Chapter 11 Flashcards

1
Q

As a rad tech, it’s important to understand:

A

Emotions

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2
Q

What is emotional intelligence?

A

Ability to evalute, perceive, and control emotions

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3
Q

How should you communicate with patients?

A

Using care and empathy

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4
Q

What are personal needs?

A

Have our own needs to satisfy our career ambitions

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5
Q

What is the theory of Maslow’s hierarchy of needs?

A

People strive from a basic level of physiological needs toward a level of self-actualization. Each level must be satisfied before proceeding to the next.

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6
Q

What are the 7 levels of Maslow’s hierarchy of needs?

A

Physiologic
Safety
Belongingness & Love
Esteem
Need to Know & Understand
Aesthetics
Self-Actualization

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7
Q

Physiologic need:

A

Largest most fundamental needs

Food, shelter, clothing, sexual gratification

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8
Q

Safety need:

A

Employment, health, and property

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9
Q

Belongingness & Love need:

A

Family and friendship

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10
Q

Need to Know & Understand need:

A

Conginitive need of the academic

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11
Q

Aesthetics need:

A

Emotional need of the artist

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12
Q

Self-actualization need:

A

Highest need

Confidence in who you are and what your goals are

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13
Q

Esteem need:

A

Self confidence and respect for self and others

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14
Q

Power a Rad Tech has over a patient:

A

Dignity
Self respect

Acknowledge how patient is feeling

Lack of satisfaction in level 1 can cause a patient to be unable to satisfy the other needs

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15
Q

What is impatient?

A

Admitted to the hosptial for diagnostic studies or treatment.

Occupy a bed for longer than 24 hours

Before arriving, they have been up & down hierarchy of needs

Must gain their confidence - always watching and listening

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16
Q

Define outpatients:

A

Patient has to come to the hosptial or outpatient center for diagnostic testing or treatment - no overnight stay.

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17
Q

One of the most challenging parts of the job is getting patients to:

A

Cooperate

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18
Q

Read and call or report order:

A

Let patient go

Radiologist reads and calls referring doctor or report issue to referring doctor

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19
Q

Hold and call or STAT order:

A

Radiologist reads while patient stayts there

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20
Q

Methods of communication:

A

Verbal
Nonverbal
Touch

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21
Q

Verbal communication (how to talk to patient):

A

Introduce yourself
Humor
Organizational vocabulary (sentence structure)
Speech and grammer

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22
Q

Nonverbal communication:

A

Paralanguage
Body language

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23
Q

What is paralanguage?

A

“Music of language” - you send signals by use of tone, speech, rate, pitch, stress, and volume

24
Q

3 types of touch

A

Emotional
Emphasis
Palapation

25
Q

What is emotional touch?

A

Conveys trying to be empathetic

26
Q

What is emphasis touch?

A

Touch for highlight or specific instructions

27
Q

What is palpation touch?

A

Light pressure for landmarks

Communicate to patients what you are doing

28
Q

Aggressive vs. Assertive

A

Aggressive: rough handling, hurrying, being pushy

Assertive: calm, persuasive, firm expression of feelings

29
Q

How to understand seriously ill and traumatized patients?

A

Determine coherent level; work quickly and efficiently

Continue to talk to the patient and explain procedures

30
Q

How to understand visually impaired patients?

A

Explain the procedure; reassure with touch

31
Q

How to understand speech and hearing impaired patient?

A

Write things down

Pantomime instructions

32
Q

How to understand mentally imparied patients?

A

Use a strong yet reassuring voice

Not apporiate to send back to ER if patient cannot do exam or patient uncooperative

33
Q

How to handle infants?

A

Hold in familiar positions
Most like a tight blanket
Soothing voice
8 months on - have anxiety being separated from parents
1 year olds can have vivid memories of medical experiences

34
Q

How to handle toddlers(1-3)?

A

Live in the here and now

Familiar words are more effective

35
Q

How to handle Pre-schoolers (3-5)

A

Not able to understand reason, or cause and effect

Must see or hear something to understand

Will not let you hold them unless you can win their trust

36
Q

How to handle school age children (5-10)?

A

Begin to think logically and analyze

Fear of injury, disease, death and punishment

Can help rationalize why it is good to get exam

37
Q

How to handle Adolescents (10-25 years)?

A

Early adolescence: body awareness and modesty is important

Middle adolesence: peer groups important - dev. independence, want to be treated as adult

Late adolescense: mature relationships, financially secure, treat as adults

38
Q

How to handle young adults (25-45)?

A

New roles and responsibilites, may neglect one area to handle for another

39
Q

How to handle middle aged (45-65)?

A

Found their place in life

When sick their place in life is threatened

40
Q

How to handle mature adults (65+)?

A

Treat as middle aged becuase they are not on their way out

41
Q

What is Gerontology/Geriatrics?

A

The study of aging and diseases of older adults

42
Q

Gerontology Aging Categories

A

Young-old (65-75); healthy and active

Old-old (75-84); transitional

Oldest-old (85+); frail and infirm

43
Q

What is primary aging?

A

Gradual, inevitable aging process that begins in childhood and goes through old age

44
Q

What is secondary aging?

A

Aging from disease, abuse and disuse. This type of aging is within control of the individual

45
Q

Physical changes of the nervous system:

A

Slowing of psychomotor responses, and slowing of visual acuity and process of information

Need to give time to move

46
Q

Physical changes of the respiratory system?

A

Patient has decreased cough reflex

Avoid aspiration - give time to drink and swallow

47
Q

Physical changes of the musculoskeletal system?

A

Osteoporosis

Patient has potential for falls

Decreased tolerance for hard table top

48
Q

Physical changes of the cardiovascular system?

A

Decreased cardio efficiency

Avoid orthostatic hypotension by allowing to sit up before standing

Avoid chills

49
Q

Physical changes of the integumentary system?

A

Loss of skin texture and elasticity

Avoid skin abrasions/lacerations

50
Q

Physical changes of the GI system?

A

Decrease in secretions, loss of GI motility, and decreased sphincter muscle tone

Expect delays in small bowel studies

51
Q

What is patient autonomy?

A

Patient has opinion about what health care they want to receive. Make decisions with their doctor about how symptoms controlled and how conscious they want to be at the end

52
Q

What is advanced healthcare directives?

A

Patient states wishes beforehand if becomes unable to make decisions later

53
Q

What is a living will?

A

Patient legally states what wishes are

54
Q

What is health care proxy?

A

Power of Attorney.

Patient chooses someone to make decisions for them

55
Q

What is CT and how is a patient prepped?

A

Used higher dose of ioning radiation.

IV contrast or Oral will be requested to be NPO or nothing by mouth 4 hours prior

56
Q

Pros/Cons of ultrasound?

A

Good for visualizing body’s internal organs

Not useful for imaging bone or the air filled bowel

57
Q

What is Bone Densitometry and what is the prep for patient?

A

Uses ionizing radiation to measure bone density.

No calcium or tums 24 hours before scan