Phillips Test Bank - Phillips Test Bank Chapter 01: Perioperative Ed...

Berry & Kohn’s Operating Room Technique 13th Edition Phillips Test Bank

Chapter 01: Perioperative Education

Phillips: Berry & Kohn’s Operating Room Technique, 13th Edition

MULTIPLE CHOICE

• Communication is an essential part of working as a team. What is another key element of

communication?

• Attitude
• Body language
• Education
• Constant talking

ANS: B

Appropriate body language is also necessary for successful communication. Body language can send a message. Sometimes it can send a negative message, such as rolling of the eyes.

REF: 11

• Entry-level education for perioperative practice prepares nurses to be
• urologists.
• orthopedists.
• neurologists.
• generalists.

ANS: D

Basic perioperative nursing elective programs focus on the role of the nurse as a generalist scrub person and circulating NnuU rsReS .

REF: 3

• Perioperative experience teaches that minor procedures may be fairly quick, but still have

risks such as

• cardiac arrest.
• hypoglycemia and hyperglycemia.
• severe bleeding.
• All the above

ANS: D

All procedures carry a risk and can become unpredictable.

REF: 10

• Skills are best learned through
• listening to an expert tell how to do it.
• watching a movie about a task.
• actual hands-on experience.
• reading about it.

ANS: C

Skills are best learned through actual hands-on experience in applying the theory learned in the classroom or self-study laboratory. 1 / 4

REF: 10

• Which objective should a perioperative learner strive to attain?
• Realize that a team approach to surgical procedures cannot always occur.
• Validate the need for constant patient observation.
• Maintain the belief that competent behaviors are more vital than humane

behaviors.

• Hands-on experience is the most important means to understanding surgery.

ANS: B

Constant patient observation is essential to maintain their safety.

REF: 10

• The team approach involves
• a coordinated effort by all caregivers.
• working to obtain specific personal goals.
• incompetence.
• direct caregivers with access to patient data.

ANS: A

A team effort is necessary to meet the patient's preoperative goals.

REF: 11

• Not everyone learns at the same speed or attains information in the same manner. Knowing

how a student learns will hel N p th R e ed I uca G tor c B o .m C e up M with the right .

• answer
• environment
• teaching methods
• learning styles

ANS: C

Learning is a process and takes time to master skills. With the right teaching methods, a student will be able to apply their knowledge of basic sciences with hands on practice to master their skills.

REF: 4 | 10

• Describe one way a relatively safe procedure can rapidly become a catastrophic or fatal event.
• Preoperative patient anxiety
• Postoperative pain
• Unknown patient allergies
• Subjective responses to OR activities

ANS: C

Answers include patient development of uncontrollable bleeding; seizure; irreversible shock; overwhelming postoperative infection; cardiac arrest; or an unknown allergy or sensitivity to a chemical, substance, medication, or anesthetic.

REF: 10 2 / 4

N R I G B.C M

• What is the common goal of a perioperative team?
• Do not report any surgical mishaps to patients or family members.
• Keep general anesthesia to a minimum.
• Complete every surgical procedure in less than 4 hours.
• Deliver efficient patient care for each procedure.

ANS: D

The common goal is effective delivery of care in a safe, efficient, and timely manner.

REF: 11

TRUE/FALSE

• A surgical procedure may be invasive, minimally invasive, or noninvasive.

ANS: T

Any invasive or minimally invasive procedure enters the body either through an opening in tissue or a natural body orifice. Noninvasive procedures do not enter the body and are usually for diagnostic purposes.

REF: 2

• Students may work for compensation during official clinical hours.

ANS: F

Some students are hired into apprenticeships before graduation enabling them to work in the OR in a limited capacity in antUicipSatioNn ofTa permOanent position. Schools that permit students to work while they are still participating in the education process should have a policy in place to delineate the student role from the employee role. Thus students may not work for compensation while completing clinical hours in the operating room setting.

REF: 3

• A perioperative nurse’s role only encompasses supervision of unlicensed personnel who scrub

and requires knowledge of practices and procedures.

ANS: F

The nurse can function as a scrub person after proper training.

REF: 3 | 4

• The term educator refers to the person responsible for planning, implementing, and evaluating

the learner’s experiences in the classroom and clinical setting.

ANS: T

This definition describes the responsibilities of the perioperative nurse educator.

REF: 5 3 / 4

• Students should have a tour of the perioperative environment and know the basic standards

and protocol before starting clinicals.

ANS: T

This prevents learning questionable shortcuts or improper technique.

REF: 4

• Surgical technology programs focus primarily on scrubbing in to prepare and maintain the

sterile field and handle instruments.

ANS: T

Most surgical technology programs provide scrub experiences in many specialties.

REF: 3

• The perioperative caregiver should display attributes and communication skills that inspire

confidence and trust in patients.

ANS: T

A patient’s sense of security is grounded in how he or she perceives the behavior of the perioperative team. This leaves a lasting impression on the patient.

REF: 10

COMPLETION

• It can take mon

N tUhs R toS I N G T B.C yOe M ar(s) to feel confident about a functioning perioperative team member.

ANS:

6; 1

A transition from dependent learner to independent practitioner evolves over a period of time.The realities of the work environment and the emotional and ethical dilemmas of some situations are experienced as basic competencies are developed. It can take 6 months to 1 year to feel confident as a functioning perioperative team member.

REF: 12

MATCHING

Match each term with the correct description below.

• Works with orientees and learners according to a prescribed task-oriented lesson

plan

• Has more experience with personnel and the OR’s climate; provides insight into

the department’s social atmosphere

• Staff member who is emulated and respected for his or her clinical competence
• Mentor
• / 4