Healthcare Communication and Elderly Care Quiz

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Questions and Answers

Which of the following is NOT considered an immobilization tool?

Pigg-O-Stat

Urinals (correct)

Sandbags

Velcro straps

What is the primary focus of therapeutic communication in a healthcare setting?

Establishing a good relationship with the patient (correct)

Documenting patient care

Improving diagnostic skills

Providing technical instructions

In Maslow's Hierarchy of Needs, which category is focused on emotional relationships and connections?

Safety Needs

Physiological Needs

Self-Actualization

Love and Belonging (correct)

How should a radiographer approach palpation when assessing a patient?

Using 1-2 fingers only Signup and view all the answers

What differentiates a restraint from immobilization?

Restraint involves physical means to restrict movement. Signup and view all the answers

What is the primary cause of long-term care needs in elderly patients?

Chronic illnesses Signup and view all the answers

Which of the following is a common symptom of depression in elderly patients that may be confused with dementia?

Memory loss Signup and view all the answers

What percentage of individuals over 65 are reported to suffer from Alzheimer disease?

50% Signup and view all the answers

What should a radiographer ensure during communication with elderly patients?

Clearly state instructions and verify understanding Signup and view all the answers

Why is it important to assist elderly patients back to their dressing room or caretaker after an examination?

To avoid confusion and potential falls Signup and view all the answers

What is the primary concern regarding radiation protection for infants and children?

Radiosensitivity due to rapid cell growth Signup and view all the answers

Which of the following is NOT considered a type of child abuse?

Mandatory reporting Signup and view all the answers

What type of fracture is indicative of potential child abuse?

Corner fractures Signup and view all the answers

What is the appropriate method of palpation to maintain professionalism?

Using 1-2 fingers only Signup and view all the answers

What is a significant behavioral indicator of child abuse?

Excessively passive or compliant behavior Signup and view all the answers

What is the role of a radiographer when suspecting child abuse?

To report to the designated authority at the institution Signup and view all the answers

Why should family members preferably stay out of the exam room?

For radiation safety and to avoid interruptions Signup and view all the answers

Which of the following is a reason for performing a skeletal survey in children?

To identify signs of child abuse Signup and view all the answers

Which is a recommended communication technique when in a stressful situation?

Lower voice and speak slowly and clearly Signup and view all the answers

What is a potential drawback of performing a babygram?

Risk of distortion from improper centering Signup and view all the answers

What should a patient expect to be informed about regarding an imaging exam?

Detailed description of the procedure and equipment Signup and view all the answers

What is the first element needed to obtain a complete clinical history?

Chief Complaint Signup and view all the answers

Which imaging examination is specifically used to check for scoliosis in children?

Scoliosis study Signup and view all the answers

What is the most effective type of question to encourage patient elaboration during communication?

Open-ended questions Signup and view all the answers

How should you respond if a family member expresses aggressive demands?

Respond with reassurance rather than anger Signup and view all the answers

What should be done if a patient has questions about the exam before it starts?

Do not start until the questions are resolved Signup and view all the answers

What is the primary purpose of immobilization during patient transfers?

To ensure patient safety Signup and view all the answers

What should always be assessed before moving a patient?

The patient's ability to assist Signup and view all the answers

What is orthostatic hypotension and its main effect on a patient?

A rapid change in body position leading to light-headedness Signup and view all the answers

What is the appropriate chair position during a wheelchair transfer?

At a 45-degree angle or parallel Signup and view all the answers

Which of the following is NOT a consideration before moving a patient?

Patient's job history Signup and view all the answers

What should be done immediately after returning a patient to their room?

Help the patient into bed and make them comfortable Signup and view all the answers

When conducting a stretcher-to-table move, what is an important step?

Cross the patient's arms over their chest Signup and view all the answers

Why is good communication between technician and patient important during transfers?

It reduces the need for immobilization Signup and view all the answers

What should be done if a tear to the skin occurs in a geriatric patient?

Report it to the Clinical Preceptor before the patient leaves. Signup and view all the answers

What is a typical change in lung capacity due to aging?

Diminished lung capacity. Signup and view all the answers

What is a common misconception about elderly patients during imaging procedures?

They do not experience emotional distress related to their care. Signup and view all the answers

What are the three main categories of elder abuse?

Domestic elder abuse, Institutional elder abuse, Self-neglect. Signup and view all the answers

In the five stages of grief, which stage is characterized by feelings of frustration and helplessness?

Anger Signup and view all the answers

What is the purpose of an advance directive?

