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Patient Care > Patient Interactions > Flashcards

Patient Interactions Flashcards

1
Q

Advanced Directive

A

Legal document prepared by the living to provide guidelines to healthcare team in case of incapacitation

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2
Q

Communication

A

Exchange of information, thoughts and messages. Includes interpersonal rapport and accurate conveyance of information.

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3
Q

Emotional Intelligence

A

Ability to evaluate, perceive and control emotions

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4
Q

Gerontology

A

Pertaining to the study of older adults

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5
Q

Inpatient

A

Someone who has been admitted to the hospital for diagnostic studying/treatment

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6
Q

What are Maslow’s Hierarchy of Needs?

A

Model of a human which progresses in 7 layers on an ascending level of how essential the needs are to survive?

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7
Q

What are the 7 layers of Maslow’s Hierarchy?

A
  1. Physiological
  2. Safety & Security
  3. Belongingness & Love
  4. Self Esteem & Respect
  5. Need to know & understanding
  6. Aesthetics
  7. Self Actualization
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8
Q

Non-verbal communication

A

Exchange of information, thoughts or messages using methods other than speech

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9
Q

Outpatient

A

Someone who comes to a healthcare facility for diagnosis or treatment but do not occupy a bed overnight

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10
Q

Palpation

A

Application of light pressure with fingers to find body landmarks

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11
Q

Paralanguage

A

Music of language; cadence and rhythm of speech

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12
Q

Patient Assessment

A

Objective evaluation & determination of the status of patients

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13
Q

Patient autonomy

A

Ability & right of patients to make independent decisions about their medical care

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14
Q

Verbal communication

A

Messages sent using spoken word

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15
Q

What are good skills of a radiongrapher?

A
  • Fulfilling patient needs
  • Being able to effectively direct a patients actions
  • Obtaining patients cooperation
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16
Q

Why is it essential to obtain patient cooperation?

A

To obtain quality images

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17
Q

How should a radiographers communication be?

A

Patient focused, accurate and timely

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18
Q

What should a technologist always communicate within?

A

Scope of practice

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19
Q

What is feedback?

A

Response of a patient to questioning

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20
Q

What are some forms of feedback?

A

Verbal or non verbal

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21
Q

What is an example of non verbal feedback?

A

When the patient successfully assumes radiographic positions

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22
Q

What fears do patients encounter with imaging?

A
  • Fear of the unknown
  • Fear of pain and discomfort
  • Fear of loss and control
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23
Q

What are patient behaviors and emotions guided by?

A

The condition

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24
Q

How do some patients act as a result of their circumstances?

A

Angry, aggressive or despondent

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25
Q

What personal needs should you have as a technologist?

A
  • helping others
  • working with people
  • making a difference
  • thinking critically
  • demonstrating creativity
  • achieving results
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26
Q

What happens when personal needs are met?

A
  • increase confidence in technical ability
  • better cooperation
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27
Q

What does patient dignity deal with?

A

Deals with a patient’s self esteem

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28
Q

How does a radiologist ensure patient dignity?

A

By focusing on their needs and treating them with respect

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29
Q

What other ways can a radiographer maintain patient dignity?

A
  • gain patient’s confidence
  • offer support
  • position with sensitivity
  • treat with empathy
  • address patient with respect
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30
Q

What is empathy?

A

The ability to recognize and to some extent share the emotions/state of mind of another

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31
Q

Who else should a radiographer extend respect and care to?

A

Patient’s family or friends in attendance with them

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32
Q

What are the first steps of patient interaction?

A
  • Patient assessment
  • Introducing yourself
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33
Q

What should be done during patient interactions?

A
  • Use patient name and ask preference
  • Confirm identity
  • Explain procedure in terms they understand
  • Obtain and brief/relevant history
  • Obtain informed consent
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34
Q

What are qualities of an inpatient?

A
  • Someone admitted to a hospital that occupies and bed for more than 24 hours
  • Previous stays often shape their attitude
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35
Q

What are qualities of an outpatient?

A
  • Someone visiting a hospital temporarily for treatment or diagnostic testing
    -Arrive to the facility with preconceived expectations
  • Have schedules to contend with
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36
Q

Who gives the results of x-rays?

A

Radiographers ONLY. Radiologists should never give results and always defer patient requests to their doctor

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37
Q

What should always be checked before x-raying or assisting patients?

A

Contraindications

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38
Q

What is a contraindication?

A

A condition that makes a particular treatment inadvisable
- Ex: Having a non-weight bearing patient stand for a CXR (chest x-ray)

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39
Q

What are examples of verbal communication?

A
  • Vocabulary
  • Clarity of voice
  • Diction
40
Q

When should your communication vary with patients?

A
  • Age
  • Sex
  • Physical/mental condition
  • Culture
  • Socioeconomic background
  • Education
41
Q

What are examples of non-verbal communication?

A

Body gestures, touch, physical appearance, facial expressions and eye contact

42
Q

What percent of communication is non-verbal?

A

80-90%

43
Q

What are 3 types of acceptable patient touch?

A

Touching for emotional support, emphasis and palpation

44
Q

What is touching for emotional support?

A

Using touch to reassure patients, like holding their hand

45
Q

What is touching for emphasis?

A

Helping to position a patient, like helping turn their hand laterally for a certain position

46
Q

What is touching for palpation?

A

The application of light pressure with the palm or hand or fingers to locate body landmarks

47
Q

What are some legal issues of touching a patient?

A

Battery

48
Q

What is Battery?

A

Unlawful touching of another person that is without justification or cause

49
Q

What are some examples of medical battery?

A
  • touching a patient without consent or explanation
  • performing a study against a patient’s will
  • physical harm as the result of an exam (x-raying the wrong patient)
50
Q

What are various types of patients?

