Issuu

TEST BANK Surgical Technology: Principles and Practice 7th Edition Joanna Kotcher Fuller

TABLE OF CONTENTS Chapter 01: The Surgical Technologist Chapter 02: Communication and Teamwork Chapter 03: Law, Documentation, and Professional Ethics Chapter 04: The Health Care Facility Chapter 05: The Patient Chapter 06: Diagnostic and Assessment Procedures Chapter 07: Environmental Hazards Chapter 08: Microbes and the Process of Infection Chapter 09: The Principles and Practice of Aseptic Technique Chapter 10: Decontamination, Sterilization, and Disinfection Chapter 11: Surgical Instruments Chapter 12: Perioperative Pharmacology Chapter 13: Anesthesia and Physiological Monitoring Chapter 14: Postanesthesia Recovery Chapter 15: Death and Dying

Chapter 16: Physics and Information Technology Chapter 17: Energy Sources in Surgery Chapter 18: Moving, Handling, and Positioning the Surgical Patient Chapter 19: Surgical Skin Preparation and Draping Chapter 20: Case Planning and Intraoperative Procedures Chapter 21: Management of the Surgical Wound Chapter 22: Minimally Invasive Endoscopic and RoboticAssisted Surgery Chapter 23: General Surgery Chapter 24: Gynecological and Obstetrical Surgery Chapter 25: Genitourinary Surgery Chapter 26: Ophthalmic Surgery Chapter 27: Surgery of the Ear, Nose, Pharynx, and Larynx Chapter 28: Oral and Maxillofacial Surgery Chapter 29: Plastic and Reconstructive Surgery Chapter 30: Orthopedic Surgery Chapter 31: Peripheral Vascular Surgery Chapter 32: Thoracic and Pulmonary Surgery Chapter 33: Cardiac Surgery Chapter 34: Pediatric Surgery

Chapter 35: Neurosurgery Chapter 36: Emergency Trauma Surgery Chapter 37: Disaster Preparedness and Response

SOURCE: Browsegrades.net

Surgical Technology 7th Edition Fuller Test Bank Chapter 01: The Surgical Technologist Fuller: Surgical Technology: Principles and Practice, 7th Edition MULTIPLE CHOICE 1. The professional association for surgical technologists is the . a. Association of periOperative Registered Nurses b. American College of Surgeons c. Association of Surgical Technologists d. Accreditation Review Committee on Education in Surgical Technology ANS: C The AST is the surgical technologists’ professional organization. The association promotes professional standards by providing services to its members as well as legislative support to promote and formalize the status of surgical technologists. DIF: 2.

REF: p. 3

demonstrates that a surgical technologist from an accredited program has achieved a minimum level of knowledge and skills. a. Licensure b. An associate’s degree c. Graduation d. Certification ANS: D Certification is a demonstration of competency to a particular standard, usually set by the professional organization. DIF:

REF: p. 4

3. Certification for the surgical technologist is a. mandatory b. voluntary c. unnecessary d. invalid

ANS: B Certification is mandatory in some states for an individual to work in the profession. However, in most states certification is voluntary. Note: All graduates from a CAAHEP-accredited program are required to take the CST examination before graduation. DIF:

REF: p. 4

4. Certification differs from licensure in that certification . a. does not require continuing education credits b. allows employers to evaluate prospective employees by one verifiable national standard c. is not currently mandatory to practice in all 50 states

SOURCE: Browsegrades.net

d. is a no-cost examination ANS: C Licensure is a process in which the state government issues registration and the right to practice. Certification is mandatory in some states for an individual to work in the profession. This requirement is the national trend because it provides a demonstrable standard of knowledge. At the time of this writing, mandatory graduation from an accredited surgical technology program and certification is required in the states of Idaho, Indiana, Massachusetts, New Jersey, New York, South Carolina, Tennessee, and Texas. Two other states—Colorado and Washington—require formal registration of the individual’s legal name and place of residence. DIF:

REF: p. 4

5. The profession of surgical technologist is defined today as a result of a. less demanding professional needs b. rapid monumental developments in technology in general c. growing demands in the ancillary departments d. advances in digital technology ANS: B Rapid monumental developments in technology help define the role of the surgical technologist. DIF:

REF: p. 2

6. The need for assistive persoNnneRl inIsurG geryBd.idCnoM t arise until a. World War I b. Korean War c. Civil War d. World War II

ANS: D The need for assistive personnel in surgery did not arise until World War II. DIF:

7. During World War I, wounded. a. nurses b. assistants c. Corpsmen d. orderlies

REF: p. 2 worked on the battlefield to offer aid and comfort to the

ANS: C During World War I, Corpsmen worked on the battlefield to offer aid and comfort to the wounded. DIF:

REF: p. 2

8. A new profession was born in the Army for the Corpsman; it was named

SOURCE: Browsegrades.net

a. b. c. d.

