Complaints against veterinary practices are usually caused by

Which on of the following practices should be most successful when it comes to animal strategic planning for the practice?

A document that is a visual representation of how authority and responsibility flow between the various areas of the practice or practice staff is called a(n)

When it comes to determining compensation for an employee, it is best to base the employee's pay on

One of the most important reasons for holding regular employee evaluations it to

Which one of the following statements is the most accurate when it comes to describing what marketing is for a veterinary practice?

When it comes to the sale of products such as pet food, the veterinary practice is at an advantage over feed stores and grocery stores because

When it comes to a veterinary practice's website, it is important that

One of the financial tasks that many practices won't do on their own is

A financial report that lists a practice's assets and liabilities is called a(n)

A financial report that is used to evaluate the financial performance of a practice for a specified period of time is called a(n)

When determining the financial success of a veterinary practice, the ________ is the most important indicator.

One of the main reasons for why inventory management is so important in a veterinary practice is because

Both paper medical records and electronic medical records

They provide for continuity of care, They provide an ongoing record of the pt's state of health, They are legal documents if there is a question about care given, They usually include information from more than one source (All the above)

Baseline data and recent information is scanned into the electronic record, and the paper record is kept available for two to three years

Manila folders with one or more tabs on the side that opens

Pressure-sensitive self-adhesive labels are usually used

Vertical drawer file cabinets, Open-shelf filing units arranged horizontally, Shelf filing units with pull-down fronts, Lateral drawer file cabinets (All of the above)

A means to lock the medical record storage cabinets or storage room

When the width of the folder reaches 3/4th in

A stiff piece of paper or plastic that is placed in a file when a medical record is removed.

Numeric

It reduces the risk of misfiling

All office staff

Using mounting sheets, with the oldest report at the back on the bottom.

Each part of a patient's name

Last name

First name

Street address

Numeric

Jones, Jane

H

Winston De La Mare

Bower, Edgar Lawrence

St. Charles, Josephine

All the above

A separate system must be maintained to link the pt's name with the numbering system

59

72-81-19-02

7281

Filing out a card to place in the outguide for every record that was re,oved

In a desk or file cabinet near where the MA usually sits

Bank accounts

It must be initialed by the physician

In reverse chronological order (most recent first)

Office policy

Until the patient reaches the age of majority plus the number of years for the statute of limitations in that particular state.

When the record has been inactive at least seven years after the statue of limitations has expired

External hard drive

To create more apace for the records of new pt's

If possible, they should be stored off site in a secure location

When I have a question or concern about this course, I should contact Prof. Smith (select best answer)

Information regarding how to contact Prof. Smith can be found on (choose all appropriate answers)

I affirm that I have read the syllabus and asked questions about anything I did not understand.

I understand that my successful completion of this course depends on

In the introduction to our primary text, The Great Fairy Tale Tradition, Jack Zipes compares the fairy tale genre to

What is the relationship between the oral tradition (of fairy tales) and the literary fairy tale?

When did the literary fairy tale genre come into being in western Europe and what country is especially known for its development in the 17th century?

What two French writers had their collections of fairy tales published in 1697?

Zipes argues that the literary fairy tale genre reached an equilibrium in the __________________ century with the Grimm brothers' fairy tale collections because they produced such a vast, stable work. This body of work helps us study the literary fairy tale genre before them and gives a point of reference to study how the genre has branched off since then.

The Grimms are well known because they were so creative and created their stories from scratch.

According to Bruno Bettelheim, who was influenced by Sigmund Freud's writings, fairy tales differ from dreams in that

According to Bettelheim, myths and fairy tales differ in several respects:

Bettelheim implies that fairy tales are ideal reading or listening material for children

According to Zipes, fairy tales can often be seen as commenting on the production and exercise of power.

When did tales of wonder begin to viewed as heretical, dangerous or sacrilegious?

Who coined the term conte de fée?

Why, according to Zipes, did it become popular to associate tales of wonder and folktales with women storytellers?

