Standards of Practice Questions
Causing a patient to become apprehensive of being injured is called: Select one: a. Assault b. Battery c. False imprisonment d. Invasion of privacy
a. Assault
Unlawful touching or touching without consent constitutes: Select one: a. Assault b. Battery c. Libel d. Slander
b. Battery
Using adhesive tape on a childs skull for immobilization that leaves residual tape burns on the childs skin could be construed as: Select one: a. Assault b. Battery c. Negligence d. Malpractice
b. Battery
Hospitals and other health-care providers must ensure patient confidentiality, in compliance with which of the following legislations? Which of the following legislations is in place to ensure patient confidentiality? Select one: a. MQSA b. MRSA c. HIPAA d. HIPPA
c. HIPAA
Your patient bumps his head on the x-ray tube and lacerates his forehead. You would: Select one: a. Take a PA skull to check for fractures b. Place a Band-Aid on the patients cut c. Have a nurse or physician check the patient and fill out an incident report d. Do nothing, as long as the cut stops bleeding
c. Have a nurse or physician check the patient and fill out an incident report
If a health care worker gets stuck with a dirty needle, he or she must: Select one: a. Wash the wound out thoroughly, for at least 10 minutes b. Receive a tetanus shot c. Immediately wash injury with Betadine, fill out an incident report and an OSHA report and go to employee health or the emergency department d. Ignore the incident if the wound is only superficial
c. Immediately wash injury with Betadine, fill out an incident report and an OSHA report and go to employee health or the emergency department
If a radiologist instructs you to inject a patient with a radiographic contrast medium and the patient collapses from anaphylactic shock, you may be protected from a lawsuit under the doctrine of respondeat superior, which means: Select one: a. Only superior authorities need to respond to legal issues b. Radiologists, like all physicians, are always considered liable c. Let the master answer d. The thing speaks for itself
c. Let the master answer
When interviewing a patient, what is it that the health-care professional can observe? Select one: a. Symptoms b. History c. Objective signs d. Chief complaint
c. Objective signs
Action to benefit others is defined as: Select one: a. veracity b. fidelity c. beneficence d. justice e. autonomy
c. beneficence
A patient discusses his or her 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: Select one: a. emphasis b. palpation c. emotional support d. localization
c. emotional support
Neglect or omission of reasonable care defines: Select one: a. Respondeat superior b. Res ipsa loquitur c. Gross negligence d. Unintentional misconduct
d. Unintentional misconduct
_____ is a system or code of conduct and morals advocated by a particular individual or group.
Ethics
A person must be informed as to the reason for the restraint and the possible risks that may occur if restraints are not used after the restraints have been applied. Select one: True False
False
A radiographer would not need to wear gloves while assisting a patient with a urinal. Select one: True False
False
All colostomies are permanent. Select one: True False
False
An authorization for treatment, signed at admission, is an informed consent form. Select one: True False
False
Approximately 90% of all medical negligence claims are somehow related to diagnostic imaging. Select one: True False
False
During the patient interview it is important to obtain subjective data only. Select one: True False
False
Errors made in documentation are corrected by the medical transcriptionist. Select one: True False
False
Male urinals and female urinals are identical. Select one: True False
False
Nonverbal communication is not as important as verbal communication with the patient or family members. Select one: True False
False
Objective data are described as data perceived by the patient only. Select one: True False
False
Only the patient has access to his or her health care record. Select one: True False
False
Radiographers' professional appearance is a personal choice and does not reflect on their diagnostic abilities. Select one: True False
False
Respondeat superior translates to "the thing speaks for itself." Select one: True False
False
Sterile gloves must be worn while assisting a patient with a bedpan. Select one: True False
False
Student radiologic technologists bear no responsibility regarding patient confidentiality. Select one: True False
False
The original copy of the health record is taken to court. Select one: True False
False
A colostomy is an opening made from the bowel to the outside of the body. Select one: True False
True
A patient has the right to be informed of and to make decisions about his or her own health care treatment. Select one: True False
True
A radiographer may be called to testify in a legal case. Select one: True False
True
Aggravating factors are described as any condition (e.g., heartburn) that is worsened by something (e.g., eating spicy food). Select one: True False
True
Before a radiologic procedure is performed, a radiology order must be completed. Select one: True False
True
Ethics was born of necessity. Select one: True False
True
Health care providers who do not remain current in the field may be liable under the legal theory of medical malpractice. Select one: True False
True
Hospitals have the right to charge a fee for copied radiographs. Select one: True False
True
In Maslow's hierarchy of needs, a patient cannot satisfy the need for love and belonging before satisfying the need for safety and security. Select one: True False
True
In some states, patients must give their physician permission to testify in court. Select one: True False
True
Informed consent requires that patients have all of the information that they need to make decisions about their health care. Select one: True False
True
Nondisposable bedpans must be sterilized between uses. Select one: True False
True
Patients are interviewed by the radiographer. Select one: True False
True
Patients have the right to amend their health record. Select one: True False
True
Radiographers must be perceived by the patient as genuine, respectful, and empathic in order to establish an open dialog. Select one: True False
True
Radiologic technologists have an obligation to maintain patient confidentiality. Select one: True False
True
Radiology reports are indicated in the health record. Select one: True False
True
The general definition of the standard of care is that degree of skill, knowledge, and care ordinarily possessed and employed by a member in good standing within the profession. Select one: True False
True
The health record is a legal document admissible in court as evidence. Select one: True False
True
Touch is commonly used to express concern and support for patients. Select one: True False
True
Urinals are provided to patients who are not ambulatory. Select one: True False
True
When family members accompany the patient to the radiology department, both the family members and the patient are treated with professional courtesy and respect. Select one: True False
True
