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WorksheetsMTR Chapter 03: The Surgical Patient
Total questions: 59
Worksheet time: 30mins
Name
Class
Date
1.
Which of the following choices is NOT one of the Five Stages of Grief?
a)
acceptance
b)
bargaining
c)
denial
d)
regression
2.
What type of care is prescribed to a terminal patient to improve their quality of life?
a)
definitive
b)
palliative
c)
supportive
d)
therapeutic
3.
Which of the following terms represents the positive physical and psychological state of a patient?
a)
distress
b)
dyspnea
c)
eustress
d)
euthanasia
4.
Under which of the following circumstances would many hospitals rescind (invalidate) a “Do Not Resuscitate/Do Not Intubate” order?
a)
A patient is admitted to ICU with pneumonia.
b)
A family member disagrees with the patient's wishes.
c)
A patient must undergo a surgical procedure.
d)
A peri-anesthesia nurse discovers an unresponsive patient in the PACU.
5.
Maslow’s research produced a hierarchical structure of:
a)
administrative authority.
b)
pathological diseases.
c)
Human progression needs.
d)
Insurance reimbursement.
6.
For what type of research was Elizabeth Kubler-Ross best known?
a)
adaptation model
b)
hierarchy of needs
c)
patient care partnership
d)
Five Stages of Grief
7.
Which type of general category of death would most likely generate high emotional trauma for family members and a need to follow protocols for preservation of evidence in the perioperative period?
a)
accidental
b)
chronic
c)
prolonged
d)
terminal
8.
Which of the following terms describes a set of therapies that preserves a patient's life when body systems are not functioning sufficiently?
a)
therapeutic care
b)
palliative care
c)
life support
d)
euthanasia
9.
Which of the following legislative rulings requires medical facilities to inform patients of their rights to choose the types and extent of medical care available and their legal right to advance directives?
a)
Omnibus Budget Reconciliation Act
b)
Patient Self-Determination Act
c)
Food, Drug, and Cosmetic Act
d)
Affordable Care Act
10.
Which of the following levels of Maslow’s hierarchy of needs is the pinnacle and can be accomplished only when all other needs are met?
a)
esteem
b)
love and belonging
c)
physiological and safety
d)
self-actualization
11.
Which of the following religions typically prohibits its followers from receiving blood transfusions?
a)
Roman Catholicism
b)
Jehovah’s Witness
c)
Mormonism
d)
Protestantism
12.
Which organs or tissues can be recovered after death or after a patient has already been removed from life support?
a)
bone
b)
heart
c)
liver
d)
pancreas
13.
Which of the following religions believes in reincarnation and that the rebirth is influenced by the previous death experience?
a)
Judaism
b)
Islam
c)
Buddhism
d)
atheism
14.
Denial, rationalization, regression, and repression are common forms of which of the following types of mechanisms?
a)
coping
b)
diagnostic
c)
physiological
d)
treatment
15.
Which of the following needs of the surgical patient is related to the identification and understanding of an individual's place in the universe and may include their views on theology, philosophy, or mythology?
a)
physical
b)
psychological
c)
social
d)
spiritual
16.
Which of the following needs of the surgical patient is related to anatomy and physiology, genetics, and pathology?
a)
physical
b)
psychological
c)
social
d)
spiritual
17.
Which of the following procedures would be surgical treatment for an elderly patient's psychological dissatisfaction with their appearance?
a)
blepharoplasty and rhytidectomy
b)
laparoscopic cholecystectomy
c)
transurethral resection of prostate
d)
extracorporeal shockwave lithotripsy
18.
Which of the following areas of concern or fear would most likely be the main focus for a toddler scheduled for surgery?
a)
abandonment
b)
body image
c)
mortality
d)
privacy
19.
Which area of concern or fear would MOST likely be the main focus for a teenage patient having surgery?
a)
abandonment
b)
body image
c)
insurance coverage
d)
mortality
20.
The patient statement "I know I will be in a better place" is part of:
a)
a coping mechanism.
b)
the hierarchy of needs.
c)
a physiological stressor.
d)
the acceptance stage of grief.
21.
SIDS (formerly known as “crib death”) is categorized as which of the following general categories of cause of death?
a)
accidental
b)
prolonged
c)
sudden
d)
terminal
22.
Which of the following types of life-support treatment would be considered ultimately futile, and its benefits far outweighed by the financial and emotional burden suffered by the family and health care system?
a)
curative
b)
extraordinary
c)
ordinary
d)
palliative
23.
A terminally ill patient whose advance directive is to refuse any life-saving efforts by health care workers is choosing which of the following types of euthanasia?
a)
active
b)
involuntary
c)
passive
d)
voluntary
24.
Which of the following choices is a normal human emotion that surgical team members may feel for their patients but that must not interfere with their abilities to maintain focus on their jobs, particularly in all-hazards situations?
a)
empathy
b)
eustress
c)
repression
d)
reconciliation
25.
A patient may be considered a candidate for donation after cardiac death (DCD) if their heart is predicted to cease functioning within what period of time after removal from mechanical support?
a)
immediately
b)
thirty minutes
c)
ninety minutes
d)
three hours
26.
The death of a patient from complications of asthma or high blood pressure would be categorized as which of the following general categories of cause of death?
a)
accidental
b)
prolonged
c)
sudden
d)
terminal
27.
