FINAL EXAM Flashcards
To whom is a health care worker’s primary responsibility to?
patient
If the image produced during a patient’s procedure is not diagnostic or lacking information the radiologist needs to make an interpretation, is it an acceptable practice to repeat the image?
Definitely
What is assault?
The threat of touching a person in a harmful manner
What is battery?
Touching someone without permission
Regarding the rights of patients, can a patient refuse an exam?
Yes, it is a tort if done after refusal
Regarding the rights of patients, can an RT add images to a procedure because the patient requests it?
no
Regarding patient’s rights, is the patient entitled to know the technologist’s name that is performing the procedure?
yes
Regarding patient’s rights, is the technologist supposed to tell the patient if there are risks associated with the procedure to be performed?
yes
Regarding ARRT sanctions, will they result from inadequate radiation protection by failing to shield the patient properly?
No, but it is unethical and a tort
Regarding ARRT sanctions, will they result if a student or RT is convicted of a felony?
yes
Regarding ARRT sanctions, if the RT attempts to interpret images or share any other information about the images to the patient?
No, but they could be fired because it is not in an RT’s scope of practice
What information is required on an image?
Patient name/ID, date of exam, right or left marker, and institution’s ID
What offense has an RT committed if s/he shares confidential information about a patient with a third party?
Invasion of privacy and a tort
What does respondeat superior mean?
Let the master answer
What are some of the common terms associated with the legal document that authorizes another to make health care decisions when the patient is unable to?
Advanced health care directive, living will, health care proxy
When may a fax (facsimile) containing health information legally be sent?
When urgently needed for patient care, third party payer hospital certification
What is slander and invasion of privacy categorized as?
Intentional misconduct
Regarding patient consent, can unnecessary blanks be left empty on consent forms the patient signs?
No
Regarding patient consent, must the physician who signs the consent form perform the procedure or can other physicians in the same practice perform the procedure too?
Only the physician who signs
Regarding patient consent, is it necessary for a patient to sign before receiving sedation?
yes
Accidents happen and sometimes an injury is just as much the fault of the patient as the health care provider, what is this called?
Contributory negligence
What could an RT be charged with if the wrong part of the body is imaged?
battery
An RT may be required to work under a variety of different circumstances and conditions that depend on their place of employment. One condition one must be ready for in this profession is working with all ___ and ___.
Cultures, religions
Diagnostic procedures and their diagnosis are considered to be ___ and ___.
Privileged, confidential
What type of consent occurs when a procedure that is necessary to save a life is performed without the patient’s agreement because the patient is incapable of giving permission?
implied
What defines the role of the radiologic technologist (RT) and establishes the criteria used to evaluate performance?
Practice Standards
What can a radiographer do to help maintain a high level of expertise in the health care profession?
Joining professional organizations
What is ethics?
A set of moral principles that govern one’s course of action
What would the mistake be considered if the wrong medication or contrast agent was administered to a patient?
Unintentional tort
When can a patient have restraints applied?
By physician order only
Which regulatory body is commonly referred by health care workers as that requiring evidence of a high quality of care?
Joint Commission
Is it an acceptable procedure for a patient to withhold information from the radiographer concerning previous treatment for communicable disease/s?
no
Name some of the aspects of a patient’s health assessed by a professional?
Cultural background, mental and physical state
Define channel communication
A written page or spoken word
Physiological needs are a person’s most basic needs according to what?
Maslow’s hierarchy
What are the stages of grief and what occurs during each stage?
Denial, Anger, Bargaining, Depression, Acceptance
Which stage of grief is a patient in when s/he begins to deal with the pain and other aspects of the illness?
Acceptance
An informed consent form is necessary for invasive procedures and those requiring sedation. What is an example of a procedure performed in the imaging department requiring informed consent?
angiograms
Barium sulfate is commonly administered for gastrointestinal procedures. It is a metallic salt suspension in water. The body will extract and excrete the water leaving the heavy metallic salt in the GI tract unless the patient receives proper instructions to follow. What are some of the common instructions?
Contact the physician if there is no bowel movement in 24 hours, changes in stool color will occur until all of the barium sulfate is evacuated, and increase fluid and fiber intake for several days
What type of communication precautions should be taken with an unconscious patient?
