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Test Bank for Surgical Technology Principles and Practice 6th Edition

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WITH ANSWERS

 

Surgical Technology Principles and Practice 6th Edition

Chapter 3: Law, Documentation, and Professional Ethics

 

MULTIPLE CHOICE

 

  1. Health care professionals are guided in their practice by:
A. standards
B. laws
C. regulations
D. policies
E. all of the above

 

 

ANS:  E

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

 

PTS:   1                    DIF:    2                    REF:   p. 31

 

  1. Law in most society is intended to protect:
A. government officials C. individuals
B. state officials D. none of the above

 

 

ANS:  C

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

 

PTS:   1                    DIF:    2                    REF:   p. 31

 

  1. Professional standards are:
A. specific requirements that help promote AORN 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.

 

PTS:   1                    DIF:    2                    REF:   p. 31

 

  1. Ethics are:
A. standards and guidelines C. morals
B. values D. all of the above

 

 

ANS:  B

Ethics are values that are highly regarded by individuals and society.

 

PTS:   1                    DIF:    2                    REF:   p. 31

 

  1. The health care professions have 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.

 

PTS:   1                    DIF:    2                    REF:   p. 31

 

  1. Law is a:
A. guideline, set by our law enforcement
B. rule or set of rules that law enforcement regulate
C. rule or set of rules that governments make to regulate peoples behavior
D. guideline set by government to regulate behavior

 

 

ANS:  C

Law is a rule or set of rules that governments make to regulate peoples behavior.

 

PTS:   1                    DIF:    2                    REF:   p. 31

 

  1. _____________ is the transfer of responsibility for a task from one person to another.
A. Compensation C. Regulation
B. Delegation D. 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.

 

PTS:   1                    DIF:    2                    REF:   p. 32

 

  1. 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 C. hospital policy
B. operative consents 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.

 

PTS:   1                    DIF:    2                    REF:   pp. 32-33

 

  1. Negligence committed by a professional who deliberately acts outside of her or his scope of practice, or while impaired, is known as ________.
A. damages C. a sentinel event
B. malpractice 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.

 

PTS:   1                    DIF:    2                    REF:   p. 34

 

  1. The circulator has transported the patient to the operating room but has forgotten the patients 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 C. sexual harassment
B. improper ethical choices D. forgetting the patients chart

 

 

ANS:  A

Another situation of abandonment exists when one of the team members leaves the room for an extended period before or during surgery. An emergency 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.

 

PTS:   1                    DIF:    2                    REF:   p. 36

 

  1. A derogatory statement concerning other coworkers skills, character, or reputation is unprofessional and known as a(n) _____________________.
A. ethical dilemma C. sentinel event
B. tort D. defamation

 

 

ANS:  D

Defamation is a derogatory statement made by one person about another.

 

PTS:   1                    DIF:    2                    REF:   p. 37

 

  1. Intentionally lying or falsifying information given during a court testimony after being sworn to tell the truth is known as ________.
A. a tort C. libel
B. perjury 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.

 

PTS:   1                    DIF:    2                    REF:   p. 35

 

  1. A legal document stating the patients wishes for refusing or limiting care if the patient becomes incompetent is known as a(n) ____________.
A. nurse practice act C. living will
B. advance directive 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.

 

PTS:   1                    DIF:    2                    REF:   p. 46

 

  1. 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 C. ethical dilemma
B. medical practice act D. recommended practice

 

 

ANS:  A

Surgeries on a wrong level, wrong site, wrong side, and wrong patient are considered sentinel events.

 

PTS:   1                    DIF:    2                    REF:   pp. 34-35

 

  1. A wrong, independent of contract law violations, perpetrated by one person against another person or persons property that can be compensable by money damages is known as ___________.
A. a tort C. damages
B. slander D. negligence

 

 

ANS:  A

A tort is a civil wrongan act committed against a person or a persons property.

