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Phlebotomy > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Compared to the job growth predicted for most other positions, job growth for phlebotomy technician is..

A) Much higher (many more jobs)
B) A little bit higher (slightly more jobs)
C) Lower (fewer jobs)
D) About the same

A

A) Much higher (many more jobs)

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2
Q

What do increases in the number of elderly people in the population mean for healthcare workers?

A) There are fewer jobs as these patients require less care than younger patients.
B) Work is easier as care for elderly patients is less complicated.
C) There are more jobs as these patients are in particular need of care.
D) There may be less time to care for younger patients.

A

C) There are more. jobs as these patients are in particular need of care.

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3
Q

What usually happens after a patient is seen in an emergency department (ED)?

A) The patient stays in the ED until her issue is resolved.
B) The patient is transferred to the care of her primary care physician
C) The patient is sent home with instructions to return to follow up
D) The patient is either treated and discharged or admitted to the hospital for treatment

A

D) The patient is either treated and discharged or admitted to the hospital for treatment

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4
Q

Where do patients receive inpatient care?

A) At a doctor’s office
B) At a public health clinic
C) At an urgent care center
D) At a hospital

A

D) At a hospital

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5
Q

What do clinical laboratories all have in common?

A) They analyze specimens mailed to them from other facilities
B) They employ a large number of phlebotomists and medical technicians
C) The collect and analyze specimens from patients
D) They can perform tests at all levels of complexity

A

C) The collect and analyze specimens from patients

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6
Q

Which of the following is a list of some common departments within a clinical laboratory?

A) Chemistry, Hematology, Microbiology, Immunology
B) Maternity, Oncology, Cardiology, Neurology
C) Inpatient, Outpatient, Acute, Ambulatory
D) Directors, Managers, Consultants, Technicians

A

A) Chemistry, Hematology, Microbiology, Immunology

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7
Q

What is the name for a legally required process that must be completed to practice a medical profession in a state?

A) Graduation
B) Application
C) Examination
D) Licensure

A

D) Licensure

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8
Q

The primary role of a phlebotomy technician is to

A) Greet patients when they arrive at a facility
B) Collect and process blood specimens
C) Discuss blood tests and possible diagnoses with patients
D) Interpret the results of blood tests

A

B) Collect and process blood specimens

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9
Q

Dermal puncture may also be called

A) Capillary puncture
B) Venipuncture
C) Straight stick
D) Butterfly stick

A

A) Capillary puncture

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10
Q

The requirement that phlebotomy technicians only collect blood for tests ordered through a facility’s requisition process is an example of a

A) Procedure
B) Guideline
C) Suggestion
D) Policy

A

D) Policy

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11
Q

Which of these areas related to continuous quality improvement is within a phlebotomy technician’s scope of practice?

A) Making suggestions to patients about how to improve their health
B) Ensuring that patients understand why each blood test was ordered
C) Following facility procedures exactly for each blood draw
D) Suggesting doctors a patient might want to see for a particular condition

A

C) Following facility procedures exactly for each blood draw

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12
Q

A high quality phlebotomy certification program will require

A) Only online instruction
B) Proof of observation of a certain number of good draws, both venipuncture and capillary punctures
C) Proof of performance of a certain number of venipuncture and capillary puncture blood draws on dummy arms/hands
D) Proof of performance of a certain number of venipuncture and capillary puncture blood draws on people

A

D) Proof of performance of a certain number of venipuncture and capillary puncture blood draws on people

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13
Q

___ is an example of professional behavior for a phlebotomy technician

A) Asking questions when the PBT does not understand something
B) Using cute nicknames for patients to put them at ease
C) Not arriving to work late more often than once a week
D) Making independent choices and not bothering supervisors with questions

A

A) Asking questions when the PBT does not understand something

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14
Q

What is the most professional way to wear jewelry on the job?

A) Wearing no more than five pieces of jewelry at any one time
B) Wearing little or no jewelry, with the exception of a watch with a second hand
C) Wearing only inexpensive jewelry
D) Wearing no jewelry of any kind

A

B) Wearing little or no jewelry with the exception of a watch with a second hand

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15
Q

How should phlebotomy technicians dress on the job?

