Deck 3: The Surgical Patient

Question 1

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

A) advance directives
B) hierarchy of needs
C) life support
D) therapeutic surgery

Answer 1

C

Question 2

Denial, rationalization, regression, and repression are common forms of what type of mechanisms?

A) coping
B) diagnostic
C) physiological
D) treatment

Answer 2

A

Question 3

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

A) do not resuscitate (DNR)
B) durable power of attorney
C) donation after cardiac death
D) document of self-actualization

Answer 3

D

Question 4

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

A) definitive
B) palliative
C) supportive
D) therapeutic

Question 5

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

A) esteem
B) love and belonging
C) safety
D) self-actualization

Question 6

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?

A) esteem
B) love and belonging
C) physiological and safety
D) self-actualization

Question 7

Maslow's research produced a hierarchical structure of ___________.

A) administrative authority
B) pathological diseases
C) human progression
D) insurance reimbursement

Question 8

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

A) adaptation model
B) hierarchy of needs
C) patient care partnership
D) five stages of grief

Question 9

Under what circumstances would many hospitals rescind (invalidate) a "Do Not Resuscitate/Do Not Intubate" order?

A) A patient is admitted to ICU with pneumonia.
B) A family member disagrees with patient's wishes.
C) A patient must undergo a therapeutic surgical procedure.
D) A perianesthesia nurse discovers an unresponsive patient in the PCU.

Question 10

Which of the following legislative rulings requires medical facilities to inform patients of their rights to choose the types and extent of medical care available and their legal right to advance directives?

A) Omnibus Budget Reconciliation Act
B) Patient Self-Determination Act
C) Food, Drug, and Cosmetic Act
D) Affordable Care Act

Question 11

Which organs or tissues can be recovered after death or after a patient has already been removed from life support?

A) bone
B) heart
C) liver
D) pancreas

Question 12

Which type of general category of death would most likely generate high emotional trauma for family members and a need to follow protocols for preservation of evidence in the perioperative period?

A) accidental
B) chronic
C) prolonged
D) terminal

Question 13

Which of the following religions typically prohibits its followers from receiving blood transfusions?

A) Roman Catholic
B) Jehovah's Witness
C) Mormon
D) Protestant

Question 14

A person in a persistent vegetative state (with only basic physiological functions of respiration, blood pressure, and heartbeat intact) is categorized as having suffered which kind of death?

A) cardiac
B) higher brain
C) sudden
D) whole-brain

Question 15

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

A) higher brain death
B) myocardial infarction
C) respiratory arrest
D) whole brain death

Question 16

Which of the following religions believes in reincarnation and that the rebirth is influenced by the previous death experience?

A) Judaism
B) Muslim
C) Buddhism
D) atheism

Question 17

Who would be responsible for seeking consent from family members for organ donation after a patient is determined to have suffered whole-brain death?

A) family's spiritual advisor (pastor, priest, rabbi, etc.)
B) facility's gift of life coordinator
C) patient's durable power of attorney
D) surgical department chairperson

Question 18

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

A) distress
B) dyspnea
C) eustress
D) euthanasia

Question 19

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

A) acceptance
B) bargaining
C) denial
D) repression

Question 20

For what type of research was Sister Callista Roy best known?

A) adaptation model
B) hierarchy of needs
C) patient care partnership
D) five stages of grief

Question 21

Title XI of the Omnibus Budget Reconciliation Act of 1986 requires hospitals to establish protocols for organ procurement or risk losing funding by the Centers for Medicare & Medicaid Services (CMS).

Question 22

Denial, rationalization, regression, and repression are examples of:

A) coping mechanisms
B) hierarchy of needs
C) physiological stressors
D) stages of grief

Question 23

SIDS (formerly known as "crib death") is categorized as which general category of cause of death?

A) accidental
B) prolonged
C) sudden
D) terminal

Question 24

A terminally ill patient whose advance directive is to refuse any life-saving efforts by health care workers is choosing which type of euthanasia?

A) active
B) involuntary
C) passive
D) voluntary

Question 25

In general, a surgical procedure represents a physical, psychological, social, and spiritual event to the patient.

Question 26

The death of a patient from complications of chronic obstructive pulmonary disease (COPD) would be categorized as which general category of cause of death?

A) accidental
B) prolonged
C) sudden
D) terminal

Question 27

What is a normal human emotion that surgical team members may feel for their patients, but must not interfere with their abilities to maintain focus on their jobs, particularly in all-hazards situations?

A) empathy
B) eustress
C) repression
D) reconciliation

Question 28

Which area of concern or fear would MOST likely be the main focus for a teenage patient having surgery?

A) abandonment
B) body image
C) insurance coverage
D) mortality

Question 29

In recognition of which religion's death rites would the operating room staff allow the deceased patient's son or other relative to close the eyes and mouth and wash the body after removal from the surgical suite?

A) Catholic
B) Jewish
C) Jehovah's Witness
D) Mormon

Question 30

A patient may be considered a candidate for donation after cardiac death (DCD) if his or her heart is predicted to cease functioning within what period of time after removal from mechanical support?

A) immediately
B) 30 minutes
C) 90 minutes
D) 3 hours

Question 31

What type of life-support treatment would be considered ultimately futile and its benefits far outweighed by the financial and emotional burden suffered by the family and health care system?

A) curative
B) extraordinary
C) ordinary
D) palliative

Question 32

Anointing of the sick is a practice of Muslim tradition and includes facing the patient toward the holy city of Mecca.

Question 33

Which of the following needs of the surgical patient is related to anatomy and physiology, genetics, and pathology?

A) physical
B) psychological
C) social
D) spiritual

Question 34

What does Sister Callista Roy define as "all conditions, circumstances, and influences that surround and affect the development and behavior of the person"?

A) adaptation
B) development
C) environment
D) synchronization

Question 35

Which area of concern or fear would most likely be the main focus for a toddler scheduled for surgery?

A) abandonment
B) body image
C) mortality
D) privacy

Question 36

Which of the following conditions was defined by the Harvard School of Medicine and include the following physical signs: flat EEG, unresponsiveness, lowered body temperature, and absent pupil reflexes?

A) acute myocardial infarction
B) higher brain death
C) respiratory arrest
D) whole-brain death

Question 37

Within the OR suite, personnel should refer to patients by their planned procedure rather than by name to prevent HIPAA violations, for example, "the craniotomy in room 2," rather than "John Doe."

Question 38

Cultural and religious values of patients can conflict with the practice of modern medicine.

Question 39

Which of the following needs of the surgical patient is related to the identification and understanding of an individual's place in the universe and may include his or her views on theology, philosophy, or mythology?

A) physical
B) psychological
C) social
D) spiritual

Question 40

Which of the following procedures would be surgical treatment for an elderly patient's psychological dissatisfaction with his or her appearance?

A) blepharoplasty and rhytidectomy
B) laparoscopic cholecystectomy
C) transurethral resection of prostate
D) extracorporeal shockwave lithotripsy