A senile patient is being transported to the radiology department on a stretcher. To ensure that the patient will NOT fall from or attempt to climb off the stretcher, which of the following should be done? 1. fasten safety straps across the patient 2. put up the side rails on the stretcher 3. lay the patient on her side and secure her arms behind her back Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
a. 1 and 2 only
What should be done if a patient is accidentally injured while undergoing a radiographic procedure? 1. Report the incident to an appropriate department supervisor 2. Complete an incident form 3. Notify the Hospital Administrator Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
a. 1 and 2 only
Which of the following are essential in dealing with patients in the clinical setting? 1. A sense of compassion 2. Ability to show empathy 3. An Aggressive approach Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
a. 1 and 2 only
Physical changes characteristic of gerontologic patients usually include 1. loss of bone calcium. 2. loss of hearing. 3. loss of mental alertness. Select one: a. 1 only b. 1 and 2 only c. 1 and 3 only d. 1, 2, and 3
a. 1 only
Forcing a patient to drink barium by threatening him if he has refused the procedure may be considered: Select one: a. Assault b. Battery c. False imprisonment d. Negligence
a. Assault
What ethical principle is related to the theory that patients have the right to decide what will or will not be done to them? Select one: a. Autonomy b. Beneficence c. Fidelity d. Veracity
a. Autonomy
Which ethical principle is related to the theory that patients have the right to decide what will or will not be done to them? Select one: a. Autonomy b. Beneficence c. Fidelity d. Veracity
a. Autonomy
If a radiographer shares a patients medical records with an individual not directly involved with that patients care, the radiographer may be found guilty of: Select one: a. Breach of confidentiality b. Defamation of character c. Slander d. Assault
a. Breach of confidentiality
Libel is: Select one: a. Defamation by unprivileged publication b. Defamation by unprivileged speech c. Slander d. A tort of assault
a. Defamation by unprivileged publication
Negligence relies on four basic elements for civil liability. Select the accurate grouping: Select one: a. Duty, breach, cause, and injury b. Torts, consent, breach, and injury c. Res ipsa loquitur, breach, cause, and injury d. Malpractice, breach, lack of consent, and injury
a. Duty, breach, cause, and injury
The basic reporting mechanism that is essential to risk management to measure and help reduce liability is the: Select one: a. Incident report b. Pareto chart c. Quality indicator d. Excel computer program
a. Incident report
The legal doctrine respondeat superior relates to which of the following? Select one: a. Let the master answer. b. The thing speaks for itself. c. A thing or matter settled by justice. d. A matter settled by precedent.
a. Let the master answer.
If a patient is left unattended by the radiographer and the patient falls off the radiographic table, the radiographer could be sued for: Select one: a. Negligence b. Felony c. Assault d. Battery
a. Negligence
How a reasonable person with similar education and experience would perform under similar circumstances defines: Select one: a. Reasonably prudent person doctrine b. Standard of care c. Scope of practice d. Professional ethics
a. Reasonably prudent person doctrine
You are radiographing an adolescent girl whose shoulder is dislocated. When she comes into the x-ray room, she begins to cry and tells you that her uncle pulled her arm and slapped her around. She states that he does this every time she is alone with him. You would: Select one: a. Report this immediately to the physician in charge b. Maintain her confidentiality c. Listen politely, but say nothing d. Obtain the uncles phone number so that you could speak to him directly
a. Report this immediately to the physician in charge
The legal doctrine stating that an employer is responsible for the employees negligent actions is: Select one: a. Respondeat superior b. Res ipsa loquitur c. Gross negligence d. Unintentional misconduct
a. Respondeat superior
Spoken false information about another person that results in defamation of character or loss of reputation is: Select one: a. Slander b. Assault c. Battery d. Libel
a. Slander
Res ipsa loquitur, defined by example, may be: Select one: a. Surgical instruments remaining in the abdomen after surgery b. Restraining the patient without medical order c. Publicly announcing the ineptness of a physician d. Prescribing medication without a license
a. Surgical instruments remaining in the abdomen after surgery
Patient-family education means that you must: Select one: a. Use multidisciplinary means to educate the patient and family or significant other in reference to the patients treatment b. Attend classes with the patients to learn about various medical treatments c. Rely on the nurses to educate your patient d. Rely on the patient and their family to educate you about the patients disease
a. Use multidisciplinary means to educate the patient and family or significant other in reference to the patients treatment
If a technologist threatens a patient during the course of a procedure and has an apparent immediate ability to perform the threatened act, which of the following torts may be claimed? Select one: a. assault b. battery c. negligence d. false imprisonment
a. assault
What term describes the primary medical problem as defined by the patient? Select one: a. chief complaint b. palpatation c. onset d. nonverbal communication
a. chief complaint
The three types of law include: Select one: a. constitutional, legislative, and case b. constitutional, legislative, and court c. constitutional, presidential, and case d. judiciary, legislative, and case
a. constitutional, legislative, and case
The theory of ________ requires the hospital or health care entity to be responsible for the quality of care delivered to consumers. Select one: a. corporate liability b. respondeat superior c. res ipsa loquitur d. none of the above
a. corporate liability
Questions about the diagnosis of an examination from a patient or visitor are best answered by: Select one: a. explaining that only the radiologist can read radiographs b. providing the best diagnosis available c. explaining that the results are not yet available d. suggesting that the question is inappropriate
a. explaining that only the radiologist can read radiographs
The strict observance of promises or duties is defined as: Select one: a. fidelity b. justice c. autonomy d. confidentiality e. veracity
a. fidelity
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? Select one: a. helps the child become familiar and comfortable with the radiographic staff b. expedites the time spent in the radiographic room c. ensures the technical competence of the staff d. allows the parents active participation with the exam
a. helps the child become familiar and comfortable with the radiographic staff
A radiographer who discloses confidential information to unauthorized individuals could be found guilty of Select one: a. invasion of privacy. b. slander. c. libel. d. defamation.
a. invasion of privacy.
