Final Exam Flashcards

1
Q

Steve Jobs was said to be one of the most charismatic leaders in history. Those who worked with him were inspired by his enthusiasm and optimism. When speaking to his company, he loved to use words like “extraordinary,” “amazing,” and “incredible.” People couldn’t help but mirror his excitement. The leadership of Steve Jobs could best be described as what kind of leadership theory?

A

relationship theory

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2
Q

Two nurses on Lakeesha’s team have stopped talking. When they are scheduled to work together, they attempt to get someone else to cover their shift. Lakeesha can see that this is making things difficult for everyone, so she confronts the two nurses about their problem. Lakeesha insists that they talk it out so that the issue between them can be put aside. This is an example of what approach to conflict?

A

direct approach

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3
Q

Gia, the charge nurse on a busy recovery floor, notices that someone keeps forgetting to reprogram the pump when setting up a new IV medication. The patient then receives the medication at whatever rate the machine was programed to prior. So far, nothing dangerous has happened but Gia must make sure this error does not continue to happen. She looks over the records and manages to narrow it down to one nurse: Hae. Hae should know how important this is, but Gia imagines it is just carelessness. What would be the BEST way for Gia to handle this issue?

A

Speak to Hae one on one to make sure she understands how to reprogram the machine.

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4
Q

Why can it be said that a boss isn’t always a leader?

A

A boss has authority, but a leader is someone people want to follow.

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5
Q

Henry is the senior pharmacist on staff at a local retail pharmacy. He has two pharmacists who work for him on a varying schedule. There are also two technicians but both pharmacists prefer one over the other. When he is making up the tech schedule, both pharmacists demand to have their favorite tech working on their days. Since Henry deals with conflict by compromising, what will he LIKELY do?

A

Split the tech’s time equally between the two pharmacists.

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6
Q

Meera, the director of a radiology center, is thinking of changing the regular operating hours. She believes that patients would be much happier if they were able to come in beginning at 7am in the morning for their tests. Meera calls a staff meeting to discuss the opinions of everyone. She asks them how they would feel about opening that early. Several express that they would be against it. Meera asks those who are not in favor to offer their own suggestions. In the end, the hours are changed to 7am. In thinking about the way Meera handled this situation, what kind of conflict style would you say she has?

A

collaborative

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7
Q

Even though the trauma team is a group of different healthcare professionals with different training, why are they so effective when it comes to the quick treatment of patients?

A

They are working toward a common goal.

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8
Q

Middle Springs Lab is a busy place, with technicians running tests, analyzing samples, and returning results to the physicians who ordered them. There seems to be an issue whenever a new order of lab specimen forms is delivered. Everyone seems to put the forms in a different place, resulting in precious time wasted trying to find the new location of the forms. How might the head of the lab BEST handle this issue?

A

Have a meeting with the entire team to decide where the forms should always be kept.

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9
Q

Rihanna is fed up with having to clean out everyone’s old lunches from the staff fridge. She shows the boss, Kyle, how people seem to forget leftovers and salad dressings to the point where they start growing mold! Kyle has a staff meeting to let everyone know that the policy has always been for everyone to take their items out of the fridge at the end of the day. He says that from this point on, anything left will now be thrown out before he leaves. This is an example of what approach to conflict?

A

rule enforcement

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10
Q

A great leader shows weakness by asking their team members for advice.

T/F

A

Falsse

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11
Q

Musha is leader on a trauma team working to stabilize a car accident victim. One resident discovers that the victim has two possible broken fingers and wants to get the patient a CT right away. Another resident believes that the patient could possibly have a bruise to their liver or spleen and wants to have an abdominal x-ray. They begin to argue over the patient. Musha agrees that both situations are possible but reminds the residents that the patient must have stable vital signs before anything else can be done. She suggests that everyone concentrate on stabilizing the patient’s blood pressure first. What approach to conflict has Musha taken in this situation?

A

de-emphasis

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12
Q

Conflict can sometimes be beneficial for a team.

