Surgical Technology Principles And Practice 6th Edition by Joanna Kotcher Fuller -Test Bank

Surgical Technology Principles And Practice 6th Edition by Joanna Kotcher Fuller -Test Bank

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WITH ANSWERS

Surgical Technology Principles And Practice 6th Edition by Joanna Kotcher Fuller -Test Bank

Chapter 2: Communication and Teamwork

 

MULTIPLE CHOICE

 

1. ____________ and ___________ are two of the most important components of patient care.

A.	Teamwork and professionalism	C.	Communication and teamwork
B.	Communication and professionalism	D.	Teamwork and skills

 

 

ANS:  C

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

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

2. Surgery is performed by _______________.

A.	surgeons	C.	surgical technologists
B.	nurses	D.	teams of health professionals

 

 

ANS:  D

Surgery is performed by teams of health professionals.

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

3. ________ is a quality found in people with self-esteem. This type of behavior seeks to protect ones own rights while respecting those of others.

A.	Aggressiveness	C.	Assertiveness
B.	Offensiveness	D.	Emotion

 

 

ANS:  C

Assertiveness is defined as a quality in people with self-esteem; assertive behavior seeks to protect ones own rights while respecting those of others.

 

PTS:   1                    DIF:    1                    REF:   p. 18

 

4. ________ are behaviors that are accepted as part of the environment and culture of a group.

A.	Norms	C.	Regulations
B.	Laws	D.	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.

 

PTS:   1                    DIF:    1                    REF:   p. 17

 

5. Communication is a two-way process between the ________.

A.	ST and patient	C.	surgeon and circulator
B.	sender and receiver	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.

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

6. ________ is the expression of emotion or opinion contained in the delivery of a message.

A.	Expression	C.	Sensitivity
B.	Body language	D.	Tone

 

 

ANS:  D

Tone is the environment of the message. It reflects the senders emotions, such as respect for the receiver, opinion about the message, or attitude toward the receiver.

 

PTS:   1                    DIF:    1                    REF:   p. 15

 

7. ________ is the response to a message and is a component of effective communication.

A.	Feedback	C.	Harassment
B.	Aggression	D.	Abuse

 

 

ANS:  A

Feedback is a response by the receiver that acknowledges the message that was sent.

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

8. The most important reason to increase ________ is to maintain respect, trust, and empathy among coworkers and management.

A.	staff	C.	communication skills
B.	salaries	D.	gossip and rumors

 

 

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.

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

9. ________ is/are the substance or actual information contained in a message.

A.	Values	C.	Tone
B.	Response	D.	Content

 

 

ANS:  D

Content is defined as the substance or actual information contained in a message.

 

PTS:   1                    DIF:    1                    REF:   pp. 14-15

 

10. Poor patient care, errors, conflict, and stress are results of ________.

A.	poor communication skills	C.	lack of educated team members
B.	aggression	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.

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

11. 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	C.	gender value
B.	acceptable social distance	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.

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

12. Even if the sender does not wish to express his or her true feelings about the message, these feelings will probably be conveyed by ________.

A.	aggressive behavior	C.	body language
B.	assertiveness	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.

 

PTS:   1                    DIF:    1                    REF:   p. 15

 

13. ________ can be both an expression of comfort and a way of controlling people.

A.	Harassment	C.	Values
B.	Touch	D.	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.

 

PTS:   1                    DIF:    1                    REF:   pp. 15-16

 

14. 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	C.	ancillary departments
B.	management staff	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.

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

15. The person with ________, uses extreme defensive or aggressive tactics to achieve social comfort.

A.	problem behavior	C.	the ability to be a team player
B.	good communication skills	D.	respect for others

 

 

ANS:  A

Problem behaviors cause mistrust, frustration, and interpersonal conflict. The person with problem behaviors uses extreme defensive or aggressive tactics to achieve a level of social comfort.

 

PTS:   1                    DIF:    1                    REF:   p. 21

 

16. _________________is a response by the receiver acknowledging receipt of the message and its content.

A.	Sender	C.	Feedback
B.	Receiver	D.	Message

 

 

ANS:  C

Feedback is a response by the receiver acknowledging receipt of the message and its content.

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

17. _________ communication is spoken, not written.

A.	Tone	C.	Verbal
B.	Silent	D.	Message

 

 

ANS:  C

Verbal communication is spoken, not written.

 

PTS:   1                    DIF:    1                    REF:   p. 14

 

18. _______ is the manner or implied feelings behind the message, reflected in emphasis on certain words or pitch of the voice.

A.	Tone	C.	Attitude
B.	Pitch	D.	None of the above

 

 

ANS:  A

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

 

PTS:   1                    DIF:    1                    REF:   p. 15

 

19. _____________________ is the way we use posture, gestures, and expressions to convey ideas or messages.

A.	Verbal communication	C.	Neutral language
B.	Body language	D.	All the above

 

 

ANS:  B

Body language is the way we use posture, gestures, and expressions to convey ideals or messages.

 

PTS:   1                    DIF:    1                    REF:   p. 15

 

20. ____________________ is purposeful touch that conveys empathy, tenderness, and care.

A.	Medical touch	C.	Engaging touch
B.	Positive touch	D.	Therapeutic touch

 

 

ANS:  D

Therapeutic touch is purposeful touch that conveys empathy, tenderness, and care.

 

PTS:   1                    DIF:    1                    REF:   p. 16

 

21. _________ 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	C.	Workplace communication
B.	Work email guidelines	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.

 

PTS:   1                    DIF:    1                    REF:   p. 16

 

22. _________ is/are a way for people to talk with others in their personal and professional community.

A.	Email	C.	Twitter
B.	Facebook	D.	Blogs

 

 

ANS:  D

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

 

PTS:   1                    DIF:    1                    REF:   p. 17

 

23. _______________ is the ability to communicate effectively with people of different cultures and subcultures within populations.

A.	Cultural competence	C.	Cultural guidelines
B.	Cultural reference	D.	Cultural difference

 

 

ANS:  A

Cultural competence is the ability to communicate effectively with people of different cultures and subcultures within populations.

 

PTS:   1                    DIF:    1                    REF:   p. 17

 

24. Effective communication results when the delivery is appropriate to the _____________.

A.	situation	C.	emotion
B.	environment	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.

 

PTS:   1                    DIF:    1                    REF:   p. 19

 

25. 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.

 

PTS:   1                    DIF:    1                    REF:   p. 20

 

26. The respectful person does not _______________________.

A.	practice active listening	C.	value the views and ideas of others
B.	respond with empathy	D.	disparage another person

 

 

ANS:  D

The respectful person does not disparage another person to appear to be smarter, more skilled, or better.

 

PTS:   1                    DIF:    1                    REF:   pp. 18-19

 

27. The way a professional appears to a family can determine their level of trust and ____________ to care for the patient.

A.	attitude	C.	awareness
B.	ability	D.	image

 

 

ANS:  B

The way a professional appears to a family can determine their level of trust and ability to care for the patient.

 

PTS:   1                    DIF:    1                    REF:   p. 21

 

28. Despite changing social norms _______________ is a significant problem in the operating room.

A.	sexual abuse	C.	violence
B.	verbal abuse	D.	sexual harassment

 

 

ANS:  B

Despite changing social norms verbal abuse is a significant problem in the operating room.

 

PTS:   1                    DIF:    1                    REF:   pp. 21-22

 

29. Stressors in the operating room environment can block __________________.

A.	conflict resolution	C.	good communication and teamwork
B.	politeness	D.	conflicting priorities

 

 

ANS:  C

Stressors in the operating room can block good communication and teamwork.

