Deck 3: Quality, Patient Safety, and Communication, and Recordkeeping

Question 1

High amperage (6 A or more) applied externally to the skin can cause which of the following?
1) Sustained myocardial contraction
2) Respiratory paralysis
3) Skin burns

A)1 and 2 only
B)2 and 3 only
C)1, 2, and 3
D)1 and 3 only

Answer 1

C

Question 2

When a small, usually imperceptible current (usually <1 mA) is allowed to bypass the skin and follow a direct, low resistance pathway into the body, which of the following conditions exists?

A) Macroshock hazard
B) Grounding hazard
C) Isolation hazard
D) Microshock hazard

Answer 2

D
Explanation: A microshock exists when a small, usually imperceptible current (<1 mA) bypasses the skin and follows a direct, low-resistance path into the body.

Question 3

Which of the following factors are most critical in determining when a patient can be ambulated?
1) Willingness of patient
2) Stability of vital signs
3) Absence of severe pain

A)2 and 3 only
B)1 and 2 only
C)1, 2, and 3
D)1 and 3 only

Answer 3

A

Question 4

Which of the following are key factors determining the extent of harm caused by an electrical current?
1) Duration for which the current is applied
2) Path the current takes through the body
3) Amount of current flowing through the body
4) The location the current enters the body

A)1 and 4 only
B)2 and 3 only
C)1, 2, and 3
D)1, 2, and 4 only

Question 5

Where do most hospital fires initially start?

A) Clinical laboratory
B) Kitchen
C) Electrical engineering post
D) Patient's room

Question 6

Which of the following organs is the most sensitive to the effects of electrical shock?

A) Liver
B) Heart
C) Kidneys
D) Lungs

Question 7

What is the primary factor determining the effect of an electrical shock?

A) Current
B) Temperature
C) Resistance
D) Voltage

Question 8

When a relatively high current (usually >1 mA, or 1/1000 A) is applied externally to the skin, which of the following conditions exists?

A) Macroshock hazard
B) Grounding hazard
C) Microshock hazard
D) Isolation hazard

Question 9

Which of the following statements is false about patient ambulation?

A) Ambulation is necessary for normal body functioning.
B) Patients must be carefully monitored during ambulation.
C) Chairs or emergency supports must be available during ambulation.
D) Patients with intravenous (IV) lines should not be ambulated.

Question 10

If 120 V are applied to a system with 1000 Ohms of resistance, what is the current?

A) 100 A
B) 100 Ohms
C) 120 mA
D) 120 A

Question 11

Which of the following are true about fires in oxygen (O₂)-enriched atmospheres?
1) They are more difficult to put out.
2) They burn more quickly.
3) They burn more intensely.

A)1 and 2 only
B)2 and 3 only
C)1 and 3 only
D)1, 2, and 3

Question 12

Which of the following conditions must be met for a fire to occur?
1) Temperature high enough for combustion
2) Presence of O₂
3) Presence of flammable material

A)1 and 2 only
B)2 and 3 only
C)1 and 3 only
D)1, 2, and 3

Question 13

In which of the following clinical situations is the normally high resistance of the skin bypassed?
1) In patients with external pacemaker wires
2) In patients with saline-filled catheters
3) In patients with intact, dry skin

A)2 and 3 only
B)1, 2, and 3
C)1 and 2 only
D)3 only

Question 14

Which of the following currents passing through the chest can cause ventricular fibrillation, diaphragm dysfunction (due to severe, persistent contraction), and death?

A) 100 mA
B) 100 A
C) 100 µA
D) 10 µA

Question 15

Which of the following terms describes the power potential behind electrical energy?

A) Voltage
B) Current
C) Ohms
D) Resistance

Question 16

What is the primary purpose of grounding all electrical equipment used in the hospital setting?

A) To prevent the dangerous buildup of voltage in the equipment
B) To make the equipment more secure and less likely to break down
C) To avoid excessive energy costs
D) To convert electrical power from DC to AC

Question 17

Lifting heavy objects is best done with which of the following techniques?

