Respratory Therapy Exam 3

Front 1

Lifting heavy objects is best done with which technique?

Back 1

straight spine, bent legs

Front 2

Patients with intravenous (IV) lines should not be ambulated. (T/F)

Back 2

False

Front 3

What parameters should be monitored during ambulation?

Back 3

skin color, RR, WOB & LOC

Front 4

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

Back 4

voltage

Front 5

Which of the following is used to report electrical current?

Back 5

amps

Front 6

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

Back 6

current

Front 7

Which of the following is/are key factors dertermining the extent of harm caused by an electrical current?

Back 7

duration for which the current is applied, path the current takes through the body, and amount of current flowing through the body

Front 8

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

Back 8

heart

Front 9

Where do most hospital fires initially start?

Back 9

kitchen

Front 10

What is true about fires in oxygen-enriched atmospheres?

Back 10

They are more difficult to put out, they burn more quickly, & they burn more intensely

Front 11

Which of the following conditions must be met for a fire to occur?

Back 11

temp high enoug for combustion, presence of oxygen & presence of flammable material

Front 12

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

Back 12

contain

Front 13

Nonverbal communication includes all of the following except;

Back 13

discussion

Front 14

Which of the following is a method for communicating empathy to your patients?

Back 14

use of touch, key words & eye contact

Front 15

Basic purposes of communication include all of the following except:

Back 15

change others' values & orientation

Front 16

This technique will not improve one's listening skills.

Back 16

judge the dender's delivery, not the content

Front 17

A therapist who says "Please explain that to me again" to a patient during an interview is using what interpersonal communication technique?

Back 17

clarifying

Front 18

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

Back 18

compromising

Front 19

The elements of a POMR entry would include which of the following?

Back 19

pt's subjective complaints & concerns, objective data gaterhed by the health professional, assessment of the subjective & objective data, and finally a plan to address the identified problem(s)

Front 20

To confirm a physician's prescription for a drug that you need to give a pt, you would go to which section of the Med. record?

Back 20

Medication Record

Front 21

A pulmonary specialist has been called in by an internist to examine a pt and help make a diagnosis. Where in the pt's record would you look for the pulmonary specialist's report?

Back 21

consultation sheet

Front 22

To check on the results of a patient's recent blood work, wou would go to which section of the med record?

Back 22

Laboratory sheet

Front 23

To determine the ammount of urine excreted by a patient in the last 24 hours, you would go to which section of the med. record?

Back 23

intake and output (I&O) sheet

Front 24

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

Back 24

using standard abbreviations

Front 25

About how many people die each year in the United States from hospital-acquired infections (HAI's)

Back 25

90,000

Front 26

Approximately what percent of patients receiving mechanical ventilation develop pneumonia as a complication?

Back 26

25%

Front 27

Which of the folllowing is considered the primary source of infection in the health care setting?

Back 27

humans

Front 28

What factors increase the risk of surgical patients for developing postoperative pneumonia?

Back 28

obesity, prolonged intubation & history of smoking

Front 29

What is the most commmon route of pathogen transmission in the hospital setting?

Back 29

indirect contact

Front 30

Which of the following is an example if indirect transmission involving fomites?

Back 30

use of a dirty nebulizer on another patient

Front 31

Which of the following dieseases is transmitted primarily by airborne transmission?

Back 31

TB, measles,& smallpox

Front 32

What techniques are used by most hospitals to reduce host susceptibility to infection?

Back 32

immunization & chemoprophylaxis

Front 33

What vaccination does OSHA require hospital employers to provide?

Back 33

hepatitis B

Front 34

What is the first step in equipment processing for reuse on another pt?

Back 34

cleaning the equipment

Front 35

Which of the following organisms is NOT destroyed by a disinfection agent?

Back 35

bacterial spores

Front 36

Glutaraldehyde can retain activity up to 90 days once activated. (T/F)

Back 36

false

Front 37

What is the most common, efficient, and easiest sterilization method?

Back 37

steam sterilization

Front 38

Which of the following is the most common source of pt infectios?

Back 38

large-volume nebulizers

Front 39

Standard precautions is NOT a category under Expanded Precautions. (T/F)

Back 39

true

Front 40

What is the minimum recommended time for handwashing in the healthcare environment?

Back 40

15 sec

Front 41

The same pair of sterile gloves can be used on numerous patients if noninvasive procedures are done. (T/F)

Back 41

false

Front 42

Development is NOT one of the five key recommended components of an infection control program in the hospital setting. (T/F)

Back 42

true

Front 43

What simple question does ethics try to answer?

Back 43

how we should act

Front 44

What ethical issue has recently become a significant concern for RT's and all healthcare providers due to a congressional act?

Back 44

pt's right to privacy

Front 45

In most profession, specific guidance in resolving ethical dilemmas is provided by what?

Back 45

a code of ethics

Front 46

The AARC code of Ethics holds professionals to which following principles?

Back 46

actively maintaining & improving one's competence, following sound scientific procedures & ethical principles in research, promoting diesase prevention & wellness, striving to improve the access efficacy and cost of pt care, and respecting/protecting the rights of patients they treat

Front 47

Which ethical principle obliges a respiratory therapist to uphold a pt's right to refuse a treatment?

Back 47

autonomy

Front 48

What types of advanced directives can pts use to help resolve ethical dilemmas involving their life-sustaining care?

Back 48

durable power of attorney & living will

Front 49

Under what conditions can the principle of confidentiality be breached?

Back 49

when the welfare of the community or a vulnerable individual is at stake

Front 50

Before making any ethical decision, one should take which of the following actions?

Back 50

consider the alternatives,and identify individuals involved, identify what ethical principles apply, and identify who should make the decision

Front 51

What branch of law is concerned with the recognition and enforcement of the rights and duties of private individual and organizations?

Back 51

civil

Front 52

What is the term for a civil wrong committed against an individual or property, for which a court provides a remedy in the form of damages?

Back 52

tort

Front 53

Which of the following are necessary to validate a claim of professional negligence?

Back 53

the practitioner owed a duty to the pt, the practitioner was derilict in that duty, breach of duty was the direct cause of damages, and damage or harm came to the pt.

Front 54

A repiratory therapist who engages in a questionalble business practice is commitiing what type of malpractice?

Back 54

ethical

Front 55

A physician specifies an incorrect dose in a prescription for a powerful bronchodilator drug to be giben to an asthmatic pt. When the RT gives the prescribed dose, the pt suffers a fatal response and dies. Based on the principle of duty; against whom could a suit of negligence be brought?

Back 55

Attending physician, RT, and dispensing pharmacist

Front 56

HIPAA primarily is referred to as the Privacy Rule and is concerned with PHI. What do the letters PHI stand for?

Back 56

protected health information

Front 57

When performing a therapist-driven protocol (TDP), the severity assessment refers to:

Back 57

the frequency of perfoming a treatment modality.

Front 58

A TDP can be started after:

Back 58

a physician's order for the TDP is recieved

Front 59

a problem oriented mecdical record is used by health care practioners to:

Back 59

systemically gather the patients data, communicated with patients family, and formulate a treatment plan.

Front 60

What is included or exludeded from the patient record is decided by:

Back 60

the JCAHO

Front 61

if documentation in the medical record is not according to the standards is set by JCAHO, the organization may:

Back 61

issue a warning, withdraw the facility accrediation and issue a provisional acredidation

Front 62

which of the following items should be included when charting a memdication nebulizer treatment?

Back 62

Dated and time of treatment, Patient response to treatment, Concentration of dosage and type of medication given

Front 63

Which of the following belongs in the subjective section of the medical record note?

Back 63

pleurtic chest pain