Reassure the patient about what is being done, refer to the patient by name, make only those statements that would be made to a conscious patient
What are the common elements of the patient’s medical chart apart from patient identification?
Medical history, diagnostic and therapeutic orders and results, informed consent
What is veracity?
Sincerity and truthfulness
What course of action should be followed if the imaging requisition differs from the patient’s description of the complaint or injury?
Verify with the referring physician
Does a patient have the right to see his/her chart while in the RT’s possession? The answer is no, so what is the best response?
Inform the patient that s/he has the right to see the chart but that s/he should request to view it with his physician so that it is interpreted properly
What is the difference between subjective and objective data?
Objective data is based on facts and concrete evidence and subjective data is based on judgment by an individual and personal opinion
What abilities are required for critical thinking?
Interpretation and evaluation
What is the first step in problem solving?
Collecting data
When performing tasks that have been successfully performed before, what is the mode of thinking used?
Recall
When does a radiographer consider the need for patient assistance for a particular patient?
During the implementation of a plan of care
When are a patient’s customs and values considered?
During patient assessment
What is an expectation a patient can have from his/her radiographer?
person who is attentive to the patient’s needs
What skill does a successful communicator possess?
Ability to listen
When a patient makes a verbal statement to a radiographer it is important to repeat the idea to the patient to make sure everyone understands what is going on. What is this?
Restating the main idea
A response to the patient that keeps the feeling and meaning of the patient’s verbal expression in mind is communicating in what manner?
Therapeutic manner
What is the correct response for a patient who has suffered a serious loss?
Be supportive and allow the patient to retain hope
Is there any action a radiographer should take if caring for a serious ill patient and there is no health care directive on the patient’s chart?
Yes, inform supervisor or patient’s physician
What is ambulatory mean?
Able to walk; walking
Which direction is a disabled patient turned on an x-ray table?
Turn the patient toward you
In reference to the spine, what is important to remember when lifting a patient?
Keep back straight
Describe the Fowler position.
Feet lower than head
Describe how to move a heavy object.
Pull or drag it
In addition to referring to a patient by name, how is the identity of a patient verified?
ID armband
What is the placement of a wheelchair in relation to the x-ray table when transferring a patient?
Close to the table at approximately a 45 degree angle
For a patient with a brain injury, what patient position should be maintained when being transferred?
Semi-erect
Describe the Trendelenburg position.
Head lower than feet
When assisting a patient from a wheelchair to the x-ray table and the patient has a stronger side, which side is closer to the table?
The stronger side is closer the table
What method of moving is used for patients with suspected spinal injury?
Logrolling
When assisting a patient in a wheelchair, what should be done with the footrests?
Move them aside, do not let the patient step on them or trip over them
What is orthopnea?
The sensation of breathlessness in the recumbent position
Describe the best way to reduce friction when moving a patient.
Place patient arms across chest and use a pull sheet
What must be done when a patient is transported back to the room and assisted back into the bed?
Place side rails up, place bed in low position, place call button close at hand
What is the best method to move a seriously ill and/or weak patient from a stretcher (gurney) to an x-ray table?
Move by smooth mover (smoothing board) and three assistants
In reference to proper undressing, How should a patient in the x-ray department for a procedure be directed?
Escort patient to dressing room and give proper undressing instructions
Is it necessary to know a patient’s HIV status in order to care for the patient?
No! we protect ourselves at all times using standard precautions all of the time
Patients are physically immobilized when necessary. What is the most effective form of immobilization?
Communication
Locate a person’s center of gravity.
Center of the pelvis
What types of infections are increasing in development due to the increased resistance of microorganisms to antibiotics?
Hospital-acquired (nosocomial) infections
What is the most common site of hospital-acquired infection to develop?
Urinary tract
What is the most successful method of infection control?
Handwashing
What were Standard precautions formerly known as?
Universal Precautions
What practice is based on the assumption that all patients are potential sources of infectious disease?
Standard Precautions
What is the institution that inspects work sites and protects employees and students from work-related injuries and illnesses?
OSHA
In what manner are all used needles and syringes treated?
Never recap a needle!
What precaution is acceptable to protect others in the area should a patient be coughing and sneezing in a waiting area?
