Patient Care Chapt 1-4 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
- Is it acceptable to criticize physicians and other team members?
No, it is not ethical
- 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 parties must be included on an incident report?
\All persons involved
- Which regulatory body is commonly referred by health care workers as that requiring evidence of a high quality of care?
Joint Commission
- Can a patient request is/her records in order to obtain a second opinion?
yes
- 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
- The first stage of the grieving process is denial according to ___.
Dr. Elizabeth Kuber Ross
- 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
- What is nonverbal communication?
All stimuli other than the spoken word
- Should age and gender be considered when communicating with a patient?
yes
- 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 essential information should a radiographer obtain from a female patient when taking the patient’s history?
Last menstrual period and possibility of pregnancy
- 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
- How do you assist a patient with a broken limb?
Support the entire limb including both joints
- 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
- When an ambulatory patient is getting off of an x-ray that does not have an adjustable height capability, what will the patient need?
Use a footstool
- 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
- Where should a urinary bag be located while transferring the patient from the stretcher to the x-ray table?
Below the bladder level
- What is the most common work-related injury among health care workers?
Back problems from improper lifting
- 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
- In reference to good body mechanics, when lifting are the knees locked and straight or bent?
Bend from the knees
- 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
- What is important to remember when a patient has a urinary catheter and a drainage bag?
Keep the drainage bag below the bladder level
- 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
