Egan’s Chapter 3 Practice Questions: 

Question Answer
 1. A ______ ____ is the low resistance pathway to Zero voltage.  Ground wire
 2. ________ completes circuit by taking current to ________ wire.  neutral ground
 3. _________ or _________ provide written statements of occurrences pertaining to patient  medical records or charts
 4. __________ is directly related to voltage, and inversely related to the resistance of an object.  Current
 5. ____________ is the power behind electrical energy.  Voltage
 6. Five basic components of Communication:  1. Sender
2. Message
3. Channel
4. Receiver
5. feedback
 7. About _______ of fires are in _____ care settings. The reason they begin is because of_______.  15 percent, patient , smoking
 8. Acronym for National fire protection association  NFPA
 9. All electrical equipment should be connected to _________ _______ w/ three-wire cords  grounded outlets
 10. All electrical equipment used for patient care must be checked by ________ _______on a regular ________  qualified experts, basis
 11. All healthcare personnel must use “two patient identifiers” before initiating care, which includes:  – Patient name
– Birth date
– Medical record number
 12. Another source of conflict is:  Structural problems, more common in larger organizations and when employees obtain very few competencies of their jobs
 13. Attending:  involves use of gestures & confirming remarks
 14. By allowing the patient to reflect their feelings, you are: A  providing them the opportunity to express and reflect on their emotions
 15. Children should not play with _____ that may create sparks when oxygen is in use.  toys
 16. Currents are reported in________ whereas resistance is reported in __________.  amperes, ohms
 17. Direct patient environment should be:  – Free of impediments to care

 – Beware of anything creating direct fall risk
 18. Disaster preparedness includes:
  A. transport & transfer of critically ill
  B. preparation for loss of electricity
 19. Documentation flow sheets are designed to:
 – Briefly report data
 – Decrease time spent in documentation
 20. During 1980, how many fires were reported in health care facilities?  13,000
 21. Electrical devices have a _______ wire and a _______ wire.  hot, neutral
 22. Electricity moves from point A to point B due to differences in _____________.  voltages
 23. Extended bed rest can result in which of the following?  atelectasis
 24. Factors affecting communication are:
  • 1. Verbal &Internal qualities ( values, experiences, etc.) of SENDER & RECIEVER
  • 2. nonverbal communication skills of sender
 25. Facts about Ambulation:  —Extended bed rest can lead to new medical problems, such as atelectasis

—Ambulation (walking) helps restore & maintain normal body function
—Ambulation should begin as soon as the patient is stable & free from severe pain
—Ambulation can reduce length of hospital stay
 26. Fire extinguisher training includes learning which acronym?  PASS
 27. Fires in areas where O2 is used is extremely dangerous because:
 – O2 speeds up the rate of combustion.
 – Makes everything catch on fire with more enthusiasm. haha
 28. Fires in oxygen-enriched atmospheres (OEAs) are ______, more ______, _______ burning, & more ______ to extinguish.
 larger, intense, faster, difficult
 29. Flammable material should be _________ from the vicinity of oxygen while in use.  removed
 30. General rules for record keeping: Entries should be printed or handwritten
  • Do not use ditto marks
  • Do not erase
  • Record each patient interaction & sign entry
  • Document patient complaints
  • Do not leave blank lines
  • Use standard abbreviations only
  • Use present tense
  • Use proper spelling
  • Document all important conversations
  • Be accurate
 31. Goals of TJC: for 2010, improve:
  • Accuracy of patient identification
  • Communication of critical test values among caregivers
  • Should include “Read-back” scenario verifying accurate reporting & recording of test values.
 32. Guidelines for safe ambulation:
  • 1. lower bed
  • 2. move iv pole and other stuff close to the patient.
  • 3. Sit them up
  • 4. Dangle
  • 5. Assist to standing
  • 6. Encourage slow, easy breathing
  • 7. Assist in walking
 33. Harmful effects of current depend on these three things:
  • 1.Amount of current flowing through body
  • 2.Path it takes
  • 3.Duration current is applied
 34.High currents passing through a chest can cause _______ __________, ___________ _________, and_____________.   Ventricular Fibrillation, Diaphragm Dysfunction, Death
 35. High currents that pass through the chest can cause all of the following, except:   Atelectasis
 36. How much did the number of fires decrease by the 2000?   2,000
 37. How much do hospital acquired fires cost yearly?  9 million doll hairs.
 38. It’s RT’S responsibility to:  position equipment: tubing & treatments out of way of potential risk
 39. Magnetic resonance imaging (MRI) safety:  1. No metal components or objects allowed in MRI suite!    2. Should use MRI compatible ventilators, oxygen supplies, & ancillary equipment.
 40. Med records can only be seen by:   the patient or persons directly related to the improvement of health of the patient
 41. Med records hold:
  • personal information
  • patient billing
  • health insurance
 42. Medical gas cylinders:
  • Proper storage & handling to prevent fire risk
  • There is Explosive release of high-pressure cylinders
  • There are toxic effects of some gases
 43. Most homes are powered with ________v power sources.   120
 44. The most import aspect in safe patient care is:   effective communication
 45. Most shock hazards are caused by what?
  inadequate grounding
 46. National Fire Protection Association regulates:
 – Storage of medical gases
 – Monitoring by The Joint Commission ( TJC)
 – Hospital accrediting organization
 47. Objects w/ ______ __________ (e.g. rubber tubing) allow minimal or ____ current to flow.  high resistance, no
 48. Objects w/ ________ _______ (e.g., copper wire) allow maximum current to flow.  little resistance
 49. OEA’s:  Oxygen Enriched Atmospheres
 50. Oxygen is not flammable, but:  It can greatly accelerate rate of combustion