Ask them to refrain from this near the others in the area
What personal protection is required to enter a strict isolation unit with a portable machine?
Cassette covers,
cap,
gown,
at least 2 pairs of clean exam gloves
What is the responsibility of a radiographer receiving a needle stick injury?
To repeat the injury and to receive treatment
Before entering a strict isolation room for an imaging procedure, what are some items the radiographer should prepare?
Extra gloves
A vascular access device may be the potential cause of what type of infection?
Nosocomial
What type of bacteria are Staphylococci as it relates to the body as a potential source of disease?
Normal flora
What causes influenza?
virus
What causes hepatitis A?
virus
What causes tuberculosis, streptococcal infections, Salmonella poisoning, gonorrhea, syphilis, staphylococci, bacilli, and tetanus?
bacteria
What causes malaria and giardiasis?
bacteria
What causes coccidioidomycosis and thrush?
yeast
What precautions must a health care worker who has cold symptoms take before entering the newborn nursery?
The worker is not allowed in the area!
The removal by mechanical and chemical processes of pathogenic microorganisms, but frequently not their spores is known as what?
Disinfection
What is the method of pathogen spread when a person is coughing or sneezing?
droplet
What method of disposal is used for discarded and disposable items after completing a radiographic procedure in a strict isolation area?
Discard items in biohazard bags
What is the establishment and growth of microorganisms on or in a host?
infection
What is the means of disease transmission when an animal or insect spreads pathogens?
vector
What type of container is used for the disposal of needles, syringes, and other sharp items?
Puncture-resistant containers
What means of disease transmission is kissing?
direct contact
What type precaution is necessary for droplet transmission?
mask
What types of precautions are used for a communicable disease?
Transmission-based precautions
What type of transmission involves the spread of disease through contaminated water or food?
vehicle
What is the term for any disease producing microorganism?
pathogen
What is the practice used to retard the growth of pathogenic bacteria?
antiseptic
An infectious agent and a reservoir of available organisms, an environment in which the pathogenic microbes can live and multiply a portal of exit from the reservoir, a means of transmission, and a portal of entry into a new host are all elements needed for the ___ of infection.
transmission
Are hand lotions an acceptable skin care regiment in a health care environment?
yes
___ contact occurs when a susceptible person actually touches and infected or colonized person’s body surface in an area where infectious microbes are present, such as bodily fluids.
direct
___ contact occurs when a susceptible person touches or comes into contact with an object that has been contaminated with infectious microorganisms, such as fomites and vectors.
indirect
What is the type of isolation that protects an immune deficient patient having such conditions as tuberculosis, burns, and leukemia?
Protective (reverse) isolation
Should contaminated areas be cleaned from the most contaminated to the least or the least to the most?
Least to most
Should contaminated areas be cleaned from the bottom up or the top down?
Top down
What are Clorox and Lysol examples of?
Disinfectants
Are gloves generally indicated when caring for those with droplet precautions?
yes
Are masks generally indicated when caring for those with MRSA precautions?
yes
Are masks generally indicated when caring for those with airborne precautions?
yes
Is isolation in negative pressure rooms generally indicated for MRSA patients?
no
What personal protection items are required when entering an area with contact isolation?
Gown and gloves
An angiogram is an invasive radiographic procedure requiring the introduction of contrast media via puncture and/or cutting into the skin and the vascular system. The splattering of blood and body fluids may occur. What type of protection should be in place for eye care?
Goggles or other special protective eyewear
Biopsies and procedures where blood and body fluids are likely to splatter require what type of protective eye care?
goggles/special eyewear
A common radiographic procedure involving the ingestion of barium or other contrast media is the upper gastrointestinal exam. What type of protective eye care is necessary for this type of noninvasive exam?
none usually
During portable radiographic exams in a strict isolation area, one team member is considered the clean person and one is considered the “dirty” or contaminated person. In this type of relationship which one makes the exposure?
clean person
What should occur if a health care worker has cracks or abrasions of the skin?
These should be properly cared for and kept covered
The stages of infection are the incubation stage, the prodromal stage, the full disease stage, and the convalescent stage. Which stage is when the disease reaches its fullest extent?
Full disease stage
The stages of infection are the incubation stage, the prodromal stage, the full disease stage, and the convalescent stage. Which stage is when the disease enters the body and may lie dormant for a short period and then begin to multiply?
