Patient Care CH-6 Test

11. The health care industry is a significant part of the U.S. economy. Hospitals, clinics, imaging centers, rehabilitation centers, and other institutions all make up a sizeable network of this country's health care delivery system. The complexities of a hospital and all of its departments, professions, infrastructure and design can be likened to: a. communities within a community. b. isolated enterprises that operate with complete independence. c. simple businesses with a single product or service to offer its customers. d. a family-run business with only a few employees.

A. Communities within a community

8. Performance standards or guidelines used to measure progress toward the goals of the organizations are defined as a. employee evaluations b. feedback c. controlling d. the Joint Commission on the Accreditation of Healthcare Organizations guidelines

A. Employee evaluations

14. A formal document that outlines the departmental structure of a hospital by showing lines of authority, reporting structures, and the interrelationships of departments is a(n): a. organizational chart. b. PACS network diagram. c. flowchart. d. decision matrix.

A. Organizational chart

9. The internal hospital committee that ensures safe operations for the facility for both patients and employers is the a. safety committee b. certificate of need c. hazardous chemicals group d. radiation safety committee

A. Safety committee

7. The management function that involves getting the right people to do the work and developing their abilities is a. staffing b. organizing c. directing d. describing

A. Staffing

4. When an organization focuses on quality or patient safety, it a. undergoes a cultural revolution b. prohibits employees from participating in groups c. encourages employees to focus on one department to the exclusion of others d. lowers workers' perceptions of patient or physician expectations

A. Undergoes a cultural revolution

18. In addition to the traditional hospital setting for health care, it is quite common to offer medical imaging services in a wide variety of medical settings. These sites could include: 1. outpatient clinics. 2. freestanding imaging centers. 3. shoe stores in which pedal fluoroscopic imaging is available. 4. regional airports in which portable CT scanning is available for security screening. 5. physician offices and clinics. 6. urgent care centers. a. 1, 2, 4, 5, and 6 only b. 1, 2, 5, and 6 only c. 2, 5, and 6 only d. 4, 5, and 6 only

B. 1, 2, 5, and 6 only

22. All of the following are true of the Mammography Quality Standards Act (MQSA) EXCEPT: a. its intent is to ensure high-quality mammography imaging nationwide. b. accreditation of mammography services through the ASRT is integral to MQSA compliance. c. it was established by the federal government in 1992 and has been in place since that time. d. MQSA noncompliance will prevent Medicare reimbursement for mammography examinations.

B. Accreditation of mammography services through the ASRT is integral to MQSA compliance

13. A typical organizational structure of a hospital will have the hospital's chief executive officer (CEO) or president reporting to the: a. chief financial officer (CFO). b. board of directors. c. city council. d. medical staff chief.

B. Board of directors

3. Forces causing hospitals to reorganize include a. state regulators b. economic hardships c. total quality management d. the Joint Commission on the Accreditation of Healthcare Organizations

B. Economic hardships

29. In providing radiology care to a patient, you observe a colleague accidentally exposing the wrong body part. It appears that he is unaware of the mistake. This action would be considered a(n): a. insignificant patient care event. b. medical error. c. true accident and not worthy of documentation. d. medical event that would be billed as a separate procedure.

B. Medical error

21. The federal agency that regulates the use of ionizing radiation including medical and nuclear applications is the: a. Joint Commission (TJC). b. Nuclear Regulatory Commission (NRC). c. Occupational Health and Safety Administration (OSHA). d. Radiation Safety Committee.

B. Nuclear Regulatory Commission (NRC)

5. The management function that charts a course of action for the future to enable coordinated and consistent fulfillment of goals and objectives is a. coordinating b. planning c. communicating d. setting goals

B. Planning

19. All of the following are related EXCEPT: a. Performance Improvement (PI). b. Quality Control Inspections (QCI). c. Continuous Quality Improvement (CQI). d. Total Quality Management (TQM).

B. Quality Control Inspections (QCI)

16. In large hospitals the person responsible for the operations of radiologic services is typically the administrative director of radiology. This individual must have strong managerial and other skills, including: 1. leadership skills. 2. finance and budgeting skills. 3. medical image interpretation skills. 4. strategic planning skills. 5. nursing skills, including pharmacology. 6. customer service skills. 7. communications and public relations skills. a. 2, 3, 4, 5, and 6 only b. 1, 2, 5, 6, and 7 only c. 1, 2, 4, 6, and 7 only d. 3, 5, and 6 only

C. 1, 2, 4, 6, and 7 only

20. At a recent radiology department meeting, the director discussed an incident that occurred a few days earlier involving a patient within medical imaging. In his description the director revealed that this patient had an incorrect ultrasound examination performed. Investigation into the situation showed that a receptionist told the patient to wait in the wrong holding area before the examination. The ultrasonographer assumed the patient was in the correct location and performed the wrong examination. To prevent this type of event from occurring in the future, what type of analysis needs to be undertaken by the department? a. Task Analysis Inventory b. PACS assessment c. CQI analysis d. Joint Commission Self-Study

C. CQI analysis

1. The driving and guiding force that outlines the reason for the existence of a hospital is its a. chief executive officer b. medical director c. mission statement d. adherence to the Joint Commission on the Accreditation of Healthcare Organizations

C. Mission Statement

12. A document that guides a hospital as to its purpose and role in the community it serves is called a: a. constitution. b. set of bylaws. c. mission statement. d. master plan.

