CAMRT Patient Care and Communication Questions and Answers 2 — Questions and Answers
Question 1: An anxious, claustrophobic patient arrives for imaging. What is the most appropriate initial response?
- Proceed quickly to minimize distress
- Acknowledge their anxiety, explain the procedure, and discuss coping strategies (Correct answer)
- Refer for sedation immediately
- Tell them not to worry
Correct answer: Acknowledge their anxiety, explain the procedure, and discuss coping strategies
Acknowledging feelings and providing information with coping strategies demonstrates patient-centred care.
Validate feelings, explain the procedure, discuss coping strategies (breathing, eyes closed), offer alternatives (positioning, breaks), establish a signal to stop.
Question 2: What are the essential elements of informed consent for contrast-enhanced examinations?
- Only the patient signature
- Patient understands the procedure, risks, benefits, alternatives, and has had opportunity to ask questions (Correct answer)
- Verbal agreement is sufficient
- Physician consent is sufficient
Correct answer: Patient understands the procedure, risks, benefits, alternatives, and has had opportunity to ask questions
Informed consent requires understanding of procedure, risks, benefits, and alternatives.
For contrast examinations, risks include allergic reactions, nephrotoxicity, and extravasation. Consent must be voluntary with decision-making capacity verified.
Question 3: A patient with an NG tube arrives for a chest X-ray. What precautions are needed?
- Remove the tube for image quality
- Ensure tube is not displaced during positioning, verify visibility on image, maintain drainage bag position (Correct answer)
- Clamp and disconnect the bag
- No special precautions
Correct answer: Ensure tube is not displaced during positioning, verify visibility on image, maintain drainage bag position
The NG tube must be managed carefully during positioning and must be visible on the image.
Never remove or reposition the tube. Keep drainage bag below stomach level. The purpose is often to verify tube position (tip should be in the stomach below the diaphragm).
Question 4: A patient discloses possible pregnancy before an abdominal X-ray. What should the technologist do?
- Proceed since the physician assessed them
- Stop, document the disclosure, consult the radiologist (Correct answer)
- Perform with gonadal shielding only
- Ask patient to sign a waiver
Correct answer: Stop, document the disclosure, consult the radiologist
Stop and consult the radiologist when pregnancy is possible due to fetal radiation risks.
The radiologist assesses clinical necessity and discusses risk-benefit with the patient. Alternatives like ultrasound or MRI may be recommended.
Question 5: A patient reports sudden chest pain and difficulty breathing during imaging. What immediate actions?
- Complete the exam quickly then call for help
- Stop immediately, call emergency assistance, position appropriately, monitor vital signs (Correct answer)
- Administer oxygen and continue
- Ask patient to rest and see if symptoms resolve
Correct answer: Stop immediately, call emergency assistance, position appropriately, monitor vital signs
Acute chest pain with dyspnoea is a medical emergency requiring immediate cessation and emergency response.
Stop the procedure, activate code blue, assess consciousness/breathing/pulse, begin BLS if indicated, gather the crash cart and AED. All MRTs must maintain current CPR/BLS certification.
Question 6: How should a technologist communicate with a hearing-impaired patient?
- Speak very loudly and slowly
- Face them directly, use visual aids and written instructions, confirm understanding, ask about preferred method (Correct answer)
- Communicate through family only
- Use standard instructions without modification
Correct answer: Face them directly, use visual aids and written instructions, confirm understanding, ask about preferred method
Face the patient, use visual aids, provide written instructions, and respect their preferred communication method.
Ask about preferred method. Face them with good lighting. Speak clearly at normal pace. Use demonstrations and written instructions. Arrange a qualified interpreter if needed.
CAMRT Patient Care and Communication Questions and Answers 2
An anxious, claustrophobic patient arrives for imaging.
What is the most appropriate initial response?