A radiographer who discloses confidential information to unauthorized individuals may be found guilty of Select one: a. invasion of privacy. b. slander. c. libel. d. defamation.
a. invasion of privacy.
In making a correction to an entry in the paper health record, the documenter should: Select one: a. line out the error, authenticate, and insert correct information. b. erase the incorrect information , and insert correct information c. leave the incorrect entry alone, and add the new correct information d. remove the incorrect page from the record, and begin a new page of documentation
a. line out the error, authenticate, and insert correct information.
The failure to use such care as a reasonably prudent person would use under like or similar situations is termed: Select one: a. negligence b. defamation c. slander d. none of the above
a. negligence
Which of the following includes the tone of voice, the speed of speech, and the position of the speaker's extremities and torso? Select one: a. nonverbal communication b. palpation c. quality d. facilitation
a. nonverbal communication
The vital signs of a patient are as follows: heartrate, 95; blood pressure, 120/75; 99.2 degrees F. This information is considered to be: Select one: a. objective data b. chief complaint c. clinical history d. subjective data
a. objective data
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? Select one: a. osteoporotic loss of bone mass b. arthritis c. decreased muscle strength d. atrophied muscle mass
a. osteoporotic loss of bone mass
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) legislation affects radiology, and other hospital departments by its focus on: Select one: a. patient record confidentiality b. facility reimbursement c. quality management and performance d. risk management
a. patient record confidentiality
The highest level of Maslow's hierarchy of needs is: Select one: a. self-actualization b. belonging c. physiologic d. self-esteem
a. self-actualization
Who is responsible for obtaining the clinical history from the patient for the diagnostic procedure? Select one: a. the radiographer b. the radiologist c. the nurse d. the emergency department physician
a. the radiographer
According to Maslow's hierarchy of needs, what is the reason that patients may behave abnormally during their hospital stay? Select one: a. their physiologic needs aren't being met b. they cannot understand what is happening c. they are missing their sense of love and belonging
a. their physiologic needs aren't being met
In which of the following ways does the radiographer use leading questions? Select one: a. they should be avoided b. they should be used for filling in details c. they should be used to verify information d. they should be used to help the patient focus on his or her complaint
a. they should be avoided
How does one communicate with non-English-speaking patients? Select one: a. through an English-speaking family member b. by writing the information on a piece of paper c. by slowing enunciating the instructions d. by rescheduling the patient to go to another hospital
a. through an English-speaking family member
The primary means of communication with a hearing-impaired patient is through: Select one: a. writing b. touch c. a bilingual family member d. continual conversation
a. writing
A clinical history for an abdominal x-ray should begin with which of the following questions? Select one: a. "Specifically, where is the abdominal pain?" b. "What type of abdominal problems are you having?" c. "How long have you been vomiting?" d. "When did you have gallbladder surgery?"
b. "What type of abdominal problems are you having?"
Patients' rights include which of the following? 1. The right to refuse treatment 2. The right to confidentiality 3. The right to possess his or her radiographs Select one: a. 1 only b. 1 and 2 only c. 1 and 3 only d. 1, 2, and 3
b. 1 and 2 only
In which situation(s) would it be possible to proceed with a radiographic procedure even though the patient refuses the exam? 1. the patient is a minor and the parent(s) give permission 2. the patient is over age ninety-five 3. the officer in charge of the patient (prisoner) gives permission Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
b. 1 and 3 only
When radiographing young children, it is helpful to 1. let them bring a toy. 2. tell them it will not hurt. 3. be cheerful and unhurried. Select one: a. 1 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
b. 1 and 3 only
Which of the following rules should be observed when charting patient records? 1. Initial and date corrections 2. Use liquid paper to delete an error 3. Avoid loose or gummed slips of paper Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
b. 1 and 3 only
Which of the following patient rights is violated by discussing privileged patient information with an individual who is not involved with the patient's care? 1. The right to considerate and respectful care 2. The right to privacy 3. The right to continuity of care Select one: a. 1 only b. 2 only c. 1 and 3 only d. 2 and 3 only
b. 2 only
A tort is defined as: Select one: a. A breach of contract b. A civil wrong, other than a breach of contract c. Malpractice d. Operating outside of your scope of practice
b. A civil wrong, other than a breach of contract
If the radiographer performed a lumbar spine examination on a patient who was supposed to have an elbow examination, which of the following charges may be brought against the radiographer? Select one: a. Assault b. Battery c. False imprisonment d. Defamation
b. Battery
Which of the following legal phrases defines a circumstance in which both the health-care provider's and the patient's actions contributed to an injurious outcome? Select one: a. Intentional misconduct b. Contributory negligence c. Gross negligence d. None of the above
b. Contributory negligence
A patient requiring a chest radiograph misplaces her necklace. You would: Select one: a. Tell her that if you find it, she will be notified b. Fill out an incident report and report the loss to security c. Tell her that you feel sorry about her loss d. Wonder how she could be so careless
b. Fill out an incident report and report the loss to security
An act that demonstrates reckless disregard for life or limb is called: Select one: a. Unintentional misconduct b. Gross negligence c. Assault d. Defamation
b. Gross negligence
The doctrine that provides for care when the patient is unconscious is: Select one: a. Bill of Rights b. Implied consent c. Res ipsa loquitur d. Respondeat superior
b. Implied consent
Medical negligence is also referred to as: Select one: a. Breach of duty b. Malpractice c. Res ipsa loquitor d. Scope of duty tort
b. Malpractice
Which of the following is the professional way to greet the patient? Select one: a. Robin Jones b. Mrs. Jones c. R. Jones d. all of the above
b. Mrs. Jones
A child fell and injured his mandible; a deep gash is evident at the mental point. He says that his lower teeth hurt and are loose. He is an emergency department patient and was transported by ambulance from his school. His mother informs you that a week ago he had the flu and a high fever. Your best clinical history would include: Select one: a. Pt. c/o pain and fever b. Pt. fell today, lacerating mental protuberance, c/o pain lower alveolar process, states teeth are loose. c. Patient cut his mandible, his teeth are loose. He had the flu 1 week ago. d. Pt. fell today, lacerating mental point, c/o pain in his lower teeth, they are loose, notice high concentration of plaque formation on lower incisors.
