Patient care Exam 1

Crossing arms or legs is not allowed in effective communication. It is a closed-off body language that can signal defensiveness or disinterest. Open body language, such as maintaining eye contact, introducing oneself, and providing explanations, is important in establishing trust and effective communication with the patient.

All of the conditions mentioned in the options tend to affect the geriatric population. The adaptation from light to dark areas diminishes, which can lead to difficulty in seeing in low light conditions. The lung capacity diminishes, which can result in shortness of breath or dyspnea. Additionally, the skin on the back of the hands and forearms becomes thin and fragile, making it more susceptible to injury or damage. Therefore, all of these conditions can commonly occur in older adults.

The most appropriate response in this situation is for the student radiographer to stop and request the patient's spouse to come in to translate and calm the patient. This is important because effective communication is essential in providing quality healthcare, and it is necessary to have a clear understanding of the patient's needs and concerns. By involving the patient's spouse, who can communicate in English, the radiographer can ensure that the patient feels more comfortable and reassured during the procedure.

As individuals age, they are more susceptible to various health conditions and changes. A decline in coronary blood flow can occur in geriatric population, leading to feelings of coldness. Bone mass reduction is also common in older adults, resulting in weaker bones and increased risk of fractures. Changes in bladder capacity, such as decreased control or increased frequency of urination, are also frequently observed in the elderly. Therefore, all of the given conditions can affect the geriatric population.

All of the options listed can be considered barriers to effective communication with another person. A distracting environment can make it difficult to focus and understand each other. Disagreeing can create tension and hinder the flow of communication. Language barriers can make it challenging to understand and be understood. Complex medical terms can be confusing and lead to miscommunication. Therefore, all of these factors can impede effective communication.

In this situation, the most appropriate response would be to call Mrs. Green's nurse or physician to inform them that she is requesting to speak to her physician and is refusing the exam. This response prioritizes communication and collaboration with the healthcare team, ensuring that Mrs. Green's concerns and wishes are addressed. It allows for a comprehensive assessment of her condition and the possibility of finding alternative solutions or accommodations for her.

School-age children tend to develop fears of injury, disease, or death. This is because they have a better understanding of these concepts compared to younger children. They are more aware of the dangers in the world and may have experienced or heard about accidents, illnesses, or death. As they grow older, their cognitive abilities develop, allowing them to think more abstractly and understand the potential risks associated with injury, disease, or death. This increased awareness can lead to fears and anxieties related to these topics.

Critical thinking involves the ability to interpret information, reflect on it, and evaluate its validity. These three components are essential for engaging in critical thinking. However, "skill" is not a distinct component of critical thinking but rather a broader term that encompasses the various abilities and competencies required for critical thinking. While critical thinking requires skill, it is not itself a part of critical thinking.

The given answer, "Subjective Data," is correct because the information provided by Mr. Jones about his severe pain and shortness of breath is based on his personal experiences and perceptions. It cannot be measured or observed by others, making it subjective in nature. Objective data, on the other hand, refers to measurable and observable facts such as vital signs or laboratory test results. The other options, Acceptance, Validating, and Irrelevant to the patient, do not accurately describe the nature of the data provided by Mr. Jones.

Mr. Smith's decision to seek treatment in another country that promises instant cure with natural herbs indicates that he is in the bargaining stage of the grieving process. In this stage, individuals often try to negotiate or make deals in an attempt to regain control or avoid the reality of their situation. By seeking alternative treatment, Mr. Smith is bargaining with the hope that he can find a cure for his incurable disease.

The least appropriate response in this situation is to greet the patient and assist her onto the imaging table without asking if she might be pregnant and the date of her last menstrual period. This is because it is important to determine if the patient is pregnant before performing any radiological procedures, as radiation exposure can be harmful to a developing fetus. Additionally, knowing the date of her last menstrual period is important for accurate interpretation of the imaging results.

When a patient is touched to indicate a location or to specify an instruction, this action is referred to as palpate. Palpation is a technique used by healthcare professionals to assess the texture, size, consistency, and location of organs or structures within the body. It involves using the hands or fingers to apply pressure and feel for abnormalities or changes in the tissues. Therefore, the correct answer is palpate.

The least appropriate response in this situation would be to document and send the child back to his physician without attempting to obtain the images. As a healthcare professional, it is important to communicate and explain to the parents the importance of immobilizing the child for quality images. Asking for assistance from another technologist and the parent can help in controlling the child and obtaining the necessary images. It is not appropriate to exclude the parents from the room, as their presence can provide comfort and support to the child.

Preschoolers must see or hear something to understand because at this stage of development, their language skills are still developing. They rely on visual and auditory cues to comprehend information and make sense of the world around them. Unlike infants who primarily rely on sensory experiences or toddlers who are starting to understand simple instructions, preschoolers require both visual and auditory stimuli to fully grasp and process information.

Patient history typically includes information about the patient's medical background, symptoms, and relevant personal details. Chronology refers to the timeline of events related to the patient's condition, while aggravating factors are aspects that worsen the symptoms. Quality refers to the characteristics or nature of the symptoms. Name and DOB, on the other hand, are personal identification details and are not considered part of patient history.