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Chapter 2: Communication and Teamwork
MULTIPLE CHOICE
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
A. | Tone | C. | Verbal |
B. | Silent | D. | Message |
ANS: C
Verbal communication is spoken, not written.
PTS: 1 DIF: 1 REF: p. 14
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
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
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
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
A. | C. | ||
B. | 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
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
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
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
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
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
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
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
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 |
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 |
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 |
Chapter 12: Surgical Instruments
MULTIPLE CHOICE
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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