Why is the "literary tradition of the fairy tale" often associated with men?

What was a goal of de Beaumont's collection of stories in which her "Beauty and the Beast" appeared in 1757?

The Grimm brothers published their initial collection of fairy tales in

1. Though born in the late 18th century, Jacob and Wilhelm Grimm made a name for themselves through their work in the _______________ century.

"Germany" did not exist as a unified nation state during the Grimms' lifetimes. That would not happen until 1871 under Bismarck.

In addition, French forces occupied the Grimms' homeland in 1806 and did not leave until Napoleon's defeat in 1813.

4. The lack of political unity in, and sometimes foreign occupation of, "Germany" during the late 18th / early 19th century is important to keep in mind because many writers such as the Grimms were keenly interested in making German speakers

5. Heavily influenced by J. G. Herder and others, the Grimm brothers were interested in all types of folklore because they believed it gave insight into

Aside from their work on fairy tales, the Grimm brothers worked together or individually on other projects of lasting importance (check all that apply):

7. "Göttingen Seven" refers to

8. The Grimms were approximately _______ old when they started working on their fairy tale collection.

9. Romanticism is a literary, intellectual and artistic movement roughly of the late 18th to mid 19th century in Europe. In contrast to the Enlightenments, which emphasized an individual's exercise of reason as a means by which to understand and interface with nature and mankind's place in it, Romanticism emphasized ______________ as key.

10. Taking four orally told versions of "Cinderella" from four different dialects of German and editing them down into one version to be printed into a collection of stories has ramifications for the story and tradition. For example, it: (circle all that apply)

The Grimms' second volume (1815) was more successful because

12. Despite the work they invested in the second volume, popular success didn't come until a smaller edition in 1825. This smaller edition enjoyed popular success because it

13. How did the Grimms regard their revision and expansion of the fairy tale material?

The Grimms weren't the first to collect and disseminate fairy tales. Why is their collection so highly regarded when compared to those that came before them?

The Grimms did occasionally tone down the violence in their fairy tales. When?

The Grimms were keen to redact stories or situations with overt or implied __________. "Rapunzel" is a perfect example

The Grimms valued scholarly reviews of their work more than their collections' financial success. That said, they did appreciate the revenue they received because they needed it, especially in their early career.

The Grimms were born in Hanau and are buried in Berlin

19. The Grimms studied law in Marburg, where they met Clemens Brentano, a well-known German Romantic who influenced them.

20. The Matt Damon / Heath Ledger film "The Brothers Grimm" is not even close to being historically accurate. It is not recommended as part of this course.

The "Quarrel of the Ancients and the Moderns" was a debate in late 17th-century France

The "Quarrel of the Ancients and Moderns" is important for understanding

Unlike "Germany" at the time, 17th-century France had a king, a central court, and a recognized "standard" language (the French spoken at court).

Despite their different time periods and societal climates in which they worked, the Grimm brothers and Perrault were deeply interested in advancing their respective languages and literatures (French literature in Perrault's case, German literature in the Grimm brothers' case).

In "The Struggle for Meaning," Bruno Bettelheim says that meaning

In "The Struggle for Meaning," Bruno Bettelheim argues that fairy tales help children in particular find meaning in life because modern books

Perrault's version of "Cinderella" is noteworthy for many reasons, including

Cinderella's behavior at the end of Perrault's "Cinderella"

The Grimms' version of Cinderella is

The Grimms' version of "Cinderella"

As in Perrault's version of "Cinderella", the father in the Grimms' version of "Cinderella" does not appear as strong as he should be as patriarch of the house as he allows Cinderella to be mistreated.

When the father in the Grimms' version of "Cinderella" asks what he can bring the daughters home from his trip, Cinderella asks for

The item that Cinderella's father brings her home in the Grimms' version can be seen to represent _______________, not just because of what it is and stands for sometimes in Germanic folklore, but also because it touches the father's head (and thus establishes a connection between it and the mind).