Corpsman I nurse CST ORT

ANS: D ORT, operating room technician, was a new profession born in the Army for the Corpsman. DIF:

REF: p. 2

9. Registered nurses continued to fill the role of the scrub, or “instrument,” nurse until about . a. 1970 b. 1965 c. 1966 d. none of the above ANS: B RNs continued to fill the role of the scrub, or instrument, nurse until 1965. DIF:

REF: p. 2

10. The Association of periOperative Registered Nurses (AORN) published a book called . a. The Role of the Operating Room Technician b. Teaching in the Operating Room c. Teaching the OperatingNRoR om I TecG hnicBia.nC M UpeS d. Surgical Techniques for O ratinNg RToom TeOchnician ANS: C The Association of periOperative Registered Nurses (AORN) published a book called Teaching the Operating Room Technician. DIF:

REF: p. 2

11. In the AORN board of directors created the a. 1968, Association of Operating Room Technicians b. 1965, Association of Operating Room Technicians c. 1968, Association of Operating Room Nurses d. 1967, Association of Operating Room Nurses

ANS: C In 1968, the AORN board of directors created the Association of Operating Room Nurses. DIF:

REF: p. 2

12. AORT stands for . a. Association of Operating Radiology Technician b. Association of Ophthalmic Register Technician c. Association of Operating Respiratory Technician d. Association of Operating Room Technicians

SOURCE: Browsegrades.net

ANS: D AORT stands for Association of Operating Room Technicians. DIF:

REF: p. 2

13. In an effort to formalize technologists’ education, AORT created two new committees, which are the Joint Review Committee and the . a. AST b. LCC-ST c. CST d. CORT-ST ANS: B In an effort to formalize technologists’ education, AORT created two new committees, the Joint Review Committee and the Liaison Council on Certification for the Surgical Technologist (LCC-ST). DIF:

REF: p. 2-3

14. The surgical technologist’s professional organization that supports students and graduates is . a. LCC b. CST c. AST d. NBSTSA ANS: C The surgical technologist’s professional organization that supports students and graduates is the Association of Surgical Technologists (AST). DIF:

REF: p. 3

15. At the national level, AST provides the following support to students and graduates of surgical technologist and teaching institutions and the public . a. maintains practice standards, code of ethics, and code of conduct for the surgical technologist b. publishes a professional journal, The Surgical Technologist c. holds annual conferences for surgical technologists and educators d. all of the above ANS: D At the national level, AST provides the following support to students and graduates of surgical technologist and teaching institutions and the public: maintains practice standards, code of ethics, and code of conduct for the surgical technologist; publishes a professional journal, The Surgical Technologist; and holds annual conferences for surgical technologists and educators. DIF:

REF: p. 3

16. It is important for students to become active members of AST to promote

SOURCE: Browsegrades.net

a. b. c. d.

standards of the profession the Association of Surgical Technology the Accrediting Review Council on Education in Surgical Technology themselves

ANS: A It is important for surgical technology students to become active members of the AST to promote the standards of the profession. DIF:

REF: p. 3

17. As a body of professionals, surgical technologists are supported by a number of key organizations and partners. Each has a designated role in . a. certification, standards, continuing education, and promotion b. continuing education, promotion, standards, and accreditation c. standards, continuing education, accreditation, and promotion d. promotion, certification, accreditation, and continuing education ANS: D As a body of professionals, surgical technologists are supported by a number of key organizations and partners. Each has a designated role in promotion, certification, accreditation, and continuing education. DIF:

REF: p. 3

18. The Accreditation Review Council on Education in Surgical Technology and Surgical Assisting (ARC/STSA) provides educational recommendations and required N R I G B.C M U S N T O for accreditation of programs in surgical technology and surgical first assisting. a. guidelines b. rules c. standards d. grades ANS: C The Accreditation Review Council on Education in Surgical Technology and Surgical Assisting (ARC/STSA) provides educational standards and recommendations required for accreditation of programs in surgical technology and surgical first assisting. DIF:

REF: p. 3

19. Which of the following organizations oversees certification and credentialing for the surgical technologist? a. AORN b. AST c. NBSTSA d. CAAHEP ANS: C The National Board of Surgical Technology and Surgical Assisting (NBSTSA) oversees certification and credentialing of surgical technologists and surgical assistants.

SOURCE: Browsegrades.net

DIF:

REF: p. 3

20. Accreditation is granted to a school only after a. review of curriculum b. full on-site visit c. council review at the end of the year d. curriculum is submitted

ANS: B Accreditation is granted to a school only after a full on-site evaluation of the program and its facilities to ensure compliance with ARC/STSA standards. DIF:

REF: p. 3

21. Surgical technologists are trained in a. 2-year colleges b. military c. proprietary certificate programs d. all the above

ANS: D Surgical technologists are trained in 2-year colleges, the military, and proprietary certificate programs. DIF:

REF: p. 4

22. The Accrediting Bureau ofN HeaRlth I EduGcatiB on.Scho C Mols (ABHES) is another U S N T O accrediting body. a. for-profit b. nonprofit c. semiprofit d. none of the above ANS: B ABHES is another nonprofit accrediting body. DIF:

REF: p. 3

23. Certification through the Association of Surgical Technologists requires _ a. graduation from an ABHES-accredited school b. graduation from an Armed Forces program c. graduation from a CAAHEP-accredited school d. all of the above

ANS: D Certification through the Association of Surgical Technologists requires graduation from an CAAHEP-accredited school, ABHES-accredited school, and federally sponsored Armed Forces program. DIF:

REF: p. 3

SOURCE: Browsegrades.net

24. Certification demonstrates . a. standard of knowledge b. advanced level competencies c. understanding of the principles and practices of surgery d. support for NBSTSA ANS: A Certification demonstrates a standard of knowledge and understanding of the principles of surgical technology. DIF:

REF: p. 4

25. To be eligible to take the certification examination, the applicant must meet all requirements EXCEPT . a. be a graduate of an accredited program (ABHES and CAAHEP) b. currently be a CST c. be a graduate of a military program d. have 7 of the last 10 years documented scrub experience ANS: D Individuals must be a graduate of an accredited program (CAAHEP and ABHES), currently a CST, and a graduate of a military program. DIF:

REF: p. 4

26. The National Center for Competency Test requires applicants to have the following . a. b. c. d.

high school diploma or GED be a graduate of a formal operating room technician (ORT) training program A and B none of the above

ANS: C NCCT applicants must have a high school diploma or GED, be a graduate of an ORT training program, and have 7 years of validated scrub experience within the past 10 years. DIF:

REF: p. 4

27. Suzie has taken the CST examination and passed. For Suzie to keep her certification without retaking the examination, she must do one of the following . a. attend the national conference b. maintain continuing education (CE) credits c. nothing d. attend all state meetings ANS: B CE credits provide an opportunity for professionals to improve their knowledge and competency. DIF:

REF: p. 4-5

SOURCE: Browsegrades.net

28. The stated goals of a career ladder are primarily to do all the following EXCEPT . a. improve patient care b. promote accountability c. encourage employer recognition of the surgical technologist d. encourage experienced surgical technologists to contribute to the professional growth of their own career ANS: D The stated goals of a career ladder are primarily to improve patient care, encourage employer recognition of the surgical technologist, promote accountability, increase the visibility of the surgical technologist’s role in the health care facility, and encourage experienced surgical technologists to contribute to the professional growth of others. DIF:

REF: p. 5

29. The nonsterile member of the surgical team is called a. assistant b. scrub c. circulator d. surgeon

ANS: C The circulator is a nonsterile team member. DIF:

REF: p. 6

N R I G B.C M

30. The surgical technologist whU o wS orksNin T a hospitO al or other facility that provides 24-hour care is usually required to . a. take a break every hour b. be on “call” c. do nothing d. none of the above ANS: B The surgical technologist who works in a hospital or other facility that provides 24-hour care is usually required to be on “call.” DIF:

REF: p. 6

31. The larger picture casts the surgical technologist’s role as a combination of four main areas of health care and technology EXCEPT . a. educator and preceptor b. participant in leadership and management c. patient care provider in the perioperative setting d. specialist in sterilization ANS: D

SOURCE: Browsegrades.net

The larger picture casts the surgical technologist’s role as a combination of four main areas of health care and technology: assistant in surgical procedures as part of the surgical team; specialist in the preparation, handling, and use of surgical devices, equipment, and instruments; patient care provider in the perioperative setting; participant in leadership and management, and educator and preceptor. DIF:

REF: p. 7

32. James is a new graduate, and he is looking for a job in surgical technology. Career services has met with him and had him fill out applications for the following jobs. Of the following job fields, which one does James NOT qualify for as a new graduate? a. CST b. Central processing manager c. VA hospital, ST position d. Educator ANS: D Public trust means that patients, their families, and others in the care environment maintain a high level of confidence in the professionals who care for them. Entry-level certification and at least 2 years of experience in surgery are the minimum requirements for an educator position. DIF: 33.

REF: p. 8

has particular attributes, attitude, and behavior that reflect a high standard of accountability, ethics, honesty, and respect for people. a. Someone highly trainedNU RS INGTB.COM b. Someone who uses his or her skills c. A professional d. Surgical technologist ANS: C Professionals have particular attributes, attitude, and behavior that reflect a high standard of accountability, ethics, honesty, and respect for people. DIF:

REF: p. 9

MATCHING Match each item with the correct acronym. a. NBSTSA b. ABHES c. ARC/STSA d. CAAHEP e. AORN f. AST g. ORT h. CFA i. ACS

SOURCE: Browsegrades.net

j. RN k. CST l. NCCT m. STCR n. LPN 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

Surgical Technologist Circulating Role Operating Room Technician National Board of Surgical Technology and Surgical Assisting Association of Operative Registered Nurses Licensed practical nurse Accrediting Bureau of Health Education Schools Registered nurse Association of Surgical Technologists Commission on Accreditation of Allied Health Education Programs American College of Surgeons Certified surgical technologist Accreditation Review Council on Education in Surgical Technology and Surgical Assisting Certified first assistant National Center for Competency Testing

1. ANS: 2. ANS: 3. ANS: 4. ANS: 5. ANS: 6. ANS: 7. ANS: 8. ANS: 9. ANS: 10. ANS: 11. ANS: 12. ANS: 13. ANS: 14. ANS:

M G A E N B J F D I K C H L

DIF: 2 REF: p. 6 DIF: 2 REF: p. 2 DIF: 2 REF: p. 3 DIF: 2 REF: p. 2 N R I G B. DIF: U2 S N T RC EO F:M p. 4 DIF: 2 REF: p. 3 DIF: 2 REF: p. 4 DIF: 2 REF: p. 3 DIF: 2 REF: p. 3 DIF: 2 REF: p. 4 DIF: 2 REF: p. 3 DIF: 2 REF: p. 3 DIF: 2 REF: p. 8 DIF: 2 REF: p. 4

Match the definition with the role of the surgical technologist. You may use the same answer more than once. a. Scrub role b. Circulator c. Second assistant d. Preceptor e. Instrumentation specialist f. Leadership and management 15. Maintain retraction of tissue 16. Communicate effectively with surgeon to prevent errors, such as passing the wrong instrument or passing it in the wrong position

SOURCE: Browsegrades.net

17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29.

