Part A: Legal and ethical principles Flashcards

1
Q
  1. What is the first duty the technologist should perform when beginning an MR examination?
    a- Check the physician’s orders in the chart
    b- Verify the patient’s identity
    c- Place the film in the Bucky tray
    d- Obtain an accurate medical history on the patient
A

b- Verify the patient’s identity

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2
Q
  1. In a medical malpractice suit, the _____ must prove medical malpractice.
    a- Physician charged
    b- Risk manager
    c- Patient plaintiff
    d- Technologist
A

c- Patient plaintiff

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3
Q
  1. Healthcare workers generally practice ______, which states the ‘goal’ is to do no harm’.
    a- Beneficence
    b- Confidentiality
    c- Nonmaleficence
    d- The prudent professional standard
A

c- Nonmaleficence

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4
Q
  1. A patient on the MRI table is left unattended and rolls off onto the floor, causing an injury to the head. The technologist in attendance can be sued for:
    a- Slander
    b- Negligence
    c- Battery
    d- False imprisonment
A

b- Negligence

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5
Q
  1. A patient, deemed competent, becomes claustrophobic during an MRI procedure and refuses to continue with the study. The technologist should first:
    a- Call for security and force the patient to continue
    b- Stop the study and inform the supervisor
    c- Coerce the patient to be more cooperative
    d- Reassure the patient and attempt to talk him or her through the procedure
A

d- Reassure the patient and attempt to talk him or her through the procedure

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6
Q
  1. A malpractice case based on an obvious negligent act, e.g. a radiograph (or MR image) of the abdomen demonstrates that a surgical sponge was inadvertently left in the surgical site (within the peritoneum) after surgery, will likely be considered under the doctrine of:
    a- Respondeat superior
    b- Res ipsa loquitor
    c- Stare decisis
    d- Breach of confidentiality
A

b- Res ipsa loquitor

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7
Q
  1. When entering data on a patient’s chart, the technologist must be sure to:
    a- Sign and date the entry
    b- Date the entry, record the time, sign using name and credentials
    c- Date the entry, record the time, and indicate your department
    d- Date the entry, and sign using name and credentials
A

b- Date the entry, record the time, sign using name and credentials

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8
Q
  1. Unintentional misconduct is also known as:
    a- Libel
    b- Battery
    c- False imprisonment
    d- Negligence
A

d- Negligence

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9
Q
  1. Which of the following describes assault of the patient?
    a- Hitting the patient
    b- Restraining the patient
    c- Causing the patient to feel threatened
    d- Performing an MRI study against the patient’s will
A

c- Causing the patient to feel threatened

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10
Q
  1. Which of the following statements is incorrect regarding the principle of the double effect?
    a- The action must be morally neutral or good
    b- The good effect is not the only intention
    c- The good effect must be equal to or greater in importance than the bad effect
    d- The bad effect must not be the means by which the good effect is accomplished.
A

b- The good effect is not the only intention

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11
Q
  1. An ambulatory, outpatient lying down on the MRI table as requested by the technologist has given:
    a- Implied consent
    b- Informed consent
    c- Emergency consent
    d- Vicarious liability
A

a- Implied consent

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12
Q
  1. Which of the following is an example of battery
    a- Threatening the patient
    b- Sharing patient information with another technologist in the work area
    c- Imaging the incorrect body part
    d- Using immobilisation device
A

c- Imaging the incorrect body part

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13
Q
  1. Which is the most likely type of law under which a suit is brought against a technologist for performing unintentional acts that fall below the standard of care and result in patient injury?
    a- Felonious
    b- Tort
    c- Criminal
    d- Administrative
A

b- Tort

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14
Q
  1. Respondeat superior is a Latin term meaning:
    a- The thing speaks for itself
    b- The reasonable technologist should make the decision
    c- There is no need for the MRI technologist to carry their own liability insurance
    d- Let the master answer
A

d- Let the master answer

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15
Q
  1. Which of the following is NOT a true statement regarding informed consent?
    a- Consent must be given under no duress
    b- The patient must understand all aspects of the procedure being performed
    c- The patient must be legal age
    d- The procedure must be explained in terms that the patient can understand, to include risks and benefits
A

b- The patient must understand all aspects of the procedure being performed

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16
Q
  1. Destroying or altering medical records without legitimate authorisation or reason is called:
    a- Medical negligence
    b- Failure to follow standard of care
    c- Spoliation
    d- Vicarious liability
A