T/F

A

True

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13
Q

Enzo oversees several technicians in his lab. Because of the year-end figures, the hospital lets Enzo know that the lab is going to receive a bonus to use to make improvements to whatever they would like. Some of the techs want to upgrade the coffee machine, while others think that is unfair because not everyone drinks coffee. A few of those techs want to use the money for a new couch in the breakroom. The techs begin to argue about these two choices. Enzo does some research and finds a coffee machine that is a bit less expensive than the techs wanted but points out that there would be enough money leftover to purchase a used couch for the break room. In thinking about the way Enzo handled this situation, what kind of conflict style would you say he has?

A

compromising

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14
Q

The agreement of all team members on decisions is called what?

A

Consensus

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15
Q

A little boy is excited to get a balloon from the vendor at the park. As soon as he walks off though, he manages to lose hold of it, and it begins to float up into the sky. The boy bursts into tears. Greta happens to be passing by and sees the situation. Which reaction would show that Greta has sympathy for the boy?

A

Greta tells the boy that she is so sorry he lost his balloon.

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16
Q

Nova is a nurse in the intensive care unit. She has a new patient who is intubated and on a respirator. The patient cannot speak but is conscious. How might Nova change her approach when communicating with this patient?

A

Nova should be looking at the patient for movement or expressions.

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17
Q

Aroon is seeing a patient for a follow-up after performing a hip replacement on them. He comes into the room and asks the patient how they are feeling. He asks what kind of physical therapy they are doing. Aroon leans against the counter with his arms crossed as he talks to the patient. The patient nervously explains that they did begin physical therapy but that their insurance would not cover extended visits. He asks if they continued to perform exercises after the therapy stopped. Aroon’s patient begins to cry, in his opinion, out of nowhere. He realizes the patient thinks he is angry. What could have given the patient the impression that Aroon was unhappy with them?

A

Aroon has crossed his arms over his chest.

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18
Q

Carlos has an order to perform an ultrasound on a 23-year-old patient suspected of having an ectopic pregnancy. She is in the waiting room as Carlos prepares the table and machine. When Carlos steps into the waiting room to call for the patient, he sees that she is with a young man. There are several other people scattered around the room. How can Carlos show respect for this patient’s privacy?

A

Call out the patient’s name and invite her to come back into the office.

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19
Q

Patients generally do not want specific details because they trust the physician to make decisions for them.

T/F

A

Falsse

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20
Q

Naomi works in a clinic in an area where many people are addicted to painkillers. She sees a new patient who explains that he fell off a ladder while painting his house. He is now unable to walk upright or else he experiences severe pain. Naomi does not think this is the case and refuses to take any x-rays of the patient’s spine. She advises him to take over-the-counter Tylenol until he feels better. Naomi’s patient leaves unhappy and seeks help in an emergency room. What might have prevented this lack of communication?

A

Naomi should have set aside her opinions about the patient’s motive for seeking treatment.

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21
Q

Patients need to feel that medical professionals are working with them and that they are not alone. One way to convey this feeling is by using the word ‘we’ when addressing the patient. This is not always the case, though. In which situation would using ‘we’ NOT be appropriate?

A

“How are we feeling today?”

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22
Q

Being in a healthcare setting can be intimidating for many patients. They want to get help, but they may be shy about expressing themselves. A medical professional’s body language can also help put a patient at ease. Which medical professional would MOST likely make a patient feel comfortable expressing themselves?

A

a therapist who is seated with their head inclined toward the patient

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23
Q

Health officials across the country have seen an alarming uptick in the cases of flu they have treated over the past month. Medical professionals know that the best way to keep the flu from spreading is to stay home from work or school if you feel sick. What would be the MOST effective way to communicate this idea?

A

use of media such as internet or television

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24
Q

It is cold and flu season. Todd is examining a six-month-old baby with a runny nose and fever. He has seen many cases in the last day or so. Todd looks at the baby’s throat, ears, and nose. Todd notices the baby pulling at its right ear. What might this body language indicate?

A

The child is experiencing pain in that ear.

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25
Q

What is one way that someone can prepare for active listening?

A

Acknowledge any emotions that might affect listening.

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26
Q

Prisha has a patient who is discussing her long fight with fatigue. She explains to Prisha how she at first became exhausted when she was working full-time. She cut down her schedule to work only a few days a week but still felt exhausted at the end of the day. The patient explains changes she made to her routine, diet, and exercise to try to feel better. She begins to list all the ways her life has changed because of this symptom. Prisha is on a tight schedule but wants to encourage self-disclosure in all her patients. How might Prisha show that she is listening to her patient?

