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RAD271-Patient Care
Interpersonal Communication
Question | Answer |
---|---|
What are minimum requirements for patient verification? | at least two patient identifiers - NAME, DOB, MRN |
Describe HEALTH | condition of feeling physically and mentally sound or whole; organism functioning without any evidence of disease or disfigurement |
Describe Maslow's Hierarchy of Needs | 1. physiologic needs (food, clothing, shelter) 2. Safety and security 3. Belongingness and affection (peer support/family) 4. Esteem and self-respect (confidence, respect, achievement) 5. Self-actualization (morality, creativity, lack of prejudice) |
Describe the modes of communication. | VERBAL - spoken; NONVERBAL - unspoken: written (documentation) facial expression body language touch eye contact appearance |
Define PARALANGUAGE. | sound of speech rather than content; includes rate of speech, volume of voice, fluency and vocal patterns |
Identify nontherapeutic communication techniques. | Judgmental statements; cliche; false reassurance, defending, changing subject, giving advice, subjective interpretation, disagreeing; probing, demanding an explanation |
Identify THERAPEUTIC communication techniques. | Establishing guidelines, reducing distance, listening, using silence, responding to underlying message, restating main idea, reflecting main idea, seeking/providing clarification, making observations, exploring; validating; focusing |
What are some challenges in communication? | a. interactions with others 1. language barriers; 2. cultural/social factors; 3. physical or sensory impairments; 4. age; 5. emotional status; acceptance of condition b. medical terminology ETHNOCENTRISM |
What is radiographer's role with patient education? | 1. VERIFY patient (minimum 2 ID) provide a thorough explanation of prep and/or exam in terms patient understands; using good listening skills and observations, the tech can assess the patient for anxiety, comprehension and answering questions honestly; |
Describe cultural groups | 1. religious groups 2. age groups 3. racial groups 4. socioeconomic groups 5. disabilities 6. gender 7. sexual preference 8. geographic groups |
Describe the styles of learning. | 1. global versus linear 2. visual 3. auditory 4. kinesthetic |
Name and describe (in order) the phases of grief. (Kubler-Ross) | Denial - defense mechanism Anger - Bargaining - make deal mitigate impact of loss Depression - accept impending loss/begins mourning process Acceptance - accept loss/begin to disengage except for closest persons (TECH - be quietly supportive/open) |
Describe the modes of thinking. | 1. recall - ability to remember large body of facts quickly 2. habit - repetition allows skill w/o thought 3. inquiry - process info thoughtfully (analyze, infer, explain, reflect) 4. Creativity - critical thinking w/in std of safe/ethical practice |
Explain the importance of reviewing the exam/pt info prior to bringing patient to exam room. | An informed tech works more efficiently. Verifying the order and the patient ensure the procedure is performed correctly, on the correct person. The room should be setup before bringing the patient. |
What is the best way to ensure correct ID of patient? | 1. Verify name (in waiting area and in exam room) 2. Verify DOB (in exam room) 3. Verify MRN (in waiting area and in exam room) |
Why is obtaining patient history important? | It is tech responsibility to assist radiologist with diagnosing patient - getting thorough and accurate history gives a full picture to the radiologist. |
Describe some nonverbal messages a tech uses to communicate with patients. | Making eye contact, how patient is touched, tech appearance/ demeanor, organized exam room |
Describe verbal messages that have a positive impact on patient as well as those that have a negative effect. | being in front of patient, speaking clearly and directly to them, listening; volume and rate of speech; clarify patient questions negative = loud, rapid speech |
Name five patient-related challenges that might require special communication efforts by the tech. | 1. Impediments (IE blind, hearing or speech loss); 2. traumatized patients; 3. families; 4. abusers (alcohol/drugs); 5. physical/cognitive/emotional disability |
Radiographer responsibilities concerning patient education. | Explain procedure clearly, in laymen's terms (nonmedical). Use good listening skills/answer questions honestly/thoroughly. Obtain patient consent (noninvasive exams). Answer questions about other modalities. Give pre and post exam instructions. |
Radiographer communication skills include | 1. observational skills 2. listening skills 3. speaking skills 4. writing skills |
Define ETHNOCENTRISM | The belief that one's own cultural ways are superior to any other. |
State the SACRED SEVEN of patient history. | CHRONOLOGY - cause of injury/illness LOCALIZATION - where's injury/illness ONSET - when occur QUALITY - describe pain SEVERITY - pain level AGGRAVATING or ALLEVIATING FACTORS - what makes it better/worse 7. ASSOCIATIVE MANIFESTATION - other symptoms |