Chapter 11 Patient Interactions

Question 1

people oriented and hands on

1.important to understand emotions 2.communicate effectively

Answer 1

radiologic technology

Question 2

why are you here, why field chosen

Answer 2

personal understanding

Question 3

ability to evaluate, perceive and control emotions

1. patients come to be imaged with all states of emotions
2. communicate using care and empathy
3. get patient to cooperate
4. interactive skills can determine and affect patients opinion of medical imaging dept

Answer 3

emotional intelligence

Question 4

have our own needs to satisfy our career ambitions

Answer 4

personal needs

Question 5

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

Answer 5

Maslows hierarchy of needs (theory of psychology)

Question 6

1. physiological (food, shelter, clothes)
2. safety (employment, health)
3. belongingness and love (friendships, family)
4. esteem (self confidence, respect for self and others)
5. need to know and understand (cognitive needs, academic, thinking, why’s)
6. aesthetics (beauty, emotional need of artist)
7. self actualization (fulfillment with life, goals)

Answer 6

order of maslows hierarchy of needs

Question 7

belonging and love (#3)

Answer 7

level that radiologic technologist students come in at

Question 8

environment unfamiliar
little control over whats happening to them
dont know their exact state or health
fear of what was found

Answer 8

patients are in altered state of mind (patient needs)

Question 9

important to know which level they come in at

Answer 9

level patients are at

Question 10

dignity
self respect
acknowledge how they are feeling..empathy
need to satisfy each level to move on to higher needs

Answer 10

power rad tech has over a patient (patient satisfaction)

Question 11

admitted to hospital for diagnostic studies or treatment. occupy bed for longer than 24 hours

Answer 11

inpatient

Question 12

have been up and down maslows hierarchy of needs
may have previous experience in hospitals
must gain their confidence
they are always watching and listening

Answer 12

patient and inpatients being admitted

Question 13

patient has to come to hospital or center for diagnostic testing or treatment…no overnight stay

Answer 13

outpatient

Question 14

you don't know what they have faced that day
expect schedule to be on time
expect updates if running behind
ok to apologize
treat all patients equally

Answer 14

patients and outpatients

Question 15

because they wait they have time to critique
if they get rude anxiety may play role
cant tell them what you see…doc only
be courteous

Answer 15

interacting with family of patients

Question 16

radiologist will read…doc will call

stat exam…keep patient there

Answer 16

interacting with family of patients
read and call
hold and call or stat exam

Question 17

verbal (humor, organizational vocabulary, speech and grammar)
non verbal (paralanguage, body language)
touch

Answer 17

effective communication methods

Question 18

music of language…signals sent by tone, speech, rate, stress, volume

Answer 18

paralanguage

Question 19

frowns=disapproval
dont look directly into eyes=rejection,avoidance
clenched fist/teeth=angry
tight, rigid posture=pain,defensive
leaning forward when listening=best way,interested

Answer 19

body language

Question 20

emotional (trying to be empathetic)
emphasis (highlight or direction)
palpation (landmarks touched)

Answer 20

touch

Question 21

professional appearance
personal hygiene
physical presence
visual contact
listening skills

Answer 21

methods of communication

Question 22

rough handling, hurry, being pushy

calm, persuasive, firm, expression of feelings

Answer 22

aggressiveness vs assertiveness

Question 23

seriously ill (determine coherent level, work fast, explain)
visually impaired (explain, touch)
speech and hearing impaired (write things down)
non english speaking (interpreter)
mentally impaired (use strong voice)
substance abuse (firm directions, restraint)

Answer 23

types of patients

Question 24

demonstrate with hands, point

Answer 24

pantomine

Question 25

same procedure as xray room verify patient name explain to family

Answer 25

surgical exams

Question 26

get to their level explain in waiting room, hold child security never leave alone

Answer 26

pediatrics

Question 27

``` hold in familiar position tight blanket soothing voice anxiety from parent separation vivid memories ```

Answer 27

birth to 1 infants

Question 28

live in the here and now | familiar words are often more effective...bones, pics

Answer 28

1 to 3 toddlers

Question 29

dont understand reason or cause and effect understand big, little or first but not waiting form opinion they are sick because they are bad must see or hear to understand will not let you hold them unless win trust

Answer 29

3 to 5 pre school

Question 30

begin to think logically fear of injury, disease, death and punishment can help child rationalize

Answer 30

5 to 10 school age children

Question 31

early adolescence--body awareness middle adolescence--peer groups important late adolescence--mature

Answer 31

10-25 adolescence

Question 32

new roles and responsibilities may neglect on one area to handle another

Answer 32

25 to 45 young adult

Question 33

found their place in life | when sick their place in life is threatened

Answer 33

45 to 65 middle aged

Question 34

treat as middle aged and mature person

Answer 34

65 and older mature adult

Question 35

study of aging and disease of older adults | treat as mature adults

Answer 35

geriatrics

Question 36

young-old, age 65-74 old-old, age 75-84 oldest-old, age 85 and older

Answer 36

healthy and active transitional frail and infirm

Question 37

primary aging---inevitable aging (everyone experiences) | secondary aging--aging from disease, abuse, disuse (individual can control this)

Answer 37

aging process groups

Question 38

``` nervous system (psychomotor slows) respiratory system (decrease cough reflex) musculoskeletal system (falls) cardiovascular system (avoid orthostatic hypotension, avoid chilling) integumentary system (loss of skin elasticity) gastrointestinal system (delay bowel) ```

Answer 38

physical changes with aging

Question 39

may have DNR be aware of current practices for patient unexpected death may occur

Answer 39

interacting with terminally ill

Question 40

closed awareness (dont know condition) suspicious (watch for clues) mutual (all know but avoid) open (all know and talk about it)

Answer 40

terminally ill

Question 41

``` denial and isolation anger bargaining prepatory acceptance ```

Answer 41

stages of death elisabeth kubler-ross

Question 42

can sign DNR, hospice, ventilation | patient has opinion about healthcare

Answer 42

patient autonomy

Question 43

medical chart advanced healthcare directives living will health care proxy (power of attorney)

Answer 43

legal documents