110 notecards = 28 pages (4 cards per page)
The word ambulatory means that the patient
How does the radiographer communicate with patients who do not speak English?
through an English-speaking family member
Why is it important for the radiographer to make eye contact with the patient as she describes the pain in her hand?
It makes the patient feel that what she is saying is important.
Which of the following is undesirable for conducting a clinical history interview?
asking vague questions
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:
explain that each person asking questions is trying to find additional important information about her condition.
What is the acceptable reaction of the radiographer in dealing with a patient in the beginning stage of denial isolation?
offering silence and acceptance of the person, without discussing death
In recording a patient history for the radiologist, you note that the patient has an open sore on her ankle. In your description you indicate that the sore is draining and has a foul odor. This information deals with the _____ of a patient history.
Most radiologists have one key question they want answered when it relates to any medical imaging examination. That question most likely would be:
Why is the patient having this examination?
An imaging sciences professional:
does none of the above.
When questioning patients to obtain an accurate patient history:
start with open-ended questions and then follow up with more direct inquiries.
Touch is commonly used to express concern and support for patients.
In which age group can you expect the patient to be able to think logically and analyze a situation?
One patient describes a cough as productive, and another patient describes a cough as nonproductive; under which element of the clinical history do these descriptions fall?
Which of the following describes an undesirable method of questioning that provides information that may direct the answer toward a suspected symptom or complaint?
Which term describes gentle touching to determine the precise location of a symptom or complaint?
In which of the following ways does the radiographer use leading questions?
They should be avoided.
Which of the following includes the tone of voice, the speed of speech, and the position of the speaker’s extremities and torso?
How should radiographers handle patients who are combative as a result of their frustration?
acknowledge the anger and help overcome it
As you prepare to take a PA chest radiograph on a patient who is suspected of having a lung collapse, you note that the patient has an extremely difficult time taking in a deep inspiration. An imaging sciences professional would:
record the depth of inspiration as an item of subjective data.
As a patient begins to explain his reasons for coming to the clinic for an x-ray examination, he begins to use medical terms to describe his conditions. His information appears to be accurate medically and helps clarify his symptoms. To deal with this patient you should:
politely listen, record his comments, and repeat his statements to clarify.
The lowest level of Maslow’s hierarchy of needs is:
According to Maslow’s hierarchy of needs, what is the reason patients may behave abnormally during their hospital stay?
Their physiologic needs aren’t being met.
Questions about the diagnosis of an examination from a patient or visitor are best answered by
explaining that only a radiologist can read radiographs
Aging is a natural part of living. As you work with older patients it is important to empathize with their condition and understand the physiologic changes of the aging process. These changes may include:
1, 4, 5, and 6 only
When the radiographer asks a patient how many days the person has had a fever, what part of the clinical history is being assessed?
Touch can be an effective communication strategy when dealing with patients for medical examinations. As you ask a patient to turn on his or her side for an oblique projection, you gently touch his or her hip or shoulder to guide them into the correct position. This would be a type of touch for:
When asking about a patient’s pain, it is effective to:
ask the patient to point to or touch the area that hurts, and record that area on the requisition.
Which of the following statements is FALSE?
To minimize feelings of alienation, it is useful to treat geriatric patients as adolescents in order to make them understand your instructions.
Which of the following is (are) desirable method(s) of conducting a clinical history interview?
a and b
Objective data regarding a patient’s history:
consist of a patient’s vital signs.
When family members accompany the patient to the radiology department, both the family members and the patient are treated with professional courtesy and respect.
When radiographing a very young child or a mentally impaired patient:
try and get a family member to be a part of the examination for communication and reassurance.
Of the changes that occur in geriatric patients that are especially important when patients are undergoing radiologic examinations, which of the following may produce patient paranoia about potential falls with potential for permanent loss of mobility?
osteoporotic loss of bone mass
How does the radiographer respond to questions from patients or visitors regarding the results of their x-rays?
They should be instructed to call their physician for the results.
When dealing with a, terminally ill patient, which of the following would seem most appropriate?
Politely working in silence as necessary and attending to his physical needs
The highest level of Maslow’s hierarchy of needs is
Which of the following is (are) usually included as part of the chronology of a clinical history?
all of the above
A patient’s vital signs are as follows: heart rate, 95; blood pressure, 120/75; temperature, 99.2º F. This information is considered:
Which of the following characterize(s) the development of an infant?
all of the above
Which of the following is not one of the sacred seven of medical histories?
The dying patient who wants to stay alive long enough to see his son graduate from college would be in what stage of the dying process?
On a patient’s examination requisition for a KUB, you notice that the history recorded by ER states “R/O appendicitis.” In an effort to gain more precise information about the patient’s condition, questions to ask that would be important to this examination (KUB) would be:
1 and 4 only
Which of the following stages of dying is described as the realization that life will be interrupted before everything the dying patient has planned has been accomplished?
Which of the following is considered to be the first stage of acceptance of dying for a terminally ill patient?
denial and isolation
According to Elisabeth Kübler-Ross, the customary stages of the dying or grieving process in the typical sequence are:
denial and isolation, anger, bargaining, depression, acceptance.
When working with an elderly patient:
speak slowly and clearly, and ask for understanding and feedback.
It would be professionally appropriate for the imaging professional to:
gently touch the patient to clarify the location of his or her pain.
The patient describes her chest pain by saying, “It feels like someone is standing on my chest.” This information is considered:
In preparing to radiograph a patient who has come to medical imaging 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:
"Can you tell me about the nature of your pain?”
Adolescents’ special needs revolve around their modest feelings about their bodies. Therefore radiographers need to do which of the following?
respect the patient’s wishes to keep fully covered
In Maslow’s hierarchy of needs, a patient cannot satisfy the need for love and belonging before satisfying the need for safety and security.