The white bird or dove that descends and inhabits the tree at the grave of Cinderella's mother (Grimms' version) can be seen to

The Grimms' version of cinderella ends with

The ending of the Grimms' version of "Cinderella" is important because it signals the existence of divine justice. Humans' actions are ultimately judged by a higher being.

Both versions of "Cinderella" that we read this week can be seen as

The repetition and grouping of items in a series (often in threes, with the last item slightly amended) gives a printed tale the feel of an orally told tale, as repetition of plot items helps speakers and readers remember the tale and thus to share it with others. A famous example of this in the Grimms' version is "Rook di goo, rook di goo! There's blood in the shoe."

The Grimms' version indicates that we recognize true beauty only when we are attentive enough to look for it beyond and regardless of any societal markings such as clothing, jewelry, makeup, etc. A prime example of this occurs when Cinderella's beauty is acknowledged as she tries on the shoe.

When Bettelheim speaks of the "id", he is using a Freudian term that refers to our most basic drives and urges as animals, such as hunger, the need for sleep, and our libido. It and the related terms "ego" and "superego" are meant to help us think about how the human psyche works.

The color red is associated with blood in "Snow White." In the beginning, in particular, the Queen's pricking of her finger and subsequent bleeding onto the snow can be seen to symbolize the Queen's

The color black is a bit trickier. It is often seen as pointing to death, but its association with the wood frame here means it could also/instead point to fortitude, stability, and even resilience. Some cultures regard black soil as fertile, so it might mean that as well. Freya, the Norse (and thus Germanic) goddess of fertility and love, is described as riding a chariot pulled by cats. It's unclear to me, though, what color the cats were supposed to be. I always thought they were grey, because that's what I've read, but more recently I saw a reference to their being black, but that source wasn't entirely credible. Given that our hair generally grays or whitens as we age, black could simply point to youthfulness. As I said, color symbolism can be tricky.

The Queen is replaced by a "beautiful woman" who is nevertheless "proud and arrogant." Pride is one of the seven deadly sins. The seven deadly sins are

The wicked queen consults her magic mirror often to hear if she is (or is not) the fairest in the land. Her fixation on being the fairest in the land is best described as

Though vanitas is an old concept, it becomes a popular trope in 17th-century paintings in the Netherlands. Many artworks then depict a still life with a skull and objects of beauty or human pursuits, such as books, flowers, an hourglass, etc. Such works are meant to convey the

In wanting to always be the fairest in the land, the wicked queen tries to ignore the fact that our lives, and thus appearance, are characterized by our bodies'

The "apple" that the old woman offers Snow White can be seen to symbolize

The apple and its association with temptation in western literature comes from the "fruit" that Eve and Adam partake of in the Garden of Eden (Genesis). This "fruit" comes to be depicted most generally as an apple in artworks much later, especially in the Renaissance. A linguistic misunderstanding is likely also to blame. In Latin, mālum means "apple" whereas mălum means "an evil or a misfortune."

The lessons imparted to us by "Snow White" include (check all that apply):

Bettelheim argues that the dwarfs represent ________________ and that Snow White's trying out each of the beds is indicative of her _____________________.

The Grimms' first version of "Snow White", published in 1812, had Snow White's mother serve as the evil one instead of a stepmother.

When Snow White is unconscious, the dwarfs comb her hair and put her in a transparent coffin.

The dwarfs' treatment of Snow White at the end of the Grimms' version can be interpreted as

Snow White's unconscious state can be seen as representing the time of development one experiences between childhood and adulthood -- as suggestive of puberty, in other words. She goes to sleep a girl and awakes a woman capable of marrying a prince.

It's important to note that the "wicked woman" also gives in to temptation as she just has to go see Snow White at her wedding to the prince. For her troubles, the "wicked woman" is made to ________________ until she dies.

Anne Sexton is a 20th-century American poet who published poetic adaptations of select fairy tales in her book Transformations.

