Patient Care Mid Term Test

Created by d-tilley 

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Patient Care

1. Which of the following statements is correct with regard to assisting a patient from a wheelchair to an x-ray table?

a. The patient's stronger side should be closer to the x-ray table
b. The patient's weaker side should be closer to the x-ray table
c. The wheelchair should directly face the x-ray table
d. The wheelchair should be parallel with the x-ray tabl

A. The patient's stronger side should be closer to the x-ray table

2. Sanction / injunction by the ARRT can result from:

1. conviction of a felony
2. failing to shield a patient
3. interpreting images and providing the patient with that information

a. 1 and 2 only b. 1 only
c. 2 and 3 only
d. 1, 2, and 3

B. 1 only

3. For medicolegal reasons, radiographic images are required to include all the following information except

a. the patient's name and/ or identification number
b. the date of the examination
c. a right- or left-side marker
d. the patient's birth date

D. The patient's birth date

4. A radiographer who discloses confidential information to unauthorized individuals could be found guilty of

a. libel
b. invasion of privacy
c. defamation
d. slander

B. Invasion of privacy

5. The legal doctrine respondeat superior means which of the following?

a. a thing or matter settled by justice
b. the thing speaks for itself
c. let the master answer
d. a matter settled by precedent

C. Let the master answer

6. The legal document or individual authorized to make an individual's health care decisions, should the individual be unable to make them for himself or herself, is the

1. advance health care directive
2. living will
3. health care proxy

a. 1 only
b. 1, 2, and 3
c. 2 and 3 only
d. 1 and 2 only

B. 1, 2, and 3

7. Facsimile transmission of health information is

1. not permitted
2. permitted for urgently needed patient care
3. permitted for third-party payer hospitalization certification

a. 1, 2, and 3
b. 2 and 3 only
c. 2 only
d. 1 only

B. 2 and 3 only

8. Forms of intentional misconduct include

1. slander
2. invasion of privacy
3. negligence

a. 1 and 2 only
b. 1, 2, and 3
c. 2 only
d. 1 only

A. 1 and 2 only

9. When a patient with one strong side and one weak side is being assisted onto an x-ray table, the radiographer should

a. position the stronger side closer to the table
b. let the patient manage without assistance
c. position the weaker side closer to the table
d. lift the patient carefully onto the table

A. Position the stronger side closer to the table

10. In her studies on death and dying, Dr. Elizabeth Kubler-Ross described the first stage of the grieving process as

a. depression
b. bargaining
c. denial
d. anger

C. Denial

11. You and a fellow radiographer have received an unconscious patient from a motor vehicle accident. As you perform the examination, it is important that you

1. refer to the patient by name
2. make only those statements that you would make with a conscious patient
3. reassure the patient about what you are doing

a. 1, 2, and 3
b. 1 only
c. 2 and 3 only
d. 1 and 2 only

A. 1, 2, and 3

12. When radiographing the elderly, it is helpful to

1. move quickly
2. address them by their full name
3. give straightforward instructions

a. 1, 2, and 3
b. 1 only
c. 1 and 2 only
d. 2 and 3 only

D. 2 and 3 only

13. Which of the following must be included in a patient's medical record or chart?

1. diagnostic and therapeutic orders
2. medical history
3. informed consent

a. 2 and 3 only
b. 1 and 3 only
c. 1, 2, and 3
d. 1 and 2 only

C. 1, 2, and 3

14. Which of the following legal phrases defines a circumstance in which both the health care provider's and the patient's actions contributed to an injurious outcome?

a. intentional misconduct
b. none of the above
c. contributory negligence
d. gross negligence

C. Contributory negligence

15. To reduce the back strain that can result from moving heavy objects, the radiographer should

a. bend at the waist and pull
b. push the object
c. hold the object away from his or her body when lifting
d. pull the object