 

PTS:   1                    DIF:    2                    REF:   p. 34

 

  1. Described as personal standards, ___________ are adopted by persons to govern their personal conduct.
A. policies and procedures C. laws
B. morals D. ethics

 

 

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.

 

PTS:   1                    DIF:    2                    REF:   p. 46

 

  1. ____________ are defined as rules that regulate the conduct of specific groups of people.
A. Societal standards C. Ethics
B. Laws D. Guidelines

 

 

ANS:  C

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

 

PTS:   1                    DIF:    2                    REF:   p. 46

 

  1. Under the U.S. Constitution, each state has the power to regulate businesses and professions, including the practice of medicine 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.

 

PTS:   1                    DIF:    2                    REF:   p. 32

 

  1. ________ are performed by two people during any surgery in which an item can be lost inside of the patient.
A. X-rays C. Negligent acts
B. Extra precautions D. Surgical counts

 

 

ANS:  D

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.

 

PTS:   1                    DIF:    2                    REF:   p. 35

 

  1. A summons differs from a subpoena in that a summons makes its recipient a party to the lawsuit. If a person receives a summons, he or she is being ________.
A. sued C. punished
B. fired D. threatened

 

 

ANS:  A

A summons differs from a subpoena in that a summons makes its recipient a party to the lawsuit. If a person receives a summons, he or she is being sued. The person who was injured and is suing is called the plaintiff. The person being sued is the defendant.

 

PTS:   1                    DIF:    2                    REF:   p. 35

 

  1. 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 C. advance directive
B. informed consent D. operative record

 

 

ANS:  B

A patient operative consent form or informed consent is a legal document that the patient must sign before surgery.

 

PTS:   1                    DIF:    2                    REF:   pp. 39-41

 

  1. 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 C. operating room personnel
B. licensed personnel D. a patients 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.

 

PTS:   1                    DIF:    2                    REF:   p. 38

 

  1. ___________ 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 employees 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.

 

PTS:   1                    DIF:    2                    REF:   p. 47

 

  1. Aeger primo is defined as ____________.
A. death of a patient C. suspected malpractice
B. the patient first 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.

 

PTS:   1                    DIF:    2                    REF:   p. 49

 

  1. A mandated procedure for ensuring that surgery is performed on the correct patient, site, and side is called __________________.
A. timeout C. recheck time
B. pause 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.

 

PTS:   1                    DIF:    2                    REF:   p. 36

 

  1. The operating room ___________________ is distinct from the hospital policy.
A. MSDS Manual C. Code of Ethics
B. AORN Guidelines D. procedure manual

 

 

ANS:  D

The operating room procedure manual is distinct from the hospital policy.

 

PTS:   1                    DIF:    2                    REF:   p. 33

 

  1. Patient falls are the ___________ cause of death in hospitalized people over 65.
A. only C. leading
B. last D. all the above

 

 

ANS:  C

Patient falls are the leading cause of death in hospitalized people over 65.

 

PTS:   1                    DIF:    2                    REF:   p. 35

 

  1. 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

 

 

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.

 

PTS:   1                    DIF:    2                    REF:   pp. 35-36

 

  1. The patient can be ___________and _____________ injured as a result of improper positioning for the surgical procedure.
A. lost and seriously C. restricted and improperly
B. seriously and permanently D. overextended and seriously

 

 

ANS:  C

The patient can be restricted and improperly injured as a result of improper positioning for the surgical procedure.

 

PTS:   1                    DIF:    2                    REF:   p. 36

 

  1. 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 C. guidelines
B. timeout 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.

 

PTS:   1                    DIF:    2                    REF:   p. 36

 

  1. Any tissue or foreign object removed from the patient during surgery requires careful handling and ____________.
A. information C. evidence
B. diagnosis D. documentation

 

 

ANS:  D

Any tissue or foreign object removed from the patient during surgery requires careful handling and documentation.