Sexton's poem "Snow White and the Seven Dwarfs" focuses on

At the end of Sexton's "Snow White", one has the sense that Snow White

It is important to note that Snow White is jostled awake when someone carrying her coffin trips; it isn't anything someone did on purpose. If we see her coma-like state as representing puberty, the unpredictability of her awakening suggests that one can't do anything to speed the transitional process of puberty along. It ends when it ends. We should keep this in mind when we discuss "Sleeping Beauty" later.

Hans Christian Andersen lived in the

The theme of ________________, whether transpired or desired, occurs often in Hans Christian Andersen's works, probably because he experienced it himself. He was educated in a school for poor children, but he managed to improve his economic conditions through his engagement with the arts.

The famous statue of The Little Mermaid has its home at the harbor of Denmark's capital, ___________________.

The beginning of Hans Christian Andersen's "The Little Mermaid" encourages us to consider the story in terms of ______________. One sees this emphasis already in the initial phrases "Far out" and "It [the ocean's water] goes down deeper."

The answer to question #4 is important because it sets the stage for the story's emphasis on _____________________.(The story meant here is Hans Christian Andersen's "The Little Mermaid.")

Hans Christian Andersen's Little Mermaid tends a garden which she populates with objects of her fascination: "flowers as red as the_____________" and ________________.

Andersen's Little Mermaid can obtain ________ only if she gains the love of a human being and that love is attested to by marriage.

Andersen's Little Mermaid gets help from the sea witch. The Little Mermaid's acceptance of the sea witch's help and of the witch's terms reminds one of the literary/cultural motif of a pact with the devil. Generally, a pact with the devil requires one to give up his/her soul exchange for something. The Little Mermaid doesn't have one to give. Nevertheless, she seeks the witch's help for something she (The Little Mermaid) wouldn't normally be able to attain by herself--legs and a chance to win the love of a human being. One of the most famous examples of a pact with the devil occurs

Andersen's Little Mermaid

Andersen's Little Mermaid can earn a soul at the end of the story

When you think about it, Andersen's "The Little Mermaid" encourages good behavior among children because

Not surprisingly, Disney's film "The Little Mermaid" ends

In Disney's "The Little Mermaid," Ariel acts independently. Nevertheless, the lyrics of Ursula's "Poor Unfortunate Souls" and the depiction of Ariel and Ursula in the provided clip invite us to consider [choose all that apply]:

In the Grimms' "Rapunzel", a husband and wife want to have a child and the woman craves

The husband and wife in the Grimms' "Rapunzel" live in an apartment that has a view of a neighbor's luscious garden, and therein grows the Rapunzel that the wife desires. The wife's initial desire for the Rapunzel can be explained as (choose all that apply):

The sorceress locks Rapunzel in a tower in the forest when she (Rapunzel) approaches an age associated with puberty.

The sorceress locks Rapunzel away in an apparent attempt to remove her from the temptations of the world. When you think about it, the fact that the prince finds Rapunzel and that they conceive twins together unbekownst to the sorceress suggests

Rapunzel shows maturity and ingenuity by suggesting a plan to let herself down from the tower so she can accompany the prince, but immaturity when she reveals the secret of the princes' visits to Mother Gothel.

Rapunzel and the prince both suffer when their relationship is revealed:

Despite their suffering, Rapunzel and the prince experience a happy end.

Perrault's "Sleeping Beauty" blends Christian motifs and magical elements, a common practice among fairy tales of his and the Grimms' time periods.

In considering Perrault's "Sleeping Beauty", we shouldn't forget that he was writing in late 17th century, for a court culture, and that he had been embroiled in the literary/cultural dispute now known as "The Quarrel of the Ancients and Moderns."

In Perrault's "Sleeping Beauty", all of the fairies "that could be found" were invited to the christening. __________ fairies were invited.