A

Prisha should nod while the patient is explaining.

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27
Q

Mateo reads about treatments once used for those with mental impairments. They were sent to doctors to have lobotomies or severing of the nerves in the frontal lobe of their brain. This was an attempt to make them more docile and easier to control. Mateo is shocked because these patients were not able to give informed consent. He believes it was wrong for the doctors to perform such serious brain surgery on patients who were not able to understand what was happening. Which value of ethical behavior does this reasoning support?

A

justice

28
Q

Patient information can be viewed by fewer people in healthcare settings if it is kept in electronic form rather than in paper records.

T/F

A

False

29
Q

In the United States, what is another term commonly used to describe euthanasia?

A

mercy killing

30
Q

Priya is a receptionist in an oncologist’s office. She receives instructions to phone a patient to let them know that their biopsy came back negative for cancer. When Priya calls the patient’s number, she gets an answering service. What message is Priya MOST likely going to leave for the patient?

A

She will give her name, the doctor’s name, and ask the woman to call her back.

31
Q

Jordan is an obstetrician who just received the results of her patient’s amniocentesis. The results show that the fetus is going to be born with Down Syndrome. She does not want to pass on this news because she knows it will be difficult for her patient to hear. Still, Jordan feels obligated to break the news as soon as possible because her patient has a right to information on her own health. What category of ethics would this reasoning be an example of?

A

deontological ethics

32
Q

Medical malpractice is professional negligence, where the standard of care falls below accepted levels due to the actions or omission of actions by a medical professional.

T/F

A

True

33
Q

Emma is a new nephrologist who has just seen a patient with advanced kidney failure. Her patient admits that he is still drinking alcohol, even though he knows that this is making his condition worse. Emma is frustrated and seeks out the advice of a more experienced nephrologist in her department. In order to protect her patient’s confidentiality, what would Emma MOST likely do?

A

Make an appointment to meet in Emma’s office to discuss the case one-on-one with the more experienced physician.

34
Q

Ava is a triage nurse who must check in patients for surgery at the hospital. As she is taking down the information of a new patient, they mention that their religion prevents them from receiving blood transfusions. As a nurse, Ava disagrees with this position and knows that it causes the nurses a lot of hassle to treat a patient without the option of blood. What is the BEST way to show respect for this patient’s right to fair treatment?

A

Ava should assure the patient that she has noted their information on the chart and that their rights will be respected.

35
Q

Which legal document appoints a person to make medical decisions for another if this person is unable to make their own healthcare decisions?

A

power of attorney

36
Q

Which would be an example of medical malpractice?

A

The obstetrician answers an emergency call even though he has been drinking alcohol and may have impaired judgement.

37
Q

When informing a patient about a treatment that he recommends; Khalil explains all the benefits of the procedure. He tells his patient that once the procedure is finished, she will no longer have issues with blood clots or pain. What other information is very important for Khalil to discuss with his patient so that she is truly giving informed consent?

A

Khalil needs to inform his patient of any possible risks associated with surgery.

38
Q

Which would be an example of negligence?

A

While they turn their back to write some notes, a radiologist’s patient slips off the exam table.

39
Q

Harper’s brother was in a car accident over five years ago. Since then, he has been in a coma, with the hospital giving him nutrition through an IV. The doctors sit down with Harper’s family to discuss her brother’s condition. They go over the facts that he has not responded in five years and EEGs show little electrical activity in his brain. They acknowledge that he is breathing on his own and that he may continue to do so for many years to come. Still, his prognosis does not look good. The doctors suggest that they stop providing nutrition for Harper’s brother and just let him die naturally. Why might it be a difficult decision for Harper’s family?

A

If the doctors take out the IV, the patient’s body will break down from lack of nutrition.

40
Q

Emily is the first responder to a terrible car accident. A man has been thrown through the windshield of his truck and is now lying on the pavement, bleeding. Wearing her PPE, Emily approaches the man and begins to speak to him. The man is quickly losing consciousness but makes sure to grab Emily’s arm and tell her, “I have Hepatitis B!” before he passes out. Why was this information so important to pass on to Emily?

A

Hepatitis B is a bloodborne pathogen that could be transmitted.

