Introduction to Radiologic & Imaging
Sciences & Patient Care 8th Edition
by Arlene M. Adler
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,Table of Content
PART I: The Profession of Radiologic and Imaging Sciences
1. Introduction to Radiologic and Imaging Sciences
2. Professional Organizations, Development, and Advancement
3. Educational Survival Skills
4. Critical-Thinking and Problem-Solving Strategies
PART II: Introduction to the Clinical Environment
5. Introduction to Clinical Education
6. Radiology Administration
7. Radiographic Imaging
8. Medical Imaging Equipment
9. Basic Radiation Protection and Radiobiology
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10. Human Diversity
PART III: Patient Care
11. Patient Interactions
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12. History Taking
13. Biomechanics and Ergonomics
14. Immobilization Techniques
15. Vital Signs, Oxygen, Chest Tubes, and Lines
16. Basic Cardiac Monitoring: The Electrocardiogram
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17. Infection Control
18. Aseptic Techniques
19. Nonaseptic Techniques
20. Medical Emergencies
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21. Pharmacology
22. Principles of Drug Administration
23. Contrast Media and Introduction to Radiopharmaceuticals
PART IV: Ethical and Legal Issues
24. Professional Ethics for Medical Imaging Personnel
25. Health Informatics and Information Management
26. Medical Law
,Chapter 12: History Taking
Adler: Introduction to Radiologic and Imaging Sciences and Patient Care, 8th Edition
MULTIPLE CHOICE
1. When taking a patient history, it is important to
a. remain impersonal and show little emotion or empathy toward the patient.
b. consistently call the patient by his or her first name to establish patient rapport.
c. maintain a polite and professional demeanor when gathering information.
d. make a mental note of the patient’s mannerisms to share with the radiologist.
ANS: C
Because history taking is one of the most critical and valuable diagnostic tools, possessing
good history-taking skills is an essential responsibility of the radiologic and imaging
sciences professional and requires a polite and professional demeanor during the interview.
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REF: p. 157
2. In preparing to radiograph a patient who has come to the medical imaging department with a
complaint of abdominal pain, you begin to question the patient as part of the history. A good
initial question to ask the patient would be
a. “Can you rate the pain on a scale from one to five?”
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b. “Can you tell me about the nature of your pain?”
c. “Your request states that you have stomach pain, is that correct?”
d. “Does anyone in your family have similar pain?”
ANS: B
All histories should begin with open-ended questions to encourage the patient’s spontaneous
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associations about the clinical problem. The use of leading questions should be avoided
whenever possible because they introduce biases into the history.
REF: p. 158
3. An important piece of information regarding a patient’s need for medical care is sought by
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physicians and medical professionals. Many times, patients are vague about their pain or
reason for seeing the doctor. It is important to discover the patient’s _____ for seeking
medical care.
a. chief complaint
b. pain threshold
c. tolerance
d. primary reason
ANS: A
Physicians attempt to determine the patient’s chief complaint. This effort is valuable
because it focuses the history toward the single most important issue. In many instances, the
chief complaint is directly related to the first symptom that is discussed.
REF: p. 158
, 4. In the process of questioning a patient about the reason for having the requested X-ray
examination, the patient becomes irritated and complains that she “is getting pretty tired of
saying the same things over and over to all these nurses.” An effective method to deal with
this patient’s attitude would be to
a. allow the patient to sign a statement declining to answer questions.
b. ask the patient what pieces of information others have learned.
c. limit the questioning to simple “Yes or No” answers.
d. explain that each person is asking questions specific to their patient care task.
ANS: D
A useful tool is to repeat information obtained as a part of the history for two reasons: to
verify that the radiologic technologist has perceived the information correctly and to ensure
that the patient has not changed his or her mind. Asking for like information from different
people can often reveal new information.
REF: p. 158
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5. Good history taking involves the collection of objective and subjective data. All of the
following are examples of subjective data except the patient’s
a. emotions.
b. respiratory rate.
c. speech pattern.
d. ability to follow your instructions.
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ANS: B
Objective data are perceptible to the senses, such as signs that can be seen, heard, or felt and
such things as laboratory reports. Subjective data pertain to or are perceived by the affected
individual only. Respiratory rate is a physiologic measurement and considered objective
data.
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REF: p. 157
6. Objective data regarding a patient’s history
a. are more important than subjective data.
b. deal with a patient’s feelings.
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c. consist of a patient’s vital signs.
d. are an effective way to explain the patient’s pain level.
ANS: C
Objective data are perceptible to the senses, such as signs that can be seen, heard, or felt and
such things as laboratory reports. Many objective signs are physiologic measurements such
as temperature, pulse, respiration, and blood pressure.
REF: p. 157
7. When asking about a patient’s pain, it is effective to
a. identify the three (3) most common areas for patient pain.
b. assure the patient that questions about pain are required and standard questions.
c. ask the patient if pain is in the abdomen.
d. ask the patient to point to or touch the area that hurts and record the information.