A) In any clothes that are clean and comfortable
B) In clean, wrinkle-free uniforms or other facility-approved clothes
C) In office attire
D) In jeans and polo shirts

A

B) In clean, wrinkle-free uniforms or other facility-approved clothes

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16
Q

What is part of the planning phlebotomy technicians must do to manage their time appropriately

A) Decide which tests to order for each patient
B) Check to ensure they have supplies needed for each patient
C) Decide whether to make patients with a large number of tests ordered wait until patients with fewer tests are taken care of
D) Decide which patients should be asked to return the next day

A

B) Check to ensure they have supplies needed for each patient

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17
Q

Which of these factors is a common stressor for phlebotomy technicians?

A) Remembering where to find needles
B) Working on a tight schedule
C) Reading physicians handwriting
D) Talking to coworkers

A

B) Working on a tight schedule

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18
Q

___ can be a sign of unmanaged or poorly managed stress

A) Having poor relationships with coworkers
B) Drinking alcohol in moderation
C) Feeling tired at the end of a long day
D) Missing one session of a three-times-a-week exercise class

A

B) Drinking alcohol in moderation

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19
Q

Medicare and Medicaid are considered

A) Healthcare payers
B) Healthcare providers
C) Healthcare facilities
D) Healthcare enablers

A

A) Healthcare payers

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20
Q

Which of the following is true of freestanding emergency rooms?

A) They are usually staffed by nurses with a physician on call
B) They are not subject to regulation by state or federal governments
C)They are required to operate as satellites of established hospitals
D) They usually have more medical equipment and services available than urgent care centers

A

D) They usually have more medical equipment and services available than urgent care centers

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21
Q

This laboratory department would be responsible for testing how quickly a patient’s blood clots

A) Immunology
B) Cytology
C) Hematology
D) Pathology

A

C) Hematology

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22
Q

Which of the following is a task only a doctor, physician assistant, or nurse practitioner can perform

A) Measuring vital signs
B) Recording a patient’s medical history
C) Making a diagnosis
D) Performing an electrocardiogram

A

C) Making a diagnosis

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23
Q

Which of the following is true about employers who hire phlebotomists?

A) Only hospitals hire phlebotomists
B) Only diagnostic imaging hire phlebotomists
C) Only doctors office hire phlebotomists
D) Healthcare facilities, laboratories, and insurance companies hire phlebotomists

A

D) Healthcare facilities, laboratories and insurance companies hire

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24
Q

___ is beyond the scion of practice for a phlebotomist

A) Collecting a urine sample
B) Swabbing a patient’s cheek to collect a cell specimen
C) Drawing blood from an intravenous port
D) Answering patients questions about a blood draw

A

C) Drawing blood from an intravenous port

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25
Q

What is the term for a course of action that should be taken every time a certain situation occurs?

A) Policy
B) Best practice
C) Procedure
D) Official guidance

A

A) Policy

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26
Q

Which of the following exemplifies continuous quality improvement for a PBT?

A) Accurately guessing a patient’s diagnosis based on the tests ordered
B) Following procedures carefully to obtain a high-quality specimens
C) Saving time for supervisors by performing tests on patient specimens without being asked to do so
D) Streamlining facility procedures by eliminating time-consuming steps

A

B) Following procedures carefully to obtain a high quality specimen

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27
Q

Clinical experience for phlebotomists in training must include

A) Performing venipuncture and capillary puncture procedure
B) Observing venipuncture and dermal puncture procedures but not performing them
C) Taking written or computer-based tests
D) Observing surgeries

A

A) performing venipuncture and capillary puncture procedure

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28
Q

Which of the following is true about certification for phlebotomy technicians

A) There is one national certification agency
B) The federal government regulates phlebotomy technicians certification
C) Costs and requirements for certification are the same across all agencies
D) Different certification agencies have different requirements for clinical experience

A

D) Different certification agencies have different requirements for clinical experience

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29
Q

A phlebotomy technicians notices that a patient is biting her lip and breathing deeply. He tells the patient “Having blood drawn can be nerve-wracking. Would it help if we took a few minutes to relax?” He is demonstrating

A) Dependability
B) Lack of prejudice
C) Empathy
D) Honesty

A

C) Empathy

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30
Q

Which of these professional behaviors is also a legal requirement for phlebotomy technicians?

A) Not discussing personal subjects with patients
B) Keeping all patient’s information confidential
C) Not using personal phones in patient care areas
D) Not discussing possible controversial subjects like politics or religion with patients

A

B) Keeping all patients information confidential

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31
Q

Why should phlebotomists not wear artificial nails or nail wraps?

A) Because they make it difficult to feel for a patient’s veins
B) Because they are distracting to patients
C) Because they interfere with computer use
D) Because they can harbor bacteria

A

D) Because they can harbor bacteria

32
Q

One reason a phlebotomist should organize his supplies before beginning a blood draw is that

A) Specimens must be collected in a particular order
B) Patients find this reassuring
C) Supervisors might be watching and want to see that the phlebotomist is organized
D) This prevents other phlebotomists from taking needed supplies during the course of the draw

A

A) Specimens must be collected in a particular order

33
Q

Causes of stress

A) Are the same for all people
B) Are always negative situations
C) Are different for different people
D) Are situations that cannot be changed or managed

A

C) Are different for different people

34
Q

What is one of the reasons governments establish laws?

A) To ensure order and safety
B) To prevent citizens from making independent choices
C) To create jobs for police officers
D) To raise money through fines when people break laws

A

A) To ensure order and safety

35
Q

A phlebotomy technician drew blood from a patient daily during an extended hospital stay. The patient offered the PBT a gift on the day she is discharged. Which of the following is true?

A) It is illegal for the PBT to accept the gift
B) It is unethical for the PBT to accept the gift
C) There is no legal or ethical reason for the PBT to decline the gift
D) The only reason to decline the gift if it is very valuable

A

B) It is unethical for the PBT to accept the gift

36
Q

Which of the following is a breach of patient confidentiality?

A) Calling the physician who ordered a patient’s blood tests to clarify which tests were ordered
B) Checking with a charge nurse to confirm the room number of a hospital patient with a blood draw ordered
C) Calling a PBT colleague who has drawn blood from a particular patient before to the drawing station to assist in finding a good draw sit
D) Talking to a PBT colleague at lunch about a patient who was especially challenging

A

D) Talking to a PBT colleague at lunch about a patient who was especially challenging

37
Q

What should a PBT do if he finds a requisition sheet sitting on a counter in a break room?

A) Shred the form
B) Throw the form in the break room trash can
C) Give the form to a nurse/supervisor
D) Find the patient’s file and place the requisition inside

A

C) Give the form to a nurse/supervisor

38
Q

CLIA-waived tests can be performed by the following healthcare personnel

A) Any healthcare personnel who have been trained to perform them
B) Medical technicians only
C) Nurses and medical technicians only
D) Physicians, nurse practitioners, and physician assistants only

A

A) Any healthcare personnel who have been trained to perform them

39
Q

Which of the following is one the American Society for Clinical Laboratory Science’s goals for quality laboratory testing?

A) Perform tests with minimal patient wait
B) Perform tests with no patient pain
C) Produce health for the patient
D) Produce accurate test results

A

D) Produce accurate test results

40
Q

Which of the following could be considered libel?

A) A PBT writes in a patient’s chart “Patient is tough to stick and has it in for phlebotomists. Beware!”
B) A PBT writes in a patients chart, “Not able to complete venipuncture; alerted supervisor”
C) A PBT makes a formal written report of verbally abusive behavior on a patient’s part
D) A PBT says to a coworker, “That patient was a nightmare!”

A

A) A PBT writes in a patient’s chart “Patient is tough to stick and has it in for phlebotomists. Beware!”

41
Q

A patient says “I’ve changed my mind. I don’t want to have these blood tests done after all.” Which one of these responses could be considered assault?

