Surg 100 midterm study set

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In ------------ the first certifying exam was administered

1970

How many phases of surgical case management are there?

3

Accrediting Bureau of Health Education Schools

ABHES

The motto used by AST, meaning "The Patient First"

Aeger primo

Professional rules and standards of behavior that include principles such as impartiality, objectivity, duty of care, and confidentiality and disclosure

Code of conduct

-------------- Core curriculum and job description was developed for Surgical First Assistants

Early 1990s

a surgery that Does not need to be performed immediately or short period(knee arthroscopy knee replacement, is called

Elective

knee arthroscopy knee replacement Meniscectomy are example for -----------------surgery

Elective

------------- is example surgery to treat Threatening life or limb

Emergent

ruptured spleen ,appendectomy are example for:

Emergent surgery

If certified, the surgical technologist may legally perform any or all of the same tasks that the registered nurse may perform in the perioperative setting.

False

Surgical technologists may discuss details of their daily experiences as long as they are not in a public place.

False

The ARC/STSA administers the national certification examination for surgical technologists and owns the CST® and CSFA® credentials.

False

The Association of periOperative Registered Nurses is the professional organization for nurses and surgical technologists.

False

Jurisdiction is given to courts in cases involving the interpretation and application of the U.S. Constitution, acts of Congress, and treaties

Federal law

Court-appointed protector for an individual incapable of making his or her own decisions

Guardian

__________ tasks are those that the surgical technologist performs without supervision.

Independent

The combined account of the interaction between the patient and the health care providers during a given incidence of illness or treatment.

Medical record

The CST and CSFA credentials are registered trademarks of which organization?

NBSTSA

A person who receives health services from a health care provider and who gives consent for the provider to provide those services."

Patient

The American Hospital Association replaced its "Patient's Bill of Rights" with which of the following?

Patient Care Partnership

"Above all, do no harm."

Primum non nocere

Which of the following is an example of an intentional tort pertaining to surgical patient care?

Restraints are used on a patient who threatens to leave.

Which of the following historical figures developed the first x-ray machine?

Roentgen

A surgical technology student who photographs a patient and posts the image on the Internet could be sued for invasion of privacy and HIPAA violation.

True

General consent is obtained by patients admitted to the hospital and covers all routine services and medical treatment in broad terms but not invasive procedures such as surgery.

True

In surgery, professional and personal honesty about one's actions, mistakes, and abilities is called surgical conscience.

True

Living will and durable power of attorney are examples of advance directives in health care.

True

Many operative accidents, such as needle sticks, accidental cutting or burning, and loss of items in the surgical wound, are not the result of a lack of knowledge or skills but a lack of attention.

True

Professionalism is a lifelong commitment for a surgical technologist who has specific duties and responsibilities for providing the highest quality surgical patient care.

True

Sterile personnel are scrubbed and have donned surgical gown and gloves.

True

Treatment within a relatively short period

Urgent

Hernia repair, cholecystectomy are example for:

Urgent surgery

Surgical team members who fail to monitor and protect a medicated patient from falling could be charged with:

abandonment

Which of the following pertains to a patient's wishes about medical treatment and self-determination in the event of incapacitation or inability to communicate?

advance directive

Manual dexterity is a desirable quality of the surgical technologist because ________ .

all of the above

Which of the following surgical patients would be legally authorized to sign an informed surgical consent, based on medical practice acts and state law?

an emancipated 16-year-old minor

As the surgery progresses, the surgical technologist must ________.

be able to anticipate each step of the surgery

Which of the following surgical team members would be primarily responsible for maintaining the patient's operative record and transporting the patient to the post-anesthesia care unit (PACU)?

circulating RN

AORN is the professional organization to which she or he may belong

circulator

Accountable for ensuring that the preoperative checklist is complete

circulator

Nonsterile team member; gathers extra supplies and equipment as needed

circulator

The nonsterile member of the surgical team is called the ______.

circulator

Which type of legal action is MOST likely in cases involving tort law and operating room personnel?

civil

The process of transferring responsibility for an activity from a licensed person to a nonlicensed person, with the person initiating the transfer retaining accountability for the outcome of the activity, is known as ________.

delegation

Which legal doctrine would be MOST applicable in a case involving failure by the RN and CST to do proper surgical counts resulting in retention of a foreign object and the surgeon being found not liable?

doctrine of borrowed servant

Which legal doctrine would be MOST applicable in a case involving injury to a patient as a result of a hospital employee's lack of proper training or credentialing?

doctrine of corporate negligence

Which of the following is NOT a form of advance directive?

document of self-actualization

Which of the following terms is used to describe surgical intervention that does not have to be performed immediately or within a short period of time, for example, a torn meniscus repair?

elective

Which of the following terms represents a positive physical and psychological state of a patient?