b. Pt. fell today, lacerating mental protuberance, c/o pain lower alveolar process, states teeth are loose.
When the health care facility is in equal responsibility with the technologist for negligence, the term that applies is: Select one: a. Res ipsa loquitor b. Respondeat superior c. Suit equality d. Co-malpractice
b. Respondeat superior
The major difference between civil and criminal assault and battery is: Select one: a. There is no difference b. That civil assault and battery requires only unconsensual touch; criminal assault and battery requires actual injury c. The amount of financial award to the injured party d. That criminal assault and battery never occurs in the workplace
b. That civil assault and battery requires only unconsensual touch; criminal assault and battery requires actual injury
The legal doctrine res ipsa locquitur means which of the following? Select one: a. Let the master answer. b. The thing speaks for itself. c. A thing or matter settled by justice. d. A matter settled by precedent.
b. The thing speaks for itself.
Violations of civil law are known as: Select one: a. Felonies b. Torts c. Minor violations d. Intentional misconduct
b. Torts
All of the following are examples of nonverbal communication except: Select one: a. smiling at the patient b. asking the patient for a medical history c. using a friendly tone of voice d. demonstrating a puzzled facial expression
b. asking the patient for a medical history
What complaint may be brought against a technologist if he or she touches a patient in any way without the patient's permission? Select one: a. assault b. battery c. false imprisonment d. harassment
b. battery
Unlawful touching of a person without his or her consent is termed Select one: a. assault. b. battery. c. false imprisonment. d. invasion of privacy.
b. battery.
According to Dr Eric Cassell, how do radiographers become part of the "healing process"? Select one: a. by communicating the procedural steps to the patient b. by showing interest in the patient's well-being c. by taking the patient's pathologic condition d. by treating the patient's pathologic condition
b. by showing interest in the patient's well-being
When the radiographer asks a patient how many days he or she has had a fever, what part of the clinical history is being assessed? Select one: a. localization b. chronology c. onset d. quality
b. chronology
A technologist who has completed a procedure on a patient leaves the area grumbling. "I hate to do AIDS patients because I am afraid of catching the disease." A member of the housekeeping staff hears the technologist and asks who has AIDS? The technologist responds by giving the patient's name and room number. After this incident, housekeeping personnel refuse to clean the room. One person from housekeeping tells the story to members of the housekeeper's church, where the patient is also a member. After learning of the patient's condition, the church asks the patient not to return. What type of complaint might be brought against the technologist? Select one: a. negligence b. defamation c. assault d. false imprisonment
b. defamation
As a patient is describing the pain in his or her hand, why is it important for the radiographer to make eye contact with the patient? Select one: a. provides emotional support for a stressed patient b. makes the patient feel that what he or she is saying is important c. helps to expedite the examination d. reassures the patient of the radiographer's technical skill
b. makes the patient feel that what he or she is saying is important
Which of the following would you not want to talk about with a patient? Select one: a. hobbies b. medical chart c. ability to walk d. weather
b. medical chart
A 52-year-old female patient arrives for a chest x-ray. She is considered which of the following? Select one: a. a young adult b. middle-aged c. a mature person d. an adolescent
b. middle-aged
Generally accepted customs of right living and conduct are: Select one: a. codes b. morals c. laws d. ethics e. rules
b. morals
What is the acceptable reaction of the radiographer in dealing with a patient in the beginning stage of denial isolation? Select one: a. addressing the patient's feelings toward dying b. offering silence and acceptance of the person, without discussing death c. supporting the patient's feelings by discussing the death of one's own loved one d. attempting to cheer up the patient by telling jokes
b. offering silence and acceptance of the person, without discussing death
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? Select one: a. in-patient b. out-patient c. emergency department patient d. temporary admit
b. out-patient
The chief complaint, included in a patient's history, is a statement made by the: Select one: a. physician b. patient c. admitting officer d. admitting nurse
b. patient
In a case in which the legal theory of res ipsa loquitur is being raised, the evidence presented must show all of the following elements except that the Select one: a. injury would not have occurred except for negligence. b. patient contributed to his or her injury. c. defendant was in complete control. d. patient did not contribute to his or her injury in any way.
b. patient contributed to his or her injury.
The lowest level of Maslow's hierarchy of needs is called: Select one: a. self-actualization b. physiologic needs c. love and belonging d. self-esteem
b. physiologic needs
Adolescents' special needs revolve around their modest feelings about their bodies. Therefore radiographers need to do which of the following? Select one: a. proceed with the exam regardless of their concerns b. respect their wishes to keep fully covered c. have a radiologist ask their LMP (last menstrual period) d. ignore professional recommendations for patient prep
b. respect their wishes to keep fully covered
For medicolegal reasons, radiographic images are required to include all the following information, except Select one: a. the patient's name and/or identification number. b. the patient's birth date. c. a right- or left-side marker. d. the date of the examination.
b. the patient's birth date.
In determining the severity of a patient's ankle injury, which of the following questions would be asked? Select one: a. "When did the injury happen?" b. "How did the injury happen?" c. "Can you put any weight on the injured ankle?" d. "Have you previously injured your ankle?"
c. "Can you put any weight on the injured ankle?"
Unjustified or threatened restraint of a patient satisfies which of the following torts? 1. False imprisonment 2. Assault 3. Negligence Select one: a. 1 only b. 2 only c. 1 and 2 d. 1, 2, and 3
c. 1 and 2
A radiologic technologists may be found guilty of a tort in which of the following conditions? 1. Failure to shield a patient of childbearing age from unnecessary radiation 2. Performing an examination on a patient who has refused the examination 3. Performing a patient's examination that was ordered by an emergency room physician Select one: a. 1 only b. 2 only c. 1 and 2 only d. 1, 2, and 3
c. 1 and 2 only
Forms of intentional misconduct include 1. slander. 2. invasion of privacy. 3. negligence. Select one: a. 1 only b. 2 only c. 1 and 2 only d. 1, 2, and 3
c. 1 and 2 only
Forms of intentional misconduct include: 1. Slander 2. Invasion of privacy 3. Negligence Select one: a. 1 only b. 2 only c. 1 and 2 only d. 1, 2, and 3
c. 1 and 2 only
Which of the following involve(s) intentional misconduct? 1. Invasion of privacy 2. False imprisonment 3. Patient sustaining injury from a fall while left unattended Select one: a. 1 only b. 3 only c. 1 and 2 only d. 2 and 3 only
c. 1 and 2 only
When radiographing the elderly, it is helpful to 1. move quickly. 2. address them by their full name. 3. give straightforward instructions. Select one: a. 1 only b. 1 and 2 only c. 2 and 3 only d. 1, 2, and 3
c. 2 and 3 only
Which of the following statements regarding informed consent are TRUE? 1. The radiographer obtains informed consent from the patient. 2. Should include a statement that indicates alternative procedures. 3. The patient's actions can indicate implied consent. Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
c. 2 and 3 only
Which of the following is undesirable for conducting a clinical history interview? Select one: a. clarifying terminology b. asking open-ended questions c. Asking vague questions d. repeating information
c. Asking vague questions
What is the BEST way to be sure you have the correct patient for an x-ray examination? Select one: a. Ask the receptionist to identify the patient b. Call the patient's name c. Check the patient's hospital identification d. Ask the radiologist to identify the patient
c. Check the patient's hospital identification
A clinical history should include all but the following: Select one: a. The patients chief complaint b. Duration of condition or date of trauma c. Contact person to reach in the event of an emergency d. Explanation of visible signs of injury or associated discomfort
c. Contact person to reach in the event of an emergency
A case in which the injured person caused some of the injury is called: Select one: a. Gross negligence b. Defamation c. Contributory negligence d. Slander
c. Contributory negligence
Which of the following statements is not true? Select one: a. Ethical dilemmas may have competing moral principles. b. Ethical dilemmas involve decisions based on human values. c. Ethical dilemmas are easily solved by codes of ethics. d. Ethical dilemmas can be resolved by problem solving. e. Ethical dilemmas invite a wide range of personal opinions.
c. Ethical dilemmas are easily solved by codes of ethics.
What is the most important factor to keep in mind prior to beginning a procedure? Select one: a. Leave the patient alone in the room until you are all set up b. Refrain from conversing with the patient, it may slow you down c. Explain the procedure to the patient; entertain questions d. Remove the patients gown to better visualize the anatomy
c. Explain the procedure to the patient; entertain questions
While in your care for a radiologic procedure, a patient asks to see his chart. Which of the following is the appropriate response? Select one: a. Inform the patient that the chart is for health-care providers to view, not for the patient. b. Inform the patient that you do not know where the chart is. c. Inform the patient that he has the right to see his chart, but that he should request to view it with his physician, so that it is properly interpreted. d. Give the patient the chart and leave him alone for a few minutes to review it.
c. Inform the patient that he has the right to see his chart, but that he should request to view it with his physician, so that it is properly interpreted.
A patient needs to urinate. The person is on a stretcher in the hallway. You would: Select one: a. Get the patient up and escort him or her to the bathroom b. Provide the patient with a urinal or bedpan c. Move the stretcher into an empty room and provide the patient with a urinal or bedpan d. Tell the patient youll be back in a few minutes and hope someone else helps
c. Move the stretcher into an empty room and provide the patient with a urinal or bedpan
Assault requires that: Select one: a. Battery accompany it b. Physical violence must take place c. Only threatened violence take place d. Offensive contact be made
c. Only threatened violence take place
The legal doctrine stating that the cause of negligence is obvious is: Select one: a. Respondeat superior b. Gross negligence c. Res ipsa loqitur d. Invasion of privacy
c. Res ipsa loqitur
A patient required an appendectomy 6 month ago, and the resultant radiograph today demonstrates surgical gauze pads remaining in the abdominal cavity. This illustrates which legal term? Select one: a. Respondeat superior b. Bis dat qui cito dat c. Res ipsa loquitur d. Rem acu tetigisti
c. Res ipsa loquitur
Destruction or alterations of medical records, such as a radiology report, by an unauthorized person is referred to as: Select one: a. Vicarious liability b. Negligence c. Spoilation d. Consequentialism
c. Spoilation
Long-term retention of radiographs is governed by: Select one: a. Code of Ethics b. Federal Law c. State law d. Hospital policy only
c. State law
Patients may make specific judgments regarding their own health care because of: Select one: a. Their constitutional rights b. HMO policy c. The Patient Bill of Rights d. The fact that they are paying the bill
c. The Patient Bill of Rights
Unnecessarily or improperly exposing the patients body or photographing the patient without his or her permission constitutes: Select one: a. Battery b. Assault c. Violation of privacy d. Slander
c. Violation of privacy
A consent form has been signed by a patient who will be undergoing an excretory urogram. A witness should sign the form after the patient. Who is the best witness? Select one: a. a member of the paitent's family. b. the radiographer performing the procedure. c. a ward clerk who has no relationship with the patient or the procedure. d. the patient's physician.