A) “I can answer any questions you have about the procedure if that might help”
B) “Doctors order tests because they can help give you better care. Would you like to talk to your doctor again before you decide for sure?”
C) “We are going to do these tests. The doctor ordered them and you have to have them.”
D) “If you’re worried about the pain, we can talk about ways to distract yourself. It can hurt a bit for some people, but it goes quickly.”

A

C) “We are going to do these tests. The doctor ordered them and you have to have them.”

42
Q

Which of the following is true?

A) A signed general consent form means a PBT can draw blood from a patient no matter what
B) A signed general consent form includes consent for blood draws, but the patient may still decline the procedure
C) A signed general consent form foes not extend to blood draws
D) A signed general consent form means a patient can never decline any procedure ordered by a physician

A

A) A signed general consent form includes consent for blood draws but the patient may still decline the procedure

43
Q

Which area of the Patient Care Partnership relates directly to infection prevention and control?

A) Involvement in your care
B) Protection of your privacy
C) High quality hospital care
D) A clean and safe environment

A

D) A clean and safe environment

44
Q

A(n) ___ is an example of an advance directive

A) Laboratory requisition
B) DNR
C) General consent gorm
D) Incident report

A

B) DNR

45
Q

Which of the following shows respect for patient rights
A) Always drawing blood from the arm the PBT is most comfortable using
B) Asking patients which arm they would prefer for the blood draw
C) Not describing procedures so as not to alarm anxious patients
D) Doing and saying everything possible to convince a reluctant patient to have blood drawn

A

B) Asking patients which arm they would prefer for the blood draw

46
Q

How are laws and ethics related?

A) Ethics are usually based on laws
B) Laws are usually based on ethics
C) Laws existed before ethics, and ethics were developed to enhance laws
D0 There is no relationship between law and ethics

A

B) Laws are usually based on ethics

47
Q

Which of the following details would be considered protected health information?

A) A patient’s hair color
B) A patient’s nationality
C) A patient’s political party
D) A patient’s email address

A

D) A patient’s email address

48
Q

HIPAA applies to

A) All healthcare workers
B) Only licensed healthcare workers
C) Only healthcare workers in public facilities
D) Only healthcare workers in facilities that receive Medicare or Medicaid funds

A

A) All healthcare workers

49
Q

Which of the following best describes a CLIA-waived test?

A) A test of moderate complexity that can be performed by a medical technician in a laboratory
B) A test of high complexity that requires specific machinery
C) A test of low complexity that can be performed with little risk of error
D) A test of high complexity that must be performed by a doctor or PhD scientist

A

C) A test of low complexity that can be performed with little risk of error

50
Q

Which of the following is true of implied consent

A) A patient gives implied consent by directly affirming that he understands and consents to treatment
B) Implied consent can never apply when a patient is conscious
C) Implied consent is communicated by signing a consent document
D) Implied consent can be more difficult to document or prove than informed express consent

A

D) Implied consent can be more difficult to document or prove than informed express consent

51
Q

This is a circumstance in which blood might be legally drawn from a patient without the patient’s informed express consent

A) When an officer of the law suspects a driver to be under the influence of alcohol
B) When a patient is refusing a blood test that relates to a life or death diagnoses
C) When a patient who is cognitively impaired but judged legally competent to make her own decisions refuses a test the PBT thinks she needs
D) When a healthcare worker may have been exposed to an illness but refuses a test to determine infection status

A

A) When an office of the law suspects a driver to be under the influence of alcohol

52
Q

The Patient Care Partnership

A) Is a set of federal guidelines designed to ensure high-quality patient care
B) Is a proposal made by medical schools to guarantee the rights of patients in teaching hospitals
C) Is a set of principles hospitals must follow in order to be reimbursed by insurance companies
D) Is the most recent version of the American Hospital Associations Patient’s Bill of Rights

A

D) Is the most recent version of the American Hospital Association Patient’s Bill of Rights

53
Q

Written words are considered

A) A form of oral communication
B) A form of nonverbal communication
C) A form of verbal communication
D) A form of body language

A

B) A form of nonverbal communication

54
Q

A patient who is pressing her lips together and not making eye contact is communicating by means of

A) Oral communication
B) Signal-based communication
C) Body language
D) Cultural communication

A

C) Body language

55
Q

A patient expresses fear about a possible diagnosis during a blood draw. Which of the following is a cliched response?

