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Patient Care: Unit 2/3 Review
Patient Interactions/History Taking
43
Health Care
Undergraduate 3
07/08/2014

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Cards

Term
The lowest level of Maslow's hierarchy of needs is called _________.
Definition
physiologic
Term
A patient schedules an appointment for a barium enema on Friday at 8 AM. The patient is given the intestinal prep and instructions to follow. The scheduling department instructs the patient to arrive at 7:45 AM in the radiology department. This patient is considered which of the following?

A. inpatient
B. outpatient
C. emergency department patient
Definition
outpatient
Term
How does one communicate with non-English speaking patients?
Definition
Pantomime, touch, and facial expressions
Term
Which of the following statements reflect interactions with substance abuse patients?

A. restraints may be used for their safety
B. the patient may become agitated or violent
C. the patient should never be unattended while developing films
D. all of the above
Definition
all of the above
Term
Which of the following characterize the development of an infant?

A. prefer to be wrapped tightly in a blanket
B. like to be held in a familiar position
C. prefer to hear a calm, soothing voice
D. all of the above
Definition
all of the above
Term
How does one respond to questions from patients or visitors regarding the results of their x-rays?
Definition
Instruct the patients or visitors to call their physician for the results.
Term
Adolescents' special needs revolve around their modest feelings about their bodies. Therefore, radiographers need to do which of the following?

A. proceed with the exam regardless of their concerns
B. respect their wishes to keep fully covered
C. have a radiologist ask their LMP
D. ignore professional recommendations for patient prep
Definition
respect their wishes to keep fully covered
Term
Which of the stages of dying is described as the realization that life will be interrupted before everything the dying patient has planned has been accomplished?
Definition
Anger
Term
According to Maslow's hierarchy of needs, what is the reason that patients may behave abnormally during their hospital stay?
Definition
Physiologic needs aren't being met
Term
All of the following are examples of nonverbal communication except:

A. smiling at the patient
B. asking the patient for a medical history
C. using a friendly tone of voice
D. demonstrating a puzzled facial expression
Definition
asking the patient for a medical history
Term
Touching the patient's iliac crest for an abdominal exam is an example of using touch for _________.
Definition
palpation
Term
A patient discusses his or her condition with the radiologist. After the radiologist leaves the room, the patient begins to cry. The radiographer sits down next to the patient and squeezes the patient's hand. This is an example of using touch for:

A. emphasis
B. palpation
C. emotional support
D. localization
Definition
emotional support
Term
As a patient is describing the pain in his or her hand, why is it important for the radiographer to make eye contact with the patient?

A. provides emotional support for a stressed patient
B. makes the patient feel that what he or she is saying is important
C. helps to expedite the examination
D. reassures the patient of the radiographer's technical skills
Definition
makes the patient feel that what he or she is saying is important
Term
The primary means of communication with a hearing-impaired patient is through:

A. writing
B. touch
C. a bilingual family member
D. continual conversation
Definition
writing
Term
In which age group can you expect the patient to be able to think logically and analyze a situation?

A. Toddler
B. Infant
C. preschooler
D. schoolchildren
Definition
schoolchildren
Term
Why is it important to handle geriatric patients as mature adults rather than "senior citizens"?

A. preserves their self-image
B. eliminates excess anxiety
C. minimizes discrimination
D. diverts their attention for the problem
Definition
minimizes discrimination
Term
A 52-year-old female patient arrives for a chest x-ray. She is considered which of the following?

A. a young adult
B. middle-aged
C. a mature person
D. an adolescent
Definition
middle-aged
Term
Why would it be beneficial to sit with the parents and child in the waiting room to get a history of the child and explain the procedure?

A. helps the child become familiar and comfortable with the radiographic staff
B. expedites the time spent in the radiographic room
C. ensures the technical competence of the staff
D. allows the parents active participation with the exam
Definition
helps the child become familiar and comfortable with the radiographic staff
Term
When patients are not told of their terminal condition, they fall into which category?

A. open awareness
B. suspicious awareness
C. mutual pretense
D. closed awareness
Definition
closed awareness
Term
What is the acceptable reaction of the radiographer in dealing with a patient in the beginning stage of denial isolation?

