Patient Care final review
Forms of intentional misconduct include 1. Slander 2. Libel 3. Negligence a) 1 only b) 2 only c) 1 and 2 d) 1, 2, and 3
1 and 2
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 the patient's condition with a third party. a) 1 only b) 1 and 2 only c) 2 and 3 only d) 1, 2, and 3
1, 2, and 3
Which of the following must be included in a patient's medical chart? 1. diagnostic and therapeutic orders 2. medical history 3. informed consent a) 1 and 2 only b) 1 and 3 only c) 2 and 3 only d) 1, 2, and 3
1, 2, and 3
Which of the following statements are true concerning informed consent? 1. patient must be of legal age 2. patient must be given a brochure describing the risks of the procedure in lay terms. 3. consent must be offered voluntarily 4. patient must be mentally competent 5. patient must completely understand all aspects of the procedure. a) 1, 3, 4 b) 1, 2, 3, 4, 5 c) 1, 2, 3, 4 d) 1, 2, 3, 5
1, 3, 4
Professional ethics can be best defined as
A common concern for collective self-discipline
Which of the following contains points that are enforceable? a) ARRT Mission Statement b) ARRT Code of Ethics c) ARRT Examination Content Specifications d) ARRT Rules of Ethics
ARRT Code of Ethics
A personal value system can be defined in terms of a) Virtues b) Values c) Ethical principles d) Morals e) All of the above
All of the above
For negligence to be proved, which of these following elements must be proved? a) A duty is owed b) A duty owed is breached c) Harm resulted from the duty being breached d) All of the above
All of the above
The origin of the current law is which of the following? a) Common law b) Statutes c) Judicial decisions d) All of the above
All of the above
The standard of care for imaging professionals is established through a) Educational requirements b) Curricula for the imaging sciences c) Practice standards d) All of the above
All of the above
_____________ is the ethical principle that is related to the theory that patients have the right to decide what will or will not be done to them.
Autonomy
Action to benefit others is defined as
Beneficence
______________ is related to the idea of doing good and being kind.
Beneficence
Lawsuits involving the medical imaging sciences are generally brought under which kind of law?
Civil law, tort division
Which of the following statements is true? 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
Conscience controls individual morality
Which is not a step in the problem solving process? a) Identifying the problem b) Developing alternative solutions c) Selecting the best solution d) Defending your selection e) Determining ethical sanctions
Determining ethical sanctions
Which of the following is not a function of a hospital health information management department? a) Coding of diagnoses and operative procedures and diagnosis- related-group (DRG) assignment b) Documenting relevant patient information in the medical record c) Quality management and performance improvement activities d) Appropriate release of medical information
Documenting relevant patient information in the medical record (its the job of anyone who provides the patient care)
Which of the following statements is not true? 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.
Ethical dilemmas are easily solved by codes of ethics
True or false. An imaging professional never has to worry about answering questions or testifying in a lawsuit.
False
True or false. Risk management is performed by the risk management department, and the imaging professional does not have to be concerned with it.
False
The strict observance of promises or duties is defined as
Fidelity
__________ is faithfulness and loyalty.
Fidelity
Quality assurance uses which of the following? a) Report cards for employees b) Hospital committees to oversee quality issues c) Hall monitors to watch for mistakes d) Inspection teams to check cleaning of the facility
Hospital committees to oversee quality issues
The concept of the reasonable and prudent person is interpreted as
How a professional who has similar education, training, and experience would perform the act
Which of the following is not required to be included in a patient's health record? a) Medical history b) Radiology reports c) Incident reports d) Physical examination report
Incident reports
While in your care for a radiologic procedure, a patient asks to see their chart. What would be the appropriate response?
Inform the patient they have the right to see their chart but that they should request to view it with their physician so that it is interpreted properly
After completion of a radiographic examination, the patient asks the technologist for a copy of the exam to be sent to their home. How should the technologist proceed?
Inform the patient they will work to send the information in the method preferred as soon as possible within 30 days.
The legal doctrine respondeat superior means which of the following? a) A matter settled by precedent b) A thing or matter settled by justice c) The thing speaks for itself d) Let the master answer
Let the master answer
In making a correction to an entry in the paper health record, the documenter should
Line out the error, authenticate, and insert correct information
Which of the following statements is not true? 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
Morals control individuals within a group
When seeking informed consent from a 14-year-old patient, who must sign the completed consent form?
Parent or legal guardian
The chief complaint, included in a patient's medical history, is a statement made by who?
Patient
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) legislation affects radiology and other hospital departments by its focus on a) Patient record confidentiality b) Facility reimbursement c) Quality management and performance improvement d) Risk management
Patient record confidentiality
While reviewing a portable abdomen X-ray on a post-operative patient, the technologist notes a surgical sponge within the peritoneum. The presence of the sponge provides evidence of malpractice according to which of the following legal doctrines?
Res ips loquitur
The prospective payment system is a payment system based on what?
The DRG or the ambulatory patient classification (APC)
Which of the following is an example of an organization that accredits hospitals and other health care institutions in the United States? a) American Hospital Association (AHA) b) American Medical Association (AMA) c) The Joint Commission (JRC) d) American College of Radiology (ACR)
The Joint Commission (JRC)
What is the meaning of the legal doctrine res ipsa loquitur?
The thing speaks for itself
True or false. A tort action alleges harm caused by the negligent or intentional act of another.
True
True or false. Respect for the autonomy of the patient includes the ability of the patient to make choices.
True
Which ethical principle is related to sincerity and truthfulness?
Veracity
If a radiographer performed a lumbar spine examination on a patient who was supposed to have an elbow examination, what charges may be brought against the radiographer?
battery
judicial decisions is also known as
case law
statues is also known as
legislative law
Standards for inpatient records require that the records include the following information:
• Patient identification data • Medical history of the patient provided by the patient, including chief complaint, history of present illness or injury, relevant family and social histories, and inventory by body system • Report of relevant physical examination findings • Diagnostic and therapeutic orders • Clinical observations, including results of therapy • Reports of diagnostic and therapeutic procedures and tests, as well as their results • Evidence of appropriate informed consent (when consent is not obtainable, the reason should be entered in the record) • Conclusions at termination of hospitalization or evaluation of treatment, including any pertinent instructions for follow-up care