B. Push the object

16. Which ethical principle is related to sincerity and truthfulness?

a. autonomy
b. fidelity
c. veracity
d. beneficence

C. Veracity

17. You are working in the outpatient department and receive a patient who is complaining of pain in the right hip joint, however, the requisition asks for a left femur examination. What should you do?

a. check with the referring physician
b. perform a right hip examination
c. perform both a right hip and left femur examination
d. perform a left femur examination

A. Check with the referring physician

18. While in your care for a radiographic procedure, a patient asks to see his chart. Which of the following is the appropriate response?

a. give the patient that chart and leave him alone for a few minutes to review it
b. inform the patient that the chart is for health care providers to view, not for the patient
c. inform the patient that he has the right to see his chart but that he should request to view it with his physician so that it is interpreted properly
d. inform the patient that you do not know where the chart is

C. Inform the patient that he has the right to see his chart but that he should request to view it with his physician so that it is interperted properly

19. A radiologic technologist can be found guilty of a tort in which of the following situations?

1. failure to shield a patient of childbearing age from unnecessary radiation
2. performing an examination on a patient who has refused the examination
3. discussing a patient's condition with a third party

a. 1 only
b. 1 and 2 only
c. 2 and 3 only
d. 1, 2, and 3

D. 1, 2, and 3

20. If a radiographer performed a lumbar spine examination on a patient who was supposed to have and elbow examination, which of the following charges may be brought against the radiographer?

a. asssault
b. false imprisonment
c. defamation
d. battery

D. Battery

21. A patient in a recumbent position with the head lower than the feet is said to be in which of the following positions?

a. stenver
b. fowler
c. sims
d. trendelenburg

D. Trendelenburg

22. When a radiographer is obtaining a patient history, both subjective and objective data should be obtained. An example of subjective data is that

a. the patient has a blood pressure of 130/95 mmHg
b. the patient states that she experiences extreme pain in the upright position
c. the patient has a palpable mass in the right upper quadrant of the left breast
d. the patient appears to have a productive cough

B. The patient states that she experiences extreme pain in the upright position

23. A patient experiencing an episode of syncope should be placed in which of the following positions?

a. lateral recumbent
b. dorsal recumbent with head elevated
c. dorsal recumbent with feet elevated
d. seated with feet support

C. Dorsal recumbent with feet elevated

24. A radiographer should recognize that gerontologic patients often have undergone physical changes that include loss of:

1. muscle mass
2. bone calcium
3. mental alertness

a. 1 and 3 only
b. 1, 2, and 3
c. 1 only
d. 1 and 2 only

B. 1, 2, and 3

25. Which of the following would describe an ambulatory patient?

a. One that is bedridden
b. One that is able to walk
c. One that cannot speak
d. One that arrived by ambulance

B. One that is able to walk

26. Which of the following may cause a patient to faint?

1. Hunger
2. Emotional stress
3. Lack of sleep

a. 1 only
b. 1 and 2 only
c. 1 and 3 only
d. 1, 2, and 3

D. 1, 2, and 3

27. Which of the following should be done when moving a patient with a broken arm?

a. Support only wrist
b. Support only the forearm
c. Support the entire arm
d. Support only elbow

C. Support the entire arm

28. A radiographer's primary responsibility is to which of the following?

a. The radiology department
b. The hospital
c. The patient's needs
d. The radiologist

C. The patient's needs

29. Which of the following would describe a paraplegic?

a. Paralyzed from the waist down
b. Paralyzed from the waist up
c. Paralyzed on one side
d. Paralyzed on all four extremities

A. Paralyzed from the waist down

30. If someone needs to hold a patient during a radiographic procedure, who should be asked?

a. The patient's family member
b. Another technologist
c. A student
d. A nurse's aide

A. The patient's family member

31. What is the proper procedure for turning a disabled patient on an x-ray table?

a. Turn the patient's legs first
b. Turn the patient away from you
c. Turn the patient towards you
d. Turn the patient whichever way is easier

