Chapter 3 Patient Assessment and Communication

Question 1

Love and belonging need:

Answer 1

A patient is waiting alone on a gurney in a corridor. Everyone rushes by without offering explanations or communicating.

Question 2

Physiologic need:

Answer 2

For this imaging procedure, no food was allowed after dinner the previous evening. The examination is scheduled for 8 a.m.; however, it is now 11 a.m. and the patient is still waiting for care.

Question 3

Self-esteem need:

Answer 3

A middle-aged patient who is having lower gastrointestinal (GI) series has an involuntary evacuation of barium on the examination table.

Question 4

Self-actualization need:

Answer 4

A young mother is studying music in her leisure time.

Question 5

Safety and security need:

Answer 5

A child is taken from his or her parents into the imaging department for examination. The parents are told to wait outside.

Question 6

Define critical thinking and list and define the modes of thinking:

Answer 6

-Critical thinking is an analytical inquiry into any issue presented. The modes of thinking are as follows:

• Recall: the ability to bring to mind a large body of facts quickly.
• Habit: becoming accustomed to performing a skill without deep thought because of repetition.
• Inquiry: to process information thoughtfully and be willing and able to recognize, explore, and challenge assumptions to make sense of complex ideas; includes the ability to analyze, infer, explain, and reflect upon one’s work.
• Creativity: the ability to conceive of alternative methods of performing tasks or accomplishing a procedure that are more efficient or less traumatic. Creativity must always work within the standards of safe and ethical practice; demands accountability

Question 7

An elderly woman loses her spouse of 40 years. Shortly after his death, she becomes ill and requires a surgical procedure. One might consider that her illness might be related to:

Answer 7

stress

Question 8

The student radiographer is preparing for an anatomy examination. He or she is certain that the instructor will ask him to identify the bones of the skull. What type of answer will this question demand?

Answer 8

recall

Question 9

Learning the profession of radiologic technology requires:

Answer 9

cognitive, affective, psychomotor skills

Question 10

A return demonstration of an imaging examination by the radiologic technology student requires:

Answer 10

Psychomotor skill

Question 11

A radiologic technologist who has been working in his or her profession for a number of years is assigned to perform an imaging examination that he or she has performed many times. The modes of thinking that will take precedence in this instance will be:

Answer 11

Habit

Question 12

How a patient feels about his or her health care experience is strongly related to:

Answer 12

The communication skills of the health care worker caring for him

Question 13

Sadie South has just been informed that she has been accepted into the radiologic technology program at Utopia University. She is very pleased about this, but she begins to worry about her ability to succeed in the program. She is concerned about her manner of speaking, her ability to help others, and her appearance. One might say that Ms. South has:

Answer 13

Low self-esteem

Question 14

List the requirements of the problem-solving process.

Answer 14

• Data collection
• Data Analysis
• Planning
• Implementation
• Evaluation

Question 15

Mr. Ritch enters the imaging department for an examination. He informs the radiographer that he is having severe back pain and is short of breath. This data would be listed as:

Answer 15

Objective data

Question 16

When setting a goal for accomplishing an assignment, the radiographer must include the following:

Answer 16

Objective data

Question 17

Culture

Answer 17

A set of beliefs and values common to a particular group of people

Question 18

Ethnicity

Answer 18

A common history and origin

Question 19

When assessing a patient, the aspects of this assessment must include:

Answer 19

• The patient’s culture
• The patient’s economic background
• The patient’s psychological status
• The patient’s physiological background

Question 20

You are taking the history of a male patient before placing him on the examining table. He tells you that he has difficulty moving from a sitting to a standing position. The radiographer says, “You feel that you need help to stand?” This therapeutic communication technique is called:

Answer 20

Verbalizing the implied

Question 21

The concerns of the radiographer preparing to take a history on a patient must include:

Answer 21

• Privacy and a quiet environment
• Ensuring confidentiality
• A professional demeanor and appearance
• Establishment of rapport with the patient

Question 22

The process of grieving, though painful and difficult, is normal and cannot be avoided in the case of a significant personal loss.

Answer 22

True

Question 23

Mr. Leo Lee was diagnosed with cancer 6 weeks ago and 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. Lee is in which stage of the grieving process?

Answer 23

Bargaining

Question 24

List the skills required of a successful communicator:

Answer 24

• listening
• observing
• speaking
• writing

-ability to accept others with an open mind
interact with people in a perceptive manner

Question 25

Mary Nilworth is scheduled for a MRI procedure. She tells the radiographer that she is afraid that she may not be able to tolerate this examination. The radiographer states, “Don’t worry, it will be simple and over quickly.” This is an example of:

Answer 25

False reassurance and is nontherapeutic

Question 26

When the radiographer is required to instruct a patient concerning an imaging examination to be performed, he or she must assess which of the following:

Answer 26

The patient’s health status

Question 27

Living Will

Answer 27

Expresses the patient’s wishes concerning their future medical care. These maybe altered by a competent patient at any time.Each state has different rulings concerning changes in a living will by an incompetent patient.

Question 28

Durable Power of Attorney for Health Care

Answer 28

this document appoints a person other than the physician to act as the patient’s agent and make health care decisions if the patient is unable to do so. The patient may alter this document if competent to do so. No physician certification is required.

Question 29

Pain control is not with the radiographer’s scope of practice; therefore, he or she does not need to be concerned about it.

Answer 29

Fales