 

PTS:   1                    DIF:    1                    REF:   p. 21

 

30. Which of the following causes of team conflict is an interpersonal conflict?

A.	Personality clash	C.	Personal space
B.	Role confusion	D.	Organizational skills

 

 

ANS:  A

Personality clashes, attempts to gain control of the group, and power plays are some causes of team conflict.

 

PTS:   1                    DIF:    1                    REF:   p. 26

 

MATCHING

 

Match the characteristics of good team work and team conflict with their most correct description. You will use the same answer more than once.

A.	Yielding	D.	Collaboration
B.	Change	E.	Conflict
C.	Politeness

 

 

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.

 

3. Working together for a common purpose.

 

4. The ability to adjust to unfolding events during a surgical procedure.

 

5. Poor communication and role confusion.

 

6. Speaking to others in a calm manner without sarcasm.

 

7. Cooperation and the ability to accept one anothers individual personalities.

 

8. 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:  C                    PTS:   1                    DIF:    2                    REF:   p. 26

 

2. ANS:  A                    PTS:   1                    DIF:    2                    REF:   p. 26

 

3. ANS:  D                    PTS:   1                    DIF:    2                    REF:   p. 26

 

4. ANS:  B                    PTS:   1                    DIF:    2                    REF:   p. 26

 

5. ANS:  E                    PTS:   1                    DIF:    2                    REF:   pp. 26-27

 

6. ANS:  C                    PTS:   1                    DIF:    2                    REF:   p. 26

 

7. ANS:  D                    PTS:   1                    DIF:    2                    REF:   p. 26

 

8. ANS:  E                    PTS:   1                    DIF:    2                    REF:   pp. 26-27

 

9. ANS:  B                    PTS:   1                    DIF:    2                    REF:   p. 26

 

10. ANS:  A                    PTS:   1                    DIF:    2                    REF:   p. 26

 

Match the following terms with their most correct description.

A.	Emotions	E.	Bias
B.	Environmental barriers	F.	Lack of understanding
C.	Lack of a desire to communicate	G.	Social and cultural influences
D.	Perceptions

 

 

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:  D                    PTS:   1                    DIF:    2                    REF:   pp. 19-20

 

12. ANS:  G                    PTS:   1                    DIF:    2                    REF:   p. 20

 

13. ANS:  E                    PTS:   1                    DIF:    2                    REF:   p. 20

 

14. ANS:  A                    PTS:   1                    DIF:    2                    REF:   p. 20

 

15. ANS:  F                    PTS:   1                    DIF:    2                    REF:   p. 20

 

16. ANS:  B                    PTS:   1                    DIF:    2                    REF:   p. 20

 

17. ANS:  C                    PTS:   1                    DIF:    2                    REF:   p. 20

 

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 cant work.

 

21. Seek justification for allowing abuse to continue and do not allow yourself to feel personal defeat in the face of administrations complacency.

 

22. Ill 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:  E                    PTS:   1                    DIF:    1                    REF:   p. 22

 

19. ANS:  A                    PTS:   1                    DIF:    1                    REF:   p. 22

 

20. ANS:  C                    PTS:   1                    DIF:    1                    REF:   p. 22

 

21. ANS:  G                    PTS:   1                    DIF:    1                    REF:   pp. 22-23

 

22. ANS:  D                    PTS:   1                    DIF:    1                    REF:   p. 22

 

23. ANS:  B                    PTS:   1                    DIF:    1                    REF:   p. 22

 

24. ANS:  H                    PTS:   1                    DIF:    1                    REF:   p. 23

 

25. ANS:  F                    PTS:   1                    DIF:    1                    REF:   p. 22

 

 

Chapter 12: Surgical Instruments

 

MULTIPLE CHOICE

 

1. The hinge point of many surgical instruments is called the ________.

A.	clamp	C.	shank
B.	points	D.	box lock

 

 

ANS:  D

Box lock is the hinge point of many surgical instruments.

