Chapter 28: Radiographic Techniques for Patients with Special Needs

a

Which of these statements is false?

A) A patient's apprehension is decreased when the operator appears unsure of oneself.

B) The radiographer should take the time to explain the procedure and allow the apprehensive patient to ask questions.

C) Apprehensive patients often consider the radiographic procedure to be unpleasant.

D) Most patients are not apprehensive about radiographic procedures.

c

The radiographer should do each of the following to aid in managing the apprehensive patient except one. Which one is the exception?

A) Demonstrate attentive listening.

B) Maintain control over the procedure.

C) Expose the more difficult posterior radiographs first.

D) Compliment the patient on his or her cooperation.

d

Each of the following is characteristic of autism spectrum disorder (ASD) except one. Which one is the exception?

A) Extreme anxiety especially in new situations

B) Unexpected or repetitive behaviors

C) Social impairments

D) Hearing and vision impairments

c

ASD ranges from a mild form of the disorder to a severe form. A dental radiographic examination would not elicit anxiety for patients with ASD.

A) Both sentences are true.

B) Both sentences are false.

C) The first sentence is true. The second sentence is false.

D) The first sentence is false. The second sentence is true.

b

In rare cases, patients with severe ASD may need to be treated using which of the following?

A) Picture cards

B) Sedation or medical restraint

C) Video technologies

D) Mobile applications

d

To best accommodate patients with disabilities, dental radiographers should do which of the following?

A) Do not ask personal questions about the patient's disability.

B) Talk directly to the patient.

C) Offer assistance.

D) Perform all of the above.

a

Patients using wheelchairs and able to temporarily support their own weight should be transferred to the dental chair by use of

A) a wheelchair transfer sliding board.

B) the caregiver and radiographer to lift the patient.

C) a wheelchair transfer belt.

D) all of the above.

d

Which of these statements is false regarding the patient with a visual impairment?

A) Announce when leaving the room and when reentering the room.

B) Communicate using clear verbal explanations of each step of the procedure.

C) Use touch to demonstrate placement of the image receptor and feel of the receptor-holding device prior to its placement.

D) Do not remove personal eyewear during the radiographic examination.

c

Each of the following statements regarding dental radiography of the older adult patient is correct except one. Which one is the exception?

A) A smaller, lighter weight image receptor-holding device may be more comfortable.

B) Use of a commercial image receptor edge protector may make the procedure more comfortable.

C) If necessary, the radiographer should hold the image receptor in the patient's mouth during the exposure.

D) If necessary, an extraoral radiograph may be substituted.

d

Each of the following are options for communication with patients who have a hearing impairment except one. Which one is the exception?

A) Gestures

B) Written instructions

C) Relative or caregiver as interpreter

D) Use of speech reading behind the patient's back

d

To aid in managing a patient with special needs, an organized radiographer will

A) progress through the procedure rapidly and accurately.

B) expose the easier projections first.

C) have all supplies and equipment ready before exposure.

D) do all of the above.

a

To gain patient confidence and compliance, the easiest region to radiograph first would be the

A) maxillary incisors.

B) maxillary premolars.

C) mandibular canines.

D) mandibular molars.

a

Which of these statements is false?

A) A radiographer is not likely to find oneself performing examinations on patients of a variety of racial, ethnic, and cultural backgrounds.

B) Educating patients from a variety of cultural backgrounds requires an awareness of possible cross-cultural barriers.

C) Cross-cultural barriers include language, beliefs, traditions, and familial influences.

D) A radiographer should strive to develop good communication with patients from diverse cultures.

b

Dental radiographers who are ________ contribute to the growing access to care barriers for patients with cultural diversity.

A) good communicators

B) stereotypical

C) sensitive to others' beliefs

D) knowledgeable

d

To assist in developing cultural sensitivity, radiographers should take into consideration a patient's

A) communication style.

B) comfortable zones of territory.

C) nonverbal gestures.

D) communication style, comfortable zones of territory, and nonverbal gestures.

c

Standard radiographic procedures can be altered for the older adult who presents with age-related change complications. Using the salutations "Honey" or "Dear" when addressing an elderly patient will assist the radiographic process.

A) Both sentences are true.

B) Both sentences are false.

C) The first sentence is true. The second sentence is false.

D) The first sentence is false. The second sentence is true.

c

Developing cultural awareness involves all of the following except one. Which one is the exception?

A) Become aware of one's own cultural background.

B) Discover personal values of individual culturally diverse patients.

C) Avoid discussions regarding cultural influences.

D) Develop respect for cultures different than one's own.

b

Which of the following terms describes a physical or mental impairment that substantially limits one or more of an individual's major life activities?

A) Speech reading

B) Disability

C) Cultural competence

D) ASD

d

Currently, the ADA recommendation is that elective radiographs may be taken on the pregnant female. Unnecessary radiographs may be taken only when the female is determined not to be pregnant.

A) The first sentence is true. The second sentence is false.

B) The first sentence is false. The second sentence is true.

C) Both sentences are true

D) Both sentences are false.

d

Currently, the ADA recommendation is that elective radiographs may be taken on the pregnant female. Unnecessary radiographs may be taken only when the female is determined not to be pregnant.

A) The first sentence is true. The second sentence is false.

B) The first sentence is false. The second sentence is true.

C) Both sentences are true

D) Both sentences are false.

a

"Apprehensive" means to be anxious or fearful about the future.

a. True

b. False

b

It is contraindicated to expose necessary dental radiographs on patients undergoing radiation therapy.

a. True

b. False

b

Value systems are defined as the level of knowledge-based skills required to provide effective clinical care to patients from a particular ethnic or racial group.

a. True

b. False

a

Use of other senses such as touch can assist the patient with a visual impairment.

a. True

b. False

b

Apprehension may be decreased when it is perceived that an operator is unsure of oneself.

a. True

b. False

b

The prevalence of ASD is on the rise with 1 in 100 children age 8 years diagnosed more recently.

a. True

b. False

a

ASD is a complex disorder characterized as deficits with communication, leading to social situations and behaviors that create anxiety.

a. True

b. False

b

It is best to ask the caregiver of a person with disabilities questions about the patient.

a. True

b. False

a

The personal eyewear worn by many patients with visual disabilities will need to be removed during the radiographic procedure

a. True

b. False

a

Prior to beginning the radiographic procedure, the radiographer may need to remove the mask worn for PPE when treating a patient with a hearing impairment.

a. True

b. False

b

Telling the patient that you do not like having radiographs taken will help the patient cooperate with the procedure.

a. True

b. False

a

Taking time to explain the radiographic procedure and allowing the patient to ask questions can help alleviate apprehension.

a. True

b. False

b

Dental radiographers should be trained in intervention strategies and specific techniques after performing radiographic examinations for patients with ASD.

a. True

b. False

a

Repetitive viewing of video clips to familiarize the patient with ASD with the dental environment can help to alleviate anxiety.

a. True

b. False

b

To maintain communication for patients with a visual impairment, a radiographer should speak only to the caregiver.

a. True

b. False

a

Radiographers should always ask a hearing-impaired or deaf patient how he or she prefers to communicate.

a. True

b. False

b

Necessary radiographs should be delayed until after pregnancy

a. True

b. False

b

A disability is defined as a physical limitation.

a. True

b. False

b

The radiographer may better assist the patient with a disability by asking personal questions regarding the nature and cause of the impairment.

a. True

b. False

a

Some situations call for transferring the patient who uses a wheelchair to the dental chair for exposing radiographs.

a. True

b. False