c. a ward clerk who has no relationship with the patient or the procedure.
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? Select one: a. denial b. depression c. anger d. bargaining
c. anger
The primary medical problem as defined by the patient is called which of the following? Select one: a. clinical history b. subjective data c. chief complaint d. objective data
c. chief complaint
A radiographer would be in violation of the American Registry of Radiologic Technologists (ARRT) Code of Ethics for the Profession of Radiologic Technology for all of the following except: Select one: a. failing to wear a lead apron when performing mobile radiography. b. failing to participate in continuing education. c. communicating information regarding suspected child abuse to the referring physician. d. refusing to participate in new and innovative technical procedures.
c. communicating information regarding suspected child abuse to the referring physician.
Which type of law defines individual rights? Select one: a. case b. legislative c. constitutional d. judiciary
c. constitutional
Which of the following is considered to be the first stage of acceptance of dying for a terminally ill patient? Select one: a. anger b. frustration c. denial and isolation d. shock
c. denial and isolation
The most common claim in a health care facility is: Select one: a. assault b. battery c. false imprisonment d. none of the above
c. false imprisonment
What is the significance of a good clinical history? Select one: a. it provides the referring physician's admitting diagnosis b. it provides general information regarding the patient's condition c. it focuses the radiologist's attention to a specific area d. it translates the patient's complaints into medical jargon
c. it focuses the radiologist's attention to a specific area
Why is it important to handle geriatric patients as mature adults rather than "senior citizens"? Select one: a. preserves their self-image b. eliminates excess anxiety c. minimizes discrimination d. diverts their attention for the problem
c. minimizes discrimination
The ethical principle that aspires never to, above all, do harm describes: Select one: a. fidelity b. veracity c. nonmalficence d. beneficence
c. nonmalficence
Which of the following permits the patient to begin to work through the various stages that precede dying? Select one: a. suspicious awareness b. mutual pretense c. open awareness d. all of the above
c. open awareness
Which of the following is not required to be included in a patient's health record? Select one: a. medical history b. radiology reports c. patient's telephone number d. physical examination report
c. patient's telephone number
Which term describes how a patient is injured through no fault of his or her own while in the complete control of another? Select one: a. corporate liability b. respondeat superior c. res ipsa loquitur d. none of the above
c. res ipsa loquitur
A patient consents to a procedure in the radiology department, but after it has started, he decides that he does not want the procedure completed. The technologist should: Select one: a. stop immediately. b. complete the procedure because the patient may not revoke consent once it is given. c. stop the procedure as soon as it is safe to do so. d. none of the above should be done.
c. stop the procedure as soon as it is safe to do so.
The patient describes her chest pain as "it feels like someone is standing on my chest." This information is considered to be: Select one: a. chronology b. objective data c. subjective data d. none of the above
c. subjective data
The legal theory of respondeat superior requires that: Select one: a. the employee is responsible for the actions of the employee. b. each person is responsible for his or her superior. c. the employer is responsible for the employee's actions. d. the employee is responsible for the employer's actions.
c. the employer is responsible for the employee's actions.
When a radiographer is obtaining a patient history, both subjective and objective data should be obtained. An example of subjective data is that Select one: a. the patient appears to have a productive cough. b. the patient has a blood pressure of 130/95. c. the patient states that he experiences extreme pain in the upright position. d. the patient has a palpable mass in the right upper quadrant of the left breast.
c. the patient states that he experiences extreme pain in the upright position.
A(n) _________ is a patient's claim that he or she has been wronged. Select one: a. defamation b. assault c. tort d. battery
c. tort
A patient has a serious complication during a radiographic procedure, and a malpractice suit is lodged. The claimant may sue the: 1. Physician 2. Hospital 3. Technologist Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
d. 1, 2, and 3
A radiologic technologist can be found guilty of a tort in which of the following situations? 1. Failure to shield a patient of childbearing age from unnecessary radiation 2. Performing an examination on a patient who has refused the examination 3. Discussing a patient's condition with a third party Select one: a. 1 only b. 1 and 2 only c. 2 and 3 only d. 1, 2, and 3
d. 1, 2, and 3
Any written record initiated by the radiographer must be: 1. Accurate 2. Legible 3. Permanent Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
d. 1, 2, and 3
Which of the following are legal rights of the patient? 1. To have considerate and respectful care. 2. To be informed of the risk involved with any procedure or treatment prior to the initiation of that procedure or treatment. 3. To refuse any procedure or treatment. Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
d. 1, 2, and 3
Which of the following conditions must be met in order for a patient consent to be valid? 1. The patient must sign the consent before receiving sedation. 2. The physician named on the consent form must perform the procedure. 3. All the blanks on the consent form must be filled in before the patient signs the form Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
d. 1, 2, and 3
Which of the following conditions must be met in order for patient consent to be valid? 1. The patient must sign the consent form before receiving sedation. 2. The physician named on the consent form must perform the procedure. 3. All the blanks on the consent form must be filled in before the patient signs the form. Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
d. 1, 2, and 3
Which of the following is a valid method of verifying patient identification? 1. Questioning the patient 2. Reading wrist identification band 3. Checking bed name plate Select one: a. 1 only b. 2 only c. 3 only d. 1, 2, and 3
d. 1, 2, and 3
Which of the following must be contained in the patient's medical record or chart? 1. diagnostic and therapeutic orders 2. medical history 3. informed consent Select one: a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3
d. 1, 2, and 3
The patient bill of rights provides for: Select one: a. Informed patient consent b. Patient refusal of any exam c. Full reimbursement for any exam d. A and B e. All of the above
d. A and B
Battery may involve: Select one: a. Unlawful touching or touching without consent b. Harm resulting from physical contact with the radiographer c. Radiographing the wrong patient, the wrong body part, or performing radiography against a patients will d. All of the above
d. All of the above
Conditions needed to establish malpractice include: Select one: a. Establishment of the standard of care and proof it was violated b. Demonstration that the injury was caused by the caregiver c. Proof that the injury actually occurred and is a result of the negligence d. All of the above
d. All of the above
Informed consent requires that: Select one: a. The patient must be mentally competent and of legal age b. Consent must be offered voluntarily c. The patient must be adequately informed using language he or she understands d. All of the above
d. All of the above
The patient has the right to: Select one: a. Refuse medical treatment b. Confidential treatment of his records c. Know the qualifications of medical personnel d. All of the above
d. All of the above
When charting, the radiographer must include: Select one: a. Date and time of occurrence of an event or examination of the patient b. Clear statements regarding patient condition and exam performed c. Full name and credentials d. All of the above
d. All of the above
Which method should be used to identify your patient? Select one: a. Ask for first and last name b. Request date of birth c. Check name bracelet d. All of the above
d. All of the above
Which of the following is(are) usually included as part of the chronology of a clinical history? Select one: a. Onset b. Duration c. Frequency d. All of the above
d. All of the above
Patient assessment addresses all but the following: Select one: a. Religious beliefs b. Physical impairments c. Level of education d. Annual income
d. Annual income
A patient is to undergo an invasive procedure in the Radiography Department. Before starting the procedure, the radiographer should first: Select one: a. Assist the patient in removing all clothing b. Give the patient a cleansing enema c. Prep the patient d. Check the patient's chart to see if the informed consent form has been signed.
d. Check the patient's chart to see if the informed consent form has been signed.
You receive a patient who is complaining of pain in the area of the left fourth and fifth metatarsals; however, the requisition asks for a left ankle examination. What should you do? Select one: a. Perform a left foot examination. b. Perform a left ankle examination. c. Perform both a left foot and a left ankle examination. d. Check with the referring physician.
d. Check with the referring physician.
Which of the following statements is true? Select one: a. Codes of ethics are usually written by individuals. b. Religious writings form the basis for ethical control. c. Codes of ethics are a form of legislation. d. Conscience controls individual morality. e. Laws provide an internal control for society.
d. Conscience controls individual morality.
DNR refers to: Select one: a. Do not refill prescription b. Does not remember, for Alzheimer patients c. Do not reimburse, insurance coding d. Do not resuscitate, no life-saving measures for the patient
d. Do not resuscitate, no life-saving measures for the patient
Unjustified restraint of the patient constitutes: Select one: a. Assault b. Battery c. Libel d. False imprisonment
d. False imprisonment
Increased pain threshold, breakdown of skin, and atrophy of fat pads and sweat glands are all important considerations when working with which group of patients? Select one: a. Infants b. Children c. Adolescents d. Geriatric patients
d. Geriatric patients
Which of the following is not a legal entry on a radiograph? Select one: a. Lead markers b. Patient identification c. Date of the exam d. Grease pencil markings or stickers
d. Grease pencil markings or stickers
What is the appropriate action if a patient has signed consent for a procedure, but once on the radiographic table, refuses the procedure? Select one: a. Proceed -- the consent form is signed b. Send the patient back to his or her room c. Honor the patient's request and proceed with the next patient d. Immediately stop the procedure and inform the radiologist and the referring physician of the patient's request.
d. Immediately stop the procedure and inform the radiologist and the referring physician of the patient's request.
Violation of confidentiality defines: Select one: a. Assault b. Battery c. False imprisonment d. Invasion of privacy
d. Invasion of privacy
Written false information about another person that results in defamation of character or loss of reputation is: Select one: a. Slander b. Assault c. Battery d. Libel
d. Libel
Which of the following statements is not true? Select one: a. Ethics apply to specific groups. b. Laws apply to political subdivisions. c. Morals apply to individuals. d. Morals control individuals within a group. e. Ethics control a group from within.
d. Morals control individuals within a group.
