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surg 110 ch3 quiz
| Question | Answer |
|---|---|
| individual with specialized education/training who meets ethical and competency standards | CST |
| what is the primary role of the CST | assisting the surgeon during the procedure + also establishing and protecting the sterile field |
| what are the four dimensions that overlap and function together | psychological, physical, social, and spiritual |
| means looking at the entire person not just the body part being operated on | holistic |
| what is the goal of holistic care | to not treat each need in isolation, to notice how they work together |
| what are some causes of surgical intervention | genetic malfunction - cleft lip trauma- ACL tear condition- kidney stone disease- gallbladder infection |
| the negative stress most people think of | distress |
| positive , desirable stress | eustress |
| the patient does not want to accept the truth of what is occurring | denial |
| the patient explains away the illness or disease to make it feel less threatening | rationalization |
| the patient reverts to an earlier stage of life or development under stress | regression |
| the patient suppresses thoughts and feelings about the illness or disease | repression |
| what is the order of Maslow's hierarchy of needs | 1. Physiological - bottom 2. Safety 3. Belongingness + love 4. Esteem 5. Self-Actualization - top |
| what are growth needs vs deficiency needs | growth- self actualization deficiency- physiological, safety, belonging, + esteem |
| what needs do healthcare providers prioritize first | physiological - then safety, love/belonging, esteem, self-actualization |
| what reassurance can a CST give to the patient | eye contact + a calm, steady tone to communicate safely a brief explanation before touching a patient |
| what should the CST notice | mismatches- a patient saying they're fine while visibly trembling - report anything to the RN or anesthesia provider |
| why should the CST need to understand patients religious beliefs | beliefs can conflict with modern medicine, and those conflicts create ethical and legal problems for patients and providers |
| which group of needs, has to be planned ahead of the case | gender, diet, medications, and who speaks for family |
| which group says blood products are an individuals choice | protestant |
| which group is listed with a vegetarian diet while alcohol, coffee, and tea are an individual choice most members refrain from | seventh day Adventist |
| which pair of groups allows autopsy only for legal or medical reasons | islam and sikhism |
| a dying patients family explains that a dying person should not be left alone, which group is this | Judaism |
| which two groups mention an amputated limb being buried in consecrated ground or saved | Judaism and roman Catholicism |
| who defined the two versions of death | the UDDA in 1981 |
| what are the causes of death | accidental. terminal, prolonged, sudden, + suicide |
| what are the five stages of grief | denial, anger, bargaining, depression, and acceptance |
| focuses on modifying suffering by managing symptoms and improving quality of life no matter the diagnoses or stage of disease | palliative care |
| treatment aimed at preventing or fighting disease or illness, rather than just easing its symptoms | therapeutic care |
| scheduled in advance for a non-immediate concern | elective procedure |
| urgent surgery to treat a potentially life-threatening condition | nonelective procedure |
| therapies preserving life when body systems cant sustain it alone | life support |
| prolong life without unnecessary burden | ordinary means |
| may pose unnecessary burden/cost or be ineffective | extraordinary means |
| good death; physician does nothing further to preserve life | passive |
| actions that speed dying | active |
| patients own choice | voluntary |
| violates patients independence + can cause serious ethical and legal violation | involuntary |
| states in writing exactly what medical interventions a patient will accept | living will |
| legal authorization to act on anothers behalf including medical decisions | power of attorney |
| do not resuscitate/ do not intubate written by the physician but initiated by patient | DNR/DNI |
| protect a patients right to refuse treatment | AHA patient care partnership + patient self determination act (1990) |
| what are the general steps for death in the OR | notify surgery department supervisor> family notified by surgeon> religious leader notified if needed |
| the process of surgically removing an organ or tissue from one person and placing it into another person | organ donation |
| administers the OPTN | UNOS- united network for organ sharing |
| matches donors to recipients 24 hours a day, through the UNOS | OPTN- organ procurement and transplantation network |
| what is the difference between path 1 and path 2 | path 1- brain death path 2- not brain dead- family has chosen to withdraw life support path 2- is racing a 90 minute clock- brain death case is not |
| what color is the wristband that flags a patient with a DNR/DNI order at a glance | purple |
Created by:
calitollifson7