C. Turn the patient towards you

32. Which of the following would be considered an unethical practice for a radiographer?

a. Criticizing a doctor or team member
b. Repeating a radiograph
c. Reporting unethical practices
d. Watching an interesting case

A. Criticizing a doctor or team member

33. Which of the following is the rule for pediatric patients undergoing a radiographic exam?

a. Always restrain children
b. Restrain children under 2 years old
c. Restrain children when necessary
d. Never restrain children

C. Restrain children when necessary

34. When lifting a patient, what must you remember?

1. Keep your back straight
2 . Keep your arms straight
3. Keep your legs straight

a. 2 only
b. 1 and 3 only
c. 1, 2, and 3
d. 1 only

D. 1 only

35. A written page or spoken word are examples of which of the following components of communication?

a. Channel
b. Source
c. Message
d. Feedback

B. Source

36. Which of the following would not be used in restraining a child?

a. A leather belt
b. A sandbag
c. A sheet
d. A pillow case

A. A leather belt

37. The "threat of touching a person in a harmful manner" is the legal definition of what?

a. Battery
b. Assault
c. Negligence
d. Injury

B. Assault

38. Which of the following is an example of good body mechanics?

a. Carry objects at arms length
b. Bend from the waist
c. Bend from the knees
d. Keep feet close together

C. Bend from the knees

39. Which of the following would describe the Fowler's position?

a. Lateral recumbent
b. Prone
c. Feet lower than head
d. Head lower than feet

C. Feet lower than head

40. According to Maslow's hierarchy, which of the following is a person's most basic need?

a. Safety and security
b. Physiological needs
c. Self-esteem
d. Self-actualization

B. Physiological needs

41. What stage of grieving is the terminally ill patient when he/she begins to deal with his/her pain and illness?

a. Anger stage
b. Acceptance stage
c. Depression stage
d. Bargaining stage

B. Acceptance stage

42. Which of the following would be considered an example of negative non-verbal communication?

a. Standing with your arms crossed
b. Eye contact
c. Leaning toward patient when talking
d. A smile

A. Standing with your arms crossed

43. What is the best way to move a heavy object, such as a case of x-ray film?

a. Lift it up
b. Hold it away from your body
c. Drag it
d. Push it

D. Push it

44. How should you have an ambulatory patient get off the radiographic table?

a. Jump to the floor
b. Get on a stretcher
c. Use a footstool
d. Get in a wheelchair

C. Use a footstool

45. What is the best way to make sure that you have the correct patient for a radiographic examination?

a. Ask the receptionist who is next
b. Take the next patient in line
c. Check the patient's armband
d. Call the patient's name

C. Check the patient's armband

46. "Touching a patient without permission" is the legal definition of what?

a. Malpractice
b. Perjury
c. Assault
d. Battery

D. Battery

47. When transferring a patient from a wheelchair to the x-ray table, which action would you do first?

a. Raise footrests out of the way
b. Put wheelchair parallel to the table
c. Lock the wheelchairs brakes
d. Help patient stand

B. Put wheelchair parallel to the table

48. What is the most common work-related problem among health care workers?

a. Disease from dirty needles
b. Infection due to patient contact
c. Back problems from improper lifting
d. Excessive radiation exposure

C. Back problems from improper lifting

49. When a radiographer is obtaining a patient history, both subjective and objective data should be obtained. An example of subjective data is that:

a. the patient ha a palpable mass in the upper quadrant of the left breast
b. the patient appears to have a productive cough
c. the patient states that she experiences extreme pain in the upright position
d. the patient has a blood pressure of 130/95 mmHg

C. The patient states that she experiences extreme pain in the upright position

50. An organization that accredits hospitals and other healthcare institutions in the United States is the definition of:

a. RSNA
b. ARRT
c. Joint Commission on Accreditation of Healthcare Organizations

C. Joint Commission on Accreditation of Healthcare Organizations

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