eustress

for what type of research was Elizabeth Kubler-Ross best known?

five stages of grief

Which specialist would likely have privileges to surgically treat diseases of the breast, hepatobiliary and gastrointestinal systems, and thyroid gland?

general surgeon

The successful surgical technologist possesses certain personal characteristics and aptitudes that contribute greatly to both good patient care and job satisfaction. Although most skills can be learned, certain characteristics such as ________ cannot be taught.

honesty, empathy, and caring

All of the following carry the force of state or national legal enforcement EXCEPT:

implementation of the neutral zone

Which type of consent applies when emergency circumstances exist when reasonable providers believe that a patient would agree to treatment, even if no form was signed or verbal permission given?

implied

Willful, intentional acts that violate the civil rights of a patient

intentional tort

Which part of the patient's medical record documentation would contain pre-op and post-op diagnoses, positioning, skin prep, start and stop times, counts, and dressings?

intraoperative record

An injury resulting from the activity of health care professionals

latrogenic injury

Which of the following terms describes a set of therapies that preserve a patient's life when body systems are not functioning sufficiently?

life support

Which of the following legal terms is BEST described as "professional misconduct that results in harm to another"?

malpractice

Which of the following was identified in the late 1990's as causing more deaths in the United States than car accidents, AIDS, and breast cancer combined?

medical errors

If a patient suffered a burn as a result of improper application of the ESU dispersive (grounding) pad, the individual team member responsible may be found guilty in a lawsuit of which of the following?

negligence

Specimen loss, mislabeling, and improper preparation are examples of which of the following?

negligence

The phrase "departure from the standard of care" BEST describes which of the following legal terms?

negligence

Assembles, wraps, and sterilizes instrument sets as necessary

nonsterile team member

Gathers additional supplies or equipment as needed during the procedure

nonsterile team member

Maintains the integrity of the sterile field during the procedure

nonsterile team member

May perform duties within the circulator role

nonsterile team member

Prepares instruments and supplies in sterile supply department for next case

nonsterile team member

What type of procedure or care provides a terminal patient with symptom relief or avoidance and improves quality of the remaining life expectancy?

palliative

What is establishing a neutral zone designed to do?

prevent sharps injuries during surgical procedures

Which of the following is NOT one of the "Five Stages of Grief"?

repression

Which of the following legal doctrines would MOST likely apply in the case of a wrong site surgery or retained foreign body?

res Ipsa loquitur

Which of the following needs identified by Maslow would likely be MOST prominent in a surgical patient's mind?

safety

Which of the following levels of Maslow's hierarchy of needs is the pinnacle and can be accomplished only when all other needs are met?

self-actualization

Anticipates the steps of the surgical procedure

sterile team member

Gowns and gloves the surgeon and CST-CFA

sterile team member

Maintains safety on the surgical field by monitoring the location of all sharps, keeping track of sponges and instruments, and following safety precautions with equipment

sterile team member

Organizes instruments and surgical supplies needed for surgical procedure

sterile team member

Scrubs and dons gown and gloves

sterile team member

The first scrub surgical technologist performs intraoperative tasks under the broad delegatory authority of the:

surgeon

Usually gowned and gloved by another member of the sterile team

surgeon

Which member of the surgical team is ultimately responsible for obtaining a written, informed surgical consent from a patient?

surgeon

All of the following are components of the surgical patient's medical record EXCEPT:

surgeon's preference card

In surgery, taking responsibility for one's actions, mistakes, and abilities is called ________, one of the most important elements for success as a surgical technologist.

surgical conscience

A special consent form would be required for which of the following situations during a hospital admission?

surgical procedure

AST is the professional organization to which he or she may belong

surgical tech

Certified by the NBSTSA

surgical tech

Must be able to anticipate the surgeon's needs at the operative site

surgical tech

Performs the duties as a preceptor during operative procedures

surgical tech

Will set up and maintain the sterile field

surgical tech

Provides direct patient care before the surgery begins

surgical technologist

In 1973 ----------

the AORT became AST Certified technician became certified surgical technologist (CST)

Which of the following is an independent, nonprofit national organization that develops standards for and accredits health care organizations in the United States?

the Joint Commission

In 2004, which of the following agencies created the "Do Not Use" abbreviation list?

the Joint Commission (JC)

According to the Joint Commission's definition regarding consent to surgical intervention, which party has "autonomy"?

the patient

Manual dexterity, organizational skills, and concentration are all desirable attributes for a surgical technologist to possess. These skills are important because ________.

they contribute to good patient care and job satisfaction

Which of the following terms describes a civil wrong that may be intentional or unintentional?

tort

The most common types of patient-care errors committed by operating room personnel, including negligence and malpractice, are categorized as:

unintentional torts

Which of the following diagnoses is currently used in most jurisdictions of the world to define a state of irreversible death?

whole brain death


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