Your IVP patient is writhing in pain due to a left-sided kidney stone. You have had to request pain medication for him so that the study may be completed. He asks you to please tell him what is wrong with him. Which of the following would be the BEST answer? Select one: a. Explain to him that he has a small kidney stone in the left distal ureter b. Tell him it is beyond your scope of practice to tell him anything about his condition c. Explain to him that after the medication takes effect, he will feel much better d. Request that the radiologist or emergency room physician come speak with him
d. Request that the radiologist or emergency room physician come speak with him
When documenting a reaction, it is important to include all but which of the following? Select one: a. Date and time of the reaction b. Name, dose, and delivery of all medications that the patient receives c. Vital signs d. Your opinion on how the emergency was managed
d. Your opinion on how the emergency was managed
Which of the following is(are) desirable method(s) of conducting a clinical history interview? Select one: a. positive nonverbal communication b. defining and specifying terms c. subjectiveness d. a and b e. all of the above
d. a and b
Professional ethics can be best defined as: Select one: a. reflective decision making b. rules of right living c. the science of rightness and wrongness of human conduct d. a common concern for collective self-discipline e. rules promulgated by professional societies
d. a common concern for collective self-discipline
How should radiographers handle patients who are combative as a result of their frustration? Select one: a. refer the patient back to the doctor b. talk sternly to the patient about the behavior c. ask a family member to calm the patient down d. acknowledge the anger and help to overcome it
d. acknowledge the anger and help to overcome it
The health record is used to: Select one: a. communicate information pertaining to the patient b. prepare health service statistics c. maintain quality assessment d. all of the above
d. all of the above
When is touching a patient valuable? Select one: a. for emotional support b. for emphasis c. for palpation d. all of the above
d. all of the above
Which of the following characterize the development of a toddler (1 to 3 years old)? Select one: a. understanding of simple abstractions b. inability to understand more than one word for something c. inability to take the viewpoint of another d. all of the above
d. all of the above
Which of the following is(are) part of the sacred seven elements of the patient clinical history? Select one: a. localization b. aggravating factors c. quality d. all of the above
d. all of the above
Which of the following statements reflect interactions with substance abuse patients? Select one: a. restraints may be used for their safety b. the patient may become agitated or violent c. the patient should never be unattended while developing films d. all of the above
d. all of the above
All of the following are used to provide a better history to the radiologist except to: Select one: a. encourage elaboration b. use probing questions c. summarize the details d. ask close-ended questions
d. ask close-ended questions
A(n) __________ can occur when a technologist touches a patient or performs an examination without the patient's permission. Select one: a. defamation b. assault c. tort d. battery
d. battery
The ethical principle that refers to bringing about good, or benefiting others, is called Select one: a. fidelity. b. veracity. c. nonmalficence. d. beneficence.
d. beneficence.
When patients are not told of their terminal condition, they fall into which category? Select one: a. open awareness b. suspicious awareness c. mutual pretense d. closed awareness
d. closed awareness
How does one respond to questions from patients or visitors regarding the results of their x-rays? Select one: a. the radiologist will provide the information to them b. share the diagnosis with the patient only c. the results will be ready by the end of the week d. instruct them to call their physician for the results
d. instruct them to call their physician for the results
Which of the following describes an undesirable method of questioning that provides information that may direct the answer toward a suspected symptom or complaint? Select one: a. facilitation b. palpation c. nonverbal communication d. leading question
d. leading question
Which of the following clinical history elements is described as defining the precise area for the patient's complaint? Select one: a. chronology b. onset c. aggravating factor d. localization
d. localization
A personal value system can be defined in terms of: Select one: a. virtues b. values c. ethical principles d. morals e. all of the above
d. morals
A bedpan may be used for: Select one: a. urination b. defecation c. ovulation d. more than one of the above e. all of the above
d. more than one of the above
The claim of false imprisonment requires the patient to show proof that the technologist restrained his or her freedom without consent. The defenses a technologist may raise include all of the following except the Select one: a. risk that the patient was going to hurt himself or herself b. risk that the patient was going to hurt the technologist c. life-threatening condition of the patient's health d. need for motionless images
d. need for motionless images
Touching the patient's iliac crest for an abdominal exam is an example of using touch for: Select one: a. reassurance b. emphasis c. emotional support d. palpation
d. palpation
When one patient describes a cough as productive and another patient describes a cough as nonproductive, which element of the clinical history does this fall under? Select one: a. localization b. onset c. severity d. quality
d. quality
In which age group can you expect the patient to be able to think logically and analyze a situation? Select one: a. toddler b. infant c. preschooler d. schoolchildren
d. schoolchildren
A radiographer is performing an abdominal series on a patient from the emergency department. To complete the examination, the patient must be moved from a supine to an upright position using the remote control on the table. During this movement, the patient falls from the table and suffers a fractured hip. A complaint of negligence is brought against both the radiographer and the hospital. The elements that the patient (plaintiff) must prove include all of the following except: Select one: a. a breach of the duty to the patient b. an injury c. a direct causal relation between the breach of duty and the injury d. that the radiographer acted outside of his or her scope of practice.
d. that the radiographer acted outside of his or her scope of practice.
Informed consent requires that the patient be given enough information to make an educated decision about his or her health care. The information the patient needs to make this decision includes all of the following except: Select one: a. how the procedure will be performed. b. the benefits of the procedure. c. the alternative to the procedure. d. the cost of the procedure.
d. the cost of the procedure.
Moral rules are best applied to ethical dilemmas when: Select one: a. religious beliefs are strongly held. b. religious beliefs are not strongly held. c. the ethical dilemma is very narrow in scope. d. the ethical dilemma is very wide in scope. e. all individuals agree to use moral rules.
d. the ethical dilemma is very wide in scope.
Biomedical ethics includes which of the following? Select one: a. Exact rules b. Feelings and beliefs of the imaging professional c. Legal issues and judicial decisions d. Guidelines from the American Medical Association e. All of the above
e. All of the above
Which of the following characterize the development of an infant? Select one: a. prefer to be wrapped tightly in a blanket b. like to be held in a familiar position c. prefer to hear a calm, soothing voice d. 1 and 2 e. all of the above
e. all of the above
Which is not a step in the problem-solving process? Select one: a. identifying the problem. b. developing alternative solutions. c. selecting the best solution. d. defending your selection. e. determining ethical sanctions.
e. determining ethical sanctions.
