Ch. 3 - The Surgical Patient Flashcards

1
Q

Which of the following religions typically prohibits its followers from receiving blood transfusions?

a.
Mormon

b.
Roman Catholic

c.
Jehovah’s Witness

d.
Protestan

A

c.
Jehovah’s Witness

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2
Q

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.)

A

d.
family’s spiritual advisor (pastor, priest, rabbi, etc.)

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3
Q

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

a.
the acceptance stage of grief

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4
Q

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

A

b.
physical

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5
Q

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

a.
abandonment

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6
Q

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

A

c.
safety

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7
Q

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

a.
environment

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8
Q

Dr Hans Selye defines stress as a “nonspecific response of the body a demand” (2006)

True
False

A

True

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9
Q

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

A

d.
adaptation mode

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10
Q

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

A

c.
whole-brain death

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11
Q

Denial, rationalization, regression, and repression are common forms of what type of mechanisms?

a.
physiological

b.
diagnostic

c.
treatment

d.
coping

A

d.
coping

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12
Q

In general, a surgical procedure represents a physical, psychological, social, and spiritual event to the patient.

True
False

A

True

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13
Q

Which of the following terms represents a positive physical and psychological state of a patient?

a.
eustress

b.
dyspnea

c.
euthanasia

d.
distress

A

a.
eustress

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14
Q

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

A

b.
bone

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15
Q

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

A

True

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16
Q

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

A

c.
passive

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17
Q

Maslow’s research produced a hierarchical structure of ___________.

a.
human progression

b.
administrative authority

c.
pathological diseases

d.
insurance reimbursement

A

a.
human progression

18
Q

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

A

d.
extraordinary

19
Q

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

A

b.
self-actualization

20
Q

Which of the following is NOT one of the “Five Stages of Grief”?

a.
bargaining

b.
repression

c.
denial

d.
acceptance

A

b.
repression

21
Q

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

A

c.
whole brain death

22
Q

SIDS (formerly known as “crib death”) is categorized as which general category of cause of death?

a.
sudden

b.
prolonged

c.
terminal

d.
accidenta

23
Q

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

a.
Omnibus Budget Reconciliation Act

24
Q

Cultural and religious values of patients can conflict with the practice of modern medicine.

True
False

25
A person with only basic physiological functions of respiration, blood pressure, and heartbeat intact is categorized as having suffered which kind of death? a. whole-brain b. sudden c. cardiac d. higher brain
d. higher brain
26
Anointing of the sick is a practice of Muslim tradition and includes facing the patient toward the holy city of Mecca. True False
False
27
What type of procedure or care provides a terminal patient with symptom relief or avoidance and improves quality of the remaining life expectancy? a. definitive b. palliative c. supportive d. therapeutic
b. palliative
28
Which of the following terms describes a set of therapies that preserve a patient's life when body systems are not functioning sufficiently? a. therapeutic surgery b. hierarchy of needs c. life support d. advance directives
c. life support
29
Which of the following is NOT a form of advance directive? a. durable power of attorney b. donation after cardiac death c. do not resuscitate (DNR) d. document of self-actualization
d. document of self-actualization
30
A patient may be considered a candidate for donation after cardiac death (DCD) if his or her heart is predicted to cease functioning within what period of time after removal from mechanical support? a. 90 minutes b. 3 hours c. immediately d. 30 minutes
a. 90 minutes
31
For what type of research was Elizabeth Kubler-Ross best known? a. adaptation model b. hierarchy of needs c. five stages of grief d. patient care partnership
c. five stages of grief
32
Which of the following needs of the surgical patient is related to the identification and understanding of an individual's place in the universe and may include his or her views on theology, philosophy, or mythology? a. spiritual b. psychological c. social d. physical
a. spiritual
33
Which of the following religions believes in reincarnation and that the rebirth is influenced by the previous death experience? a. atheism b. Muslim c. Judaism d. Buddhism
d. Buddhism
34
Which type of general category of death would most likely generate high emotional trauma for family members and a need to follow protocols for preservation of evidence in the perioperative period? a. prolonged b. accidental c. terminal d. chronic
b. accidental
35
Under what circumstances would many hospitals rescind (invalidate) a "Do Not Resuscitate/Do Not Intubate" order? a. A patient must undergo a therapeutic surgical procedure. b. A patient is admitted to ICU with pneumonia. c. A family member disagrees with patient's wishes. d. A perianesthesia nurse discovers an unresponsive patient in the PCU.
a. A patient must undergo a therapeutic surgical procedure.
36
Which area of concern or fear would MOST likely be the main focus for a teenage patient having surgery? a. abandonment b. insurance coverage c. mortality d. body image
d. body image
37
In recognition of which religion's death rites would the operating room staff allow the deceased patient's son or other relative to close the eyes and mouth and wash the body after removal from the surgical suite? a. Jewish b. Mormon c. Catholic d. Jehovah's Witness
a. Jewish
38
Which of the following procedures would be surgical treatment for an elderly patient's psychological dissatisfaction with his or her appearance? a. laparoscopic cholecystectomy b. extracorporeal shockwave lithotripsy c. blepharoplasty and rhytidectomy d. transurethral resection of prostate
c. blepharoplasty and rhytidectomy
39
The death of a patient from complications of asthma or high blood pressure would be categorized as which general category of cause of death? a. prolonged b. accidental c. sudden d. terminal
a. prolonged
40
What is a normal human emotion that surgical team members may feel for their patients, but must not interfere with their abilities to maintain focus on their jobs, particularly in all-hazards situations? a. eustress b. empathy c. reconciliation d. repression
b. empathy