 

PTS:   1                    DIF:    2                    REF:   p. 229

 

2. A McPherson ____ lid speculum is used to retract the eyelids.

A.	handheld	C.	malleable
B.	superficial	D.	self-retaining

 

 

ANS:  D

A McPherson self-retaining lid speculum is used to retract the eyelids.

 

PTS:   1                    DIF:    2                    REF:   p. 238

 

3. A ________ is used to cut and extract tissue and is distinguished by having a spring-loaded hinge.

A.	retractor	C.	forcep
B.	clamp	D.	rongeur

 

 

ANS:  D

A rongeur is used to cut and extract tissue and is distinguished by having a spring-loaded hinge.

 

PTS:   1                    DIF:    2                    REF:   p. 235

 

4. Fibrous connective tissue requires heavy scissors, such as the ________ scissors for cutting.

A.	curved Mayo	C.	Stevens tenotomy
B.	Metzenbaum	D.	Castroviejo

 

 

ANS:  A

Fibrous connective tissue requires heavier scissors, such as the curved Mayo scissors.

 

PTS:   1                    DIF:    2                    REF:   p. 235

 

5. _______ blades and handles are smaller and more delicate than those used in general surgery.

A.	Beaver	C.	Amputation
B.	Number 4	D.	Smillie

 

 

ANS:  A

Beaver blades and handles are smaller and more delicate than those used in general surgery.

 

PTS:   1                    DIF:    2                    REF:   p. 234

 

6. A(n) _______ blade is detachable from the knife handle, although single-use scalpels are available and these do not detach.

A.	scalpel	C.	Metzenbaum
B.	electrocautery	D.	harmonic

 

 

ANS:  A

A scalpel blade is detachable from the knife handle, although single-use scalpels are available and these do not detach.

 

PTS:   1                    DIF:    2                    REF:   p. 234

 

7. Examples of vascular clamps include ________, Satinsky, Fogarty, Crafoord, and Cooley clamps.

A.	Kelly	C.	Mixter
B.	bulldog	D.	Bainbridge

 

 

ANS:  B

Examples of vascular clamps include bulldog, Satinsky, Fogarty, Crafoord, and Cooley clamps.

 

PTS:   1                    DIF:    2                    REF:   p. 232

 

8. The Babcock clamp is an atraumatic, noncrushing clamp used to manipulate the bowel or________ tubes.

A.	fallopian	C.	kocher
B.	intestinal	D.	tissue

 

 

ANS:  A

The Babcock clamp is an atraumatic, noncrushing clamp used to manipulate the bowel or fallopian tubes.

 

PTS:   1                    DIF:    2                    REF:   p. 232

 

9. Thumb forceps is a __________ instrument used for grasping tissue and suture needles during suturing and for general tissue manipulation.

A.	nonlocking	C.	draped
B.	tissue	D.	vessel

 

 

ANS:  A

The thumb forceps is a nonlocking instrument used for grasping tissue and suture needles during suturing and for general tissue manipulation.

 

PTS:   1                    DIF:    2                    REF:   p. 233

 

10. Although almost all ________ and other bone cutting instruments are powered pneumatically, one unpowered type is still commonly used during amputation.

A.	grasps	C.	tools
B.	saws	D.	rigids

 

 

ANS:  B

Although almost all saws and other bone cutting instruments are powered pneumatically, one unpowered type is still commonly used during amputation.

 

PTS:   1                    DIF:    2                    REF:   p. 237

 

11. Strong dissecting scissors such as curved ______ scissors are used on fascia and large tendons.

A.	Metzenbaum	C.	Mayo
B.	bandage	D.	tenotomy

 

 

ANS:  C

Strong dissecting scissors such curved Mayo scissors are used on fascia and large tendons.