A) Straight spine, bent legs
B) Straight spine, straight legs
C) Bent spine, bent legs
D) Bent spine, straight legs

Question 18

Which of the following is used to report electrical current?

A) Ohms
B) Voltage
C) Amps
D) Cycles

Question 19

Which of the following is/are potential area(s) of risk to patients receiving respiratory care?
1) Movement and ambulation
2) Electrical shock
3) Fire hazards

A)1 only
B)2 and 3 only
C)3 only
D)1, 2, and 3

Question 20

Which of the following parameters should be monitored during ambulation?
1) Skin color
2) Breathing rate and effort
3) Level of consciousness
4) Urine output

A)1 and 2 only
B)3 and 4 only
C)1, 2, and 3 only
D)1, 2, 3, and 4

Question 21

Which of the following factors can have an impact on the outcomes of therapeutic communication between patient and practitioner?
1) Verbal and nonverbal components of expression
2) Environmental factors (e.g., noise, privacy)
3) Values and beliefs of both patient and practitioner
4) Sensory and emotional factors (e.g., fear, pain)

A)1, 2, and 3 only
B)1 and 3 only
C)1, 2, 3, and 4
D)2, 3, and 4 only

Question 22

A therapist who says "You seem to be anxious about your surgery" to a patient just admitted for bypass surgery is using what interpersonal communication technique?

A) Clarifying
B) Paraphrasing
C) Perception checking
D) Reflecting feelings

Question 23

What is a time-based record of measurement during a specialized procedure such as mechanical ventilation?

A) Consultation sheet
B) Specialized flowsheet
C) Progress notes
D) Graphic sheet

Question 24

To determine the most recent medical status of a patient whom you are about to start treating, you would go to which section of the medical record?

A) Progress sheet
B) Nurses' notes
C) Physician's orders
D) History and physical exam

Question 25

In the standard approach to hospital fires, the RACE plan has been suggested. What does the letter "C" stand for in this approach?

A) Capture
B) Contain
C) Call for help
D) Collapse

Question 26

Maintaining eye contact, leaning toward the patient, and nodding your head are all good examples of what communication technique?

A) Clarifying
B) Empathizing
C) Attending
D) Reflecting

Question 27

A pulmonary specialist has been called in by an internist to examine a patient and assist with a diagnosis. Where in the patient's medical record would you look for the pulmonary specialist's report?

A) Progress sheet
B) Consultation sheet
C) Physician's orders
D) History and physical exam

Question 28

Which of the following are methods for communicating empathy to your patients?
1) Use of touch
2) Use of key words
3) Use of eye contact
4) Use of the authority

A)1, 2, and 3 only
B)1 and 3 only
C)1, 2, 3, and 4
D)2, 3, and 4 only

Question 29

Which of the following techniques can be used to improve one's listening skills?
1) Resist distractions.
2) Maintain composure and control emotions.
3) Keep an open mind (be objective).
4) Judge the sender's delivery, not the content.

A)2 and 3 only
B)2 and 4 only
C)1, 2, and 3 only
D)3 and 4 only

Question 30

Which of the following strategies for conflict resolution represents a middle-ground strategy that combines assertiveness and cooperation?

A) Avoiding
B) Competing
C) Compromising
D) Accommodating

Question 31

Nonverbal communication includes which of the following?
1) Gesture
2) Touch
3) Voice tone
4) Space

A)1 and 3 only
B)1 only
C)2 and 4 only
D)1, 2, 3, and 4

Question 32

To find out what drugs or intravenous fluids a patient has received recently, you would go to which section of the medical record?

A) Progress sheet
B) Nurses' notes
C) Physician's orders
D) Medication record

Question 33

How can the risk of fire because of static electrical discharge in the presence of O₂ be minimized?

