Patient Care Exam 1

CH 5,6,7,8

Who is responsible for health professionals well being

Themselves

The state in which a person welcomes tension and effort as a stimulus to creativity and self-expression

Self-actualization

A sensitivity to others that allows you to meet their needs constructively rather than merely sympathizing or reacting to their distress

Empathy

An empathetic response is one in which understanding and compassion are accompanied by an __ that enables you to act appropriately

Objective detachment

__ is the response to the strain of dealing with constant demands and problems of people under our care

Burnout

The ASRT has how many societies

54

__ is based on the lessons of right and wrong that were taught to us at an early age

Personal morality

Mandatory, specific standards of minimally acceptable professional conduct for all RTs and applicants for certification by the ARRT (also are enforceable by the ARRT)

ARRT rules of ethics

The __ reflect a viewpoint that could be considered situational ethics

Ethics of care

__ emphasize the rights of individuals in a democratic society to be shielded from undue restriction or harm

Rights-based ethics

__ is a widely accepted standard for selecting and defending solutions to ethical dilemmas in healthcare communities

Principlism or principle-based ethics

Goodness, actions that bring about good are considered right

Beneficence

No evil, an obligation to not inflict harm

Nonmaleficence

Truth, an obligation to tell the truth

Veracity

Faithfulness, an obligation to be loyal or faithful

Fidelity

Fairness, an obligation to act with equity

Justice

Self-determination, respecting the independence of others, and acting with self-reliance

Autonomy

Ethical analysis is a process what involves what 4 steps

Identifying the problem, developing alternate solutions, selecting the best solution, defending your selection

The personal responsible for implementing the ethical decision is called the

Moral agent

Who should answer patients questions regarding diagnosis, treatment, and other aspects of care

Their physician

HIPAA was enacted in what year

2003

__ consent is necessary for any procedure that involves substantial risk or is considered experimental

Informed

Myelograms and arteriograms require what type of consent

Informed consent

Who is to be used when a patient does not speak, read, or write english? A family member or a medically trained interpreter?

Medically trained interpreters

T/F A patient signing a consent form does not invalidate the patients right to refuse treatment once the procedure has begun

T

__ are requirements for behavior

Laws

Laws can be divided into what 2 categories

Criminal and civil

__ law deals with offenses against the state or society at large

Criminal

A serious crime is called a __ and may be punished by imprisonment, usually in a penitentiary

Felony

A less significant crime is called a __ and is usually punishable by a fine or by imprisonment, in a jail for less than 1 year

Misdemeanor

A civil wrong committed by one individual against the person or property of another is called a

Tort

Unjustifiable detention of a person against his or her will

False imprisonment

__ and __ refer to the malicious spreading of information that causes defamation of character or loss of reputation

Libel and slander

What is the difference between libel and slander?

Libel is written and slander is spoken

The threat of touching in an injurious way

Assault

Unlawful touching of a person without consent

Battery

Unintentional torts include __ and _

Negligence and malpractice

__ refers to the neglect or omission of reasonable care or caution

Negligence

__ is a negligent act that involved reckless disregard for life or limb

Gross negligence

__ applies when an organization such as a hospital is negligent

Corporate negligence

__ is an act of negligence in which the behavior of the injured party contributed to the injury

Contributory negligence

What does res ipsa loquitur mean

The thing speaks for itself

What does respondeat superior mean

Let the master respond

The liability by one person or agency for the actions of another is called __

Vicarious liability

What does RIMS stand for

Radiology information management system

T/F No information about a patients health history or plan of care is available in the RIMS

T

A __ refers to an extensive compilation of information such as an emergency department record or a hospitalized patients online record

Chart

A moral agent is the one who:

A) Behaves correctly

B) Is responsible for implementing an ethical decision

C) Judges the morality of others

D) Analyzes ethical dilemmas

B

A response in which understanding and compassion are accompanied by an objective detachment that enables you to act appropriately is called:

A) Aggressiveness

B) Assertiveness

C) Empathy

D) Sympathy

C

Which of the following is not a component of ethical analysis?:

A) Identifying the problem

B) Determining who is at fault

C) Developing alternate solutions

D) Defending your selection

B

The neglect or omission of reasonable care or caution in the context of a professional relationship is termed:

A) Malfeasance

B) Malpractice

C) Misdemeanor

D) Malapropism

B

Which of the following statements about diagnostic images is true?

