Test Bank Surgical Technology Principles and

Practice, 6th Edition by Joanna Kotcher Fuller

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SAMPLE

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

2. Law in most society is intended to protect:

A. government officials C. ind

B. state officials D. none o

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

3. 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

 4. Ethics are:

A. standards and guidelines C. m

B. values D. all of

ANS: B

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

PTS: 1 DIF: 2 REF: p. 31

5. 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

6. 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 people’s behavior

D. guideline set by government to regulate behavior

ANS: C

Law is a rule or set of rules that governments make to regulate people’s behavior.

PTS: 1 DIF: 2 REF: p. 31

7. _____________ is the transfer of responsibility for a task from one person to another.

A. Compensation C. Reg

B. Delegation D. Seg

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

8. 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. hospi

B. operative consents D. medical

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

9. 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 sent

B. malpractice D. com

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

10. The circulator has transported the patient to the operating room but has forgotten the patient’s
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

B. improper ethical choices D. forgetting th

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

11. A derogatory statement concerning other coworkers’ skills, character, or reputation is

unprofessional and known as a(n) _____________________.

A. ethical dilemma C. senti

B. tort D. def

ANS: D

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

PTS: 1 DIF: 2 REF: p. 37

12. Intentionally lying or falsifying information given during a court testimony after being sworn to tell
the truth is known as ________.

A. a tort C.

B. perjury D. a co

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

13. A legal document stating the patient’s wishes for refusing or limiting care if the patient becomes
incompetent is known as a(n) ____________.

A. nurse practice act C. livi

B. advance directive D. code

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

14. 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. ethica

B. medical practice act D. recomme

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

 15. A wrong, independent of contract law violations, perpetrated by one person against another
person or person’s property that can be compensable by money damages is known as
___________.

A. a tort C. da

B. slander D. neg

ANS: A

A tort is a civil wrong—an act committed against a person or a person’s property.

PTS: 1 DIF: 2 REF: p. 34

16. Described as personal standards, ___________ are adopted by persons to govern their personal
conduct.

A. policies and procedures C.

B. morals D. e

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

17. ____________ are defined as rules that regulate the conduct of specific groups of people.

A. Societal standards C. E

B. Laws D. Gu
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

18. 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

19. ________ are performed by two people during any surgery in which an item can be lost inside of
the patient.

A. X-rays C. Negl

B. Extra precautions D. Surgi

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

20. 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. pu

B. fired D. thr

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

21. 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. advanc

B. informed consent D. operat

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

22. 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 r

B. licensed personnel D. a patien

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

23. ___________ 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 employee’s 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

24. Aeger primo is defined as ____________.

A. death of a patient C. suspecte

B. the patient first D. first d

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

25. A mandated procedure for ensuring that surgery is performed on the correct patient, site, and
side is called __________________.

A. timeout C. rech

B. pause time D. tim

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

26. The operating room ___________________ is distinct from the hospital policy.
 A. MSDS Manual C. Code

B. AORN Guidelines D. proced

ANS: D

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

PTS: 1 DIF: 2 REF: p. 33

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

A. only C. le

B. last D. all th

ANS: C

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

PTS: 1 DIF: 2 REF: p. 35

28. 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

29. The patient can be ___________and _____________ injured as a result of improper positioning
for the surgical procedure.

A. lost and seriously C. restricted a

B. seriously and permanently D. overextende

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

30. 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. gui

B. timeout D. v

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

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

A. information C. ev

B. diagnosis D. docum

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

32. Surgical technologists are required to ____________ medications on the field.

A. mix C. p

B. label D. all th

ANS: D

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

PTS: 1 DIF: 2 REF: p. 36

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

A. Labeling C. Ster

B. Instrumentation D. Cal

ANS: A

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

PTS: 1 DIF: 2 REF: p. 36

34. __________ 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. Tran

B. Misleading D. Aban

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

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

A. care C. t

B. communicate D. all th
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

36. 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

B. horizontal abuse D. all th

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

37. 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. a

B. negligent D. sl
ANS: D

If the actions are verbal, it is slander.

PTS: 1 DIF: 2 REF: p. 37

38. _____________ means deliberate efforts to erode the reputation of another person.

A. Defamation C. B

B. Assault D. S

ANS: A

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

PTS: 1 DIF: 2 REF: p. 37

39. Civil _____________ is the threat or attempt to harm another person.

A. battery C. a

B. false imprisonment D. sl

ANS: C

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

PTS: 1 DIF: 2 REF: p. 37

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

A. Battery C. A

B. False imprisonment D. S

ANS: A

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

PTS: 1 DIF: 2 REF: p. 37

41. 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. a

B. false imprisonment D. sl

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

42. HIPAA protects patient’s __________________ and other health information through its privacy
rule.

A. personal belongings C. medic

B. family D. treatm
ANS: C

HIPAA protects patient’s medical records and other health information through its privacy rule.

PTS: 1 DIF: 2 REF: p. 38

43. ____________is the means for making a permanent legal record of the patient’s interaction with
health care providers and services.

A. Medical records C. Docu

B. Treatment records D. F

ANS: C

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

PTS: 1 DIF: 2 REF: p. 38

44. A patient’s 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. inform

B. signed consent D. anesthe

ANS: C

A patient’s 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

45. _______________________ is the patient’s ability to understand certain medical terminology

used in the media and in educational settings.

A. Informed consent C. Healt

B. HIPAA D. Assessm

ANS: C

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

PTS: 1 DIF: 2 REF: p. 39

46. The surgical consent is signed by the ________, __________, and a(n) ___________.

A. nurse, surgeon, anesthesiologist C. patient, s

B. surgeon, nurse, family member D. patient, su

ANS: D

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

PTS: 1 DIF: 2 REF: p. 39

47. A____________ is a legal document that specifically states the type of medical intervention or
treatment the patient wants.
 A. medical power of attorney C. D

B. living will D. none o

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

48. 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. mora

B. refusal to perform an assigned task D. all th

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. Admini

B. Statutes D. Judicial o

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

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

3. Laws that are passed by legislative bodies

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

5. Regulations passed by agencies and departments of the government

6. Signed into law by its governor

7. No other law may violate its provisions

8. Signed into law by its governor

9. Based on precedence from previous cases

10. 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

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

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

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

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

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

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

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

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

10. 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. Crimin

B. Unintentional tort

11. Injury as a result of improper positioning

12. Invasion of privacy

13. A derogatory statement made by one person about another

14. Negligence

15. Theft of hospital policy

16. HIPAA violation

17. Committed inadvertently, without intent to harm

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

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

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

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

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

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

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

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