Advanced Patient Care Test 1 With Complete Solution

Which of the following lists accurately depicts Kubler-Rosss stages of death and dying? Answers: a.Denial; anger; bargaining; depression; acceptance b.Anger; denial; bargaining; depression; acceptance c.Denial; bargaining; anger; depression; acceptance d.Anger; bargaining; denial; acceptance; depression - Answer a.Denial; anger; bargaining; depression; acceptance Misunderstanding between a HC provider and a patient from another country can be: Answer: a.Caused by language barriers b.Guaranteed since the two are from different cultural backgrounds c.Avoided by memorizing all the characteristics of others from that culture d.All of these are true - Answer a.Caused by language barriers Of the changes that occur in geriatric patients that are especially important when they are undergoing radiographic procedures, which of the following may produce fear about falls with the potential for permanent loss of mobility? Answers: a.Bone loss due to osteoporosis b.Impaired visual acuity c.Decreased muscle strength d.Arthritis - Answer a.Bone loss due to osteoporosis Which of the following statements regarding Maslow's Hierarchy of Needs are true? 1. Basic physiologic needs must be met before pursuing higher levels 2. Provides insight into behaviors based on the level of needs met 3. This model can be applied only to patients in HC settings 4. Patients are often functioning at a lower level than normal while in the hospital Selected Answer: a.1 & 2 b.1 & 4 c.1, 2 & 4 d.1, 2, 3 & 4 - Answer c.1, 2 & 4 1. Basic physiologic needs must be met before pursuing higher levels 2. Provides insight into behaviors based on the level of needs met 4. Patients are often functioning at a lower level than normal while in the hospital A female patient arrives in the radiology department for a BE. She speaks English well, although with a noticeable accent and is wearing a hijab. When the male technologist approaches her and introduces himself, she becomes visibly tense and states she has changed her mind and does not want the procedure done. What is the best response by the RT? Answers: a.Find an interpreter to explain the importance of the exam to the proper diagnosis of her illness in her native language. b.Agree that she has a right to refuse the exam and show her the way back to the parking lot. c.Ask if she would prefer a female radiographer to perform the procedure. d.Any of the above is equally appropriate - Answer c.Ask if she would prefer a female radiographer to perform the procedure. Which of the following statements regarding communication and caring of an 85-year-old female are false? Answers: a.Speak very loudly with simple language because the patient is probably deaf or senile b.Speak directly to the patients daughter in order to get an accurate history c.Transfer the patient quickly onto the table; she will appreciate your effort d.All of the above are false e.More than one, but not all of the above are false - Answer d.All of the above are false Which of the following would not be effective when dealing with an 8-month-old infant? Selected Answer: Answers: a.Use pleasant facial expressions and a soothing voice b.Give simple yet detailed explanations to the child c.Keep them warm and comfortable d.Allow the parents to remain as long as possible e.All of the above would be effective - Answer b.Give simple yet detailed explanations to the child In American culture, it is most appropriate to stand approximately 1 ½ - 4 feet from the patient while taking a medical history. This is classified as: Answers: a.Social distance b.Public distance c.Personal distance d.Intimate distance - Answer c.Personal distance The mother of a pediatric patient requests to remain with her child during an MRI scan. What is the appropriate response of the radiographer? Answers: a.Inform her that she may not accompany her child due to safety concerns b.Allow her to enter the room after verifying that she is not claustrophobic c.Allow her to enter the room after completing the usual patient screening procedure d.Allow her to enter the room after providing her with lead shielding - Answer c.Allow her to enter the room after completing the usual patient screening procedure Mr. Jones has just been diagnosed with cardiac failure and will definitely die within 6 months without a heart transplant. Upon discharge he immediately begins a moderate exercise program and quits smoking. He is probably in the stage of: Answers: a.Anger b.Acceptance c.Denial d.Bargaining - Answer d.Bargaining Which of the following classifications of drugs should be included on an emergency cart in the Radiology Department? 