Intro to Radiologic Sciences & Pt. Care EXAM 2

Another term for Human Diversity is

Cultural Diversity

All of the following are considered cultures EXCEPT:

-Hmong

-Native American

-Slovakian

-Floridian

Floridian

Areas of Human Cultural Diversity

-Social Organizations

-Space

-Time

-Communication

A social organization that seeks to understand and accept peoples from diverse backgrounds through Policies and Procedures, Communication media, Activities, and so on, in an effort to achieve a positive Cross-Cultural environment is seeking to Achieve:

Cultural Competency

A group of people who are quite vocal about the Skin Tone and Dialect of the Doctor, are demonstrating:

Bias

Which of the following would NOT reflect a Human Diversity characteristcs:

-Handicap

-Gender

-Occupation

-Race

Occupation

A group of people making derogatory statements about people who are obese. "How can they let themselves get that way?" "Why can't they be like us; fit and trim?" This group is demonstrating:

Ethnocentrism

2000 census more than 36% of the population are 45 years old and older. They make up a very large population and will have a significant impact on the country in many regards. They are referred to as:

Baby Boomers

It's safe to conclude that in the years ahead, the US population will:

Require a more diverse health care labor force

If your patient for an interventional procedure speaks no English, Has No family members to translate, and you need them to complete an Informed Consent. An effective strategy would be to:

Delaying the procedure until a hospital translator can be present during th explanation

The Americans with Disabilities Act of 1990 provides for all of the conditions EXCEPT:

-Employees must speak English and understand the nature of disability

-Legal protection against discrimination bc of physical or mental disability

-Institutions must make reasonable accommodations for all individuals

-Guarantees basic human rights to persons with a disability

Employees must speak English and understand the nature of disability

A well-known student scholarship with an effort to broaden the profession's human diversity

Royce Osborne Minority Student

Four essential core values of human rights recognized by 1993 Vienna Declaration for Human Rights

Solidarity

Dignity

Autonomy

Equality

Reasonable efforts to improve human diversity in the department would include all of the following EXCEPT:

-Multilingual signage throughout the department

-Requiring staff to attend diversity in-services

-Participating in an effective resource pool of interpreters

-Requiring all department employees to speak a second language

Requiring all department employees to speak a second language

A native born Latino individual who has moved to the US and successfully blended into local community activities, such as work, school, and volunteering WITHOUT losing his native cultures demonstrates:

Biculturalism

US Mainstream culture includes

-Strong work ethic

-Efficiency

-Individualism

-Competition

It is illegal to deny and individual the opportunity to advance professionally through employment bc of:

Gender

Irrational fear of a homosexual person's sexual orientation

Homophobia

An ethic group that would place a cultural core value on the sacredness of the earth and its water, clean air, wildlife, and foliage would most likely be

Native American

A person's Hair Color and Texture as well as his or her Skin Condition would be an example of what area of Human Diversity

Biologic Variations

All of the following are NON-Verbal communication EXCEPT your:

-Tone of voice

-Body Language

-Amount of eye contact

-Professional appearant

Tone of Voice

A Patient who is near death will likely exhibit what signs of Impending Death:

-Loss of bowel functions and control

-State of unconsciousness

-A condition of "wasting away" (cachexia)

What affects communication?

-Values

-Perception

-Emotions

When preparing to perform a procedure on a patient that is clearly intoxicated, you should:

Ensure your safety by checking to see that the hospital security officer will stay with the patient during the procedure

A dying patient who wants to stay alive long enough to see his son graduate would be in what stage of the dying process?

Bargaining

When dealing with a patient who has a terminal disease, it is important to:

-Interact with them based on their particular stage of death

-Provide for their physical needs

-Not play psychologist and attempt to cure the patient's depression

Man's first and foremost need is:

Nourishment and water

All of the following are forms of subjective patient data EXCEPT:

-Blood pressure and temperature

-Patient facial expressions

-Patient mood or demeanor

-Patient complaints of pain and tenderness in a generalized region of the body

Blood pressure and temperature (Vital signs)

An effective strategy to communicate with a young child patient

kneel down to the child's eye level and lower you voice

When working with an elderly patient

Speak slowly and clearly, and ask for understanding and feedback

When working with a terminally ill patient you should:

Politely working in silence as necessary and attending to his physical needs. (Don't play psychologist)

According to Maslow's hierarchy of need, few people completely satisfy the need for:

Self-fulfillment and self-actualization

When working with a very young child or mentally impaired patient, you should:

Try to get a family member to be part of the examination for communication and reassurance. (Not work in silence or loudly, or ask if they've had this type of procedure before)

A common emotion of most patients entering the hospital is:

Fear of the unknown and about their condition

A dying patient who has asked to see his loved ones and is making preparations to die would be in the _____ stage of dying.

