Final Exam Flashcards
What is the role as an RT?
To assist physicians in the process of diagnostic reasoning.
What are the main elements?
Individual care
Patient involvement
Provider collaboration
What’s is 2 way partnership?
•Individuals values, needs, and preferences.
•Patients become active participants in their own care
What are factors that affect communication?
Internal factors
Sensory factors
Environmental factors
Verbal expression
Non-verbal expression
What are the stages of clinical interaction?
Chart review stage(pre-interaction)
Introductory
Initial assessment
Treatment and monitoring
Follow up
What do you do during the pre interaction stage?
Review patient chart
Chart and record everything
What do you do during introductory stage?
Introduce yourself
Clarify purpose and role
What is HIPAA?
Health Insurance Portability Accountability Act
What are the 3 types of space?
Social space (4 to 12 feet) is for introductions, the personal space (18 inches to 4 feet) is for interviewing, and the intimate space (0 to 18 inches) is for physical examination.
What does SMART stand for?
Specific
Measurable
Action oriented
Realistic
Time limited
Which of the following are key elements in the provision of patient-centered care?
1. Patient involvement
2. Individualized care
3. Legal representation
4. Provider collaboration
1, 2, and 4
After a postoperative patient you are interviewing grimaces while holding her abdomen, you note some confusion about her responses. Which of the following factors likely is affecting communication?
Pain and anxiety
Active listening is most essential during what stage of the clinical encounter?
Initial assessment stage
After several attempts to instruct a patient with COPD on the proper use of a metered-dose inhaler, the patient complains of the inability to master
the correct technique. Applying patient-centered principles, you should:
Request permission from the patient’s doctor to find a more acceptable delivery system
In which of the following spaces is patient rapport best established?
Social
Which of the following violates HIPAA-related privacy and security rules?
Leaving a computer unattended without logging off
Which of the following cultural beliefs should be explored with your patients during the initial assessment stage of the clinical encounter?
1. Concepts of health and disease
2. Responses to authority
3. Gender and family roles
4. Religious values
1, 2, 3, and 4
For most respiratory care to succeed, patients need to:
Actively participate in the treatment regimen
During an initial patient encounter, you note that
her acute anxiety appears to be affecting your ability to help her learn more about her disease process. To overcome this problem, you would consider all of the following, except:
Recommending that the doctor prescribe an analgesic
A good patient action plan should include which of the following elements?
1. Actions needed to achieve the goal
2. Barriers to goal achievement
3. A specific, measurable goal
4. A follow-up mechanism
1, 2, 3, and 4
While supervising a respiratory therapy student, you observe that an anxious patient asks her if the aerosol bronchodilator she is about to deliver has any bad effects. The student replies “none to worry about.” After the treatment session is over, you should explain to the student that:
Patients should be encouraged to ask questions about their medications
For a clinical encounter with a patient on airborne precautions, you should:
Wear a properly fitting N95 respirator
A patient responds poorly to a treatment you have given. After assuring that the patient is stable, you should:
Speak with the patient’s nurse, chart the response and whom you notified
SBAR stands for:
Situation, background, assessment, recommendation