To clarify medical treatment preferences and relieve burdens from loved ones. Signup and view all the answers

How should a geriatric patient be positioned during a chest exam?

In a seated position to prevent dyspnea. Signup and view all the answers

What should be avoided when caring for elderly patients during imaging procedures?

Pinching their skin. Signup and view all the answers

Study Notes

Handwashing

Hand hygiene is crucial for preventing bacterial spread in healthcare settings.
Hospital-acquired infections are frequently transmitted via healthcare worker hand contact.
Studies show that healthcare workers only wash their hands 40% of the time.
Methicillin-Resistant S. Aureus (MRSA) and Vancomycin-Resistant Enterococci (VRE) are examples of resistant bacteria often found on hands.
Alcohol-based hand rubs are more effective than regular soap and water for clean hands when not visibly soiled, or contaminated with blood/body fluids.
Soap and water should be used when hands are visibly soiled or contaminated with blood/body fluids.

Body Mechanics and Safety

Radiographers' duties include patient transfers, assistance with personal needs, and radiation protection.
Proper body mechanics are crucial to prevent injuries.
Ergonomics examines the relationship between the human body and the work environment.
Common musculoskeletal injuries include back, neck, wrist, and shoulder pain.
Proper body alignment, movement, and balance reduce injury risk.

Patient Transfer

Wheeled transport is used for all inpatients.
Wheelchairs are for patients who can safely sit and stand.
Stretchers are for patients who cannot stand or have suffered recent significant injury, surgery, stroke, or heart attack.
Patient transfers should include patient introduction, identification & assessment of patient care needs.
Orthostatic hypotension can occur with rapid position changes.
Wheelchair transfer considerations include patient ability (strong/weak side), wheelchair positioning relative to the table, and having footstools available to assist with transfers.
Lock wheelchair wheels to prevent movement during transfers.

Patient Transfer Procedures

Follow patient directions and instructions carefully, ensuring assistance levels are understood and correct.
Never move a patient without sufficient assessment or assistance to avoid injury.
Return patient to their room safely and comfortably. Return room to original position.
Always obtain patient consent before applying immobilization devices.

Communication and Professionalism

Effective communication includes verbal, nonverbal (body language, expressions, appearance), and written methods.
Critical thinking, problem-solving, and communication are essential radiographer skills.
Cultural diversity considerations include avoiding language barriers, and understanding diverse patient needs.
Respect patient privacy, and sensitivity are essential in patient care.
Nonverbal signals including body posture, facial expressions and eye contact are vital for effective communication.
Proper patient documentation should include medical terminology but should be comprehensible to the patient.

Pediatric Considerations

Radiography procedures specific to infants, children and teenagers.
Establish rapport with the patient and parents if appropriate.
Proper hand hygiene.
Consider patient’s age and needs for appropriate communication strategy.

Important considerations regarding patient age and condition.

Radiographers must consider age-related factors when handling patients (infants, children, older adults.)
Elderly patients are often dealing with chronic conditions like heart disease, cancer, or various forms of disability.
Injuries to elderly patients are often more serious as tissues and bones are more fragile.
Procedures should be planned out and explained clearly to the patient.
Additional care should be taken to avoid patient harm.

Patient Education

Provide clear explanations of the procedures.
Explain purposes, and timeframes of examinations.
Offer support and reassurance if needed.

Safety

Hand hygiene is strongly emphasized.
Appropriate attire and PPE use as appropriate
Radiographers should use caution and appropriate tools and/or equipment when handling patients, especially if they cannot be trusted with themselves.
The use of additional equipment should be considered if there is a risk of injury or harm to the patient.

Radiography procedures Specific to children and adolescents

Proper hand hygiene.
Age-specific communication techniques.
Appropriate measures to prevent overheating/hypothermia.
Safety precautions for immobilization.
Additional care and caution are important for the safety of the child and the caregiving staff.
Follow up care and post-scan instructions are vital for these patient groups to minimize any further risks or complications.

Ethical and Legal Considerations

Radiographers have an ethical obligation to report suspected child abuse if appropriate.
Always act according to the guidelines of the specific institution and jurisdiction.

Advanced Directives

Advance directives (living wills, durable power of attorney for health care) allow individuals to plan for future medical decisions.
Patient and caregiver comfort and safety should always take precedence.

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Description

Test your knowledge on therapeutic communication and care practices related to elderly patients with this engaging quiz. Explore key concepts such as Maslow's Hierarchy of Needs and the significance of communication in healthcare settings. Ideal for healthcare professionals and students alike.