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

Berry and Kohns Operating Room Technique 14th Edition Phillips Test Bank

Chapter 01: Perioperative Education

Phillips: Berry & Kohn’s Operating Room Technique, 14th 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: p. 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 nurse.

REF: p. 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 are correct

ANS: D

All procedures carry a risk and can become unpredictable.

REF: p. 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.

REF: p. 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: p. 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: p. 11 1 / 4

• Not everyone learns at the same speed or attains information in the same manner. Knowing how a student learns will help the

educator come up 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: p. 4 | p. 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: p. 10

• 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: p. 11

• What is a realistic time frame for a practitioner to feel confident as a functioning perioperative team member.
• Three months
• One to two years
• Six months to one year
• Three months to six months

ANS: D

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: p. 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
• Role model
• Preceptor

• ANS: B REF: p. 12
• ANS: C REF: p. 13
• ANS: A REF: p. 12

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: p. 2 2 / 4

• 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 anticipation of a permanent 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: p. 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: p. 4 | p. 5

• 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: p. 5

• 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: p. 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: p. 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: p. 10 3 / 4

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Chapter 02: Foundations of Perioperative Patient Care Standards

Phillips: Berry & Kohn’s Operating Room Technique, 14th Edition

MULTIPLE CHOICE

• Who is responsible for documenting the final counts at the end of the case as correct or incorrect?
• Scrub person
• Surgeon
• Anesthesiologist
• Circulating nurse

ANS: D

The circulating nurse is responsible for final documentation.

REF: p. 22 | p. 23

• Optimal patient care requires which element?
• Deterring an admission of fault in sterile technique
• Anatomic separation
• Dynamic tension of surgical team members
• Application of asepsis and sterile technique principles

ANS: D

Asepsis and sterile technique are expected and necessary practices in the OR setting for favorable patient outcomes.

REF: p. 22

• The circulating nurse should assess a patient for which type of injury before entering the OR?
• Medication error
• Wrong IV site
• Skin injury
• Sharp object

ANS: C

Skin injuries can be caused by many things in the OR. The nurse should assess the skin before and after the procedure to make sure no damage has been done.

REF: p. 23

• Caregivers should always know why they are doing a particular action. Actions should be based on .
• self-taught methods
• preceptor actions
• nursing process
• evidence-based practice

ANS: D

Evidence-based practice is a systematic process that is based on research. The research is the base for best practices. Practices are constantly evaluated for the best methods for performing patient care.

REF: p. 25 | p. 26

• When does the intraoperative phase begin?
• Placement of the patient on the OR bed
• When the patient enters the OR
• When waiting in the holding area
• When taken to the recovery area or PACU

ANS: A

The intraoperative phase begins with the patient on the OR bed and continues until the patient is transported to the PACU.

REF: p. 28

• What documentation goes into the patient’s chart and becomes part of the permanent record?
• Specimen results
• Intraoperative notes only
• All routine and individualized care
• Physical changes

ANS: C

All patient care interventions and observations are documented. Standardized language provides legal evidence for the plans of care and revisions of those plans.

REF: p. 31

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