(Oxygen supports combustion)
 51. Paraphrasing:  Paraphrasing; repeating others’ response in one’s own words.
 52. PASS:
  • Pull
  • Aim
  • Squeeze
  • Sweep
 53. Patient Movement & ambulation:
 – Good posture minimizes the risk of injury when moving patients or heavy equipment.
 – RTs should use their legs with a straight spine to lift patients & heavy objects.
 54. Personal behavior is also a:  source of conflict, various personalities & beliefs can create conflict in workplace
 55. POMR:  Problem Oriented Med Record
 56. POMR has 4 basic parts:
  • Database
  • Problem list
  • Plan
  • Progress notes
 57. POMR progress notes use_______format:
  • S = Subjective (patient’s complaints)
  • O = Objective (results of physical exam, lab tests, ABGs, chest radiograph, etc.)
  • A = Assessment (What is the problem?)
  • P = Plan (How is problem to be treated?)
 58. Poor communication can: 1. Limit your ability to treat patients
2. Determine if you can Work well with others
3. PLAY A ROLE IN finding satisfaction in your employment.
 59. Power sources w/ ______ _______ have potential to generate large amounts of __________ __________  High Voltage, Electrical Currents
 60. The Practitioner as Listener:
  • Work at being good listener
  • Stop talking; avoid interrupting speaker
  • Resist distractions; tune them out
  • Keep your mind open; be objective
  • Hear the speaker out before making evaluation
  • Maintain composure; control emotions
 61. Primary source of conflict:  Poor communication
 62. Primary source of ignition in the hospital:  lighters
 63. Providing feedback involves:   1. Perception checking; done by confirming or disproving more subtle components of communication interaction

  2.Reflecting feelings; provide opportunity for patients to express & reflect on their emotions
 64. Providing Feedback involves someone to ________, _________, and ________
 attend; paraphrase; request clarification
 65. RACE:
 66. Records are a ______ document.  legal
 67. Requesting clarification:  should be nonjudgmental in nature
 68. Role of duties is also a:  source of conflict, when employee is pulled in different directions by individuals w/ different expectations.
 69. Success as RT depends on your:  ability to communicate well with patients & other members of team.
 70. Techniques for communication improvement:  1.Share information rather than tell it
2.Seek to relate to people rather than to control them
3.Value disagreement as much as agreement
4.Use effective nonverbal communication techniques
 71. There are 5 basic strategies for handling conflict:
  1. Competing; represents assertive & uncooperative conflict resolution strategy (e.g., boss uses his or her authority to settle dispute)
  2. Accommodating; represents opposite of competing; conflict settled by “giving in”
  3. Avoiding; both parties do not pursue their concerns; may lead to unresolved issues
  4. Collaborating; involved parties try to find mutually satisfying solutions to conflict
  5. Compromising; middle-ground strategy that combines assertiveness & cooperation
 72. TJC is a:  hospital accrediting program
 73. What 3 conditions must be present in order for a fire to start?
 1. Flammable material must be present
 2. Oxygen must be present
 3. Flammable must be heated- ignited above its normal temp.
 74. What is the acronym for a core fire plan?  RACE
 75. What is the role of the RT when it comes to the patient’s direct environment?  To position the equipment, tubing and treatments out of the way as much as possible
 76. What represent the greatest danger when electrical shorts occur?  Currents
 77. When documenting notes in POMR, what formant should be followed?  SOAP
 78. Where do most fires start?  in the kitchen. duh.
 79. Who are med records protected by?  HIPPA
 80. Who monitors the NFPA?  TJC, The Joint Commission
 81. Why are Hospital fires more complicated-Serious than residential fires?  Because it is difficult to move critically ill patients.
 82.Why did these fires drastically drop?  due to education, and strict fire codes.