41
Q

In the emergency room, paramedics have just wheeled in an unconscious patient on a stretcher. The trauma team assembles in a treatment room, with a bed ready for the patient. Since the paramedics need to take the stretcher back with them in the ambulance, what would be the BEST way for the trauma team to move this patient into a bed of theirs?

A

They can use a draw sheet to lift the patient together and deposit them on the bed.

42
Q

Piper works for OSHA. She enters a lab and asks the manager to show her the Material Safety Data Sheets. What information would Piper NOT expect to find on the MSDS?

A

names of workers who deal with chemicals onsite

43
Q

Ava is a researcher who has the job of tracking the amount of chemical burns sustained by employees in the medical plastics manufacturing industry. Ava keeps a record of those who have been hurt or hospitalized due to chemical burns and then writes recommendations on how to keep these events from happening. Which organization does Ava MOST likely work for?

A

NIOSH

44
Q

Priya must take a patient down to radiology to have an x-ray taken of their recently rebuilt hip. The patient is not yet ambulatory and still reports numbness along their legs. What would be the safest way for Priya to get her patient from the bed into a wheelchair for transport?

A

Bring in a sling lift to help move the patient from the bed to the wheelchair.

45
Q

Charlotte works in a medical lab. As part of her everyday work, Charlotte may come into contact with harmful substances. Yet, her lab does not have a safety eye wash station or chemical burn kit. Which organization would be MOST responsible for making sure that Charlotte’s lab is providing this essential safety equipment for its employees?

A

OSHA

46
Q

In a busy emergency room waiting room, a patient suddenly begins to vomit blood. The nurses quickly take him in, working to address what might be the issue. As the emergency team gets the patient stabilized, blood tests reveal that he has hepatitis B, which is a bloodborne pathogen. All of the nurses and staff members who were exposed to the patient are made aware of the potential issue. What other important step would need to be taken to keep someone from possibly being exposed to the patient’s blood?

A

The surfaces in the waiting room need to be decontaminated.

47
Q

When entering a healthcare facility, most people comment on the unusual smell. What is the ‘hospital smell’ MOST likely caused by?

A

It is the chemicals used to disinfect the hospital.

48
Q

Mia is a phlebotomist in the lab. It is her job to take blood samples from patients so that the lab can perform different diagnostic tests. When Mia finishes using a needle to perform venipuncture, she pushes it into a special container on the wall. The container has a hazardous symbol on it. What is the MOST likely reason that Mia’s lab uses this special sharps container?

A

to keep anyone from touching a used needle

49
Q

Ryan is writing a research paper on the rise of Lyme disease cases in the Northeastern United States within the last 10 years. Which organization would Ryan MOST likely use as a source for some of his research?

A

CDC

50
Q

Fatima is an x-ray tech who is very excited because her lab has just received a shipment of new lead shields for use on patients. The box was delivered to the director’s office but he asks Fatima to make sure the shields get to the appropriate rooms. Fatima bends over to lift the box, surprised at how heavy it is. What would be the BEST way for Fatima to move this box out of her boss’s office without hurting herself?

A

Squat down and use her arm and leg muscles to lift the box.

51
Q

X-ray tech Melissa is sent to the mailroom because there is a package waiting for her department. When she arrives, she notes that the box is large. Melissa knows that the radiologist ordered some replacements for their lead aprons and thinks that the box might contain them. In order to carry the box back to her department safely, how should Melissa position the box?

A

as close to her body as possible

52
Q

Aiden is a statistician who is gathering information on the prevalence of measles in the last five years. He needs to find out how many cases have been reported as well as how many people ultimately died from contracting this contagious disease. Which organization would Aiden MOST likely reach out to in order to find the information he needs?

A

WHO

53
Q

Although most of the tests performed in the lab where Khalil works are done on machines, there are still a few Bunsen burners available for techs to use. The Bunsen burners require gas to ignite and can be used to sterilize equipment. In case of a fire, what important equipment should Khalil’s lab also keep on hand?

A

fire extinguisher

54
Q

Irena’s coworker was sick last week, and now Irena is showing the same symptoms. Several of her workmates have called in sick. Irena’s boss tells her to go home. She feels so badly that on her way home, Irena stops by an urgent care center. After taking her vitals and hearing the news about Irena’s workmates, the doctor says that she has probably contracted a community-acquired infection. Which illness is Irena MOST likely fighting now?