30. 31.

Nonsterile team member who assists the RN Assist with hemostasis as directed by the surgeon Specialist in the preparation, handling, and use of instruments Irrigating the surgical wound, especially in microsurgery Teaching others while scrubbed Pursue an advanced degree in hospital administration and management Skills and knowledge required for this role are the processes of sterilization and disinfection, inspection of and troubleshooting equipment, and assembly of instrument tray Maintain a “dry” surgical site by operating suction devices and appropriate use of surgical sponge Ensure patient chart, including results of diagnostic procedures, permits, and preoperative checklist, accompanies the patient into surgery Prepares instruments and supplies on the sterile field Role is fulfilled by a registered nurse A teacher The nonsterile person who performs patient care procedures, obtains and delivers the equipment needed for a surgery case, opens sterile supplies, and assists in positioning the patient on the operating table Facilitating safety and emergency protocols Assist surgeon in specific, well-defined task as needed during the procedure

15. ANS: 16. ANS: 17. ANS: 18. ANS: 19. ANS: 20. ANS: 21. ANS: 22. ANS: 23. ANS: 24. ANS: 25. ANS: 26. ANS: 27. ANS: 28. ANS: 29. ANS: 30. ANS: 31. ANS:

C A B C E C D F E C B A B D B F A

DIF: 2 REF: p. 6 DIF: 2 REF: p. 5 DIF: 2 REF: p. 6 DIF:N 2R I G B.RC EF:M p. 6 U S N T REF: O p. 6 DIF: 2 DIF: 2 REF: p. 7 DIF: 2 REF: p. 6 DIF: 2 REF: p. 7 DIF: 2 REF: p. 7 DIF: 2 REF: p. 7 DIF: 2 REF: p. 6 DIF: 2 REF: p. 6 DIF: 2 REF: p. 6 DIF: 2 REF: p. 6 DIF: 2 REF: p. 7 DIF: 2 REF: p. 6 DIF: 3 REF: p. 7

Match the following definitions with the correct term. a. Facility-based ST b. Military service c. Specialty practice d. CST-CFA e. Educator and clinical instructor f. Medical industry representative g. Central processing management

SOURCE: Browsegrades.net

h. Research product and development 32. Work in research product and development in the area of surgical instruments, supplies, and devices 33. Designs and develops the curriculum for the institution and manages departments 34. Assists in surgical procedures to retract tissue and aid in exposure, hemostasis, close tissue planes, and other intraoperative techniques while under supervision of the surgeon 35. Education program parallels civilian requirements, with additional training in combat and war surgery and in golden hour treatment 36. The scope of duties and responsibilities includes disinfection and sterilization processes, assembly of surgical instrument sets, and management of complex instrument systems 37. Promote the company’s equipment but also has the technical expertise to troubleshoot problems 38. The hospital-based surgical technologist may specialize in one or more surgical specialties such as orthopedics, neurosurgery, cardiac surgery, obstetrics, or plastic surgery 32. 33. 34. 35. 36. 37. 38.

ANS: ANS: ANS: ANS: ANS: ANS: ANS:

H E D B G F C

DIF: DIF: DIF: DIF: DIF: DIF: DIF:

2 2 2 2 2 2 2

REF: REF: REF: REF: REF: REF: REF:

p. 6 p. 8 p. 8 p. 8 p. 7 p. 8 p. 8

SOURCE: Browsegrades.net

Chapter 02: Communication and Teamwork Fuller: Surgical Technology: Principles and Practice, 7th Edition MULTIPLE CHOICE 1. a. b. c. d.

and are two of the most important components of patient care. Teamwork and professionalism Communication and professionalism Communication and teamwork Teamwork and skills

ANS: C Communication and teamwork are two of the most important components of patient care. DIF:

REF: p. 10

2. Surgery is performed by a. surgeons b. nurses c. surgical technologists d. teams of health professionals

ANS: D Surgery is performed by teams of health professionals. DIF: 3.

G B.C M U S N T O

REFN : pR . 10I

is a quality found in people with self-esteem. This type of behavior seeks to protect one’s own rights while respecting those of others. a. Aggressiveness b. Offensiveness c. Assertiveness d. Emotion ANS: C Assertiveness is defined as a quality in people with self-esteem; assertive behavior seeks to protect one’s own rights while respecting those of others. DIF:

4. a. b. c. d.

REF: p. 15

are behaviors that are accepted as part of the environment and culture of a group. Norms Laws Regulations Rules

ANS: A Norms are defined as behaviors that are accepted as part of the environment and culture of a group. Norms are usually established by custom and popular acceptance rather than by law, although the two may not be mutually exclusive.

SOURCE: Browsegrades.net

DIF:

REF: p. 10

5. Communication is a two-way process between the a. ST and patient b. sender and receiver c. surgeon and circulator d. accuser and accused

ANS: B Communication is a two-way process in which one person (the sender) expresses ideas and feelings and another (the receiver) receives them, processes them, and gives feedback. DIF: 6. a. b. c. d.