 

PTS:   1                    DIF:    2                    REF:   p. 245

 

12. The ________ is used by mounting its ends on hook handles and drawing it through the bone.

A.	rigid	C.	handler
B.	drape	D.	Gigli

 

 

ANS:  D

The Gigli is used by mounting its ends on hook handles and drawing it through the bone.

 

PTS:   1                    DIF:    2                    REF:   p. 238

 

13. Toothed ________ are used for suturing adipose tissue.

A.	tissue	C.	forceps
B.	teeth	D.	clamps

 

 

ANS:  C

Toothed forceps are used for suturing adipose tissue.

 

PTS:   1                    DIF:    2                    REF:   p. 244

 

14. The ___________, which has a T tip with fine serrations at the tip, often is used to clamp or grasp adipose tissue.

A.	Doyen	C.	Allis clamp
B.	Satinsky	D.	bulldog

 

 

ANS:  C

The Allis clamp, which has a T tip with fine serrations at the tip, often is used to clamp or grasp adipose tissue.

 

PTS:   1                    DIF:    2                    REF:   p. 244

 

15. The ________ blade can be curved, right angled, or malleable (bendable to any angle).

A.	retractor	C.	Bookwalter
B.	malleable	D.	Deaver

 

 

ANS:  A

The retractor blade can be curved, right angled, or malleable (bendable toany angle).

 

PTS:   1                    DIF:    2                    REF:   p. 239

 

16. The term ________ can refer to any instrument that closes over tissue to hold or occlude it.

A.	necrotic	C.	histology
B.	adipose	D.	clamp

 

 

ANS:  D

The term clamp can refer to any instrument that closes over tissue to hold or occlude it.

 

PTS:   1                    DIF:    2                    REF:   p. 231

 

17. Skin is ________, relatively fibrous, and strong.

A.	semi-solid	C.	boggy
B.	elastic	D.	intestinal

 

 

ANS:  B

Skin is elastic, relatively fibrous, and strong.

 

PTS:   1                    DIF:    2                    REF:   p. 243

 

18. Stainless steel instruments can be damaged mechanically or ________, and/or there can be defects on the surface that lead to weakness or cross-infection.

A.	structurally	C.	resilient
B.	necrotic	D.	slippery

 

 

ANS:  A

Stainless steel instruments can be damaged mechanically or structurally, and/or there can be defects on the surface that lead to weakness or cross-infection.

 

PTS:   1                    DIF:    2                    REF:   p. 245

 

19. The _______ carbide inserts in needle holders prevent the needle from slipping or rotating.

A.	ebonizing	C.	chromium
B.	diamond	D.	tungsten

 

 

ANS:  D

The tungsten carbide inserts in needle holders prevent the needle from slipping or rotating.

 

PTS:   1                    DIF:    2                    REF:   p. 231

 

20. The __________ of the instrument is a clue to its specific use.

A.	work	C.	streamline
B.	organization	D.	shape

 

 

ANS:  D

The overall shape of the instrument is a clue to its specific use.

 

PTS:   1                    DIF:    2                    REF:   p. 231

 

21. Only partially __________ clamps and smooth tissue forceps are used in the lungs, spleen, liver, or thyroid.

A.

occluding

B.

atraumatic

 

 

ANS:  A

Only partially occluding clamps and smooth tissue forceps are used in the lungs, spleen, liver, or thyroid.

 

PTS:   1                    DIF:    2                    REF:   p. 244

 

22. Fine ________ are used in ear, nose, and throat surgery for the delicate bones and surfaces of the nasal sinuses and ear.

A.

rasps

B.

osteotomes

 

 

ANS:  A

Fine rasps are used in ear, nose, and throat surgery for the delicate bones and surfaces of the nasal sinuses and ear.

 

PTS:   1                    DIF:    2                    REF:   p. 237

 

23. ______ are available in many widths and sizes that fit a particular specialty.

A.

Tools

B.

Chisels

 

 

ANS:  B

Chisels are available in many widths and sizes that fit a particular specialty.

 

PTS:   1                   

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