In Perrault's "Sleeping Beauty," one fairy was overlooked and not invited to the christening. This oversight suggests

The king's edict forbids spindles and spinning in Perrault's "Sleeping Beauty" because he

The failure of the king's edict in Perrault's "Sleeping Beauty" emphasizes

The king's ultimate inability to avoid "misfortune" in Perrault's "Sleeping Beauty" shouldn't come as a huge surprise, because fortune can't be controlled by any one person. The ancient notion of Fortuna speaks to this point. The Roman goddess of fortune, Fortuna, was often discussed and portrayed in artwork, especially in the middle ages. There, Fortuna embodies

One way of depicting the concept of Fortuna was to show or discuss her ______________________, which most people only know nowadays in terms of the game show hosted in part by South Carolina native Vanna White.

In Perrault's "Sleeping Beauty", the prince

Bettelheim sees the princess's 100 years of sleep as symbolic of adolescence in general and of sexual maturation in particular, especially as it relates to the onset of menstruation.

In Perrault's "Sleeping Beauty," the prince appears to have to mature into his role as husband. This can be seen by

Perrault's "Sleeping Beauty" seems to suggest ____________________________. You see this with the awakening of the princess, the arrival of the prince, but even early on when the king and queen are described as trying everything to have a child, including making pilgrimages, "and nothing succeeded. At length, however, the queen became pregnant."

With respect to Grimms' "Brier Rose" (and indeed other fairy tales such as "The Frog King"), frogs have been seen as symbolic

Among other things, the Grimms' "Brier Rose" points at worst to parental negligence or at least to their being remiss in their duties as parents and as king/queen. They

In regard to "Brier Rose," Bettelheim sees the key in the lock, the tower, and even the princess's path up to the top of the tower as

In Perrault's "Bluebeard," the younger daughter begins to look past the man's bluebeard and the fact that no one knows what happened to his other wives because

In Perrault's "Bluebeard," the young wife's using of the small key to open the storeroom against her husband's wishes has been typically interpreted as (choose all that apply)

Perrault's "Bluebeard" also gives us an example of a bad or, at least, inconsiderate host, as the young wife forsakes her company by way of a back staircase in order to go open the forbidden door. Hospitality and being a good host were important in French court culture. On a positive note, though, this same action could be seen as indicating that the woman is an independent thinker willing to forsake the "herd" mentality of society in order to find out more about herself and her predicament.

In the Grimms' "The Robber Bridegroom," the girl neglects to listen to

The robber's guilt is revealed by

Describe the advantage and disadvantages of medical records and electronic medical records.

Why would the medical office use color-coded labels on folders?

What is an out-guide and how is it used in the medical office?

Describe terminal digit filling system?

What is subject filling list 4 types of documents that might be used?

What is the second filling unit if the patient's name is Mary Johnson White?

What are 2 advantages of numeric filling?

What is a tickler file?

Why would the medical office use alphabetic filling vs chronological filling?

How are computerized records stored?

How long should records of adult patients be retained?

What determines when a medical record is moved to the inactive files?

Before returning medical records to the files, what are 3 things the medical assistant should do to condition the records?

What is an indirect method of filing?

How are hyphenated names filed if an alphabetic filling system is used?

Explain how electronic records are updated?

What is the most common methods used to organized a new paper medical record for a patient?

2 patients come into the office with the exact same name, what information is used to put their medical records in order?

Before a piece of correspondence can be filed in a patient's paper medical record what is the first thing that must occur?

Who determines the classification of \"inactive or active\" patients\"?

Following should be avoided in a storage area for inactive medical records

The proper way to prepare the address on a business envelope

Which of the following is an example of a complex sentence?

Which of the following names would be filed first?

What must occur before a piece of correspondence can be filed in a patient's paper medical record?

Which type of correspondence is best sent by Certified Mail with Return Receipt requested?

Advantage of using color-coded labels or folders

Type of computer program does the medical assistant usually use to prepare letters

Order are documents filed into the medical record

What information is included on the delivery address line of an address?

If a chronological numeric filing system is used, which of the following medical records comes last in the files?