A) “Have you talked to your doctor about these concerns?”
B) “I always try to remember that everything happens for a reason”
C) “This must be a stressful time for you. I’m sorry.”
D) “Your doctor will be able to talk to you through the results. I know it can be scary.”

A

B) “I always try to remember that everything happens for a reason.”

56
Q

PBTs Diosa and Nikki are both fluent English speakers but they share a cultural background and (non-english) native language. When they are working together what principle should guide their interaction?

A) They should only speak English to each other on the job
B) They should speak their native language only when they do not want patients to understand what they are saying
C) They should speak their native language on the job only if their supervisor also understands the language
D) They should speak their native language on the job only if patients say it does not bother them

A

A) They should only speak English to each other on the job

57
Q

A patient who has blood drawn frequently expresses concern when a PBT prepares to use a straight needle for a blood draw at the inner elbow. She informs the PBT that her veins are small and hard to stick and that usually PBTs end up using a butterfly needle and drawing from her hand. Which of the following responses shows that the PBT is respecting the patient’s concerns?

A) “Well, I have a great track record with tricky veins, I’m sure I can get you right here.”
B) “A lot of PBTs just don’t even try; This is the right way to start.”
C) “Would you mind if I check your arms first? I’m sure you know it can hurt more to have blood drawn from your hand. If I don’t see something good in your arms can try the hand.”
D) “I’m only supposed to use a few butterflies a week. They’re expensive. I’ll try this first, OK?”

A

C) “Would you mind if I check your arms first?…

58
Q

A PBT says to a patient “You’re here for a CBC and som coat studies right?” This use of medical terminology is

A) The most accurate way to communicate with patients
B) Not appropriate since patients may not understand
C) Only appropriate with patients who seem very intelligent
D) Only appropriate with patients the PBT know personally

A

B) Not appropriate since patients may not understand

59
Q

A requisition specifies that a blood draw must be performed at 1430. What time should the draw take place?

A) At 4:30 pm
B) At 6:30 pm
C) At 2:30 am
D) At 2:30 pm

A

D) At 2:30pm

60
Q

Which of these would be considered an incident and require the completion of an incident report?

A) A blood draw is performed 10 minutes later than the time on the requisition
B) A patient taking anticoagulants continues to bleed lights for five minutes after a blood draw
C) A set of specimens is labeled with the wrong patient’s identifying information
D) A patient accidentally drops a valuable piece of jewelry at a drawing station and has to be called back to retrieve it

A

C) A set of specimens is labeled with the wrong patient’s identifying information

61
Q

A PBT likes to play mellow calming music at his drawing station. It should be turned off when the PBT is communicating with patients who

A) Have a visual impairment
B) Have an intellectual disability
C) Are non-native speakers of English
D) Have a hearing impairment

A

D) Have a hearing impairment

62
Q

A blood culture is ordered for a hospital patient who does not speak English. When the PBT gets to the patients room she finds that the patient’s 18 year old grandson, who speaks fluent English is visiting. Which of the following best describes how the PBT should ensure that the patient understands and consents to the procedure?

A) The PBT should ask the grandson to translate
B) The PBT should ask the grandson to get permission from the patient for the grandson to translate
C) The PBT should tell the patient, through his grandson that she will return soon with an interpreter
D) The PBT should ask the grandson to translate but watch closely to make sure nobody seems confused by the medical terminology

A

C) The PBT should tell the patient through his grandson that she will return soon with an interpreter

63
Q

Which of these describes the correct order of the 3 step form of communication?

A) Sender send message, receiver receives message, receiver responds
B) Sender sends message, receiver sends a message, sender responds
C) Sender receives a message, sender responds, receiver responds
D) Receiver receives message, receiver responds, sender receives response

A

A) Sender sends message, receiver receives message, receiver responds

64
Q

This is an example of nonverbal communication

A) A doctor writes an order for a blood test on a piece of paper
B) A patient paces back and forth and does not sit down at the drawing station
C) A patient speaks to the PBT through the hospital tablet based translation pr0gram
D) A patient gives one word answers

A

B) A patient paces back and forth and does not sit down at the drawing station

65
Q

A PBT tells a patient “Depending on what your results are from these tests, I’d get a second opinion” Which of the following is true?