A) Use only wool or polyester fabrics in the area of use.
B) Keep O₂ concentrations well below 21%.
C) Maintain high relative humidity in the area of use.
D) Keep O₂ in high-pressure storage cylinders.

Question 34

A patient's response to an interview question is initially unclear. Which of the following responses on your part would be most appropriate?

A) "Please go on."
B) "You seem to be anxious."
C) "Please explain that to me again."
D) "Yes, I think I understand."

Question 35

Which of the following techniques should not be used to improve one's effectiveness as a sender of messages?

A) Share information rather than telling.
B) Emphasize agreement over disagreement.
C) Eliminate threatening behavior.
D) Use effective nonverbal communication.

Question 36

Which of the following components of communication is a method used to transmit messages?

A) Sender
B) Channel
C) Receiver
D)

Question 37

Information about a patient's nearest kin, physician, and initial diagnosis can be found in which section of the medical record?

A) History and physical exam
B) Admission sheet
C) Physician's orders
D) Consultation sheet

Question 38

Techniques to help ensure that understanding is taking place between the parties involved in an interaction include which of the following?
1) Clarifying
2) Paraphrasing
3) Perception checking
4) Attending

A)1, 2, and 3 only
B)1 and 3 only
C)1, 2, 3, and 4
D)2, 3, and 4 only

Question 39

To verify a physician's prescription for a drug that you need to give to a patient, you would go to which section of the medical record?

A) History and physical exam
B) Laboratory sheet
C) Physician's orders
D) Medication record

Question 40

Which of the following statements are true regarding the use of O₂?
1) O₂ is flammable.
2) O₂ accelerates the rate of combustion.
3) Increased O₂ concentration accelerates the rate of combustion.

A)1 and 2 only
B)2 and 3 only
C)1 and 3 only
D)1, 2, and 3

Question 41

Which group or organization regulates the storage of medical gases?

A) The Department of Transportation (DOT)
B) National Fire Protection Association (NFPA)
C) The Joint Commission (TJC)
D) HIPPA

Question 42

Which of the following is the correct way to sign a medical record entry?

A) CAW, LRCP, CRT
B) CAW, Respiratory Department
C) C. White, LRCP, CRT
D) Cathy White, Therapist, Respiratory Department

Question 43

Which of the following are unacceptable practices in medical recordkeeping?
1) Specifying when you will return to provide patient therapy
2) Providing your own interpretation of a patient's symptoms
3) Recording the patient's complaints and general behavior
4) Charting several separate tasks under a single chart entry

A)2 and 4 only
B)1 and 2 only
C)1 and 4 only
D)1, 2, and 4 only

Question 44

What was one of The Joint Commission's (TJC) goals for 2010?

A) To improve accuracy of patient identification
B) To lessen costs
C) To enforce proper infection control
D) To have more case studies

Question 45

An RT is instructing a patient on a particular piece of equipment and should use which scenario on educating the patient?

A) Call Back
B) Read Back
C) Teach Back
D) A short quiz

Question 46

What is the role of the RT during a disaster situation?

A) Transporting the critically ill patients to safety first
B) Shutting off the main O₂ supply in the hospital
C) Getting themselves to safety
D) Going to look for a backup generator

Question 47

If you make a mistake when charting a patient treatment, what should you do?

A) Make a new entry (called "correction") just below the mistake.
B) Erase the mistake and have your supervisor countersign it.
C) Draw a line through the mistake and write "error" above it.
D) Have your supervisor make the chart correction later.

Question 48

Which of the following is an acceptable practice in medical recordkeeping?

A) Leaving blank lines
B) Erasing incorrect entries
C) Using ditto marks
D) Using standard abbreviations

Question 49

Improper storage or handling of medical gas cylinders can result in which of the following?
1) Increased risk of fire
2) Explosive releases of high-pressure gas
3) Toxic effects of some gases
4) A contained environment

A)1, 2 and 4 only
B)1 and 2 only
C)1 and 4 only
D)1, 2, and 3 only