Incubation stage
The stages of infection are the incubation stage, the prodromal stage, the full disease stage, and the convalescent stage. Which stage is when the disease begins to disappear?
Convalescent stage
The stages of infection are the incubation stage, the prodromal stage, the full disease stage, and the convalescent stage. Which stage is when the disease has the most specific symptoms?
Prodromal stage
What is the reduction of microorganisms in the immediate environment?
Medical asepsis
What should be done with cassettes after they are used for an isolation patient?
Disinfected before returning them to storage/use
What is an infection caused by physician intervention?
Iatrogenic infection
Is tuberculosis transmitted through blood infection?
no
What are the general classifications for yeasts and molds?
Fungi
What is considered to be the most effective medical aseptic technique?
Handwashing
What is the cause of the common cold?
virus
What response do white blood cells have to an invasion of the body by pathogens?
increase
What is an item to which microorganisms cling?
fomite
Mr. X received care from a radiographer who had respirtaory infection. Days after leaving hospital, he gets ill. what kind of infection is this?
nosocomial infection
Mrs. Mary was in an accident and is on broad-spectrum antibiotics and now has severe diarrhea and shows C. difficile. This is:
Community-aquired infection
First line of defense against infection:
hair, skin, acidic condition of the stomach
Aquired immunity
results from active production or receipt of antibodies
active aquired immunity
antibodies actually produced w/in a person’s body; usually long-term immunity
passive aquired immunity
antibodies are received from another person or an animal; usually short-term immunity
natural active acquired immunity
antibodies acquired by actually having anactual disease; reinfection may be short or long-term
Artificial active acquired immunity
antibodies formed by vaccination that enable one to form antibodies against that particular pathogen
natural acquired immunity
antibodies present in a mother’s blood or colostrum are passed to infant
artificail passive acquired immunity
antibodies are transferred from an immune individual to a susceptible individualto give temporary immunity - usually by adminstering hyperimmune serum from blood fo many immune people
incubation stage
pathogen enters the body and may lie dormant for a time then begins to produce nonspecific symptoms of disease
prodromal stage
more specific symptoms of the disease show, disease becomes highly infectious
full disease stage
disease reaches its fullest extent or in some cases, produces only vague sub-clinical symptoms, still highly infectious
convalescent stage
symptoms diminish and eventually disappear; some disappear, some go into latent stage
which infectious diseases go latent?
malaria
tb
herpes
What is a fenestrated drape?
A drape with one or more openings
The three zones of the surgical suite are Zone 1: An unrestricted zone, Zone 2: A semirestricted zone, and Zone 3: A restricted zone. In which zone must ALL persons wear scrub dress, shoe covers, and masks?
Zone 3
Why is catheterization considered to be an invasive procedure?
Sterile technique must be observed
What are Alcohol (70%), chlorine compounds, and glutaraldehyde considered to be?
Disinfectants
What is the practice that helps reduce the number and spread of microorganisms?
Medical asepsis
During the performance of radiographic procedures, everyone in the adjacent area (in the room) should be wearing protective radiation apparel, such as a lead apron. In the surgical suite during the operative procedure, which persons should be wearing protective radiation apparel?
Everyone who remains during x-ray exposures
Generally, when radiographer/s are in the operating room, they are not scrubbed-in, but must follow general Zone 3 dress and what else?
Handwashing for 3 minutes plus scrub suit, shoe covers, cap, and mask (gloves are not usually needed)
What is the complete removal of microorganisms and their spores?
Surgical asepsis
In regards to surgical asepsis, what are the responsibilities of a radiographer?
Maintain a sterile field and perform skin prep, and perform surgical scrub
What is the assumption when the sterility of an object is in question?
Do not use, it is considered contaminated
Which corner of a sterile pack is opened first?
The corner farthest away
When the sterile person begins placing the sterile drapes, which drapes are placed first?
The drapes closest to the sterile person
How is the skin prepped for a sterile procedure?
Begin at the inside of the site and scrub in a circular motion to the outside
A wet area on a sterile field is considered contaminated. If this occurs what should be done?
Place several thicknesses of sterile towels over the wet area
What is the most effective sterilization technique
Moist heat