 

PTS:   1                    DIF:    2                    REF:   p. 36

 

  1. Surgical technologists are required to ____________ medications on the field.
A. mix C. prepare
B. label D. all the above

 

 

ANS:  D

Surgical technologists are required to label, mix, and prepare medications on the field.

 

PTS:   1                    DIF:    2                    REF:   p. 36

 

  1. __________ errors are among the most prevalent and serious errors occurring during surgery.
A. Labeling C. Sterilization
B. Instrumentation D. Calculation

 

 

ANS:  A

Labeling errors are among the most prevalent and serious errors occurring during surgery.

 

PTS:   1                    DIF:    2                    REF:   p. 36

 

  1. __________ is defined as neglecting a patient, or leaving a patient unattended when the patient requires the presence of a health care professional.
A. Error C. Transferring
B. Misleading D. Abandonment

 

 

ANS:  D

Abandonment is defined as neglecting a patient, or leaving a patient unattended when the patient requires the presence of a health care professional.

 

PTS:   1                    DIF:    2                    REF:   p. 36

 

  1. Failure to ____________ can occur when a member of the team neglects to pass on vital information that requires action.
A. care C. touch
B. communicate D. all the above

 

 

ANS:  B

Failure to communicate can occur when a member of the team neglects to pass on vital information that requires action.

 

PTS:   1                    DIF:    2                    REF:   pp. 36-37

 

  1. You are scrubbed with Dr. Jones on a laparoscopic cholecystectomy. Dr. Jones and Dr. Adams start telling jokes in a sexual manner. These comments make you feel uncomfortable; you would consider this:
A. verbal abuse C. sexual harassment
B. horizontal abuse D. all the above

 

 

ANS:  C

Sexual harassment is unwanted sexual coercion, lewd comments, innuendoes, or touching perpetrated by one person on another.

 

PTS:   1                    DIF:    2                    REF:   p. 37

 

  1. Tammy is a program director and is always talking about her supervisor. Tammy informs the class that her supervisor is uneducated and does not know the standards and guidelines. Because Tammy has made this statement verbal this is considered:
A. defamation C. assault
B. negligent D. slander

 

 

ANS:  D

If the actions are verbal, it is slander.

 

PTS:   1                    DIF:    2                    REF:   p. 37

 

  1. _____________ means deliberate efforts to erode the reputation of another person.
A. Defamation C. Battery
B. Assault D. Slander

 

 

ANS:  A

Defamation means deliberate efforts to erode the reputation of another person.

 

PTS:   1                    DIF:    2                    REF:   p. 37

 

  1. Civil _____________ is the threat or attempt to harm another person.
A. battery C. assault
B. false imprisonment D. slander

 

 

ANS:  C

Civil assault is the threat or attempt to harm another person.

 

PTS:   1                    DIF:    2                    REF:   p. 37

 

  1. __________ involves contact with intent to injure and applies even if no injury occurred.
A. Battery C. Assault
B. False imprisonment D. Slander

 

 

ANS:  A

Battery involves contact with intent to injure and applies even if no injury occurred.

 

PTS:   1                    DIF:    2                    REF:   p. 37

 

  1. Restraints become a method of managing a group of patients all in one place, possibly against their will. This type of case might be considered as:
A. battery C. assault
B. false imprisonment D. slander

 

 

ANS:  B

Restraints become a method of managing a group of patients all in one place, possibly against their will. This type of case might be considered as false imprisonment.

 

PTS:   1                    DIF:    2                    REF:   p. 37

 

  1. HIPAA protects patients __________________ and other health information through its privacy rule.
A. personal belongings C. medical records
B. family D. treatment records

 

 

ANS:  C

HIPAA protects patients medical records and other health information through its privacy rule.

 

PTS:   1                    DIF:    2                    REF:   p. 38

 

  1. ____________is the means for making a permanent legal record of the patients interaction with health care providers and services.
A. Medical records C. Documentation
B. Treatment records D. Forms

 

 

ANS:  C

Documentation is the means for making a permanent legal record of the patients interaction with health care providers and services.