A) This fulfills the PBT professional responsibility to be honest with all patients
B) This is standard language that should be used with all patients to ensure they get the best care
C) The PBT is not giving the patient enough information to act on and should be more specific
D) The PBT should not offer this or any other advice to a patient

A

D) The PBT should not offer this or any other advice to a patient

66
Q

Which of these phrases best indicates that a PBT is engaging in active listening?

A) “Is that all?”
B) “Let’s go ahead and do the draw, then”
C) “Tell me more about that”
D) “Oh I’ve head it all before”

A

C) “Tell me more about that”

67
Q

“The doctor ordered a CBC stat.” This sentence would be most appropriate when spoken by the

A) Clinic coordinator to a PBT
B) PBT to a minor patient’s parent
C) PBT to an adult patient
D) Clinic coordinator to adult patient

A

A) Clinic coordinator to a PBT

68
Q

The military time notation 2135 can also be expressed as

A) 9:35 pm
B) 9:35 am
C) 11:35 pm
D) 11:35 am

A

A) 9:35 pm

69
Q

What must happen after a doctor orders a blood test orally in an emergency situation?

A) The PBT must wait until the order is placed electronically or in writing before performing the blood draw
B) A nurse or other licensed medical professional must confirm the order before the PBT draws blood
C) The PBT draws the blood right away but a written or electronic order must be created at some point
D) The PBT draws the blood right away; doctors’ orders do not need to be documented in emergency situations

A

C) The PBT draws the blood right away but a written or electronic order must be created at some point

70
Q

Which of the following is the most appropriate statement to put in an incident report?

A) “Mrs Johnson is scared of needles and the sight of needle made her pass out and bump her head”
B) “Mrs Johnson lost consciousness as the PBT was preparing the needle to perform a blood draw. Her head struck the supply cart. She did not bleed and there was no bruising”
C) “Mrs Johnson passed out and knocked her head. It’s my fault because she told me the sight of the needles makes her lightheaded and I didn’t really listen”
D) “Mrs Johnson passed out when she saw the needle before a blood draw. Her head struck the supply cart but I don’t think she has a concussion. There was no blood or bruising.”

A

B) “Mrs Johnson lost consciousness as the PBT was preparing the needle to perform a blood draw. Her head struck the supply cart. She did not bleed and there was no bruising”

71
Q

How should a PBT approach a patient known to have a hearing impairment

A) From the front, making sure the patient sees her
B) From the back, with a tap on the shoulder
C) Exactly as she would approach any patient
D) From the side, checking as she approaches that the patient’s hearing aid is in

A

A) From the front, making sure the patient sees her

72
Q

Which of the following is true of patients with cognitive impairment?

A) They will always have legal representative accompanying them
B) Because they cannot understand the procedure there is no need to explain or seek consent
C) Limiting smiling and nonverbal communication will reduce misunderstanding
D) Nonverbal cues from patients with cognitive impairment can be especially important

A

D) Nonverbal cues from patients with cognitive impairment can be especially important

73
Q

A PBT is preparing to perform a blood draw on a patient who looks confused and unsettled. He asks the patient if she has any questions She leans forward as if to listen closely then shrugs and says “I don’t understand”

A) “I can see you’re a bit nervous just let me know if you have questions or need me to complain something”
B) “It’s OK, I’ll talk slowly”
C) “Wait a moment while I call our interpreter”
D) “I won’t talk then. I’ll just show you what to do”

A

C) “Wait a moment while I call our interpreter”

74
Q

Which of the following is true about sexual comments from a patient?

A) They should be reported even if the PBT considers them harmless
B) They should be reported only if the PBT finds them threatening
C) They should be reported only if they continue after the PBT asks the patient to stop
D) They should be reported only if there is any chance the patient

A
75
Q
A

Phlebotomy (1 decks)

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