REF: p. 11

is the expression of emotion or opinion contained in the delivery of a message. Expression Body language Sensitivity Tone

ANS: D Tone is the environment of the message. It reflects the sender’s emotions, such as respect for the receiver, opinion about the message, or attitude toward the receiver. DIF:

REF: p. 12

N R I G B.C M

7. a. b. c. d.

is the response to aUmeSssaN ge aT nd is a O component of effective communication. Feedback Aggression Harassment Abuse

ANS: A Feedback is a response by the receiver that acknowledges the message that was sent. DIF:

REF: p. 16

8. The most important reason to increase among coworkers and management. a. staff b. salaries c. communication skills d. gossip and rumors

is to maintain respect, trust, and empathy

ANS: C Among the most important reasons to improve communication skills is to maintain respect, trust, and empathy among coworkers and management. The operating room environment is often rushed, tense, and even brusque. DIF:

REF: p. 11

SOURCE: Browsegrades.net

9. Poor patient care, errors, conflict, and stress are results of a. poor communication skills b. aggression c. lack of educated team members d. cultural differences

ANS: A Good communication greatly increases the safety of the environment for the patient. Poor communication results in poor patient care, errors, conflict, and stress. DIF:

REF: p. 11

10. Many health care workers are surprised to find that the greatest challenge in their work is not the work itself but the of the workplace. a. stress b. acceptable social distance c. gender value d. interactions and social climate ANS: D Even under the best circumstances, communication can be difficult. Many health care workers are surprised to find that the greatest challenge in their work is not the work itself but the interactions and social climate of the workplace. DIF:

REF: p. 11

N R I G B.C M

11. Even if the sender does not wUishS to eN xprT ess his oOr her true feelings about the message, these feelings will probably be conveyed by . a. aggressive behavior b. assertiveness c. body language d. gossip or rumors ANS: C The way we use posture, gestures, and expressions to convey ideas and messages is called body language. These cues can emphasize the message or convey a meaning that differs significantly from what was originally intended. DIF: 12. a. b. c. d.

REF: p. 12

can be both an expression of comfort and a way of controlling people. Harassment Touch Values Interactions

ANS: B Touch can be both an expression of comfort and a way of controlling people. Touch, except in social gestures such as hand-shaking, is almost never neutral.

SOURCE: Browsegrades.net

DIF:

REF: p. 13

13. Good communication clarifies relationships and helps establish professional and social boundaries. It increases teamwork and goals, which will greatly increase the safety of the environment for the . a. surgeon b. management staff c. ancillary departments d. patient ANS: D Good communication clarifies relationships and helps to establish professional and social boundaries. It increases teamwork and reinforces team goals. Good communication greatly increases the safety of the environment for the patient. DIF:

REF: p. 11

14. The person with uses extreme defensive or aggressive tactics to achieve social comfort. a. problem behavior b. good communication skills c. the ability to be a team player d. respect for others ANS: A Problem behaviors cause mistrust, frustration, and interpersonal conflict. The person with problem behaviors uses extN remR e deIfenG siveBo. rC aggM ressive tactics to achieve a level of social U S N T O comfort. DIF:

15.

REF: p. 19 is a response by the receiver acknowledging receipt of the message and

its content. a. Sender b. Receiver c. Feedback d. Message ANS: C Feedback is a response by the receiver acknowledging receipt of the message and its content. DIF: 16.

REF: p. 16

is the manner or implied feelings behind the message, reflected in emphasis on certain words or pitch of the voice. a. Tone b. Pitch c. Attitude d. None of the above

SOURCE: Browsegrades.net

ANS: A Tone is the manner or implied feelings behind the message, reflected in emphasis on certain words or pitch of the voice. DIF:

REF: p. 12

17.

is the way we use posture, gestures, and expressions to convey ideas or messages. a. Verbal communication b. Body language c. Neutral language d. All of the above ANS: B Body language is the way we use posture, gestures, and expressions to convey ideas or messages. DIF:

18.

REF: p. 12 is purposeful touch that conveys empathy, tenderness, and care.

a. b. c. d.

Medical touch Positive touch Engaging touch Therapeutic touch

ANS: D Therapeutic touch is purpoN sefuR l touch I GthatBc.onCveyMs empathy, tenderness, and care.

U S N T

DIF: 19.

REF: p. 13

is a set of guidelines to help people use email and other types of Internet communication in a way that promotes personal security, respect, and clarity. a. Email guidelines b. Work email guidelines c. Workplace communication d. Netiquette ANS: D Netiquette is a set of guidelines to help people use email and other types of Internet communication in a way that promotes personal security, respect, and clarity. DIF:

20.

REF: p. 13

is/are a way for people to talk with others in their personal and professional community. a. Email b. Facebook c. Twitter d. Blogs ANS: D

SOURCE: Browsegrades.net

Blogs are a way for people to talk with others in their personal and professional community. DIF: 21.