 

PTS:   1                    DIF:    2                    REF:   p. 38

 

  1. A patients operative consent form, or ____________________, is the process in which the attending practitioner explains risks, benefits, and alternatives of the surgery to the patient.
A. health literacy C. informed consent
B. signed consent D. anesthesia consent

 

 

ANS:  C

A patients operative consent form, or informed consent, is the process in which the attending practitioner explains risks, benefits, and alternatives of the surgery to the patient.

 

PTS:   1                    DIF:    2                    REF:   p. 39

 

  1. _______________________ is the patients ability to understand certain medical terminology used in the media and in educational settings.
A. Informed consent C. Health literacy
B. HIPAA D. Assessment benefits

 

 

ANS:  C

Health literacy is the patients ability to understand certain medical terminology used in the media and in educational settings.

 

PTS:   1                    DIF:    2                    REF:   p. 39

 

  1. The surgical consent is signed by the ________, __________, and a(n) ___________.
A. nurse, surgeon, anesthesiologist C. patient, surgeon, nurse
B. surgeon, nurse, family member D. patient, surgeon, witness

 

 

ANS:  D

The surgical consent is signed by the surgeon, patient, and a witness.

 

PTS:   1                    DIF:    2                    REF:   p. 39

 

  1. A____________ is a legal document that specifically states the type of medical intervention or treatment the patient wants.
A. medical power of attorney C. DNR
B. living will D. none of the above

 

 

ANS:  B

A living will is a legal document that specifically states the type of medical intervention or treatment the patient wants.

 

PTS:   1                    DIF:    2                    REF:   p. 46

 

  1. The surgical technologist has the right to abstain from participation in certain types of cases that violate his or her ethical, moral, or religious values. This is known as:
A. ethical dilemmas C. moral dilemma
B. refusal to perform an assigned task D. all the above

 

 

ANS:  B

The surgical technologist has the right to abstain from participation in certain types of cases that violate his or her ethical, moral, or religious values. This is known as refusal to perform an assigned task.

 

PTS:   1                    DIF:    2                    REF:   p. 48

 

MATCHING

 

Choose from the terms listed and match them with their most correct description. You will use the same answer more than once.

A. Constitutional law C. Administrative law
B. Statutes D. Judicial or common law

 

 

  1. The rulings issued by courts have the effect of law and are binding within the jurisdiction of the particular court

 

  1. The U.S. Constitution is the supreme source of law in the United States

 

  1. Laws that are passed by legislative bodies

 

  1. In situations in which there is conflict between two parties, the courts may become involved to resolve the dispute

 

  1. Regulations passed by agencies and departments of the government

 

  1. Signed into law by its governor

 

  1. No other law may violate its provisions

 

  1. Signed into law by its governor

 

  1. Based on precedence from previous cases

 

  1. Rules established by the Environmental Protection Agency (EPA) for the handling of medical waste

 

  1. ANS:  D                    PTS:   1                    DIF:    3                    REF:   pp. 31-32

 

  1. ANS:  A                    PTS:   1                    DIF:    3                    REF:   p. 32

 

  1. ANS:  B                    PTS:   1                    DIF:    3                    REF:   pp. 31-32

 

  1. ANS:  D                    PTS:   1                    DIF:    3                    REF:   pp. 31-32

 

  1. ANS:  C                    PTS:   1                    DIF:    3                    REF:   pp. 31-32

 

  1. ANS:  B                    PTS:   1                    DIF:    3                    REF:   pp. 31-32

 

  1. ANS:  A                    PTS:   1                    DIF:    3                    REF:   p. 32

 

  1. ANS:  B                    PTS:   1                    DIF:    3                    REF:   pp. 31-32

 

  1. ANS:  D                    PTS:   1                    DIF:    3                    REF:   pp. 31-32

 

  1. ANS:  C                    PTS:   1                    DIF:    3                    REF:   pp. 31-32

 

Choose from the terms listed and match them with their most correct description. You will use the same answer more than once.

