Chapter 11. Patient Interactions.

Question 1

Advance Directive

Answer 1

a legal document prepared by a living, competent,adult to provide guidance to the health-care team if the individual should become unable to make decisions regarding his or her medical care; may also be called a living will or durable power of attorney for health care.

Question 2

Communication

Answer 2

exchange of information, thoughts, or messages, includes interpersonal rapport; also includes the accurate conveyance of information, clear self-expression, and transmission of information and ideas to others.

Question 3

Gerontology

Answer 3

pertaining to the study of older adults.

Question 4

Inpatient

Answer 4

someone who has been admitted to the hospital for diagnostic studies or treatment.

Question 5

Maslow’s Hierarchy of Needs

Answer 5

model of human needs developed by Abraham Maslow, original hierarchy identifies two types of needs: deficiency and growth needs were further divided into seven levels, four at the deficiency needs level (physiologic, safety, belongingness and love, and esteem) and three in the upper growth needs level (need to know and understand, aesthetic, and self-actualization.).

Question 6

Nonverbal Communication

Answer 6

exchange of information, thoughts, or messages using methods other than the actual words of speech – for example, tone of voice, speed of speech, facial expressions, and position of the speaker’s extremities and torso (body language.).

Question 7

Outpatient

Answer 7

patient who comes to a health care facility for diagnosis or treatment but does not usually occupy a bed overnight.

Question 8

Palpation

Answer 8

application of light pressure with the fingers.

Question 9

Paralanguage

Answer 9

music of language; cadence and rhythm of speech.

Question 10

Patient Assessment

Answer 10

objective evaluation and determination of the status of a patient.

Question 11

Patient Autonomy

Answer 11

ability and right of patients to make independent decisions regarding their medical care.

Question 12

Verbal communication

Answer 12

messages sent using spoken words; the exchange of information or thoughts; can be dramatically shaped by vocabulary, clarity, tone, pitch of voice, and even the organization of sentences.

Question 13

The highest level of Maslow’s hierarchy of needs is

Answer 13

Self-actualzation

Question 14

The word ambulatory means that the patient

Answer 14

can walk.

Question 15

Which of the following would you not want to discuss with a patient?

a. hobbies
b. medical chart
c. ability to walk
d. weather

Answer 15

Medical chart

Question 16

Questions about the diagnosis of an examination from a patient or visitor are best answered by

Answer 16

explaining that only a radiologist can read radiographs.

Question 17

Which method is effective in communicating with a patient?

1. professional appearance
2. touch
3. pantomime techniques
   a. 1 only
   b. 1 and 2 only
   c. 2 and 3 only
   d. 1, 2, and 3

Answer 17

1, 2, and 3.

Question 18

When is touching a patient valuable?

a. for emotional support
b. for emphasis
c. for palpation
d. all of the above

Answer 18

all of the above.

Question 19

Which of the following characterize the development of a toddler (1 to 3 years of age)?

a. understands simple abstractions
b. is unable to understand more than one word for something
c. is unable to take the viewpoint of another
d. all of the above

Answer 19

all of the above

Question 20

Of the changes that occur in geriatric patients that are especially important when patients are undergoing radiologic examinations, which of the following may produce patient paranoia about potential falls with potential for permanent loss of mobility?

a. osteoporotic loss of bone mass
b. arthritis
c. decreased muscle strength
d. atrophied muscle mass

Answer 20

osteoporotic loss of bone mass

Question 21

Which of the following is considered to be the first stage of acceptance of dying for a terminally ill patient?

a. anger
b. frustration
c. denial and isolation
d. shock

Answer 21

denial and isolation, followed by anger, bargaining, depression, preparatory depression and then acceptance.

Question 22

Which of the following permits the patient to begin to work through the various stages that precede dying?

a. suspicious awareness
b. mutual pretense
c. open awareness
d. all of the above

Answer 22

open awareness