Deck 11: Patient Interactions

Question 1

Which of the following affects communication?

A)Values
B)Perception
C)Emotions
D)All of the above

Answer 1

D
Attention to the various forms of interaction and communication techniques that have proved effective in improving relationships with patients can produce dramatic results in clinical situations.It is very important to always remember that one's own values,emotions,and perceptions can alter effective communication channels and must be avoided.

Question 2

A 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?

A)Denial
B)Depression
C)Anger
D)Bargaining

Answer 2

D
Some patients experience a bargaining stage that focuses on hope and may be based in religion-for example,prayers for small extensions of life to perform good deeds and heal family wounds.Supporting the patient's beliefs at this time is important because the hope itself can reduce stress.

Question 3

A dying patient who has asked to see his loved ones and is making preparations to die would be in the _____ stage of dying.

A)anger
B)bargaining
C)grief
D)preparatory depression

Answer 3

D
Preparatory depression comes with the realization of the inevitability of death and is accompanied by a desire for death as a release from suffering.

Question 4

When dealing with a patient who has a terminal disease,it is important to

A)interact with him or her based on his or her particular stage of death.
B)provide for his or her physical needs.
C)not play psychologist and attempt to cure the patient's depression.
D)do all of the above.

Question 5

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 is a type of touch for

A)emotional support.
B)emphasis.
C)palpation.
D)expression.

Question 6

When working with an elderly patient,

A)speak slowly and clearly and ask for understanding and feedback.
B)write down your instructions first for the patient to read.
C)give the patient breathing instructions while you're positioning him or her in order to hasten the procedure.
D)assume the patient can see and hear you clearly and move quickly and deliberately in order to get done.

Question 7

A(n)_____ is someone who has been admitted to the hospital for diagnostic studies or treatment.

A)inpatient
B)outpatient
C)medical resident
D)intern

Question 8

According to Maslow's hierarchy of needs,few people completely satisfy the need for

A)shelter,peace,and protection.
B)self-fulfillment and self-actualization.
C)food,water,and nutrition.
D)acceptance by peers.

Question 9

A patient who is near death will likely exhibit what signs of impending death?
1)Loss of bowel functions and control
2)State of unconsciousness
3)Unusual high level of alertness and response to conversation
4)A condition of "wasting away" (cachexia)

A)1 and 3 only
B)1,2,and 4 only
C)3 only
D)2 only

Question 10

When dealing with a,terminally ill patient,which of the following would seem most appropriate?

A)Telling the patient he might as well face reality
B)Joyously moving around the room trying to cheer him up
C)Politely working in silence as necessary and attending to his physical needs
D)Doing all of the above

Question 11

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

A)close all the examination room doors to prevent others from hearing the patient's language.
B)put on a patient gown in case the patient vomits on you.
C)ensure your safety by checking to see that the hospital security officer will stay with the patient during the procedure.
D)prepare patient restraint devices,including restraint jackets,and tape to hold down the patient during the procedure.

Question 12

The cadence and rhythm of your speech,often referred to as the "music of speech," is known as

A)auditory communication.
B)paralanguage.
C)therapeutic communication.
D)negative therapeutic communication.

Question 13

Which of the following is an example of a negative nonverbal communication technique?

A)Giving a pleasant smile
B)Maintaining eye contact
C)Leaning toward the patient when talking to him or her
D)Talking to the patient with your back turned as you record in the chart

Question 14

Humans' first and foremost need is

A)being accepted by peers.
B)succeeding at job or work.
C)protection from outside enemies.
D)shelter,nourishment,and water.

Question 15

Clearly understanding your emotions when handling patients and their families is referred to as

A)personal bias.
B)emotional intelligence.
C)empathy.
D)personal intellect.

Question 16

When communicating with a young child as part of a radiographic examination,an effective strategy to communicate would be to.
1)kneel down to the child's eye level and lower your voice.
2)speak loudly and quickly so the child knows you're in charge.
3)allow one of the younger radiographers in the department to perform the study.
4)speak exclusively to the parent so the child cooperates.

A)1 and 3 only.
B)1 only.
C)3 only.
D)2 and 4 only.

Question 17

All of the following are nonverbal communication characteristics EXCEPT

A)volume of voice.
B)body language.
C)amount of eye contact.
D)professional appearance.

Question 18

When radiographing a very young child or a mentally impaired patient,

A)work silently in order to avoid questions and alarming the patient.
B)ask the patient if he or she has ever had this type of procedure before.
C)try to get a family member to be a part of the examination for communication and reassurance.
D)speak loudly and take charge of the examination from the beginning.

Question 19

Which of the following statements is FALSE?

A)Non-English-speaking patients typically understand simple phrases and commands such as "Yes," "No," and "Stop."
B)Pediatric patients always require special attention.
C)To minimize feelings of alienation,it is useful to treat geriatric patients as adolescents to make them understand your instructions.
D)Dealing with mentally impaired patients often requires the technologist use a strong yet reassuring tone of voice.

Question 20

A common emotion of most patients entering the hospital is

A)optimism.
B)fear of the unknown and about their condition.
C)eagerness to meet new people.
D)insincerity.

Question 21

Aging is a natural part of living.As you work with older patients,it is important to empathize with their conditions and understand the physiologic changes of the aging process.These changes may include
1)always feeling cold.
2)a heightened state of mental alertness and memory.
3)a greater awareness of their surroundings.
4)a loss of tactile sensation in the fingertips.
5)a greater likelihood of skin damage during movement and transport.
6)less flexibility and joint mobility.

A)1,3,4,and 6 only.
B)1,4,5,and 6 only.
C)2,3,and 5 only.
D)4,5,and 6 only.

Question 22

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

A)avoid touching patients for fear of offending them.
B)work efficiently by minimizing small conversations with patients that slow down the procedure.
C)reference procedure notes or textbooks often during examinations to reassure the patient that the radiographer is double checking his or her work for safety reasons.
D)do none of the above.

Question 23

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)

A)will and testimonial.
B)death directive.
C)advanced directive.
D)postmortem.

Question 24

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 is

A)repeating an ethnic joke you heard on the radio earlier in the day.
B)making light of the bad weather and how it "brightened your day" to have a job inside.
C)telling the patient you need to repeat the examination because the "mouse on the generator flywheel" did not run fast enough to give enough power for the exposure.
D)commenting on the patient's tattoo and how funny it looks with the skin stretched from the x-ray positions.

Question 25

According to Elisabeth Kübler-Ross,the customary stages of the dying or grieving process in the typical sequence are

A)acceptance,denial,depression,anger,and bargaining.
B)denial and isolation,anger,bargaining,depression,and acceptance.
C)anger,denial,bargaining,depression,and acceptance.
D)denial and isolation,anger,depression,bargaining,and acceptance.