In the sentence, \"Roger is a very tall boy,\" which word is a proper noun?

When the medical assistant answers an e-mail, why is it customary to create the answer as a reply?

If two patients have exactly the same name, what information is used to put their medical records in order?

When a letter must reach its destination within 24 hours, how should it be sent?

Where should special directions such as \"personal\" or \"confidential\" be placed?

What punctuation mark follows the complimentary closing of a business letter?

Which part of speech shows relationships of space, time, or possession?

What is used to hold the medical records if the medical office uses a paper medical record?

If the terminal digit filing system is used, which of the following medical record numbers comes first in the files?

AUDIT

CHEDDAR

DOCUMENTATION

ELECTRONIC HEALTH RECORDS (EHR)

ELECTRONIC MEDICAL RECORDS (EMR)

INDIVIDUAL IDENTIFIABLE HEALTH INFORMATION (IIHI)-

INFORMED CONSENT FORM

NONCOMPLIANT

OBJECTIVE

PATIENT RECORD/CHART

POMR

SIGN

SOAP

SUBJECTIVE

SYMPTOM

TRANSCRIPTION

TRANSFER

Documentation

Electronic Health Record EHR

Electronic Medical Record EMR

Individual Identifiable Health Information IIHI

Informed Consent Forms

Noncompliant

Objective O in SOAP

Patient Charts or Records

Problem-Oriented Medical Record POMR

Sign

SOAP

Subjective S in SOAP

Symptom

Transcription

Transfer

Research with regards to Patient Information

Assessment A in SOAP

Plan of Action P in SOAP

Which element of SOAP charting describes the data that comes directly from the patient?

What does the abbreviation PT mean?

The six C's of charting include

Client's words

Clarity

Completeness

Conciseness

Chronological order

Confidentiality

Conventional or Source-Oriented Record

Problem-Oriented Medical Record POMR

The information in a POMR includes the

Electronic Health Record EHR

Electronic Health Record EHR

Informed Consent Forms

Informed Consent Forms

Crowdsourcing tools and question-and-answer sites like _____ allow firms to reach out for expertise beyond their organizations.

Amazon was started by

Rising customer service standards can partly be attributed to the proliferation of ________

Some of the racial changes brought about by new technologies include:

Offered by the web to the field of

Firms are increasingly shifting spending from the ____ to other media such as print, radio, and television as these are often easier to track and analyze

A company uses Webex, a popular commercial application, to conduct training sessions for its employees who are spread across different countries. This is an example of the impact of technology in the area of

Today's job seekers are writing resumes with key words in mind, aware that the first cut is likely made by a database search program, not a human being.

Many of the careers in accounting firms are highly tech-centric.

The rise of open source software has lowered computing costs for start-up and blue chip companies worldwide.

SEM, SEO, CRM, and personalization systems are all central components of the new ________ toolkit.

A company uses radio frequency identification (RFID) tags to keep track of its inventory. This is an example of the impact of technology in the area of

Technology experts in the area of user-interface design

The number of U.S. patent applications waiting approval has ________ in the past decade.

While process redesign, supply chain management and factory automation are all tech-centric operations, service operations are not.

Technology experts in the area of _______ specialize in technology for competitive advantage.

The rise of open source software has lowered computing costs for start-up and blue chip companies worldwide.

___________ is the third most popular social network in the United States and was founded by Catherine Cook

A focus solely on technology is a definite recipe for success.

Changes that impact one industry do not necessarily impact other industries in the same way

When technology can be matched quickly, it is rarely a source of competitive advantage.

What are Porter's five forces?

Inventory turns

Dense wave division multiplexing (DWDM)

Switching Costs

Price transparancy

What does Porter say about operational effectiveness?

What does Porter say about strategic positioning?