Preparatory depression

What is a Negative NON-verbal communication technique

Talking to the patient with your back turned as you record in the chart.

To minimize feelings of alienation, it is useful to treat geriatric patients as adolescents in order to make them understand your instructions. Is this true?

NO

A(n) ____ is someone who has been admitted to the hospital for diagnostic studies or treatment

inpatient

The cadence and rhythm of your speech, often referred to as the "music of speech," is known as:

Paralanguage

As you ask a patient to turn on his or her side for an oblique projection, you gently touch his or her hip or shoulder to guide them into the correct position. This would be a type of touch for:

Emphasis

Aging patients typical physiologic changes:

-Always feeling cold

-A loss of tactile sensation in fingertips

-A greater likelihood of skin damage during movement and transport

-Less flexibility and joint mobility

According to Elisabeth Kubler-Ross, the customary stages of the dying or grieving process in the typical sequence are:

Denial and Isolation

Anger

Bargaining

Depression

Acceptance

Important circumstances that will affect the last moments of life. These may include the administration of CPR techniques, organ donation, internment plans, pain control and sedation, etc.To formalize these wishes, patients will complete a(n):

Advanced directive

To succeed in patient interactions as a part of performing examinations, it is important that the radiographer:

-Doesn't avoid touching the patients

-Talk with the patients through the procedures

-Don't reference procedure notes or textbooks in front of the patient

A example of correct use of humor with a patient

Making light of the bad weather and how it "brightened your day" to have a job inside.

Professional Ethics of the profession of radiologic sciences

-State licensing board for x-ray machine operators

-ARRT Code of Ethics

ARRT reserves the right to revoke any certification from an individual whom it has registered. Reasons can vary from Ethical Violations to Failure to maintain continuing educations credits, etc. This process of santioning demonstrates professional _____ to society.

Self-Regulation

Failure to pay one's federal income taxes would be an example of a(n):

Violation of Federal Law

A person texting his gf about the movie and what is happening. This behavior would be a:

Violation of socially accepted values

A technologist over-exposing patients to radiation and does not follow ALARA. Would be an example of:

Ethical Violation

What would be considered an unethical practice for a rad tech?

Criticizing a doctor or team member in a private or public forum

Looking up your brother's girlfriends x-rays. Would be a violation of:

Professional Ethics. (Need to know basis)

Being rude and impolite to a patient's family members bc they are asking how long an examination will take is an example of:

Professional Etiquette Violation

A technologist sharing information on an AIDS patient with the house keeping staff would be a(n):

Ethics violation

All professional decisions in a radiologic technology and other health care practices involve a consideration of:

Human Values

Using Moral Rules as your Complete guide to determining appropriate professional behavior:

has its weaknesses, as others may not have the same moral value system as you

A Technologist refusing to complete an procedure bc his shift is over would be considered a(n):

Ethical Outrage

When undertaking an Ethical Analysis:

Identification of human values pertinent to the analysis must be considered

What is an Ethical Dilemma?

The Correct choice is not entirely clear and has both positive and negative consequences

All of the following are related EXCEPT:

-Selecting the best solution and defending it

-Looking for a similar situation as a precedent

-Defining the real problem

-Working out alternative solutions

Looking for a similar situation as a precedent

A mammography patient register with reception, puts on a gown, she answers routine questions, and listen to your explanation of the procedure. It is safe to assume as the mammographer that:

-A social contract has been established b/n the Patient and Mammographer

-You can proceed w/ the examination

-the patient can expect a mammographic study that is MQSA compliant

Telling a small "white lie" to a patient bc the truth would possibly cause more anxiety, would be considered:

Consequntialism

Fidelity

-Meeting the basic needs of the Patient

-Being a competent professional

-Abiding by the ASRT Code of Ethics

Veracity

Telling the Truth

A family is demanding that you give them the results immediately while you're waiting for the "Nighthawk" reading service. How would you respond to this situation?

Your duty as a professional is to complete the CT examination quickly and with high quality, not to interpret the images, and to do no harm to the patient

Characteristics of a Patient Health Record

-A single record on a single Patient ONLY

-May be maintained in paper and/or electronic media

-Promotes communication among providers and continuity of care

(NOT for use in Hospitals/Emergency room ONLY)

Typical Health Information Management Department

Is responsible for the maintenance, retrieval, and storage of health information

Health Information Department performs these Supportive Functions

-Health research

-Administrative activities of the organization

-Support medical education activities

-Patient billing and accounting processes

-Quality management programs

Prospective Payment System (PPS) and Diagnostic Related Groups (DRGs) have made the health information process of ______ critically important to the complete and timely reimbursement of medical costs

Coding

Standards have been established for the maintenance of complete medical records by the:

-Join Commission on the Accreditation of Healthcare Organizations (THE Joint Commission)

-American Osteopathic Association (AOA)

Entering health information into a patient's medical record (charting) is completed by:

Any department personnel who provide care to a patient

Health records for INpatients should contain what information?