C. Mission Statement

6. The management function that involves the development of a structure or framework that identifies how people do their work is a. staffing b. planning c. organizing d. coordinating

C. Organizing

24. Modern medical imaging departments no longer use x-ray film for medical images. The transformation from a film-based environment to a digital medium has had a very profound impact on medicine's standard of care. Among its many virtues, digital medical imaging has permitted the networking and computer storage of thousands of images. The transmission, display, and storage of these images is accomplished through what type of technology? a. HIPAA b. MQSA c. PACS d. NRC

C. PACS

17. All of the following choices would describe a typical radiologist group in a contemporary hospital EXCEPT: a. they may provide their services as contracted physicians. b. they may be employed by the hospital and may direct employees. c. the hospital will conduct their business operations and management, including recruitment. d. group members may or may not be full partners.

C. The hospital will conduct their business operations and management, including recruitment

27. Medical imaging professionals must be aware that their actions, comments, and appearance contribute to the image of their employer and of the profession. Positive interactions with patients and their family members establish goodwill on behalf of the organization. Which of the following is the best single choice that illustrates desirable goodwill efforts enhancing public image? a. Greeting patients in a monotone voice with minimal eye contact to appear professional b. Proudly displaying your religious tattoos to express your spirituality c. Wearing attire that is consistent with the dress code and presenting an upbeat attitude d. Referencing your textbook during a medical procedure to avoid mistakes

C. wearing attire that is consistent witht the dress code and presenting an upbeat attitude

30. You are working alone in the early evening as a radiographer. The urgent care center has wheeled in an elderly female patient for a chest radiograph. With the patient is her daughter, carrying her mother's belongings. As you process the examination paperwork, the daughter states that the hospital corridors are cold and her mother is uncomfortable. Simultaneously a physician arrives and is looking for a radiologist. How would you handle this situation and provide the best customer service? From the choices below, select the best choice and the worst choice. Indicate your response in the spaces provided. Choice A: Your first choice is to satisfy the physician's request by leaving the area and trying to find a radiologist somewhere in the department. To comfort the patient, tell the daughter where the warmest part of the waiting room is and that she can move her mother there until you return. Choice B: Inform the physician that you're working alone and he can page the radiologist on call. You are unable to give him the phone number. You offer to get the daughter a blanket when you finish the paperwork and setting the room up for the examination. Choice C: Inform the physician that your first priority is the patient and you will give him the phone number of the on-call radiologist when you finish processing the patient's examination. You turn your attention to the patient and her daughter, asking them to be patient, as you are alone. Choice D: You tell the daughter that you will quickly get two warm blankets for her and her mother. In the process of doing so, you call the radiologist and provide the name of the physician. After that, you give the physician the name of the radiologist on call and tell him you have called the radiologist to make him aware of his request.

Choice D: You tell the daughter that you will quickly get two warm blankets for her and her mother. In the process of doing so, you call the radiologist and provide the name of the physician. After that, you give the physician the name of the radiologist on call and tell him you have called the radiologist to make him aware of his request.

23. Examples of internal committees within a hospital enterprise include the: 1. Radiation Safety Committee. 2. Joint Commission (TJC). 3. Food and Drug Administration (FDA). 4. Infection Control Committee. 5. P&T Committee. a. 1, 3, and 5 only b. 1, 3, and 4 only c. 2 and 4 only d. 1, 4, and 5 only

D. 1, 4, and 5 only

2. The board of directors employs ________, who interacts with the medical staff to ensure coordination and quality of patient care and services. a. an insurance agent b. a radiology chairman c. a vice president of nursing d. a president or chief executive officer

D. A president or chief executive officer

26. It is not uncommon for a technologist to be disciplined for: a. ignoring a patient's request for information. b. equipment abuse and damage. c. gossiping and secretive employee behaviors. d. all of the above.

D. All of the above

28. To a medical imaging department, the customer could be described as: a. a referring physician or patient. b. more educated and informed about imaging procedures. c. having options for medical care and being able to afford being selective. d. all of the above.

D. All of the above

15. All of the physicians practicing medicine within a hospital comprise the hospital's: a. board of trustees. b. continuous quality improvement (CQI) group. c. regulatory council. d. medical staff.

D. Medical staff

10. Besides acquiring a strong knowledge of technical skills, a radiologic technology student should develop a. a broad range of procedural abilities b. referrals of patients from physicians c. skills in magnetic resonance imaging, computed tomography, ultrasonography, and nuclear medicine d. superior skills in interactive relationships

D. Superior skills in interactive relationships

25. Employers are looking for two principle traits in all radiologic science professionals. These traits are: a. promptness and proper attire. b. initiative and drive. c. communication skills and the ability to speak a second language. d. technical competency and teamwork skills.

D. Technical competency and teamwork skills