1. Emetics 2. Anticoagulants 3. Stimulants 4. Vasodilators Answers: a.1 & 4 b.3 & 4 c.1, 3 & 4 d.1, 2, 3 & 4 - Answer b.3 & 4 3. Stimulants 4. Vasodilators A patient experiencing hypoglycemia should be given: Answers: in hydrates in of the above - Answer hydrates A diabetic patient presents to the radiology department for a barium enema complaining that she is hungry and thirsty and demands that her procedure be done immediately. You take her to the bathroom to change into a patient gown. When you return, you find her unconscious and diaphoretic. What should you do? Answers: a.Make her drink orange juice with added sugar or chew glucose tablets b.Move her to the table and complete the BE before she awakens c.Give her an injection of insulin d.Call for help - Answer d.Call for help Syncope is a medical term which means: Answers: ness ing leed d.a and b e.None of the above - Answer b.Fainting When a patient is assessed in the ER according to the Glasgow Coma Scale, a score of 13 indicates that the patient is unresponsive with abnormal reflexes. Answers: a.True b.False - Answer b.False A patient experiences a seizure during a radiographic procedure. Your primary goal should be to: Answers: a.Prevent the patient from injuring himself b.Ensure an open airway by placing a tongue blade in the mouth c.Keep an emesis basin in from the patient in case he vomits. d.Finish the procedure and discharge the patient quickly - Answer a.Prevent the patient from injuring himself Which of the following types of trauma result from mechanical energy mechanisms? Answers: a.Burns b.Gunshot wounds c.Lightning Strikes d.More than one, but not all of the above e.All of the above - Answer b.Gunshot wounds A diabetic patient who is NPO for a radiographic procedure who demonstrates symptoms which include irritability and confusion, slurred speech and diaphoresis is probably experiencing: Answers: glycemia cidosis lycemia of the above - Answer lycemia The emergency cart in the Radiology department would probably not include: 1. Stimulants 2. Antiemetics 3. Vasodilators 4. Antidepressants Answers: a.1 and 3 b.1, 2, and 3 c.2 and 4 d.1, 2, 3 and 4 - Answer c.2 and 4 2. Antiemetics 4. Antidepressants Which of the following would be appropriate for imaging a patient with a suspected cervical spine injury? Answers: a.Remove the cervical collar and any jewelry that may cause an artifact on the film. b.Take the patient off the backboard to relieve their discomfort when they request c.Include the soft-tissue structures to rule out anterior displacement of the airway d.All of the above e.None of the above - Answer c.Include the soft-tissue structures to rule out anterior displacement of the airway A classification of shock caused by an anaphylactic reaction to iodinated contrast: Answers: a.Hypovolemic b.Cardiogenic genic d.Vasogenic - Answer d.Vasogenic General symptoms of severe shock include: Answers: tension,tachycardia and bradypnea ension,tachycardia and tachypnea ension, bradycardia and bradypnea tension, bradycardia and tachypnea - Answer ension,tachycardia and tachypnea Which of the following would be appropriate for imaging a patient with a suspected cervical spine injury? Answers: a.Remove the cervical collar and any jewelry that may cause an artifact on the film. b.Take the patient off the backboard to relieve their discomfort when they request c.Include the soft-tissue structures to rule out anterior displacement of the airway d.All of the above e.None of the above - Answer c.Include the soft-tissue structures to rule out anterior displacement of the airway Hypovolemic shock can result from which of the following? Answers: nged vomiting or diarrhea rhage e burns than one, but not all of the above of the above - Answer of the above Knowing the specific mechanism of a patients trauma: Answers: a.Helps predict the internal injuries which may be present b.Improves the physicians ability to order the appropriate diagnostic tests c.Aids the radiographer in knowing how to best handle the patient and position them without causing further damage d.Is really unnecessary since there are so many excellent diagnostic tools available to the physician e.A, B and C only - Answer e.A, B and C only a.Helps predict the internal injuries which may be present b.Improves the physicians ability to order the appropriate diagnostic tests c.Aids the radiographer in knowing how to best handle the patient and position them without causing further damage The emergency cart in the Radiology department would probably not include: 1. Stimulants 2. Antiemetics 3. Vasodilators 4. Antidepressants Answers: a.1 and 3 b.1, 2, and 3 c.2 and 4 d.1, 2, 3 and 4 - Answer c.2 and 4 2. Antiemetics 4. Antidepressants Which of the following would be appropriate for imaging a patient with a suspected cervical spine injury? Answers: a.Remove the cervical collar and any jewelry that may cause an artifact on the film. b.Take the patient off the backboard to relieve their discomfort when they request c.Include the soft-tissue structures to rule out anterior displacement of the airway d.All of the above e.None of the above - Answer c.Include the soft-tissue structures to rule out anterior displacement of the airway The type of shock caused by excessive bleeding is: Selected Answer: