egans Ch 3

What are the potential areas of risk to patients receiving respiratory care?

1. Movement and ambulation

2. Electrical shock

3. Fire hazards

1, 2 and 3

Lifting heavy objects is best done with what techniques?

a. Straight spine, bent legs

b. Straight spine, straight legs

c. Bent spine, bent legs

d. Bent spine, straight legs

a. Straight spine, bent legs

What are the methods of quality improvement?

1. Customer feedback

2. benchmarking

3. employee feedback

1, 2 and 3

What organizations evaluate the quality and appropriateness of care given to Medicare beneficiaries?

peer review org.

What parameters should be monitored during ambulation?

1. Skin color

2. Breathing rate and effort

3. Level of consciousness

4. Urine output

1, 2 and 3

What terms describe the power potential behind electrical energy?

a. Voltage

b. Current

c. Ohms

d. Resistance

a. Voltage

What is used to report electrical current?

a. Ohms

b. Voltage

c. Amps

d. Cycles

c. Amps

What is the primary factor determining the effect of an electrical shock?

a. Current

b. Temperature

c. Resistance

d. Voltage

a. Current

What are the key factors determining the extent of harm caused by an electrical current?

1. Duration for which the current is applied

2. Path the current takes through the body

3. Amount of current flowing through the body

4. The location the current enters the body

1, 2 and 3

If 120 V are applied to a system with 1000 Ohms of resistance, what is the current?

a. 100 A

b. 100 Ohms

c. 120 mA

d. 120 A

c. 120 mA

What organ(s) is/are the most sensitive to the effects of electrical shock?

a. Liver

b. Heart

c. Kidneys

d. Lungs

b. Heart

In what clinical situations is the normally high resistance of the skin bypassed?

1. In patients with external pacemaker wires

2. In patients with saline-filled catheters

3. In patients with intact, dry skin

1 and 2

When a relatively high current (usually >1 mA, or 1/1000 A) is applied externally to the skin, what conditions exists?

a. Macroshock hazard

b. Grounding hazard

c. Microshock hazard

d. Isolation hazard

a. Macroshock hazard

When a small, usually imperceptible current (usually <1 mA) is allowed to bypass the skin and follow a direct, low resistance pathway into the body, what conditions exist?

a. Macroshock hazard

b. Grounding hazard

c. Isolation hazard

d. Microshock hazard

d. Microshock hazard

High amperage (6 A or more) applied externally to the skin can cause what?

1. Sustained myocardial contraction

2. Respiratory paralysis

3. Skin burns

1, 2 and 3

What current passing through the chest can cause ventricular fibrillation, diaphragm dysfunction (due to severe, persistent contraction), and death?

a. 100 mA

b. 100 A

c. 100 µA

d. 10 µA

a. 100 mA

What is the primary purpose of grounding all electrical equipment used in the hospital setting?

a. To prevent the dangerous buildup of voltage in the equipment

b. To make the equipment more secure and less likely to break down

c. To avoid excessive energy costs

d. To convert electrical power from DC to AC

a. To prevent the dangerous buildup of voltage in the equipment

What is known about fires in oxygen (O2)-enriched atmospheres?

1. They are more difficult to put out.

2. They burn more quickly.

3. They burn more intensely.

1, 2 and 3

What conditions must be met for a fire to occur?

1. Temperature high enough for combustion

2. Presence of O2

3. Presence of flammable material

1, 2 and 3

What are the concerns regarding the use of O2?

1. O2 is flammable.

2. O2 accelerates the rate of combustion.

3. Increased O2 concentration accelerates the rate of combustion.

2 and 3

How can the risk of fire because of static electrical discharge in the presence of O2 be minimized?

a. Use only wool or polyester fabrics in the area of use.

b. Keep O2 concentrations well below 21%.

c. Maintain high relative humidity in the area of use.

d. Keep O2 in high-pressure storage cylinders.

c. Maintain high relative humidity in the area of use.

In the standard approach to hospital fires, the RACE plan has been suggested. What does the letter "C" stand for in this approach?

a. Capture

b. Contain

c. Call for help

d. Collapse

b. Contain

What communication terms are used to describe the method used to transmit a message?

a. Sender

b. Channel

c. Receiver

d. Feedback

b. Channel

What is included in nonverbal communication?

1. Gesture

2. Touch

3. Voice tone

4. Space

1, 2, 3 and 4

What methods are used for communicating empathy to your patients?

1. Use of touch

2. Use of key words

3. Use of eye contact

4. Use of the authority

1, 2 and 3

What factors can have an impact on the outcomes of therapeutic communication between patient and practitioner?

1. Verbal and nonverbal components of expression

2. Environmental factors (e.g., noise, privacy)

3. Values and beliefs of both patient and practitioner

4. Sensory and emotional factors (e.g., fear, pain)

1, 2, 3, and 4

What techniques should not be used to improve one's effectiveness as a sender of messages?

a. Share information rather than telling.

b. Emphasize agreement over disagreement.

c. Eliminate threatening behavior.

d. Use effective nonverbal communication.

b. Emphasize agreement over disagreement.

What techniques can be used to improve one's listening skills?

1. Resist distractions.

2. Maintain composure and control emotions.

3. Keep an open mind (be objective).

4. Judge the sender's delivery, not the content.

1. Resist distractions.

2. Maintain composure and control emotions.

3. Keep an open mind (be objective).

Maintaining eye contact, leaning toward the patient, and nodding your head are all good examples of what communication technique?

a. Clarifying

b. Empathizing

c. Attending

d. Reflecting

c. Attending

What are the techniques used to help ensure that understanding is taking place between the parties involved in an interaction?

1. Clarifying

2. Paraphrasing

3. Perception checking

4. Attending

1, 2, 3, and 4

A patient's response to an interview question is initially unclear. How do you respond?

a. "Please go on."

b. "You seem to be anxious."

c. "Please explain that to me again."

d. "Yes, I think I understand."

c. "Please explain that to me again."

A therapist who says "You seem to be anxious about your surgery" to a patient just admitted for bypass surgery is using what interpersonal communication technique?

a. Clarifying

b. Paraphrasing

c. Perception checking

d. Reflecting feelings

d. Reflecting feelings

What strategy for conflict resolution represents a middle-ground strategy that combines assertiveness and cooperation?

a. Avoiding

b. Competing

c. Compromising

d. Accommodating

c. Compromising

What is the purpose of the two-patient identifier system?

improve accuracy