-Patient Identification data

-Reports on any diagnostic or therapeutic studies

-Physical examination data

-All informed consent documents

-Medical History, including chief complaint

An incident report must be part of the:

Hospital's risk management documentation.

-NOT Health record, Medical History, or Patient's charts-

If a request for a procedure has NO indication as to why the examination is being done. What should you do?

Delay the examination until the needed information is provided by the referring physician. (Don't do it unless you know why)

Before a Diagnostic Study can be initiated:

-A formal, documented examination request is entered into the institution's information system.

-the requesting physician must be identified on the request

-reasons for the examination must be on the request.

A key Function performed by a patient's Health Information Record is to:

Communicate to the patient's physician all care rendered by all persons

When entering information into a patient Health Record, it is important to remember:

-No pencil

-Use only approved abbreviations (no cell phone lingo)

-Any date entered must be legible

-You are the ONLY person entering information on what you did for the patient.

In the court of law, If there is no written documentation of a biopsy being done in the patient's health record:

The biopsy did NOT occur, as it is not in the health record.

Major distinction between DRGs and APCs is that:

APCs are used for the reimbursement of Outpatient and Ancillary procedures.

In 2007, the DRG system was upgraded to MS-DRG. To take into account:

-The patient's Severity of illness

-The Amount of Medical Resources used to care for the patient

In order to maximize the Full Reimbursement for a diagnostic study performed in medical imaging:

-the CORRECT DRG must be attached to inpatient studies performed

-Any changes to the radiology's examination must be communicated with the hospital Chargemaster so the correct CPT-4 code is assigned

-The CORRECT CPT code must be assigned using the ICD-9-CM nomenclature

ICD-9-CM codes for Radiologic procedures using CPT coding nomenclature range from:

70010 to 79999

Radiology department's Quality ASSURANCE committee's purpose

Evaluate various radiology SERVICES to seek improvement.

An effective Hospital Quality IMPROVEMENT program:

presents its findings and recommendations to the hospital medical staff and board of trustees

Items considered in a Medical Imaging Quality ASSURANCE program:

-Patient waiting time in reception

-X-ray report turnaround times to referring physicians

-the time span available to schedule mammograms

-the radiology department's rate of repeat images

-the # of phone calls b/n radiologists and referring physicians on patient issues

When making a correction in a patient health record

-Original entry needs to be crossed out and highlighted as an ERROR

-Correction entered, authenticated, and dated by the person making the correction.

Particularly important considerations in regard to Health Information Confidentiality as a Rad Tech:

-A testimonial statement must be signed, indicating your awareness and responsibility in maintaining the privacy of Patient Record

-All examination results are released to patients by physicians ONLY

-All health care personnel have the same responsibility for maintaining confidentiality, including students.

HIPAA Regulations

-Patients can have access to their medical information. Released by Physicians.

-Patients can only access their own information

-Copying and Faxing medical information is still used.

According to the Mammography Quality Standards Act (MQSA):

-A patient can request that her images be sent to another mammography service.

-Mammographs are kept on file for a Looooong time.

As a professional imaging team member, it is important to remember that:

-Patient health records are considered legal documents.

-Incorrect coding has a big effect

-You could be called to provide legal testimony

-HIPAA rules are the Law

Most common legal claim against health care providers:

Negligence

Obtained consent

-Patient must be competent to sign

-Physician on the consent form is the ONLY physician who can perform the procedure

-Any condition stated on the form must be met

-Form must be signed BEFORE the procedure

When Negligence occurs to a patient, who is responsible for proving injury?

The Patient

If bodily harm were to occur to a patient as a result of reckless conduct by the health care provider, it would be deemed:

Battery (touch)

What type of complaint can be filed by a patients if they feel they have been touched without permission?

Battery (touch)

Placing a child in a Pigg-O-Stat without the permission of the parent may warrant:

False imprisonment

Example of unintentional misconduct

X-raying the wrong part

What are a patient's legal right in the radiology department

-to know the Technologist's name

-to Refuse the radiographic examination

-to be Informed of the possible risks

-They may NOT ask for and receive extra studies

A Civil Wrong that involves individual property rights is called:

A Tort

Restraining a patient WITHOUT reason may constitute:

False imprisonment