Week 2 Flashcards
The first stage of the greiving process
Denial and Isolation
All of the following choices would generally require critical analysis thinking except:
- checking in for work and reviewing the day’s schedule.
- working in surgery with a portable C-arm that is malfunctioning.
- preparing to perform a radiographic examination on a hearing-impaired patient.
- working in the emergency department with a trauma patient.
checking in for work and reviewing the day’s schedule
The transfer of knowledge gained in the laboratory or classroom setting is best demonstrated:
in an actual clinical setting on patients.
In your experiences as a student radiographer, you will encounter a variety of technologists, each with his or her own methods for performing procedures. Most will be quite good, but unfortunately some will be poor. As a student, you have a responsibility to recognize these various behaviors and assess their professional correctness. A firm reference point for determining the appropriate behavior for technologist behavior would be:
referencing the ASRT Practice Standards and ARRT Code of Ethics.
While working as a radiographer, you design a unique receptor holder to use during portable procedures that clearly reduces the exposure of others, by lessening the need to hold patients or image receptors. The development of this imaging device shows that you are functioning at what level of learning?
Synthesis
Which of the following situations would require critical analysis thinking skills?
- A patient asking for directions to the restroom
- A physician asking you to call his office to connect with his/her nurse
- Improvising the angulation of the X-ray tube to compensate for a patient condition
- Your supervisor asking you to develop a new quality control plan
- Repositioning a patient after assessing the patient’s previous images
- Providing a gown to a patient with instructions on putting it on correctly
- Modifying exposure factors after reviewing the patient’s history
3, 4, 5, and 7 only
The professional organization that is responsible for the development and publication of minimum educational guidelines, outlining entry-level knowledge and skill levels is the:
American Society of Radiologic Technologists (ASRT).
As students gain competency in medical imaging procedures, three phases in the clinical setting are planned by clinical faculty. These three phases in the correct learning sequence are:
observation, assistance, and performance.
As a student radiographer, you have received a requisition to perform a procedure that requires indirect supervision. In completing the examination, you mistakenly mislabel the image with regard to the left and right sides of the patient. Department policy requires a repeat image. In doing so, you must be aware that:
a qualified practitioner must review your repeat procedures and directly supervise your work.
All of the following are true of the TeamSTEPPS approach to patient care except:
it is an evidence-based teamwork strategy.
it encourages individuals to perform independently with little or no need for support.
situation monitoring is essential to the process of TeamSTEPPS.
it consists of five (5) key principles
it encourages individuals to perform independently with little or no need for support.
At a specific time in the student-patient interaction, the student may be permitted to position a patient and provide for their general care in order to perform the procedure. At this specific point in the student’s clinical experience, they are considered to be:
performing at the assistance level of clinical progression.
Another term for human diversity is:
cultural diversity.
To perform effectively and compassionately as a radiologic sciences professional, it is important to understand the areas of human cultural diversity. These may include:
- social organizations.
- phobias.
- symbolism.
- space.
- time.
- communication.
1, 4, 5, and 6 only.
A social organization that seeks to understand and accept peoples from diverse backgrounds through policies and procedures, communication media, activities, and so on, in an effort to achieve a positive cross-cultural environment, is seeking to achieve:
cultural competency.
Which of the following would not reflect a human diversity characteristic?
Occupation
Valuable traits of the U.S. mainstream culture include which of the following?
- Strong work ethic
- Efficiency
- Travel and mobility
- Tolerance and patience
- Individualism
- Capitalism
- Competition
1, 2, 5, and 7 only
All of the following are nonverbal communication characteristics except:
volume of voice.
body language.
amount of eye contact.
professional appearance.
volume of voice.
A patient who is near death will likely exhibit what signs of impending death?
- Loss of bowel functions and control
- State of unconsciousness
- Unusual high level of alertness and response to conversation
- A condition of “wasting away” (cachexia)
1, 2, and 4 only
According to Maslow’s hierarchy of needs, our first and most basic need is:
shelter, nourishment, and water.
Clearly understanding your emotions when handling patients and their families is referred to as:
emotional intelligence.
Professional medical imaging personnel must possess many desirable traits and skills. To succeed in patient interactions as a part of performing examinations, it is important that the radiographer:
avoid touching patients for fear of offending them.
When to use appropriate humor during Radiographic procedures
Using humor to relax and open conversation is acceptable, but radiologic and imaging sciences professionals must be extremely careful to avoid cultural slurs and references to age, gender, diseases, and the abilities of other health professionals.
Advance Directive
A legal document prepared by a living, competent adult to guide the health care team if the individual should become unable to make decisions regarding their medical care; may also be called a living will or durable power of attorney for health care. Sometimes a durable power of attorney is given to another person because a person simply does not want to make any of these decisions themself.
Grieving stages
Denial and Isolation
Anger
Bargaining
Depression
Acceptance
Physiologic changes in the older population
Slowing psychomotor responses
Slowing of information processing
Decreased visual acuity
Decrease in senses
Touch for emphasis during a procedure.
(Comment)
Comment
Music of speech is known as what type of language
Paralanguage
Outpatient vs. Inpatient
Outpatient - Does not occupy a bed overnight
Comes in for the procedure and then leaves
Inpatient - occupies a bed overnight
Positive Nonverbal Communication Techniques
Eye Contact
Smiling
Define preparatory depression
the realization of the inevitability of death and is accompanied by a desire for death as a release from suffering
Common emotion of patients entering the hospital
Vulnerable
Outside their comfort zone.
