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WorksheetsPatient Care 3310 Final Review
Total questions: 63
Worksheet time: 30mins
Which acute reactions to contrast media usually require no medical treatment?
Urticaria
Convulsions
Bronchospasm
Laryngeal edema
What class of drug is diphenhydramine (Benedryl)?
Antihistamine
Diuretic
Antibiotic
Anticholinergic
Which statement expresses the correct relationship between lumen diameter and gauge number for IV's?
As the diameter decreases, the gauge number increases.
As the diameter increases, the gauge number increases.
As the diameter decreases, the gauge number decreases.
As the diameter increases, the gauge number stays the same.
Which TWO upper extremity veins are most commonly used in a venipuncture procedure?
Radial
Cephalic
Median cubital
Superficial dorsal
What common emergency drug may be required for a contrast medium reaction?
Epinephrine
Narcan
Glumetza
Metformin
A severe life-threatening response to a drug is called what?
Anaphylaxis
Palliative
Idiosyncratic
Pharmacognosy
The following are areas to avoid when performing venipuncture: (select all that apply)
bruising
skin diseases or rashes
same side as a mastectomy
same side as a PICC line
pulsating site
You should always check the venipuncture site with a bolus flush prior to the injection of any medication or contrast agent.
True
False
Leaking of IV fluid (saline) into the tissue caused by dislodgement or over-sized catheter.
Infiltration
Extravasation
Hematoma
Phlebitis
Which of the following models does the patient and medical professional base their decisions on shared goals and a balance of values through open communication?
Engineering Model
Priestly/Pateranal Model
Collegial Model
Contractual Model
When a physician abides by a patients decision to be treated at a facility closer to home due to the long distance they would have to drive daily, the physician is considering which of the following?
autonomy
beneficence
nonmaleficence
justice
When the medical professional and physician work with the patient as in a business relationship such as with informed consents, this model is considered:
Engineering model
Priestly/Paternal model
Collegial model
Contractual model
The term veracity refers to:
telling the truth
preventing evil and harm
doing no harm but also doing good
protecting the patient from radiation
Which of the following best defines fidelity?
Duty to tell the truth
Meeting the basic needs of the patient
Strict observance of promises or duties; loyalty and faithfulness to others
Being a competent professional
Using moral rules as your complete guide to determine appropriate professional behavior:
assumes everyone has the same moral values as you do, which is generally true
is a reliable strategy to avoid ethical dilemmas
is too restrictive of no value in decision making
has its weaknesses because others may not have the same moral value system as you
Which of the following could be a source for ethical attitudes:
1. Science
2. Religion
3. Experience
4. Culture
1 only
2 and 3 only
1, 2, and 4 only
2, 3, and 4 only
1, 2, 3, and 4
This establishes norms for professional conduct and allows for self-regulation within professional agencies.
Code of ethics
Individual morals
Hospital policies
Professional etiquette
It is important for the professional imaging technologist to thoroughly understand his or her responsibilities with regard to health information confidentiality. Particularly important considerations include:
1. a testimonial statement must be signed, indicating your awareness and responsibility in maintaining the privacy of patient records.
2. all examination results are released to patients by physicians only.
3. all health care personnel have the same responsibilities for maintaining confidentiality, including students.
1 only
2 and 3 only
1 and 3 only
3 only
1, 2, and 3
Before a diagnostic study can be initiated:
1. a formal, documented examination request is entered into the institution’s information system.
2. the requesting physician must be identified on the request.
3. reasons for the examination must be on the request.
1 and 2 only
1 and 3 only
2 and 3 only
1, 2, and 3
A typical health information management department:
charges patients and doctors for its services and is a major revenue center for a hospital
is responsible for the maintenance, retrieval, and storage of health information
is needed only in hospitals
provides health records to physicians only
With regard to HIPAA regulations:
1. patients cannot access their medical information without their physician’s consent and attendance.
2. patients can access the health information of other patients who have had a similar medical experience during their stay.
3. copying and faxing medical information is strictly forbidden.