Initial Public Stock Offering

Pure Play

Long Tail

Fixed Costs

Collaborative Filtering

Churn Rate

Crowdsourcing

Atoms to bits

Disintermediation

Bandwith cap

Open Source Software

Marginal Cost

Java

Scripting Language

Integrated development environment

Even though Netflix is now mainly focused on digital distribution, it continues to offer the DVD-by-mail service in its base-price product.

Grid computing is a type computing in which:

In 1995, the largest corporate database was one terabyte in size

Netflix has used the long tail to its advantage, crafting a business model that creates close ties with film studios. What do film studios stand to gain from these ties with Netflix?

Which of the following statements is a valid reason for chip manufacturers carrying minimal inventory?

In terms of percentage of revenue spent on advertising, Zara has possibly the lowest figures in the whole industry.

The biggest inefficiency in the movie industry is:

In an industry where nearly every major player outsources manufacturing to low-cost countries, Zara is highly _____, keeping huge swaths of its production process in-house.

Moore's Law originally stated that chip performance per dollar doubles every twenty-four months.

Firms that use contract manufacturers do not directly employ the workers who produce the requested goods.

Moore's Law has been in force over all the five waves of computing.

Collaborative filtering is a classification of software that

Due to limited production runs, Zara's customers

Price elasticity refers to the

Which of the following represents an advantage enjoyed by Netflix over traditional video stores?

Much of Zara's products are stitched together through a network of local cooperatives that have worked with Inditex long enough to operate without written contracts.

Which of the following factors is considered key to Zara's ability to maintain a winning business formula?

The third wave of computing was characterized by the introduction of:

How do Netflix's scale economies affect competition from established firms?

Priceline.com is a company and a commercial website that helps users obtain discount rates for travel-related purchases such as airline tickets and hotel stays. The company facilitates the provision of travel services by its suppliers to its customers. People can directly access a complete array of schedules and fares. This process has, to a great extent, eliminated the travel agency as a middle man. This is an example of:

The strengthening of the euro relative to the dollar has insulated Zara against financial vulnerabilities.

Zara's limited production runs are not attractive for most customers, as they would rather wait for the products to go on sale.

Grid computing, though faster and more efficient, is an expensive alternative to supercomputers.

What problem is faced by multicore processors running older software written for single-brain chips?

An internal team at Netflix developed a prototype set top box to enable the direct streaming of content to customers' television sets. However, the idea of offering it to Netflix customers was dropped because:

With the entry of Wal-Mart and Blockbuster into the DVD-by-mail market, Netflix was forced to:

Netflix's decision to unbundle the single fee for its $10 base service into two separate $8 plans for DVD-by-mail and streaming over the Internet proved to be beneficial to the firm.

One of the advantages of solid state electronics is that:

As the world's largest chain of coffee houses, Starbucks sources most of its raw materials such as coffee beans and vegetables from suppliers owned by it. It also holds equal or majority stakes in most of the foreign direct investment it carries out in other countries to set up franchisee coffee shops. Based on this information, Starbucks can be said to be:

Costs that do not vary according to production volume are called _____.

_____ is a phenomenon where electrons slide off their pathways, and presents an obstacle to the continuance of Moore's Law.

Layers

Desktop Software vs. Enterprise Software

Employees, at their own initiative, can go to SocialText or Google Sites and set up a wiki, WordPress to start blogging, or subscribe to a SaaS offering like SalesForce.com, all without corporate oversight and approval. This _____ of technology is one of the challenges associated with the adoption of SaaS models.

Ensuring that an organization's systems operate within required legal constraints, and industry and organizational obligations results in:

Firms using SaaS products can dramatically lower several costs associated with the care and feeding of their information systems.

A PC, laptop, or any other small computer can be set up to run server software.

The customization options that managers and businesses demand in computers are provided by the:

Which of the following is one of the benefits enjoyed by SaaS vendors?

Java is not optimized to take advantage of interface elements specific to the Mac or Windows operating systems. As a result:

_____ refer(s) to special-purpose software designed and included inside physical products.

_____ and ____ are some of the commercial equivalents of SugarCRM and Asterix respectively.

Which of the following is one of the functions of firmware?