Which of the following affects communication?
All of the above
An important piece of information regarding a patient’s need for medical care is sought by 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.
In determining a patient’s description of his or her pain, a good question to ask would be:
all of the above questions.
As you perform a STAT skull series on a patient from the ER, you notice that the patient has a large swelling over his left temporal region. The patient requisition states that the patient had trauma, and nothing else is provided. An imaging sciences professional would:
record the swelling on the requisition and ask the patient what kind of injury he experienced.
Which of the following is the professional way to greet the patient?
Which of the following would you not want to discuss with a patient?
The patient must perceive the radiographer as genuine, respectful, and empathic to establish an open dialog.
When taking a patient history, it is important to:
maintain a polite and professional demeanor when gathering information.
In determining the severity of a patient’s ankle injury, which of the following questions would be appropriate?
“Can you put any weight on the injured ankle?”
When communicating with a young child as part of a radiographic examination, an effective strategy to communicate would be to:
Man’s first and foremost need is:
nourishment and water.
Which of the following is an example of a negative nonverbal communication technique?
Talking to the patient with your back turned as you record in the chart
A patient discusses his condition with the radiologist. After the radiologist leaves the room, the patient begins to cry. The radiographer sits down next to the patient and squeezes the patient’s hand. This is an example of using touch for:
Aggravating factors are described as any condition (e.g., heartburn) that is worsened by something (e.g., eating spicy food).
Professional medical imaging personnel must possess many desirable traits and skills. To succeed in patient interactions as a part of performing examinations, it is important that the radiographer:
do none of the above.
All of the following are forms of subjective patient data EXCEPT:
blood pressure and temperature.
Which of the following characterize the development of a toddler (1 to 3 years of age)?
all of the above
During the patient interview, it is important to obtain subjective data only.
The use of humor during radiographic procedures can be effective with patients, if used professionally and under the right circumstance. An example of correct use of humor would be:
making light of the bad weather and how it “brightened your day” to have a job inside.
Which of the following clinical history elements is described as defining the precise area for the patient’s complaint?
As a patient begins to accept the inevitability of death, he or she may ask to discuss important circumstances that will affect the last moments of life. These concerns may include the administration of CPR techniques, organ donation, internment plans, pain control and sedation, and so on. To formalize these wishes, patients will complete a(n):
Good history taking involves the collection of objective and subjective data. All of the following are examples of subjective data EXCEPT the patient’s:
Why would it be beneficial to sit with the parents and child in the waiting room to get a history of the child and explain the procedure?
It helps the child become familiar and comfortable with the radiographic staff.
Patients are interviewed by the radiographer.
A common emotion of most patients entering the hospital is:
fear of the unknown and about their condition.
When is touching a patient valuable?
all of the above
Who is responsible for obtaining the clinical history from the patient for the diagnostic procedure?
A(n) _____ is someone who has been admitted to the hospital for diagnostic studies or treatment.
A clinical history for an abdominal x-ray should begin with which of the following questions?
“What type of abdominal problems are you having?”
Radiographers’ professional appearance is a personal choice and does not reflect on their diagnostic abilities.
Which of the following includes a description of the color, quantity, and consistency of blood or other body substances?
The patient coming to you for an abdominal examination states, “My belly hurts.” A logical question to ask next would be:
“Can you touch the area of your belly that hurts?”
According to Maslow's hierarchy of needs, few people completely satisfy the need for:
self-fulfillment and self-actualization
Which of the following permits the patient to begin to work through the various stages that precede dying?
All of the following are used to provide a better history to the radiologist except:
asking close-ended questions
A patient who is near death will likely exhibit what signs of impending death?
1, 2, and 4 only
Objective data are data perceived by the patient only.
The cadence and rhythm of your speech, often referred to as the “music of speech,” is known as:
When dealing with a patient who has a terminal disease, it is important to:
do all of the above.
The primary medical problem as defined by the patient is called:
the chief complaint
Nonverbal communication is not as important as verbal communication with the patient or family members.
A patient schedules an appointment for a barium enema on Friday at 8 AM. The patient is given the intestinal prep and instructions to follow. The scheduling department instructs the patient to arrive at 7:45 AM in the radiology department. This patient is considered which of the following?
What term describes the primary medical problem as defined by the patient?
A dying patient who has asked to see his loved ones and is making preparations to die would be in the _____ stage of dying.
Which of the following statements reflect(s) interactions with substance abuse patients?
all of the above
Which of the following is (are) part of the sacred seven elements of the patient clinical history?
all of the above
A 52-year-old female patient arrives for a chest x-ray. She is considered which of the following?
Why is it important to handle geriatric patients as mature adults rather than “senior citizens”?
to minimize discrimination
The primary means of communication with a hearing-impaired patient is through:
According to Dr. Eric Cassell, how do radiographers become part of the “healing process”?
by showing interesting in the patient’s well-being
Which method is effective in communicating with a patient?
1, 2, and 3
Touching the patient’s iliac crest for an abdominal exam is an example of using touch for:
What is the significance of a good clinical history?
It focuses the radiologist’s attention on a specific area.
It would be inappropriate to:
ask the patient leading questions regarding his or her symptoms.
Which of the following is the determination of a precise area, usually through gentle palpation or careful wording of questions?
You have received a request to perform a radiographic study on a patient who is clearly intoxicated. In preparing to perform this procedure, you should:
ensure your safety by checking to see that the hospital security officer will stay with the patient during the procedure
All of the following are examples of nonverbal communication except:
asking the patient for a medical history
All of the following are nonverbal communication characteristics EXCEPT your:
tone of voice.
When patients are not told of their terminal condition, they fall into which category?