Patient care Exam 1

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Patient care Exam 1 - Quiz

Exam 1


Questions and Answers
  • 1. 

    A student radiographer is placed in a treatment room with a patient who does not speak English. The patient becomes very agitated when left alone in the room with only the student. The patient's spose is in the waiting room and she is able to communicate in English. Which of the following  is the most appropiate response to this situation?

    • A.

      The student radiographer continues with the procedure but hurries in order to complete the exam quickly

    • B.

      The student radiographer attempts to comfort the patient before he continues with the exam

    • C.

      The student radiographer stops and requests the patient's spouse come in to translate and calm the patient

    • D.

      None of the above

    Correct Answer
    C. The student radiographer stops and requests the patient's spouse come in to translate and calm the patient
    Explanation
    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.

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  • 2. 

    Mr. Smith was diagnosed with cancer 6 weeks ago and was told that the disease was incurable. He has decided to seek treatment in another country that promises instant cure with natural herbs. One might conclude that Mr. Smith is in which stage of the grieving process?

    • A.

      Denial

    • B.

      Anger

    • C.

      Bargaining

    • D.

      Acceptance

    • E.

      Depression

    Correct Answer
    C. Bargaining
    Explanation
    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.

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  • 3. 

    Mary Smith is recovering from an accident that has rendered her a paralegic. She has been in the rehabilitation unit of your hospital for several weeks and has come to the radiology department for images of her lumbosacral spine. What is the LEAST appropiate response to this situation?

    • A.

      Greet the patient. Sit with her so you are at eye level with the patient. Explain the procedure and determine the date of her last menstrual period. Discuss with the patient the amount of assistance that she will need during the procedure and give only the help that she needs at her direction.

    • B.

      Greet the patient and assess her ability to follow directions. Take a brief history and request the date of her last menstrual period. Explain the procedure and assist her onto the imaging table.

    • C.

      Greet the patient and assist her onto the imaging table. Ask her if she might be pregnant and the date of her last menstrual period.

    • D.

      None of the above

    Correct Answer
    C. Greet the patient and assist her onto the imaging table. Ask her if she might be pregnant and the date of her last menstrual period.
    Explanation
    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.

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  • 4. 

    A 15 month old child needs an X-Ray of his elbow. When you call th epatient from the waiting room, he begins to cry as you approach him. You inform the parents of what will take place and take them into an x-ray room. While attempting to perform the exam, the parent is unsuccessful with controlling the child, much less helping with the positions. What is the LEAST appropiate response for this situation?

    • A.

      Document and send the child back to his physician and state that the patient is uncooperative and you are unable to obtain images.

    • B.

      You explain and communicate to the parent the importance of immobilizing the child in order to obtain quality images for the physician. Proceed by asking another technologist and the parent to assist during the exam

    • C.

      You tell the parents to step out of the room so you can control the situation and obtain the images needed

    • D.

      None of the above

    Correct Answer
    A. Document and send the child back to his physician and state that the patient is uncooperative and you are unable to obtain images.
    Explanation
    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.

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  • 5. 

    Which of the following conditions can affect the geriatric population?

    • A.

      A decline in coronary blood flow which causes the patient to feel cold

    • B.

      Bone mass is reduced resulting in weaker bones

    • C.

      Changes in the bladder capacity

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    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.

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  • 6. 

    Which of the following patients must see or hear something to understand?

    • A.

      Infants

    • B.

      Toddlers

    • C.

      Preschoolers

    • D.

      School-age

    Correct Answer
    C. Preschoolers
    Explanation
    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.

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  • 7. 

    Which of the following is consider a barrier to communicating with another?

    • A.

      Distracting environment

    • B.

      Disagreeing

    • C.

      Language

    • D.

      Complex medical terms

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    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.

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  • 8. 

    Which of the following conditions tend to affect the geriatric population?

    • A.

      The adaptation from light to dark areas diminishes

    • B.

      The lung capacity diminishes and dyspnea can result

    • C.

      The skin on the back of the hands and forearms becomes thin and fragile

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    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.

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  • 9. 

    Mrs. Green is in the radiology department and has an order for a lumbar spine x-ray. As you communicate with her and assess her condition, you realize that she has dementia. As you prepare to move her onto the radiographic table from the stretcher, she is agitated and upset, insists on speaking with her physician, and refuses to have the exam. How should you approach and handle the situation? Which of the following is the Most Appropiate response for this situation?

    • A.

      Document that Mrs. Green is refusing the exam and send her back to her room without speaking to her nurse or physician

    • B.

      Call Mrs. Green's nurse or physician to inform him or her that she is requesting to speak to her physician and is refusing the exam

    • C.

      You decide to place Mrs. Green in a patient holding area so she can relax and regain composure. Hopefully, after a few minutes, she reconsiders her options and decides to have the exam

    Correct Answer
    B. Call Mrs. Green's nurse or physician to inform him or her that she is requesting to speak to her physician and is refusing the exam
    Explanation
    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.

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  • 10. 

    Mr. Jones comes to the radiology department for an examination. He informs the imaging professional that he is having severe pain and is short of breath. This data would be listed as:

    • A.

      Objective Data

    • B.

      Acceptance

    • C.

      Validating

    • D.

      Subjective Data

    • E.

      Irrelevant to the patient

    Correct Answer
    D. Subjective Data
    Explanation
    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.

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  • 11. 

    Which age group tends to develop fears of injury, disease, or death?

    • A.

      Infants

    • B.

      Toddlers

    • C.

      Preschoolers

    • D.

      School-age children

    Correct Answer
    D. School-age children
    Explanation
    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.

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  • 12. 

    Which of the following is not part of patient history?

    • A.

      Chronology

    • B.

      Aggravating Factors

    • C.

      Quality

    • D.

      Name & DOB

    Correct Answer
    D. Name & DOB
    Explanation
    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.

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  • 13. 

    Which of the following is incorrect concerning communication?

    • A.

      Crossing arms or legs is allowed

    • B.

      Introduce oneself to patient

    • C.

      Make eye contact with patient when speaking and being spoken to

    • D.

      Provide an explanation of what is expected to the patient

    Correct Answer
    A. Crossing arms or legs is allowed
    Explanation
    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.

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  • 14. 

    Which of the following is not part of critical thinking?

    • A.

      Interpret

    • B.

      Reflect

    • C.

      Evaluate

    • D.

      Skill

    Correct Answer
    D. Skill
    Explanation
    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.

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  • 15. 

    When a patient is touch to indicate a location or to specify instruction, this is to refer to as:

    • A.

      Support

    • B.

      Palpate

    • C.

      Emphasize

    • D.

      All of the above

    Correct Answer
    B. Palpate
    Explanation
    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.

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