_____ is a language used to create and manipulate databases.

SaaS offerings usually work well when the bulk of computing happens at the client end of a distributed system.

Which of the following factors should a manager consider while making a make, buy, or rent decision?

All of the costs associated with the design, development, testing, implementation, documentation, training and maintenance of a software system are collectively termed as:

Vendors who use open source as part of their product offerings can expect to bring new products to the market faster because:

What are the implications for firms without common database systems with consistent formats across their enterprise?

An application server is software that

Firms that adopt software as a service actually buy a system's software and hardware, so these systems become a fixed operating expense.

Standardizing business processes in software that others can buy means that those functions are difficult for competitors to match.

Salesforce.com offers systems that organize, automate, and synchronize activities related to sales, marketing, and client support. These systems serve the purpose of:

Which of the following languages are interpreted languages?

The more application software that is available for a platform, the less valuable it potentially becomes.

_____ is an application that includes an editor that serves as a programmer's word processor, a debugger, and a compiler, among other tools.

One of the risks associated with SaaS is the:

Linux is one of the most used operating systems in desktop computers, but can be found only in a tiny fraction of mobile phones, and consumer electronics.

The LAMP stack of open source products is used:

Complete the analogy: Server- Apache HTTP Server; Client- _____

A server running _____ can create smaller compartments in memory that each behave as a separate computer with its own operating system and resources.

A _____ refers to a firm that offers third-party software-replacing services that are delivered online.

The cost of producing an additional unit of a product is known as its:

Benefits of OSS

Heirarchy of data sizes:

LAMP

The _____ department in an organization not only ensures that systems get built and keep running but also take on strategic roles targeted at proposing solutions for how technology can give the firm a competitive edge.

Data analytics and business intelligence are driving discovery and innovation. (T/F)

The phrase _____ is often used to describe the trend of putting "smarts" (meaning computing and telecommunications technology) putting into everyday products such as lamps, watches, thermostats, and door locks; as well as embedding tech into industrial goods.

A firm's financial performance that consistently outperforms its industry's peers is known as _____.

One of the key questions posed by 21st century managers is "How can we possibly compete when everyone can copy our technology and the competition is a click away?" One path to take involves creating a resource or set of resources for sustainable competitive advantage. List the four characteristics that such resources must have for the possibility of sustainable competitive advantage to exist. Why is it important to have all four simultaneously? (Hint: resource-based view )

List down Porter's five forces?

Startup firms can struggle to gain lower prices from rivals, but FreshDirect seems to have found several ways to gain lower supplier prices. FreshDirect buys direct from suppliers, eliminating any markup from a middleman. In addition to this, the firm employs other methods to get lower prices from suppliers. Which of the following is not a way FreshDirect helps suppliers in exchange for supplier agreement to offer it better pricing terms?

Outsourcing production to third-party firms is called________.

Small chip-based tags that wirelessly emit a unique identifying code for the item that they are attached to are called _____.

10. Zara holds a competitive advantage over its rivals in spite of:

How does Zara differ from its competitors in converting ideas into products?

The strengthening of the euro relative to the dollar has insulated Zara against financial vulnerabilities. (T/F)

Which of the following is true of Netflix?

Netflix offered its subscribers a selection of over one hundred thousand DVD-by-mail titles, while other video rental firms can only offer as much as three thousand. This presents a significant _____ for Netflix over its rivals.

Collaborative filtering is a classification of software that:

Even if Netflix gave Cinematch (recommendation software) away to its rivals, they would still not be able to make the same kind of accurate recommendations as Netflix. This is because of Netflix's _____.

Crowdsourcing is

How is scale important to Netflix streaming business?

Computer hardware refers to:

Which of the following is an example of computer hardware?

_____ refers to a precise set of instructions that tell the computer hardware what to do.

If a computer system can be equated to a layered cake, which of the following combinations represents the computer system in the bottom-to-top order?