c- Spoliation

17
Q
  1. Which of the following means “to stand by things decided”?
    a- Consequentialism
    b- Res Ipsa Loquitor
    c- Respondeat superior
    d- Stare decisis
A

d- Stare decisis

18
Q
  1. A technologist who touches a patient without permission (with he exception of emergency consent) could be found guilty of:
    a- Negligence
    b- Breach of confidentiality
    c- Battery
    d- Assault
A

c- Battery

19
Q
  1. Discussing a patient’s confidential medical information with a person who does not have a need to know is called:
    a- Vicarious liability
    b- Invasion of privacy
    c- Libel
    d- Stare decisis
A

b- Invasion of privacy

20
Q
  1. If the supervising radiologist instructs you to scan a patient with a known cardiac pacemaker and the patient goes into cardiac arrest due to pacemaker failure, you MAY be protected from a lawsuit under the doctrine of respondeat superior, which means:
    a- Let the master answer
    b- The thing speaks for itself
    c- Radiologists (like all supervising physicians) are always liable
    d- Hospital administration decides who is liable in each situation
A

a- Let the master answer

21
Q
  1. Patient rights would include all of the following EXCEPT:
    a- Right to privacy
    b- Right to diagnosis by the MRI technologist
    c- Right to refuse the MRI study
    d- Right to know potential risks of the MRI study
A

b- Right to diagnosis by the MRI technologist

22
Q
  1. Which of the following is the term used to describe written malicious spreading of information?
    a- Breach of confidentiality
    b- Libel
    c- Slander
    d- Qualified privilege
A

b- Libel

23
Q
  1. The burden of proof for medical negligence rests with the:
    a- Physician
    b- Patient
    c- Radiographer
    d- Risk manager
A

b- Patient

24
Q
  1. All o the following may be considered an example of battery EXCEPT:
    a- Toughing the patient without consent
    b- Sharing patient information with another technologist in the work area
    c- Imaging the wrong body part
    d- Restraining the patient
A

b- Sharing patient information with another technologist in the work area

25
Q
  1. Which of the following describes assault of the patient?
    a- Striking the patient
    b- Touching the patient without consent
    c- Threatening the patient or causing the patient to feel threatened
    d- Performing a radiographic procedure against the patient’s will
A

c- Threatening the patient or causing the patient to feel threatened

26
Q
  1. The concept of the reasonable prudent person is interpreted as:
    a- How a reasonable jury member would perform the act
    b- How a professional with similar education, training and experience would perform the act.
    c- How a prudent attorney would interpret the act
    d- How a reasonable and prudent judge will rule on the act
A

b- How a professional with similar education, training and experience would perform the act.

27
Q
  1. According to the ARRT standard of ethics, the radiologic technologist acts to advance the principal objective of the profession to provide services to humanity _______________.
    a- With full respect for the dignity of mankind
    b- With discrimination on the basis of ex, race, creed, religion, or socio-economic status
    c- Understanding interpretation and diagnosis are within the scope of practice for the profession
    d- Providing full disclosure for all patient information among colleagues and other patients.
A

a- With full respect for the dignity of mankind

28
Q
  1. According to the ARRT standard of ethics (specifically within the Code of Ethics). The radiologic technologist acts to advance the principal objective of the profession to provide services to humanity and includes all of the following EXCEPT:
    a- The radiologic technologist conducts themselves in a professional manner, responds to patient needs, and supports colleagues and associates in providing quality patient care
    b- The radiologic technologist acts to advance the principal objective of the profession to provide services to humanity with full respect for the dignity of mankind.
    c- Delivers patient care and service unrestricted by the concerns of personal attributes or the nature of the disease or illness, and without discrimination on the basis of sex, race, creed, religion or socio-economic status
    d- Practices technology founded upon theoretical knowledge and concepts, uses equipment and accessories inconsistent with the purposes for which they were designed, and employs procedures and techniques inappropriately.
A

d- Practices technology founded upon theoretical knowledge and concepts, uses equipment and accessories inconsistent with the purposes for which they were designed, and employs procedures and techniques inappropriately.

29
Q
  1. Which of the following circumstances would NOT be an ARRT ethical violation?
    a- Contacting a referring doctor when they have ordered the wrong procedure on a patient.
    b- Discussing with your colleagues whether or not you should do the procedure if the order is incorrect.
    c- Performing the procedure on the patient if the order is not correct
    d- Performing a procedure on a patient without any order.
A

a- Contacting a referring doctor when they have ordered the wrong procedure on a patient.