A. Intentional tort C. Criminal liability
B. Unintentional tort

 

 

  1. Injury as a result of improper positioning

 

  1. Invasion of privacy

 

  1. A derogatory statement made by one person about another

 

  1. Negligence

 

  1. Theft of hospital policy

 

  1. HIPAA violation

 

  1. Committed inadvertently, without intent to harm

 

  1. ANS:  B                    PTS:   1                    DIF:    3                    REF:   p. 36

 

  1. ANS:  A                    PTS:   1                    DIF:    3                    REF:   p. 37

 

  1. ANS:  A                    PTS:   1                    DIF:    3                    REF:   p. 37

 

  1. ANS:  B                    PTS:   1                    DIF:    3                    REF:   pp. 34-37

 

  1. ANS:  C                    PTS:   1                    DIF:    3                    REF:   p. 34

 

  1. ANS:  C                    PTS:   1                    DIF:    3                    REF:   p. 37

 

  1. ANS:  B                    PTS:   1                    DIF:    3                    REF:   pp. 34-37

Chapter 13: Perioperative Pharmacology

 

MULTIPLE CHOICE

 

  1. ________ is used for augmentation of labor.
A. Epinephrine C. Lugols solution
B. Acetic acid D. Oxytocin

 

 

ANS:  D

Oxytocin is used for augmentation of labor.

 

PTS:   1                    DIF:    2                    REF:   p. 277

 

  1. High-alert drugs such as __________ heparin and epinephrine can be flagged using commercial markers.
A. intravenous C. intraocular
B. anticoagulation D. irrigation

 

 

ANS:  A

High-alert drugs such as intravenous heparin and epinephrine can be flagged using commercial markers.

 

PTS:   1                    DIF:    2                    REF:   p. 261

 

  1. _______________stimulate the production of urine by the kidneys.
A. Ophthalmic drugs C. Diuretics
B. Colloids D. Contrast mediums

 

 

ANS:  C

Diuretics stimulate the production of urine by the kidneys.

 

PTS:   1                    DIF:    2                    REF:   p. 275

 

  1. Colored dyes are usually dispensed to the sterile field in glass vials. The most common types are Gentian violet, Methylene blue, and ________.
A. Indigo carmine C. abnormal shades
B. color codes D. performers

 

 

ANS:  A

Colored dyes are usually dispensed to the sterile field in glass vials. The most common types are Gentian violet, Methylene blue, and Indigo carmine.

 

PTS:   1                    DIF:    2                    REF:   p. 274

 

  1. Extra high-alert drugs in the ________ area include the different formulations of heparin, thrombin, epinephrine, and local anesthetics.
A. hemorrhage C. intracranial
B. perioperative D. dilation

 

 

ANS:  B

Extra high-alert drugs in the perioperative area include the different formulations of heparin, thrombin, epinephrine, and local anesthetics.

 

PTS:   1                    DIF:    2                    REF:   p. 256

 

  1. A(n) ________ is a drug that inhibits blood clot formation but does not dissolve clots.
A. hemostatic agent C. anticoagulant
B. absorbable collagen D. antineoplastic agent

 

 

ANS:  C

An anticoagulant is a drug that inhibits blood clot formation but does not dissolve clots.

 

PTS:   1                    DIF:    2                    REF:   p. 270

 

  1. Angina, which is chest pain associated with decreased oxygen supply to the heart muscle, is partly treated using ________ drugs.
A. antianginal C. aminoglycosides
B. osmotic D. antimicrobials

 

 

ANS:  A

Antianginal drugs are used to treat angina, which is chest pain associated with decreased oxygen supply to the heart muscle.

 

PTS:   1                    DIF:    2                    REF:   p. 270

 

  1. Knowledge of nerve transmission is basic to an understanding of how anesthetics and other _____ drugs work.
A. CNN C. ABC
B. CBS D. CNS

 

 

ANS:

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