RADT 153- Patient Care- Unit 5 Practice questions

Who can order medication?

Only doctors

Can nurses order medication?

no

Can Rad techs order medication?

no

Know the difference between a physical and occupational therapist

The difference between an OT & a PT is that the OT works with restoration of the upper body - shoulders, arms & hands. The PT works with lower body restoring ambulation.

Who works with the restoration of the upper body- shoulders arms and hands?

Occupational therapist

Who works with lower body restoring ambulation?

Physical therapist

Know what a speech pathologist does

evaluates, habilitates, & performs research related to speech & language problems; plans, directs & conducts remedial programs designed to restore or improve communications efficiency of individuals with language & speech impairments, whether arising from physiological, neurological disturbances, defective articulation, or foreign dialect in children or adults

Give examples of paraprofessionals

Phlebotomists draw blood for examination; EKG Technicians; nursing assistants; pharmacy technicians

Phebotomist, EKG technicians, nursing assistants and pharmacy technicians are all

paraprofessionals

Does performing a venipuncture fall under the scope of practice for a rad technologist?

yes

Does administering medication fall under the scope of practice for a rad technologist? Why

yes, contrast is considered a medication

Know the difference between for profit hospital and not for profit hospital

Not-for-profit - operated by religious affiliation or voluntary ownership, community associations

For-profit - AKA proprietary - investor owned-physicians-operated for the financial benefit of the individual,

What hospital is operated by religious affiliation or voluntary ownership, community associations

Not for profit hospitals

What hospital is investor owned, physicians operated for the financial benefit of the individual

For profit hospital

What hospital is known as proprietary

For profit hospital

What is a hospice

a program providing palliative care - medical relief of pain & symptom management - & support services to terminally ill pts & assistance to their families in adjusting to the pts illness & death

What refers to a program providing palliative care to terminally ill patients

hospice

What is medicare

nationwide health insurance to all persons 65 years of age & older & to persons of any age with permanent kidney failure, or permanent disability or illness. Authorized under Title 18 of the Social Security Act. Medicare does not pay the full cost of most diagnostic procedures, but a flat rate & if the health care provider charges more, that patient pays out of pocket. Health care agencies receive payment for medical services based on diagnostically related groups (DRGs) or major diagnostic categories broken down into 494 divisions depending on the patient diagnosis, without consideration of the true cost of the patient care

When talking about the organization of the hospital who is on top?

board of directors, board of trustees

Who are the board of trustees composed of?

Usually philanthropists, individuals with specific management skills, business execs, physician, attorney, bankers, architects, & contractors.

Know the order of what it takes to be a doctor

Pre med

Med

Intern

Residency

Fellow

Attending

Difference between RIS and PACS

RIS- radiology information system

- everything else

PACS- picture archiving computer system

- just pictures

Know the definition of ethics

moral principles or values. Refers to the science of human behavior or to systemized principles of morally correct conduct.

If there is a language barrier between the patient and the technologist, does it a give it a green light to perform the procedure?

no. need to get a translator

Know the difference between common and civil law

Common: result from judicial decisions (based on history and previous decisions)

Civil: when another person's private legal rights have been offended. If guilty pay a sum of money or repair damage.

Know the difference between assault and battery

Assault: threat of touching in an injurious way - need not be physically touched. Explain what you are doing.

Battery: unlawful touching of a person without consent - i.e. taking an x-ray against the patients will, wrong patient, invasion of privacy - double check ID, informed consent

Can improper use of a restraining device classify as false imprisonment

yes

Is negligence intentional or unintentional

unintentional

Know the 4 factors to prove malpractice

1. That the person or institution being sued had a duty to provide reasonable care to the patient

2. The patient has sustained some loss or injury

3. Person or institution being sued is the party responsible for the loss

4. The loss is attributable to negligence or improper practice

Know the definition of respondent superior

or let the master respond - the employer is liable for the negligent acts of employees that occur in the course of their work, i.e. radiologist or hospital

If I saw someone down the street and I tried to save their life but they died in the process, what am I protected by

good Samaritan law

In an emergency situation and patient cannot speak for themselves, what consent do employees use

Implied consent

How long do we hold onto adult records

7 years

How long do we hold onto children records

indefinitely or until maturity

Know maslows hierarchy

1. self actualization

2. esteem

3. love/belonging

4. safety

5. physiological

Is the incident report used to punish the staff members

No. it is a preventative measure, to make sure the incident does not happen again

What is the most important part of communication

feedback

What part of communcation conveys more of the message than words

body language 50% and tone of voice 40%

In general, is good eye contact a good example of an effective listener

yes

Is my appearance critical in establishing a good rapport with the patient

yes

- Facial expression?

yes

- Body language?

yes

Know the difference between your personal distance and intimate distance

personal distance- 18 inches to 4 feet

intimate distance- less than 18 inches, used when imaging

Is it necessary to speak louder to a non speaking English person?

no. get a translator

Do you speak to people with down syndrome according to their chronological age

no. mental age

Should colloquialism and medical jargon be used as much as possible?

no. it should be used as little as possible

Know what the purpose is for the electrolarynx device

an external sound source is substituted for the larynx. Anatomic structures for articulation & resonance are usually unaltered.

Know the stages of grieving

1. denial

2. anger

3. bargaining

4. depression

5. acceptance

Know the different types of advanced directive

Living Will - a document that lists the patient's wishes if terminally ill

Durable Power of Attorney for Health Care - designated person who will make health care decisions for the patient if he/she is unable to do so

DNR - instructions on a patient's chart that direct health care workers not to resuscitate the patient if he/she stops breathing & the heart stops beating

DNI - instructs health care workers not to intubate the patient if a question of such arises

Know the different types of extinguishers

Carbon dioxide - grease or electrical fire

Soda & acid water - paper & wood fire

Dry chemical - rubbish or wood fire

Antifreeze or water - rubbish, wood, grease, or anesthetic fire

What happens when you come across a malfunctioning operable device?

put it out of commission, red tag and report it

If you are carrying an object, should you carry it away or close to your body

close to your body

For stability, how far should your feet be apart

4 to 8 inches, one foot above the other

How should you pick up an object

bend knees, use core muscles and legs to get up

Are comfortable patients more likely to cooperate with you

yes

Trendelenburg position

patient is supine, legs are higher than the head

Immobilization device- Pigg o Stat

used for children

for x-raying the erect chest and abdomen area