Ch. 3 - The Surgical Patient Flashcards
Which of the following religions typically prohibits its followers from receiving blood transfusions?
a.
Mormon
b.
Roman Catholic
c.
Jehovah’s Witness
d.
Protestan
c.
Jehovah’s Witness
Who would be responsible for seeking consent from family members for organ donation after a patient is determined to have suffered whole-brain death?
a.
patient’s durable power of attorney
b.
surgical department chairperson
c.
facility’s gift of life coordinator
d.
family’s spiritual advisor (pastor, priest, rabbi, etc.)
d.
family’s spiritual advisor (pastor, priest, rabbi, etc.)
The patient statement “ I know I will be in a better place” is part of:
a.
the acceptance stage of grief
b.
a coping mechanism
c.
a physiological stressor
d.
the hierarchy of needs
a.
the acceptance stage of grief
Which of the following needs of the surgical patient is related to anatomy and physiology, genetics, and pathology?
a.
spiritual
b.
physical
c.
social
d.
psychologica
b.
physical
Which area of concern or fear would most likely be the main focus for a toddler scheduled for surgery?
a.
abandonment
b.
privacy
c.
mortality
d.
body image
a.
abandonment
Which of the following needs identified by Maslow would likely be MOST prominent in a surgical patient’s mind?
a.
esteem
b.
self-actualization
c.
safety
d.
love and belonging
c.
safety
What does Sister Callista Roy define as “all conditions, circumstances, and influences that surround and affect the development and behavior of the person”?
a.
environment
b.
synchronization
c.
adaptation
d.
development
a.
environment
Dr Hans Selye defines stress as a “nonspecific response of the body a demand” (2006)
True
False
True
For what type of research was Sister Callista Roy best known?
a.
patient care partnership
b.
hierarchy of needs
c.
five stages of grief
d.
adaptation mode
d.
adaptation mode
Which of the following conditions was defined by the Harvard School of Medicine and include the following physical signs: flat EEG, unresponsiveness, lowered body temperature, and absent pupil reflexes?
a.
respiratory arrest
b.
higher brain death
c.
whole-brain death
d.
acute myocardial infarction
c.
whole-brain death
Denial, rationalization, regression, and repression are common forms of what type of mechanisms?
a.
physiological
b.
diagnostic
c.
treatment
d.
coping
d.
coping
In general, a surgical procedure represents a physical, psychological, social, and spiritual event to the patient.
True
False
True
Which of the following terms represents a positive physical and psychological state of a patient?
a.
eustress
b.
dyspnea
c.
euthanasia
d.
distress
a.
eustress
Which organs or tissues can be recovered after death or after a patient has already been removed from life support?
a.
liver
b.
bone
c.
heart
d.
pancreas
b.
bone
Title XI of the Omnibus Budget Reconciliation Act of 1986 requires hospitals to establish protocols for organ procurement or risk losing funding by the Centers for Medicare & Medicaid Services (CMS).
True
False
True
A terminally ill patient whose advance directive is to refuse any life-saving efforts by health care workers is choosing which type of euthanasia?
a.
voluntary
b.
active
c.
passive
d.
involuntary
c.
passive
Maslow’s research produced a hierarchical structure of ___________.
a.
human progression
b.
administrative authority
c.
pathological diseases
d.
insurance reimbursement
a.
human progression
What type of life-support treatment would be considered ultimately futile and its benefits far outweighed by the financial and emotional burden suffered by the family and health care system?
a.
palliative
b.
curative
c.
ordinary
d.
extraordinary
d.
extraordinary
Which of the following levels of Maslow’s hierarchy of needs is the pinnacle and can be accomplished only when all other needs are met?
a.
physiological and safety
b.
self-actualization
c.
esteem
d.
love and belongin
b.
self-actualization
Which of the following is NOT one of the “Five Stages of Grief”?
a.
bargaining
b.
repression
c.
denial
d.
acceptance
b.
repression
Which of the following diagnoses is currently used in most jurisdictions of the world to define a state of irreversible death?
a.
respiratory arrest
b.
higher brain death
c.
whole brain death
d.
myocardial infarction
c.
whole brain death
SIDS (formerly known as “crib death”) is categorized as which general category of cause of death?
a.
sudden
b.
prolonged
c.
terminal
d.
accidenta
a.
sudden
Which of the following legislative rulings requires medical facilities to inform patients of their rights to choose the types and extent of medical care available and their legal right to advance directives?
a.
Omnibus Budget Reconciliation Act
b.
Affordable Care Act
c.
Food, Drug, and Cosmetic Act
d.
Patient Self-Determination Act
a.
Omnibus Budget Reconciliation Act
Cultural and religious values of patients can conflict with the practice of modern medicine.
True
False
True