CCHI practice exam.pdf file:///C:/Users/HP/Desktop/eewwww/CCHI%20practice%20exam
CCHI PRACTICE EXAM
1. A female interpreter is requested to assist a social worker in a family meet-ing in the
ICU.When the interpreter finds the provider, she introduces herselfand asks the provider
if she can give her information about the patient and thesubject that will be discussed in
the meeting. The social worker explains to the interpreter that the patient suffered a
massive stroke and that the treatingteam wants to talk with the patient's family members
about the poor prognosis.The social worker also tells the interpreter that they've had
meetings with the family before, but this is the first time they'll talk about possible death.
She also indicates that the only person who needs interpretation is the pa- tient's wife;
therefore, the interpreter needs to whisper-interpret the meeting to her. Considering
that this is the first time the interpreter is assigned to an end-of-life situation and that
her simultaneous interpre
ANS That such a situation may be beyond the interpreter's level of skill and experience.
2. A patient with emphysema is scheduled to undergo a lung function test.
Which of the following instruments is used to conduct this test?
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ANS Spirometer
3. Colostrum, the first milk a new mother produces, contains a mild laxative effect to a
newborn that encourages the pass of meconium, which clears theexcess of bilirubin to
prevent
ANS Jaundice
4. A five-day-old newborn diagnosed with intrauterine growth restriction isbeing
examined in the NICU by the specialist while the parents wait in the family room.
Which specialist would be conducting the infant's exam?
ANS A neonatologist
5. A seasoned Mandarin interpreter in a major hospital is called to sight-trans-late a five-
page advanced directive for a patient suffering from osteoarthritis.The interpreter
realizes that this vital document should be available in Man- darin and asks the nurse if
there's a translated copy of the document. The provider tells the interpreter that all
documents are in English only and that that is why she requested an interpreter.
Furthermore, the provider gets upsetand asks the interpreter why she's asking for a
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translated document if that isher job.What would be the most appropriate step to take?
ANS Politely suggest thatthe nurse give oral explanation of the document so the interpreter can
assist.
6. A leukemia patient undergoing chemotherapy is recommended to have aplatelet
transfusion in order to avoid
ANS
Spontaneous bleeding
7. A patient diagnosed with schizophrenia is admitted to the psychiatric unit.While the
patient is being interviewed, he continues to speak in the third person about himself.
Which of the following actions should the interpreter take to avoid confusion?
ANS Alert the provider about the unusual speech pattern.
8. The interpreter is called to interpret for a Vietnamese mother and a social worker that
is investigating a possible case of physical abuse on a six-year-old
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boy. When the social worker asks the mother why the boy has scrapes and bruises on his
back, the mother says that the boy's father had to scrape the cold away because the boy
got wet in the rain and had a temperature. The social worker asks the mother if the boy's
father has physically abused her aswell.The mother becomes somewhat upset and shakes
her head left and rightin disagreement. Which of the following actions is MOST
appropriate for the interpreter to take?
ANS Suggest that the social worker inquire about a possible folk treatment for colds.
9. A female interpreter is called to assist a nurse who is caring for a primi- gravida at full
term and in active labor. After having multiple contractions fora long time, the patient
asks the nurse for an epidural injection to ease the pain. While the nurse steps out to get
the consent form, the interpreter tells the patient that she delivered all her children
without the assistance of any potentially harmful drugs. When the nurse comes back, the
patient tells the nurse that she's changed her mind and that she wants to proceed
without any anesthetics.What ethical principle did the interpreter violate, if any?
ANS Theinterpreter did not respect the patient's autonomy and by sharing overly personal
information she indirectly gave the patient medical advice.
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