2. Patient Care and Management & Radiation Safety Flashcards

1
Q

is the process of correctly matching a patient
to appropriately intended interventions and
communicating information about the
patient’s identity accurately and reliably
throughout the continuum of care

A

Patient Identification

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2
Q

is “an interaction that produces a satisfying

result through an exchange of information”

A

Effective

Communication

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3
Q

all stimuli other than the spoken word involved

in communication

A

Nonverbal Communication

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4
Q

Nonverbal Communication Examples

A
  • May repeat or stress the spoken message
  • May contradict the spoken word
  • May accent the spoken word
  • May regulate the spoken word
  • May totally substitute in some instances for verbal communication
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5
Q

is the existence of a variety of cultural groups within a society

A

Cultural Diversity

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6
Q

include culture, religion, ethnicity, language, nationality,
sexual orientation, class, gender, age, disability, health differences,
geographic location and lots of other things

A

Cultural groups

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7
Q

the rate at which one speaks, the volume of the voice, fluency, and vocal
patterns combined into one category

A

Paralanguage

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8
Q

has to do with the sound of speech rather than the content

A

Paralanguage

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9
Q

Must be obtained in order to ascertain that the transmitted message
has been correctly received

A

Feedback

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10
Q

Having the patient repeat the directions that were given, or simply
having the radiographer observe him to be certain that he is doing as
he was instructed

A

Feedback

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11
Q

Therapeutic
Communication
Techniques

A
  • Establishing guidelines
  • Reducing distance
  • Listening
  • Using silence
  • Responding to the underlying message
  • Restating the main idea
  • Reflecting the main idea
  • Seeking and providing clarification
  • Making observation
  • Exploring
  • Validating
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12
Q

Nontherapeutic

Communication

A
  • Judgmental statements
  • Cliché statements
  • False reassurance
  • Defending
  • Changing the subject
  • Giving advice
  • Subjective interpretation
  • Disagreeing
  • Probing
  • Demanding an explanation
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13
Q

can be defined as the process of influencing patient behavior and
producing the changes in knowledge, attitudes and skills necessary to
maintain or improve health

A

Patient Education

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14
Q

Patient Education

Includes:

A

-Preparation necessary for the procedure or examination
-Purpose and the mechanics of the procedure and what will be
expected of the patient
-The approximate amount of time the procedure will take
-An explanation of any unusual equipment that will be used during the
examination
-The follow-up care necessary when the procedure or examination is
complete

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15
Q

Patient Education Different Learning Styles:

A
  1. Global versus linear
  2. Visual
  3. Auditory
  4. Kinesthetic
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16
Q

Some people look at the entire picture and the details

A

Global

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17
Q

Material must be presented as a graphic design or in pictures

A

Visual

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18
Q

Learning is by verbal explanation alone

A

Auditory

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19
Q

Learning is by demonstration and followed by return

demonstration

A

Kinesthetic

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20
Q

Occupational exposure may be from the primary beam or from scatter radiation

A

Personnel Safety

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21
Q

Radiographers are prohibited from activities that would result in direct exposure to the primary x-ray beam

A

Personnel Safety

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22
Q

Cardinal Principles:

A

STD: Shielding, Time and Distance

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23
Q

are the radiographer’s primary defense

A

lead-lined control booths (Shielding)

24
Q

Other types of shielding include

A

lead aprons, gloves, goggles, and thyroid shields

25
Q

the amount of exposure received is ________ to the time spent in a scatter radiation field

A

directly proportional

26
Q

______ the distance between yourself and a radiation source _____ your exposure in proportion to the square of the distance

A

Increasing,

decreases

27
Q

Personnel Monitoring:

A

Dosimeters

28
Q

devices used for monitoring radiation exposure of personnel

A

Dosimeters

29
Q

History of _______ should be provided by previous employer

A

occupational exposure

30
Q

How to wear dosimeters:

A
  • Worn at collar level with the label facing out
  • If with lead apron - dosimeter should be worn outside of the lead apron
  • If 2 dosimeter - (1) collar level outside lead apron, (2) waist level underneath lead apron
31
Q

the sensing material for OSL

A

Aluminum Oxide

32
Q

OSL

A

Optically Stimulated Luminescence

33
Q

can measure very small dose more precisely and can be reanalyzed

A

Optically Stimulated Luminescence (OSL)

34
Q

are accurate over a wide dose range and have excellent long-term stability

A

Optically Stimulated Luminescence (OSL)

35
Q

consists of 2 pieces of dental film and has several filters incorporated in the badge

A

Film Badges

36
Q

is subject to fog when exposed to heat or fumes and could result in a false reading

A

Dental Film

37
Q

absorb x-ray energy and when heated give off the energy in the form of light

A

Lithium Fluoride (TLD)

38
Q

TLD

A

Thermoluminescent Dosimeter

39
Q

more durable in comparison to film badges

A

Thermoluminescent Dosimeter (TLD)

40
Q

responds only to ionizing radiation

A

Thermoluminescent Dosimeter (TLD)

41
Q

ALARA

A

As Low As Reasonably Achievble

42
Q

the guiding philosophy associated with all radiation use that involves exposure to humans - both patients and workers

A

ALARA

43
Q

states that all radiation exposure to humans should be As Low As Reasonably Achievable

A

ALARA

44
Q

is used to calculate the upper limit of occupational exposure that is permitted in specific circumstances

A

Effective Dose Limit

45
Q

Effective Dose Limit formerly referred to as

A

Maximum Permissible Dose

46
Q

Occupationally Exposed personnel

A

50mSV / year

47
Q

Cumulative Dose limit

A

age (in years) x 10 mSv

48
Q

Patient Protection

In general:

A
  • Avoid errors
  • Avoid repeat exposure
  • Collimate
  • Use the highest kVp that is consistent with accetable image quality
  • Use at least 40 SID
  • Fast IRs
  • Provide Shielding
49
Q

lead shields (0.5 mm lead equivalent) that prevent radiation to the reproductive organs are required when the patient is of reproductive age or younger, whenever the gonads are within the primary radiation field, and when a shield will not interfere with the examination

A

Gonadal Shielding

50
Q

Gonadal Shield placement for female

A

approx. 1 in superior to pubic symphysis

51
Q

Gonadal Shield placement for male

A

approx. 1 in inferior to pubic symphysis

52
Q

The greatest risks for spontaneous abortion, fetal death, and significant birth defects exist when significant levels of exposure occur during the first _____ of pregnancy

A

trimester

53
Q

the ED limit for the pregnant worker is _____ over the 9 month course of gestation

A

5 mSv

54
Q

require that female patients of childbearing age be advised of potential radiation hazard before radiographic examination

A

Radiation control regulations

55
Q

Others look at each component of the material before

looking at the whole

A

Linear