In general, a surgical procedure represents a physical, psychological, social, and spiritual event to the patient.
a)
True
b)
False
28.
Dr Hans Selye defines stress as a "nonspecific response of the body to a demand" (2006).
a)
True
b)
False
29.
Cultural and religious values of patients can conflict with the practice of modern medicine.
a)
True
b)
False
30.
Bradycardia is a physiological response for the neonate affected by hypovolemic shock.
a)
True
b)
False
31.
Muscle hypotonia is NOT a condition of a patient with Down Syndrome (DS) and should not be considered when positioning on the operating table.
a)
True
b)
False
32.
What type of nerve injury occasionally occurs due to the direct pressure on the infant's face by the mother's pelvis or from the use of forceps?
a)
brachial plexus
b)
facial nerve
c)
maxillary nerve
d)
supraclavicular nerve
33.
A patient undergoing bariatric surgery may require extra time for general anesthetic reversal because anesthetic agents may be accumulated in and slowly eliminated from which of the following types of tissue?
a)
adipose fat
b)
hypertrophic liver
c)
lung alveoli
d)
smooth muscle
34.
The intraoperative and postoperative use of the ______ is vital for preventing hypovolemic shock in pregnant patients.
a)
EEG
b)
EFM
c)
BP
d)
ABG
35.
Which of the following levels of trauma center designation can meet all the needs required for treating patients on a twenty-four-hour basis?
a)
Level I
b)
Level II
c)
Level III
d)
Level IV
36.
In a life-threatening situation, the CST may not be able to:
a)
get hemostatic clamps.
b)
get extra sponges.
c)
set up multiple mayo stands.
d)
perform initial instrument count.
37.
What type of coping mechanism does a patient deal with when refusing to hold any discussions concerning what is happening?
a)
denial
b)
repression
c)
regression
d)
rationalization
38.
DNR order should be written by the:
a)
patient.
b)
physician.
c)
anesthesiologist.
d)
RN (registered nurse).
39.
What is the primary cause of fear for pediatric patients?
a)
abandonment
b)
pain
c)
anesthesia
d)
unfamiliar environment
40.
On which of the following needs does HCP concentrate first?
a)
safety of the patient
b)
esteem
c)
belonging
d)
physiological
41.
Which of the following events is the major cause of serious trauma suffered by pediatric patients?
a)
bicycle falls
b)
birth injuries
c)
electrical burns
d)
motor vehicle accidents
42.
The term golden hour refers to reduction of morbidity and mortality of which of the following types of patient population?
a)
pregnant patients
b)
trauma victims
c)
premature neonates
d)
organ transplant recipients
43.
Diabetes mellitus is a disorder of which of the following body systems?
a)
cardiovascular
b)
endocrine
c)
genitourinary
d)
integumentary
44.
What is the MOST common type of shock seen in infants and children?
a)
cardiogenic
b)
hypervolemic
c)
hypovolemic
d)
septic
45.
A surgical technologist working in a Veteran's Administration (VA) facility might frequently encounter patients with which of the following conditions?
a)
COPD
b)
DCIS
c)
IDDM
d)
PTSD
46.
Any need or activity related to one's identification or interaction with another individual or group is:
a)
physical need
b)
psychologic need
c)
social need
d)
spiritual need
47.
The need that refers to a person's need to believe that their environment is safe is:
a)
esteem need
b)
safety need
c)
love and belongingness need
d)
first aid need
48.
The surgical patient is an individual who becomes a patient because of an illness, a disease, or a condition.
a)
True
b)
False
49.
A patient who is dying states, "I know I will be in a better place." According to the Kubler-Ross stages of grief, this statement would be classified as:
a)
acceptance
b)
denial
c)
depression
d)
anger
50.
A DNR (Do Not Resuscitate) is written by a _________ and is initiated by the _________.
a)
patient; physician
b)
attorney; physician
c)
physician; patient
d)
attorney; patient
51.
According to Maslow's hierarchy of needs, an individual's most basic needs are biological needs, such as for water and food.
a)
True
b)
False
52.
In all religions, the removal of life support is a personal choice.
a)
True
b)
False
53.
Which of the following conditions would be considered a genetic malformation factor for surgical intervention?
a)
kidney stone
b)
colon cancer
c)
uterine fibroid
d)
cheiloshisis
54.
A _________ allows a patient to state in writing exactly what medical interventions they are willing to endure to sustain life.
a)
living will
b)
proxy
c)
power of attorney
d)
DNR/DNI
55.
The surgical team, in preparation for an ectopic pregnancy of a female patient who is Jehovah's Witness, must be concerned with the fact that:
a)
the patient's holy day does not allow surgery
b)
the patient is not allowed medical treatment
c)
the patient's beliefs do not allow blood transfusions
d)
the patient is not allowed birth control
56.
The _________ need refers to the need to fulfill what one believes is one purpose.
a)
safety
b)
love and belonging
c)
esteem
d)
self-actualization
57.
The surgical technologist must take _________ and cultural information into account when talking with a patient in the operating room.
a)
religious
b)
job qualifications
c)
politics
d)
insurance
58.
A patient who is dying states, "It can't be happening to me," is an example of the Kubler-Ross stages of:
a)
denial
b)
acceptance
c)
bargaining
d)
depression
59.
The following religion does not allow birth control:
a)
Jehovah's Witness
b)
Mormonism
c)
Roman Catholicism
d)
Islam
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