REF: p. 13

is the ability to communicate effectively with people of different cultures and subcultures within populations. a. Cultural competence b. Cultural reference c. Cultural guidelines d. Cultural difference ANS: A Cultural competence is the ability to communicate effectively with people of different cultures and subcultures within populations. DIF:

REF: p. 14

22. Effective communication results when the delivery is appropriate to the a. situation b. environment c. emotion d. bias

ANS: A Effective communication results when the delivery is appropriate to the situation. Communication should take place with the right person, at the right time, and in the right place. DIF:

REF: p. 17

23. Which of the following is a characteristic between the health professional and the public? a. The public looks to the professional for aggression. b. The public looks to the professional for perceptions. c. The public looks to the professional for gossip and rumors. d. The public looks to the professional for reassurance. ANS: D The public looks to the professional for reassurance. DIF:

REF: p. 18

24. The respectful person does not a. practice active listening b. respond with empathy c. value the views and ideas of others d. disparage another person

ANS: D The respectful person does not disparage another person to appear to be smarter, more skilled, or “better.”

SOURCE: Browsegrades.net

DIF:

REF: p. 16

25. Despite changing social norms room. a. sexual abuse b. verbal abuse c. violence d. sexual harassment

is a significant problem in the operating

ANS: B Despite changing social norms verbal abuse is a significant problem in the operating room. DIF:

REF: p. 19

26. Stressors in the operating room environment can block a. conflict resolution b. politeness c. good communication and teamwork d. conflicting priorities

ANS: C Stressors in the operating room can block good communication and teamwork. DIF:

REF: p. 28

27. Which of the following causes of team conflict is an interpersonal conflict? a. Personality clash b. Role confusion c. Personal space d. Organizational skills ANS: A Personality clashes, attempts to gain control of the group, and power plays are some causes of team conflict. DIF:

REF: p. 24

MATCHING Match the characteristics of good teamwork and team conflict with their most correct description. You may use the same answer more than once. a. Yielding b. Change c. Politeness d. Collaboration e. Conflict 1. Saying “please” or “thank you.” 2. Accepting the fact that others have valid points of view and conceding when one has made incorrect assumptions or conclusions.

SOURCE: Browsegrades.net

3. 4. 5. 6. 7. 8.

Working together for a common purpose. The ability to adjust to unfolding events during a surgical procedure. Poor communication and role confusion. Speaking to others in a calm manner without sarcasm. Cooperation and the ability to accept one another’s individual personalities. A surgical technologist wants to show the student how much they know rather than allow the student to participate. 9. Identifying new tasks or procedures and implementing them with as little disruption as possible. 10. Open minded and retains a sense of fairness during team interaction. 1. ANS: 2. ANS: 3. ANS: 4. ANS: 5. ANS: 6. ANS: 7. ANS: 8. ANS: 9. ANS: 10. ANS:

C A D B E C D E B A

DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF:

2 2 2 2 2 2 2 2 2 2

REF: REF: REF: REF: REF: REF: REF: REF: REF: REF:

p. 23 p. 23 p. 23 p. 23 p. 24 p. 23 p. 23 p. 24 p. 23 p. 23

Match the following terms with their most correct description. a. Emotions b. Environmental barriersN R I G B.C M U S N T O c. Lack of a desire to communicate d. Perceptions e. Bias f. Lack of understanding g. Social and cultural influences 11. One person may perceive an unemotional patient as a “stoic,” strong, brave person facing illness. Another person may see the same patient as extremely anxious and fearful, speechless, and unable to express emotion because of the intensity of his or her emotions. 12. How we perceive a problem, situation, or action sometimes depends on our social and cultural background as much as our knowledge. 13. An effective communication stopper 14. How we feel at the time of communication 15. The receiver does not have sufficient knowledge to understand exactly what the sender is trying to communicate. 16. Hearing is a particular problem in the operating room. 17. To be successful in sending and receiving information, a person must want to communicate. 11. ANS: 12. ANS: 13. ANS: 14. ANS:

D G E A

DIF: DIF: DIF: DIF:

2 2 2 2

REF: REF: REF: REF:

p. 17 p. 17 p. 17 p. 17

SOURCE: Browsegrades.net

15. ANS: F 16. ANS: B 17. ANS: C

DIF: DIF: DIF:

2 2 2

REF: p. 17 REF: p. 17 REF: p. 17

Choose from the terms listed and match them with their most correct description. a. Remain calm b. Remind yourself of the facts c. Make an assertive statement d. Sidestep the behavior e. Do not become aggressive f. Stand up for your coworkers g. Challenge authorities who allow the abuse to continue h. If abuse becomes violent 18. If you cannot stop the behavior, wait until after surgery, then confront the abuser or report it in writing. 19. You must be prepared to address the abuser. 20. “Dr. X, it is not necessary to scream at me. When you do that, I can’t work.” 21. Seek justification for allowing abuse to continue and do not allow yourself to feel personal defeat in the face of administration’s complacency. 22. “I’ll get a replacement for that instrument right now.” 23. “I have the right not to take this abuse.” 24. Do not be afraid to request the presence of others who are in an administratively stronger position to stop the abuser. 25. If you are in a room where your coworker is being abused, defend the person. 18. ANS: 19. ANS: 20. ANS: 21. ANS: 22. ANS: 23. ANS: 24. ANS: 25. ANS:

E A C G D B H F

N R ING TB.COM

DIF: U1 S DIF: 1 DIF: 1 DIF: 1 DIF: 1 DIF: 1 DIF: 1 DIF: 1

REF: REF: REF: REF: REF: REF: REF: REF:

p. 20 p. 20 p. 20 p. 20 p. 20 p. 20 p. 20 p. 20

SOURCE: Browsegrades.net

Chapter 03: Law, Documentation, and Professional Ethics Fuller: Surgical Technology: Principles and Practice, 7th Edition MULTIPLE CHOICE 1. Health care professionals are guided in their practice by a. standards b. laws c. policies and regulations d. all of the above

ANS: D Health care professionals are guided in their practice by standards, laws, regulations, and policies. DIF:

REF: p. 31

2. Law in most society is intended to protect a. government officials b. state officials c. individuals d. none of the above

ANS: C Law in most societies is intended to protect individuals from harm and promote a peaceful society. DIF:

REF: p. 31

3. Professional standards are . a. specific requirements that help promote AST standards and guidelines b. specific requirements that help promote the operating room c. specific requirements that help promote surgical guidelines d. specific requirements that help promote and ensure safety and care ANS: D Professional standards are specific requirements that help promote and ensure safety and care. DIF:

REF: p. 31

4. Ethics are . a. standards and guidelines b. values c. morals d. all of the above ANS: B Ethics are values that are highly regarded by individuals and society.

SOURCE: Browsegrades.net

DIF:

REF: p. 31

5. The health care professions have these particular ethics related to beneficences a. accountability, honesty, morals, and values b. integrity, accountability, honesty, and values c. honesty, integrity, accountability, and trust d. trust, honesty, integrity, and morals ANS: C The health care professions have particular ethics related to beneficences: accountability, integrity, honesty, and trust. DIF:

REF: p. 31

6. Law is a . a. guideline, set by our law enforcement b. rule or set of rules that law enforcement regulates c. rule or set of rules that governments make to regulate people’s behavior d. guideline set by government to regulate behavior ANS: C Law is a rule or set of rules that governments make to regulate people’s behavior. DIF: 7. a. b. c. d.

REF: p. 31

is the transfer of responsibility for a task from one person to another. Compensation Delegation Regulation Segregation

ANS: B Delegation is the transfer of responsibility for a task from one person to another. This is a frequent occurrence in all health care settings, especially where licensed personnel work directly with allied health professionals. DIF:

REF: p. 32

8. A set of rules or regulations that hospital employees are required to follow, created to protect patients and employees from harm and to ensure the smooth operation of the hospital, is called . a. code of ethics b. operative consents c. hospital policy d. medical practice acts ANS: C The hospital policy manual describes general administrative and logistical operations of the hospital. It includes an organizational chart that clarifies the chain of command and information on other topics such as the rules about employee identification, privileges, and salary procedures.

SOURCE: Browsegrades.net

DIF:

REF: p. 32

9. Negligence committed by a professional who deliberately acts outside of her or his scope of practice, or while impaired, is known as _. a. damages b. malpractice c. a sentinel event d. complaints ANS: B Malpractice is negligence committed by a professional. Malpractice may also be committed if a person deliberately acts outside of his or her scope of practice or while impaired. DIF:

REF: p. 34

10. The circulator has transported the patient to the operating room but has forgotten the patient’s chart. The circulator leaves the patient alone and returns to the preoperative area to get the chart. Upon returning, the circulator finds the patient lying on the floor. The circulator may be charged with . a. abandonment b. improper ethical choices c. sexual harassment d. forgetting the patient’s chart ANS: A Another situation of abandonment exists when one of the team members leaves the room for N dur RS I surg GTery. B.C M an extended period before orU ing N AnOemergency can occur at any time and all team members must be present when the patient is in the room. Leaving a patient alone in a hallway or in the operating room suite constitutes abandonment. DIF:

REF: p. 36

11. A derogatory statement concerning other coworkers’ skills, character, or reputation is unprofessional and known as a(n) . a. ethical dilemma b. tort c. sentinel event d. defamation ANS: D Defamation is a derogatory statement made by one person about another. DIF:

REF: p. 37

12. Intentionally lying or falsifying information given during a court testimony after being sworn to tell the truth is known as . a. a tort b. perjury c. libel

SOURCE: Browsegrades.net

d. a complaint ANS: B When testifying, it is imperative to tell the truth because the practitioner is under oath. To lie under oath is called perjury, which is a punishable crime. DIF:

REF: p. 35

13. A legal document stating the patient’s wishes for refusing or limiting care if the patient becomes incompetent is known as a(n) . a. nurse practice act b. advance directive c. living will d. code of ethics ANS: C A living will is a legal document that specifically states the type of medical intervention or treatment the patient wants. Possible interventions included are artificial feeding, transfusions, specific diagnostic tests, pulmonary maintenance on a ventilator, and the use of medications. DIF:

REF: p. 45

14. A(n) is an unexpected occurrence involving death or serious psychological injury, or risk thereof. It is titled as such because it signals the need for immediate investigation and response. a. sentinel event b. medical practice act c. ethical dilemma d. recommended practice ANS: A Surgeries on a wrong level, wrong site, wrong side, and wrong patient are considered sentinel events. DIF:

REF: p. 34

15. A wrong, independent of contract law violations, perpetrated by one person against another person or person’s property that can be compensable by money damages is known as . a. a tort b. slander c. damages d. negligence ANS: A A tort is a civil wrong—an act committed against a person or a person’s property. DIF:

REF: p. 34

SOURCE: Browsegrades.net

16. Described as personal standards, personal conduct. a. policies and procedures b. morals c. laws d. ethics

are adopted by persons to govern their

ANS: B Morality or morals may be described as personal standards that are often influenced by culture, religion, and other traditions. Morality usually attempts to define what is “right” or “wrong” behavior. DIF: 17. a. b. c. d.