A

influenza

55
Q

Mia sent the results from an EKG testing strip to the cardiologist who ordered it by email. The cardiologist calls Mia to complain that he did not receive the email. Mia checks her records and sees that the email was sent. She verifies that she spelled the cardiologist’s email correctly. Still, he insists that he did not receive the results. What MOST likely has happened to Mia’s email?

A

The email must have been sent to his spam folder.

56
Q

Which situation demonstrates one downside to electronic medical records?

A

A pharmacist attemps to fill a new prescription for a patient during a power outage.

57
Q

Anton has a difficult time managing his blood pressure. His doctor sends him home with a special blood pressure cuff. She explains to Anton that he should use the cuff every day, and it will use Bluetooth technology to send the reading to her. She will keep an eye on the daily readings and call Anton if she feels he needs an adjustment in his medication. What is this type of medicine called?

A

remote monitoring

58
Q

Dara is out of refills on her asthma medication. The pharmacy offers to contact Dara’s doctor to get permission to refill the medicine. Dara’s doctor does not use e-prescribing. How might Dara’s experience be different than that of the pharmacy’s other customers?

A

Dara would need to get a paper prescription from her doctor to give to the pharmacy.

59
Q

Ming is studying to become a cardiologist. In looking over her next semester, Ming sees a whole unit dedicated to cultural diversity and beliefs. Why would this be important information for Ming to consider?

A

She can understand her patients’ backgrounds and be considerate in their care.

60
Q

Electronic records do not allow for the gathering of statistical data the way that physical, written records do.

T/F

A

False

61
Q

Priya is an ultrasound technician. She loves her job because she works in obstetrics. Priya is performing an ultrasound on a patient who is 20 weeks pregnant. The patient is from a culture where it is seen as bad luck to find out the sex of the baby before they are born. As she is performing the ultrasound, Priya notes that the patient is having a baby boy. How could Priya show respect for this patient’s cultural background?

A

Priya would keep the information about the sex of the baby to herself.

62
Q

Oliver works for a healthcare system that has still not changed their records from paper to electronic. The records are kept on the bottom floor in a crowded storage room. When physicians need to access a patient’s records, they must send someone down to search for them. What advantage of electronic records might Oliver’s boss be MOST interested in?

A

They are much faster to access.

63
Q

Gabe is a pediatrician in a busy city clinic. He sees children of refugees regularly. One patient comes in with a cut on his leg. The cut has become infected. Gabe explains to the boy’s mother that the cut must be cleaned regularly and bandaged to prevent damage to the skin tissue. When the child comes in for a follow-up, his leg is swollen, red, and inflamed. Gabe can see that his directions have not been followed, and now the infection has spread. What is MOST likely the reason for this patient’s noncompliance?

A

The patient’s mother did not understand the instructions that Gabe gave.

64
Q

Greta is in for her yearly gynecologist’s appointment. She has seen the same physician for 15 years, so she is surprised when the receptionist asks her to fill out a stack of new patient forms. When Greta asks why she must write down her entire medical history again, the receptionist explains that there was a power surge, and the office’s computer systems were fried. This meant that they lost their entire patient records. Greta shakes her head because back when she was a nurse, everything was kept in written form. What would Greta say was the advantage of this?

A

Written forms face fewer risks of catastrophic loss than electronic records.

65
Q

E-prescribing tends to reduce the number of errors related to illegible handwriting on written prescriptions.

T/F

A

True

66
Q

When a physician takes time to ask their patient about their culture and religious beliefs as it affects their choice of treatment, how can they show cultural brokerage?

A

Create a plan that allows for their preferences and beliefs.

67
Q

Dr. Blackburn emailed a request to the radiologist. He asked if she would mind taking a second look to see if there was any chance of the tech having missed a small tumor on his patient’s last CT. The radiologist replied “No” to the email. Now Dr. Blackburn is confused. Does she mean that she won’t take a second look, or does she mean that there is still no tumor found? What is MOST likely the reason for this miscommunication?

A

Because they are communicating by email, Dr. Blackburn can’t see her expressions.