A. addressing the patient's feelings toward dying
B. offering silence and acceptance of the person, without discussing death
C. supporting the patient's feelings by discussing the death of one's own loved one
D. attempting to cheer up the patient by telling jokes
Definition
offering silence and acceptance of the person, without discussing death
Term
T/F: Nonverbal communication is not as important as verbal communication with the patient or family members.
Definition
False
Term
T/F: Touch is commonly used to express concern and support for patients.
Definition
True
Term
T/F: When family members accompany the patient to the radiology department, both the family members and the patient are treated with professional courtesy and respect.
Definition
True
Term
In Maslow's hierarchy of needs, a patient cannot satisfy the need for love and belonging before satisfying the security.
Definition
True
Term
Who is responsible for obtaining the clinical history from the patient for the diagnostic procedure?
Definition
Radiologic Technologist (Radiographer)
Term
What is the significance of a good clinical history?

A. it provides the referring physician's admitting diagnosis
B. it provides general information regarding the patient's condition
C. it focuses the radiologist's attention to a specific area
D. it translates the patient's complaints into medical jargon
Definition
it focuses the radiologist's attention to a specific area
Term
How should radiographers handle patients who are combative as a result of their frustration?

A. refer the patient back to the doctor
B. talk sternly to the patient about the behavior
C. ask a family member to calm the patient down
D. acknowledge the anger to help overcome it
Definition
acknowledge the anger to help overcome it
Term
Which of the following is the professional way to greet the patient?

A. Robin Jones
B. Mrs. Jones
C. R. Jones
D. all of the above
Definition
Mrs. Jones
Term
The vital signs of a patient are as follows: heart rate, 95; blood pressure, 120/75; temperature, 99.2'F. This information is considered to be:

A. objective data
B. chief complaint
C. clinical history
D. subjective data
Definition
objective data
Term
The patient describes her chest pain as "it feels like someone is standing on my chest." This information is considered to be:

A. chronology
B. objective data
C. subjective data
D. none of the above
Definition
subjective data
Term
All of the following are used to provide a better history to the radiologist except to:

A. encourage elaboration
B. use probing questions
C. summarize the details
D. ask close-ended questions
Definition
ask closed-ended questions
Term
A clinical history for abdominal x-ray should begin with which of the following questions?

A. "Specifically where is the abdominal pain?"
B. "What type of abdominal problems are you having?"
C. "How long have you been vomiting?"
D. "When did you have gallbladder surgery?"
Definition
"What type of abdominal problems are you having?"
Term
In which of the following ways does the radiographer use leading questions?

A. they should be avoided
B. they should be used for filling in details
C. They should be used to verify information
D. they should be used to help the patient focus on his or her complaint
Definition
they should be avoided
Term
The primary medical problem as defined by the patient is called which of the following?

A. clinical history
B. subjective data
C. chief complaint
D. objective data
Definition
chief complaint
Term
When the radiographer asks a patient how many days he or she has had a fever, what part of the clinical history is being assessed?

A. localization
B. chronology
C. onset
D. quality
Definition
chronology
Term
Which of the following clinical history elements is described as defining the precise area for the patient's complaint?

A. chronology
B. onset
C. aggravating factor
D. localization
Definition
localization
Term
When one patient describes a cough as productive and another patient describes a cough as nonproductive, which element of the clinical history does this fall under?

A. localization
B. onset
C. severity
D. quality
Definition
quality
Term
In determining the severity of a patient's ankle injury, which of the following questions would be asked?

A. "When did the injury happen?"
B. "How did the injury happen?"
C. "Can you put any weight on the injured ankle?"
D. "Have you previously injured your ankle?"
Definition
"Can you put any weight on the injured ankle?"
Term
T/F: Radiographers must be perceived by the patient as genuine respectful, and empathetic in order to establish an open dialog.
Definition
True
Term
T/F: Patients are interviewed by the radiographer.
Definition
True
Term
T/F: Objective data are described as data perceived by the patient only.
Definition
False
Term
T/F: During the patient interview, it is important to obtain subjective data only.
Definition
False
Term
T/F: Aggravating factors are described as any condition (e.g., heartburn) that is worsened by something (e.g., eating spicy food).
Definition
True
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