REF: p. 46

are defined as rules that regulate the conduct of specific groups of people. Societal standards Laws Ethics Guidelines

ANS: C Ethics refers to a standard of behavior created by specific groups of people to establish the conduct of their own members. DIF:

REF: p. 31

18. Under the U.S. Constitution, each state has the power to regulate businesses and N R If me GTdicine B.CO M professions, including the praUcticSe oN and nursing. The laws differ from state to state and are called and . a. medical, surgical laws b. policies, procedures c. hospital policy, operating room policy d. medical practice acts, nurse practice acts ANS: D Under the U.S. Constitution, each state has the power to regulate the practice of medicine and professional nursing. The laws differ from state to state and are called medical practice acts and nurse practice acts. These laws require that a person obtain a license before practicing medicine or nursing. DIF: 19.

REF: p. 31-32

are performed by two people during any surgery in which an item can be lost inside the patient. a. X-rays b. Extra precautions c. Negligent acts d. Surgical counts ANS: D

SOURCE: Browsegrades.net

The scrub and the circulator are responsible for the surgical counts; however, the physician is the one who actually places items inside the patient, so he or she may also be legally responsible for an item being left in the patient. DIF:

REF: p. 35

20. Because of the legal implications of this document, it must be signed by the physician, the patient, and a witness. This document is called a(n) . Without this signed document, surgery cannot proceed. a. surgical count sheet b. informed consent c. advance directive d. operative record ANS: B A patient operative consent form or informed consent is a legal document that the patient must sign before surgery. DIF:

REF: p. 40

21. The Health Insurance Portability and Accountability Act of 1996 (HIPAA), created by the U.S. Department of Health and Human Services (HHS), outlines federal standards for the protection of . a. criminal actions b. licensed personnel c. operating room personnel d. a patient’s privacy ANS: D The HIPAA of 1996, created by the Department of HHS, protects patients’ medical records and other health information through its privacy rule. DIF: 22.

REF: p. 37

have the right to equal treatment, regardless of age, physical attributes, mental state, ethnicity, or socioeconomic status. a. Members of certain cultures and societies b. An employee’s family members c. All patients with medical insurance d. All patients ANS: D All patients have the right to equal treatment regardless of age, physical attributes, mental state, ethnicity, or socioeconomic status. DIF:

REF: p. 46

23. Aeger primo is defined as a. death of a patient b. the patient first

SOURCE: Browsegrades.net

c. suspected malpractice d. first do no harm ANS: B The AST has adapted a Latin phrase to describe its ethos: aeger primo, which means “the patient first.” DIF:

REF: p. 49

24. A mandated procedure for ensuring that surgery is performed on the correct patient, site, and side is called . a. timeout b. pause time c. recheck time d. time check ANS: A Perioperative nurses and other regulating agencies now require a “timeout” immediately before the start of the procedure or incision for a final verification of the surgical procedure and location of the proper surgical incision site. DIF:

REF: p. 36

25. The operating room a. MSDS Manual b. AORN Guidelines c. Code of Ethics d. procedure manual

is distinct from the hospital policy.

ANS: D The operating room procedure manual is distinct from the hospital policy. DIF:

26. Patient falls are the a. only b. last c. leading d. all the above

REF: p. 32 cause of death in hospitalized people over 65.

ANS: C Patient falls are the leading cause of death in hospitalized people over 65. DIF:

REF: p. 35

27. Choose the correct statement concerning common circumstances in which falls occur. a. The side rails on a stretcher are not kept raised. b. Children are left unattended. c. Unsafe transfer techniques are used. d. All of the above.

SOURCE: Browsegrades.net

ANS: D The following are examples of common circumstances in which falls occur: The side rails on a stretcher are not kept raised. Children are left unattended. Unsafe transfer techniques are used. DIF:

REF: p. 35

28. The universal protocol or is a verification procedure in which the team pauses just before surgery and begins to acknowledge essential information about the operative site and side, patient identity, position, and other crucial information about the patient and procedure. a. standards b. timeout c. guidelines d. viewed ANS: B The universal protocol or timeout is a verification procedure in which the team pauses just before surgery and begins to acknowledge essential information about the operative site and side, patient identity, position, and other crucial information about the patient and procedure. DIF:

REF: p. 36

29. Any tissue or foreign object removed from the patient during surgery requires careful handling and . a. information b. diagnosis c. evidence d. documentation ANS: D Any tissue or foreign object removed from the patient during surgery requires careful handling and documentation. DIF:

REF: p. 36

30. Surgical technologists are required to a. mix b. label c. prepare d. all of the above

medications on the field.

ANS: D Surgical technologists are required to label, mix, and prepare medications on the field. DIF:

31.

REF: p. 36 errors are among the most prevalent and serious errors occurring during

surgery.

SOURCE: Browsegrades.net