1 only
1 and 3 only
2 and 3 only
1, 2, and 3
None of the above are true
As a professional imaging team member, it is important to remember that:
patient health records are considered legal documents
incorrect coding of patient data has little effect on the day-to-day operations of a health care provider
only the radiologist will be asked to provide legal testimony regarding a patient’s examination in which you participated
HIPAA rules are voluntary and followed only by outpatient imaging centers
A key function performed by a patient’s health information record is to:
make sure all the patient's requests were met during the stay
document the patient’s chief complaint to see if it was treated
communicate to the patient’s physician all care rendered by all persons
ensure the patient is discharged in a timely fashion
All of the following would be characteristics of a patient health record EXCEPT:
it is a single record on a single patient only.
it may be maintained in paper or electronic media (or both).
it is required for hospitals and emergency department visits only.
it promotes communication among providers and continuity of care.
Entering health information into a patient’s medical record (charting) is completed by:
any department personnel who provide care to a patient.
physicians only.
nurses only.
health information managers only.
Medical records (not radiation record) must be retained at least:
1 year
3 years
5 years
7 years
A sentinel event includes:
1. Death
2. Non-severe physical injury
3. Severe physical injury
1 only
1 and 3 only
2 and 3 only
1, 2, and 3
Who owns a medical record?
The organization that created the record.
The person the medical record is about.
The state that the record was created in.
There is no owner.
The term used for a universal listing of medical codes for diagnostic and therapeutic procedures used for physician reimbursement of outpatient encounters:
CPT
APC
DRG
PPS
All of the following are appropriate behaviors when recording information in an Electronic Medical Record EXCEPT:
Log-in and Log-out with each entry.
Record information for a fellow co-worker with their permission.
Use correct spelling and standard abbreviations.
Record information as it occurs.
Identify HIPAA:
Health Information Portability and Accountability Act
Health Insurance Portability and Assurance Act
Health Information Portability and Assurance Act
Health Insurance Portability and Accountability Act
As a patient is being assisted from the wheelchair to the imaging table, the patient trips on the footrest of the wheelchair, falls, and suffers a laceration to her eyebrow when her head hits the table. Which of the following lawsuits/legal action might result from this situation?
Assault
Battery
Criminal mischief
Negligence
A charge of battery may result if a patient is:
Threatened
Touched without permission
Allowed to fall
Encouraged to stay in the hospital
Which term is defined as "a legal or civil wrong, other than breach of contract, for which the court will provide a remedy in the form of an action for damages?"
lawsuit
tort
criminal intent
criminal act
In a case in which the legal theory of res ipsa loquitur is being raised, the evidence presented must show all of the following elements except:
The injury would not occurred except for negligence
The patient contributed to his or her injury
The defendant was in complete control
The patient did not contribute to his or her injury in any way
When a staff radiographer/sonographer/therapist commits an error as the result of following the orders of a staff physician, the physician may be held responsible according to the:
Doctrine of respondeat superior
Doctrine of res ipsa loquitur
The laws of false imprisonment
The ASRT Code of Ethics
If a therapist/sonographer/technologist threatens a patient during the course of a procedure and has an apparent immediate ability to perform the threatened act, which of the following legal theories may be applied?
Assault
Battery
Negligence
False imprisonment
In regard to professional ethics, all of the following may be considered intentional misconduct except:
Assault
False imprisonment
Invasion of privacy
Negligence
Which of the following means "the thing speaks for itself"?
A bene placito
Respondeat superior
Res ipsa loquitur
Mea culpa
Restraining a patient during a procedure, without his consent, might result in a(n) ______ tort claim of ________.
intentional; negligence
intentional; false imprisonment
unintentional; battery
quasi-intentional; assault
What does acronym PHI stand for?
Personal Health Information
Private Health Identity
Protected Health information
Personal Health Idenity
It is okay to post patient x-rays or images on social media with patient identifiers removed.
True
False
Standard of Care is:
1. The degree of skill (proficiency), knowledge, and care ordinarily possessed and employed by members in good standing within the profession.
2. Judged against reasonable and prudent actions under similar circumstances.
3. Outlined by the profession.
1 and 3 only
2 and 3 only
1 only
1, 2, and 3
Which of the following is often used in emergency situations to treat life-threatening injuries?