A
  • Seriously ill or traumatized
  • Visually impaired
  • Speech and hearing impaired
  • Non- English speaking patients
  • Mentally impaired patients
  • Substance abusers
51
Q

What are some qualities of a seriously ill or traumatized patient?

A
  • may not be able to communicate or cooperate
  • may be unconscious
52
Q

What are guidelines for treating ill and traumatized patients?

A
  • Evaluate vital signs and watch for changes
  • work quickly and efficiently
53
Q

How should you work with a visually impaired patient?

A
  • Always announce your presence and identify yourself
  • Ask the patient how you may assist them
  • Explain the sounds and environment
54
Q

What type of communication do visually impaired patients rely on?

A

Verbal communication and touch

55
Q

How should you work with a speech or hearing impaired patient?

A
  • Demonstration or sign language
  • If they can lip read, speak clearly and make sure you face them
  • Decrease background noise
  • Write down instructions if needed
  • DO NOT SHOUT
56
Q

What type of communication should be used with hearing impaired patients?

A

Visual or written

57
Q

How to work with non-English speaking patients?

A
  • Use an interpreter
  • Use basic language (yes, no, stop)
  • Address your questions to the patient and not their interpreter
58
Q

What communication should be used with non-English speaking patients?

A
  • Touch and demonstration
59
Q

How to work with mentally impaired patients?

A
  • Talk to the patient throughout the procedure
  • Utilize the aid, attendant or family member accompanying the patient
  • Immobilize the patient if needed
  • Give simple instructions
60
Q

How to work with a substance abuser patient?

A
  • Expect all types of behaviors
  • Immobilize the patient if needed
  • Make sure the patient is safe and cannot hurt themselves
61
Q

How to work with mobile and surgical radiography?

A
  • Introduce yourself
  • Treat patient with respect and dignity
  • Explain the procedure and why leaving the room when exposing is necessary
  • Show empathy with family and friends
62
Q

What is not considered a barrier to effective communication?

A

Age

63
Q

What are the 8 age groups?

A
  • Infants (Birth-1 year)
  • Toddlers (1-3 years)
  • Preschoolers (3-5 years)
  • School aged children (5-10 years)
  • Adolescents (10-25 years)
  • Young Adults (25-45 years)
  • Middle aged adults (45-65 years)
  • Mature adults (65 and older)
64
Q

How should you work with pediatric patients?

A
  • Patiently explain procedure in terms they understand
  • Demonstrate the procedure and never leave child unattended
  • Explain everything to parents/guardians
  • Immobilize as needed
  • Come down to child’s level to speak
  • Talk slowly and less authoritatively
65
Q

How should the exam room be setup for adolescent patients?

A
  • Do setup before child enters the room
  • Soften room lighting
  • Avoid loud and dramatic equipment movements
66
Q

What should not be done when working with older patients?

A
  • Referring to them as geriatrics
  • Using terms such as “Golden Agers” or senior citizens
  • Leave the patient unattended, speak loudly or in childish terms
67
Q

What should be done with working with older patients?

A
  • Always treat them with respect
  • Use gentle handling and pads on the table and under knees
  • Use blankets to keep them warm
  • Give clear directions and be patient
68
Q

How to work with terminally ill patients?

A
  • Let the patient guide the discussion and be understanding of their emotions
69
Q

What are the stages of grief?

A
  • Phase 1: Denial and isolation
  • Phase 2: Anger
  • Phase 3: Bargaining
  • Phase 4: Depression
  • Phase 5: Acceptance
70
Q

Morals

A

A person’s standard of behavior or beliefs concerning what is and is not acceptable

71
Q

Veracity

A

Conformity to facts, accuracy

72
Q

Fidelity

A

Faithfulness to a person, cause or belief demonstrated by loyality

73
Q

Ambulatory

A

Related to walking- ability to walk

74
Q

Assault

A

Making a physical attack on

75
Q

Bilateral

A

Affecting or relating to both sides of the body or both members of a paired organ

76
Q

False imprisonment

A

Unjustified restraint or restraining a patient against their will

77
Q

Libel

A

Written information that results in the defamation of character or loss of reputation

78
Q

Metastasis

A

Medical term for the spread of cancer cells from the original tumor to other body parts

79
Q

Nasogastric tube

A

A flexible plastic tube that is inserted through the nose and into the stomach or small intestine

80
Q

Negligence

A

Unintentional misconduct

81
Q

Medical Negligence / Malpractice

A

Occurs when a medical professional’s actions or omissions fail to meet the standard of care and injure a patient

82
Q

Nonmalfecience

A

Ethical principle of doing no harm

83
Q

Slander

A

Verbally spreading false information

84
Q

Tort

A

Violation of civil law (personal injury law) may be intentional or negligence

85
Q

Statutory disclosure

A

The requirement to disclose specific information in certain situations, as mandated by the government

86
Q

Senility

A

The condition of being senile

87
Q

Ventilator

A

A device for maintaining artificial respiration

88
Q

Respondeat Superior

A

“The master speaks for the servant”
- Employer will be responsible for the employees actions, except in the case of negligence

89
Q

Res Ipsa Loquitur

A

” the thing speaks for itself”
- Negligence is obvious

90
Q

Patient’s Bill of Rights

A

informs the patient about their rights

91
Q

ARRT

A

American Registry of Radiologic Technologists

92
Q

DNR

A

Do not resuscitate

93
Q

ER

A

Emergency Room

94
Q

W/C

A

Wheel Chair

95
Q

AMB

A

Ambulatory

96
Q

NG tube

A

Nasogastric Tube

Patient Care (10 decks)

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