Imaging pediatrics (toddlers)
Come down to their eye level
Speak softly and less authoritatively
Set up the equipment before the child enters the exam room
Maslow’s hierarchy of needs:
Water, shelter, and food
Working with terminally ill patients.
Maintain eye contact.
Speak clearly and more slowly.
Speak to them, not away from them.
Keep them warm if needed.
Ask permission to touch.
Demonstrate compassion.
Ask them what makes them more comfortable.
Explain thoroughly and keep them informed.
Treat them with respect and patience.
Working with the elderly
Referring to older patients as geriatrics is viewed as being inappropriate.
Terms such as senior citizens and “Golden agers” are also considered unprofessional.
Treat these patients just like any other patient, regardless of age, with patience and respect.
Define emotional intelligence
The ability to perceive, understand, and manage one’s own emotions and the emotions of others.
Imaging intoxicated patients
ensure your safety
Signs of impending
changes in breathing, loss of appetite, and withdrawal from people
Nonverbal communication characteristics
Paralanguage
Body Language
Facial Expressions
Touch
Professional Appearance
Personal Hygiene
Physical Presence
Visual Contact
What are biological variations in human diversity?
Ethnical or racially related differences in body structure, skin color, hair texture, and other physical characteristics; the term also addresses genetic variations, susceptibility to certain diseases, nutritional preferences and differences, and psychological characteristics, among others.
Characteristics of Native American ethnic group
Extended family
Spiritualism
Collectivism
Unified whole universe
The #MeToo movement: men are expected to intervene and prevent sexual harassment
(comment)
(comment)
Illegal to deny employment due to
Sex
Race
Gender
Disability
Valuable traits of the US Mainstream culture
Individualism
Affluence (material comfort, consumerism)
Competition
Personal achievement and success
Assimilation vs. Biculturalism
Assimilation- fitting in completely with a new culture while abandoning your original cultural identity. Biculturalism- fitting into another culture while maintaining your original cultural identity.
BiCulturalism: the ability of individuals to be able to negotiate competently two or more cultures: the mainstream culture and the individual’s own culture
Four core values of human rights (p.136)
Autonomy
Dignity
Equality
Solidarity
What is the Royce Osborne Minority Student Scholarship
assists minority students in an entry-level radiography, sonography, magnetic resonance, radiation therapy, or nuclear medicine program.
Americans with Disabilities Act of 1990
prohibits discrimination against people with disabilities in several areas, including employment, transportation, public accommodations, communications, and access to state and local government programs and services.
In years ahead, will the US population require a?
A more diverse workforce
Population groups
In the notes, these first two are called the WW2 generation. But the first two from the book are
Greatest Generation: born between 1916 and 1928 – 1.75 million – 1% of the population
Silent Generation: born between 1929 and 1946 – 23.63 million – 7% of the population
Baby Boomers: born between 1946 and 1964 – 68.70 million – 21% of the population
- Generation X: born between 1965 and 1980 – 65.13 million –20% 0f the population
- Millennials: born between 1981 and 1999 – 82.22 million – 25% of the population
- Generation Z: born between 2000 and 2020 – 86.40 million – 20% of the population
Define Ethnocentrism
the attitude that one’s group, ethnicity, or nationality is superior to others.
Human Diversity Characteristics
Gender, Ethnicity, Religion, Age, Language, Culture, Sexual Orientation
What is bias?
Prejudice; thinking negatively of others without any or significant justification; generally a combination of stereotyped beliefs and negative attitudes
What is cultural competency?
possessing a set of attitudes, congruent behaviors, and policies that come together in an agency, in a system, or among professionals that enable effective interactions in a cross-cultural or multicultural environment.
Areas of human cultural diversity
Communication
Space
Time
Environmental control
Biologic variations
Social organizations
Another term for human diversity
Cultural diversity
Know the difference between observing, assisting, and performing when doing clinical competencies.
(comment)
comment
What is TeamSTEPSS
Evidence based system to create highly effective teams based on the following principled
Team structure-establish team members
Communication-for accuracy
Leadership-knows all changes and what is needed
Situation monitoring-being attentive
Mutual support-each person understand their role in care
Evidence based system to create highly effective teams based on the following principles
Team structure-establish team members
Communication-for accuracy
Leadership-knows all changes and what is needed
Situation monitoring-being attentive
Mutual support-each person understand their role in care
The radiography program’s effectiveness is measured by what Benchmarks?
learning outcomes
Know the structure of a Radiography program
Administrative Director of Radiology
Medical Director
Department Chair
Radiologists
Radiation Safety Officer
Steps involved when repeating an image as a student radiographer
NEVER perform a repeat without direct supervision.
Couldn’t find steps ???
SBar
Safe patient handoff (situation, background, assessment, recommendation)
Define didactic
intended to teach, or improve morals by teaching
of imaging competencies for Radiography:
37
What is the ASRT, and what does it do?
Professional Organization - Curriculum for articulating educational guidelines
Critical Analysis Thinking Skills
Identify
Perform
Develop
Consider
Select
Synthesis learning (on quiz and PowerPoint)
Combining multiple areas of knowledge to create a new work or understanding
Transfer of knowledge gained from the classroom and lab setting is best demonstrated in?
The clinical setting
1st step in critical thinking analysis
Identity and clarify the problem
The use of phantoms in radiography school
Is to practice taking an actual X-ray without exposing a real person.
What are ASRT practice standards?
Curriculum for articulating educational guidelines