Simple consent
Implied consent
Informed consent
DNR order
When obtaining informed consent, the procedure must be explained in the appropriate and precise medical terms so that the physician and other members of the health care team understand to what consent is being given.
True
False
One of the ways to reduce legal liability when obtaining informed consent for an imaging procedure is to:
Document informed consent on the appropriate form and have the patient's signature witnessed by a third party.
Make several copies of the signed consent form.
Have the patient sign a release of liability form.
Never witness an informed consent.
Which of the following is not a legal right of a patient in an imaging or radiation oncology department?
To know the technologist’s name
To refuse the radiographic examination
To be informed of the possible risks
To ask for and receive extra studies
A process by which patients can agree to be treated or refuse to be treated based on information provided by the healthcare professional about the examination is called __ consent.
implied
informed
simple
inadequate
The legal doctrine of res ipsa loquitur intends to shift the burden of proof from the plaintiff to the defendant (healthcare provider). It implies that the patient was injured through no fault of his or her own while in the complete control of another. An example of this is a:
patient marking the wrong body part for surgery while still awake.
patient “ripping” her bandages off after surgery because they are painful.
patient’s skin being torn as he is transferred from a cart to his bed.
patient saying something very crude during surgery in a state of anesthesia.
In a legal proceeding, the actions of a radiographer, sonographer, or radiation therapist will be judged with regard to his or her compliance with the:
actions of other imaging professionals working in the same department.
orders of a physician.
practice standards for medical imaging and radiation therapy.
standards of care of medicine.
It is the duty of any healthcare provider, including medical imaging personnel, to:
safeguard patient rights and autonomy.
complete examinations at the request of physicians under any circumstance.
persuade patients to undergo medical examinations against their wishes.
restrain all patient for medical examinations.
When negligence occurs to a patient, who is responsible for proving injury?
Patient
Radiographer, Sonographer, or Radiation Therapist
Doctor
Nurse involved in the case
A healthcare provider who has completed a procedure on a patient leaves the area grumbling, “I hate to do AIDS patients because I am afraid of catching the disease.” A member of the housekeeping staff hears the healthcare provider and asks who the AIDS patient is so he can pass the information along to his coworkers for safety reasons. The healthcare provider responds by giving the patient’s name and room number. After the incident, housekeeping personnel refuse to clean the room. One person from housekeeping tells the story to members of the housekeeper’s church, where the patient is also a church member. After learning of the patient’s condition, the church asks the patient not to return to church. What type of complaint might be brought against the healthcare provider?
Negligence
Defamation
Assault
False imprisonment
If bodily harm were to occur to a patient as a result of reckless conduct by the health care provider, this would be deemed:
battery
assault
defamation
slander
Consent sets forth in general terms:
1. What the procedure is expected to accomplish.
2. Reasonably known risks.
3. Name(s) of the physician(s) performing the procedure (except in emergency situations).
4. Nature & purpose of procedure(s).
1 and 3 only
2 ad 4 only
2, 3, and 4 only
1, 2, 3, and 4
The class of medications that causes a reversible loss of consciousness, producing loss of ability to perceive pain and/or other sensation is:
Antibiotics
Anticoagulants
Anesthetics
Antihistamines
Which of the following are considered a form of parenteral drug administration? Select all that apply.
Subcutaneous
Rectal
Intravenous
Oral
Intramuscular
In relation to drug nomenclature, this is generally derived from the chemical name, but typically shorter in length. Also known as the nonproprietary name.
Generic name
Chemical name
Brand name
Surname
These can be obtained legally without a prescription.
A. over-the-counter drugs
B. controlled substances
C. dietary supplements
A and C only
A only
B and C only
A and B only
A, B, and C
Any characteristic that makes a drug undesirable or improper is its:
contraindication
risk to benefit factor
tolerance
solubility
All of the following describe pharmacokinetics EXCEPT:
excretion
metabolism
absorption
route
You just administered a contrast medium and your patient is having difficulty breathing with worsening hypoxia and has urticaria - what should you do first?
ask the patient if they have any allergies
begin chest compressions
check the patient's chart
immediately contact the supervising nurse or physician
The "5" rights of medication (contrast) administration include all EXCEPT:
Patient
Drug
Room number
Route
