TEST BANK Berry & Kohn's Operating Room Technique
14th Edition
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MULTIPLE CHOICE
1. 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
2. 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
3. ANS: D
All procedures carry a risk and can become unpredictable.
REF: p. 10
4. 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
5. ANS: B
Constant patient observation is essential to maintain their safety.
REF: p. 10
6. ANS: A
A team effort is necessary to meet the patient's preoperative goals.
REF: p. 11
7. 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
8. 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
9. ANS: D
The common goal is effective delivery of care in a safe, efficient, and timely manner.
REF: p. 11
, 10. 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
11. ANS: B REF: p. 12
12. ANS: C REF: p. 13
13. ANS: A REF: p. 12
TRUE/FALSE
14. 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
15. 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
16. ANS: F
The nurse can function as a scrub person after proper training.
REF: p. 4 | p. 5
17. ANS: T
This definition describes the responsibilities of the perioperative nurse educator.
REF: p. 5
18. ANS: T
This prevents learning questionable shortcuts or improper technique.
REF: p. 4
19. ANS: T
Most surgical technology programs provide scrub experiences in many specialties.
REF: p. 3
20. 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
,Chapter 02: Foundations of Perioperative Patient Care Standards
MULTIPLE CHOICE
1. ANS: D
The circulating nurse is responsible for final documentation.
REF: p. 22 | p. 23
2. ANS: D
Asepsis and sterile technique are expected and necessary practices in the OR setting for favorable
patient outcomes.
REF: p. 22
3. 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
4. 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
5. 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
6. 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
7. ANS: B
There should be at least one person on either side of the patient, one at the foot, and one at the head
to monitor the airway. The person guiding the patient’s head should be the one who counts “one,
two, three” to pace the synchronized movement from one surface to another.
REF: p. 22
8. ANS: C
The seven rights of medication administration include right patient, right drug, right dose, right
reason, right time, right route, and right documentation.
REF: p. 24
, 9. ANS: A
Professionalism is the combination of knowledge, skills, ethics, and ideas that regulate a profession.
It also uses critical thinking and judgement.
REF: p. 25
10. ANS: B
Wrong site surgery is an easily preventable occurrence and is not reimbursed for by Medicare.
REF: p. 18
TRUE/FALSE
11. ANS: T
Surgical conscience develops over time. The caregiver should consider each patient as himself or
herself or as a loved one. It is just one element for optimal patient care.
REF: p. 16
12. ANS: F
A patient advocate is a caregiver, who recognizes the patient and family’s need for information and
assistance. They act as the patient’s representative to help make informed decisions. They identify
specific care needs and assist in coping.
REF: p. 16
13. ANS: F
Access is a right, not a privilege, of all patients.
REF: p. 16
14. ANS: F
Accountability means answering to someone for an obligatory action. Caregivers are accountable to
their patients, employer, team members, profession, and upholding standards of practice.
REF: p. 16
15. ANS: T
Lack of accountability can result in patient injury. Health care providers have a legal and moral
obligation to keep their patients safe. Every caregiver is responsible for his or her own negligent
acts.
REF: p. 16
16. ANS: T
Every facility has written policies and procedures to standardize practice. Each profession has a set
of standards that sets guidelines for behavior, education, responsibility, education, and performance.
There are also agencies governed by laws to help keep patients safe.
REF: p. 17
17. ANS: T
Some policies and procedures are for all employees, others may vary according to department. These
documents are mandatory to follow and describe how to perform procedures correctly.
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