Question Answer
 1.All health care personnel must use the “two patient identifiers” before initiating care, which include all of the following, except?  room number
 2. All of the following techniques can be used to improve one’s effectiveness as a sender of messages except:
emphasize agreement over disagreement
 3. All of the following techniques can be used to improve one’s listening skills except:  Judge the sender’s delivery, not the content
 4. Basic purposes of communication include all of the following except:  change others’ values orientation
 5. The elements of a POMR entry would include which of the following?  1. patient’s subjective complaints and concerns

 2. objective data gathered by the health professional
 3. assessment of the subjective and objective data
 4. plan to address the identified problem(s)
 6. How can the risk of fire because of static electrical discharge in the presence of oxygen be minimized?  Maintain high relative humidity in the area of use.
 7. If you make a mistake when charting a patient treatment, what should you do?  Draw a line through the mistake and write “error” above it.
 8. 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
 9. In the standard approach to hospital fires, the RACE plan has been suggested. What does the letter “C” stand for in this approach?  contain
 10. Information about a patient’s nearest kin, physician, and initial diagnosis can be found in which section of the medical record?  admission sheet
 11. Key barriers to effective interpersonal communication include all of the following except:  similar perceptions of the problem
 12. Lifting heavy objects is best done with which of the following techniques?  straight spine, bent legs
 13. Maintaining eye contact, leaning toward the patient, and nodding your head are all good examples of what communication technique?  attending
 14. Medical records are strictly confidential and are protected under what law?  HIPPA
 15. Nonverbal communication includes all of the following except:  discussion
 16. A patient who is on a ventilator is going to be transported to MRI. Which of the following is the most important piece of equipment to have available in the MRI suite?  a MRI compatible ventilator
 17. A patient’s response to an interview question is initially unclear. Which of the following responses on your part would be most appropriate?  Please explain that to me again.
 18. A pulmonary specialist has been called in by an internist to examine a patient and help make a diagnosis. Where in the patient’s medical record would you look for the pulmonary specialist’s report?  consultation sheet
 19. An RT is instructing a patient on a particular piece of equipment, and should use which scenario on educating the patient?  Teach Back
 20.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
 21. A therapist who says “Please explain that to me again” to a patient during an interview is using what interpersonal communication technique?  clarifying
 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?  reflecting feelings
 23. To check on the results of a patient’s recent blood work, you would go to which section of the medical record?  laboratory sheet
 24. To confirm 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?  physicians order
 25. To determine any recent trends in a patient’s pulse, respiration, or blood pressure, you would go to which section of the medical record?  vital sign sheet
 26. To determine the amount of urine excreted by a patient in the last 24 hours, you would go to which section of the medical record?  intake and output (I & O) sheet
 27. 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?  progress sheet
 28. To find out what drugs or intravenous fluids a patient has received recently, you would go to which section of the medical record?  medication record
 29. What form of patient record is most designed to succinctly report data in a time-oriented format and to decrease time needed for documentation?  flowsheet
 30. What is the primary factor determining the effect of an electrical shock?  current
 31. What is the role of the RT during a disaster situation?  transporting the critically ill patients to safety first
 32. What was one of the Joint Commission’s (TJC) goals for 2010?  to improve accuracy of patient identification
 33. Where do most hospital fires initially start?  kitchen
 34. Which group or organizations regulates the storage of medical gases?  The Joint Commission (TJC)
 35. Which of the following are unacceptable practices in medical recordkeeping?  2. providing your own interpretation of a patient’s symptoms

 4. charting several separate tasks under a single chart entry
 36. Which of the following components of communication is a method used to transmit messages?  channel
 37. Which of the following conditions must be met for a fire to occur?
 1. temperature high enough for combustion
 2. presence of oxygen
 3. presence of flammable material
 38. Which of the following factors are most critical in determining when a patient can be ambulated?  2. stability of vital signs

 3. absence of severe pain
 39. 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)
 40. Which of the following is a method for communicating empathy to your patients?  1. use of touch

 2. use of keywords
 3. use of eye contact
 41. Which of the following is an acceptable practice in medical recordkeeping?  using standard abbreviation
 42. Which of the following is the correct way to sign a medical record entry?  White, LRCP, CRT
 43. Which of the following is true about fires in oxygen-enriched atmospheres?  1. They are more difficult to put out.

 2. They burn more quickly.
 3. They burn more intensely
 44. Which of the following is used to report electrical current?  amps
 45. Which of the following is/are a potential area of risk to patients receiving respiratory care?
 1. movement or ambulation
 2. electrical shock
 3. all the above
 4. fire hazards: all of the above
 46. Which of the following is/are key factor(s) 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
 47. Which of the following organs is the most sensitive to the effects of electrical shock?  heart
 48. Which of the following parameters should be monitored during ambulation?
 1. skin color
 2. breathing rate and effort
 3. level of consciousness
 49. Which of the following statements is false about patient ambulation?  patients with IV lines should NOT be ambulated
 50. Which of the following statements is/are true regarding the use of oxygen?  2. Oxygen accelerates the rate of combustion.

 3. Increased oxygen concentration accelerates the rate of combustion.
 51. Which of the following strategies for conflict resolution represents a middle-ground strategy that combines assertiveness and cooperation?  compromising
 52. Which of the following terms describes the power potential behind electrical energy?  Voltage