A) They do not need to be kept confidential because they do not contain written information

B) They belong to the patient when they have been paid for by the patient or his or her insurance company

C) They are part of the legal medical record

D) They may be deleted as soon as the report has been sent to the patients physician

C

Arm and leg restraints applied without either the patients permission or a physicians order could result in charges of;

A) False imprisonment

B) Negligence

C) Invasion of privacy

D) Battery

A

Standards of correct behavior for professional groups are called:

A) Morals

B) Codes of ethics

C) Torts

D) Regulations

B

A patient has the right to revoke consent regarding a risky procedure:

A) Before the procedure begins

B) During the procedure

C) After the procedure ends

D) Both before and during the procedure

D

In which of the following states is there a law protecting a patients right to die with dignity:

A) Texas

B) Alaska

C) Oregon

D) Wyoming

C

Culture is determined by __ and by the customs commonly observed

Language

Who perceives healthcare more favorably? Males or females

Females

System designed to provide benefit

Regimen

The first contact with a patient is usually an

Introduction

Acceptable alternatives that help patients feel competent and involved in their care

Valid choices

Process in which the healthcare professional consciously influences a client or helps the client come to a better understanding through verbal and/or nonverbal communication

Therapeutic communication

When using an interpreter, look directly at the __ and speak as though the patient were able to understand you

Patient

__ is defined as a defect or loss of language function in which comprehension or expression of words is impaired as a result of injury to language centers in the brain

Aphasia

One tool for those who cannot talk is the handheld __

Electrolarynx

Identification of condition

Diagnosis

Prediction of outcome

Prognosis

What are the 5 stages of grief

Denial, anger, bargaining, depression, acceptance

Care that provides relief but is not intended to cure

Palliative treatment

Which of the following terms best describes assertive behavior?

A) Forceful

B) Persuasive

C) Firm

D) Argumentative

C

When instructions are given to a non english speaking patient, it is best to:

A) Speak english slowly and firmly

B) Use a sympathetic family member who speaks english

C) Draw detailed pictures

D) Use a trained interpreter

D

Deaf patients and hearing impaired patients differ in that the deaf patients:

A) Will not respond to sounds outside their field of vision

B) May use ASL as their primary means of communication

C) Often move socially within a deaf community

D) All of the choices are correct

D

When dealing with a hostile patient, it is important to:

A) Gain control of the situation with a loud, firm voice

B) Use nonverbal behavior to show your disapproval

C) Limit confusion by dealing with the situation alone

D) Ask for help before the situation escalates

D

Which of the following statements is true with respect to individuals with decreased levels of consciousness?:

A) They are not responsible for their actions or answers

B) They are likely to be violent when gaining consciousness

C) They cannot hear while unconscious

D) They do not need help going to the bathroom

A

When dealing with preschool children, it is important to:

A) Calm them by giving them many choices

B) Let them know who is in charge

C) Keep directions simple, direct, and honest

D) Tell the crying child to stop or we can’t take the pictures

C

Grief caused by death or loss may be characterized by expressions of:

A) Anger

B) Denial

C) Depression

D) All of the above

D

Cultural differences can result in differing perceptions of which of the following behaviors?:

A) Eye contact

B) A casual hug

C) A loud, firm voice

D) All of the above

D

The onset of chronic conditions is most common during which of the following life stages

A) Adolescence

B) Young adult

C) Middle adult

D) Old adult

C

Which of the following characteristics is not typical of adolescents

A) They tend to move at a slower pace

B) They fear threats to their physical appearance

C) Modesty and privacy are of paramount importance

D) They are capable of understanding abstract concepts

A

A nonprofit organization, launched to protect patients from 5 million potential medical harm incidents in US hospitals between December 2006 and December 2008

Institute for healthcare improvement (IHI)

A federal agency governing safety in the work-place, provides guidelines to ensure a high level of safety for hospital workers, and these guidelines are a required part of the safety procedures in all hospitals

Occupational safety and health administration (OSHA)

What 3 components are required for a fire to burn

A flammable substance (fuel), oxygen, and heat

__ occurs when a chemical reaction near or in a flammable material causes sufficient heat to generate a fire

Spontaneous combustion

What does RACE stand for

Rescue, alarm, contain, and extinguish or evacuate

Class __ fires involve solid common combustibles such as paper or wood

A

Class __ fires involve flammable liquid or gases

B

Class __ fires involve electrical equipment or wiring

C

Class __ fires involve certain combustible solids, such as metal alloys

D

Class __ fires involve cooking media, for example, oils and animal fats

K

What does PASS stand for?

Pill, aim, squeeze, sweep

Fire extinguishers must be inspected regularly and recharged periodically. The last inspection should be no longer than __ ago

1 year

A special material that is impervious to many hazardous chemicals

Nitrile

OSHA requires that all chemicals be properly labeled and that __ for all hazardous materials be on file and easily accessible to personnel

Material safety data sheets (MSDSs)

When a chemical eye splash occurs, flood the eye with running water for a full __ minutes

5

The study of the human body in relation to the working environment for the purpose of preventing injuries

Ergonomics

The most common injuries reported by healthcare wokrers are __

Musculoskeletal disorders (MSDs)

What are 3 subcategories of MSDs as classified by OSHA

Repetitive motion injuries (RMIs), repetitive strain injuries (RSIs), and cumulative trauma disorders (CTDs)

The principles of proper body alignment, movement, and balance are referred to as

Body mechanics

What are the 3 concepts essential to understanding the principles of body mechanics

Base of support, center of gravity, and line of gravity

The most likely cause of a fire in an imaging department is

A) Spontaneous combustion

B) Open flames

C) Cigarette smoking

D) An electrical problem

D