Question 1

According to Kotter, which of the following would be a characteristic of successful implementation of change?

Accepted Answer

A)  Dictatorship-style leadership 
B)  Clear communication of vision and strategy 
C)  Divisions of labor among staff and management 
D)  Division of labor among physicians and technical staff 
A)  Dictatorship-style leadership 
B)  Clear communication of vision and strategy 
C)  Divisions of labor among staff and management 
D)  Division of labor among physicians and technical staff B

Question 2

Which of the following would be a key restraining force in the development of staff exhibiting initiating and enhancing behaviors during culture change efforts?

Accepted Answer

A)  Positive feedback 
B)  Pressure to conform 
C)  Job-related autonomy 
D)  Accountability 
A)  Positive feedback 
B)  Pressure to conform 
C)  Job-related autonomy 
D)  Accountability B

Question 3

Which of the following is one tool used to depict how different processes change over time?

Accepted Answer

A)  Fishbone diagram 
B)  Control chart 
C)  Pareto chart 
D)  Histogram 
A)  Fishbone diagram 
B)  Control chart 
C)  Pareto chart 
D)  Histogram B

Question 4

The step in the plan-do-study-act improvement cycle associated with making adjustments to address a problem is the ______________ step.

Accepted Answer

A)  plan 
B)  do 
C)  study 
D)  act 
A)  plan 
B)  do 
C)  study 
D)  act

Question 5

Transactional-transformational leadership (TTL)focuses on which of the following?

Accepted Answer

A)  Interactions between leaders and followers 
B)  Relationship between leaders and followers 
C)  Reward for positive behaviors and punishment for negative behaviors 
D)  Relationship and interactions between leaders and followers 
A)  Interactions between leaders and followers 
B)  Relationship between leaders and followers 
C)  Reward for positive behaviors and punishment for negative behaviors 
D)  Relationship and interactions between leaders and followers

Question 6

Which of the following characteristics is least reflective of a good leader?

Accepted Answer

A)  Readily receives criticism 
B)  Listens well 
C)  Inspires others 
D)  Promotes standardization 
A)  Readily receives criticism 
B)  Listens well 
C)  Inspires others 
D)  Promotes standardization

Question 7

One tool used to show problem areas leading to potential solutions is a graph showing the range of data collected.Data would be displayed in a _____________________.

Accepted Answer

A)  fishbone graph 
B)  Pareto graph 
C)  histogram 
D)  control chart 
A)  fishbone graph 
B)  Pareto graph 
C)  histogram 
D)  control chart

Question 8

Place the three levels of burnout in progressive order.
I.Depersonalization
II.Emotional exhaustion
III.Reduced personal accomplishment

Accepted Answer

A)  I, II, III 
B)  II, III, I 
C)  II, I, III 
D)  III, II, I 
A)  I, II, III 
B)  II, III, I 
C)  II, I, III 
D)  III, II, I

Question 9

Transformational leadership focuses on which of the following?

Accepted Answer

A)  Interactions between leaders and followers 
B)  Relationship between leaders and followers 
C)  Rewards for positive behaviors and punishment for negative behaviors 
D)  Relationship and interactions between leaders and followers 
A)  Interactions between leaders and followers 
B)  Relationship between leaders and followers 
C)  Rewards for positive behaviors and punishment for negative behaviors 
D)  Relationship and interactions between leaders and followers

Question 10

Which of the following would be a key driving force for the development of staff exhibiting "initiating" and "enhancing" behaviors during culture change efforts?

Accepted Answer

A)  Positive feedback 
B)  Low staff levels 
C)  Burdensome reporting system 
D)  Limited access to training 
A)  Positive feedback 
B)  Low staff levels 
C)  Burdensome reporting system 
D)  Limited access to training

Question 11

The new accreditation program initiated by the American Society for Radiation Oncology (ASTRO)aims to improve departmental __________________.

Accepted Answer

A)  cost effectiveness 
B)  reliability 
C)  accountability 
D)  professionalism 
A)  cost effectiveness 
B)  reliability 
C)  accountability 
D)  professionalism

Question 12

ASTRO accreditation program assesses radiation oncology departments using _____ standards.

Accepted Answer

A)  5 
B)  7 
C)  14 
D)  16 
A)  5 
B)  7 
C)  14 
D)  16

Question 13

According to Harold Freudenberger, physical signs of burnout would not include which of the following?

Accepted Answer

A)  Headaches 
B)  Insomnia 
C)  Fatigue 
D)  Alopecia 
A)  Headaches 
B)  Insomnia 
C)  Fatigue 
D)  Alopecia

Question 14

A therapist who seems cynical toward coworkers and patients may be experiencing burnout at the level known as ______________________.

Accepted Answer

A)  emotional exhaustion 
B)  depersonalization 
C)  reduced personal accomplishment 
D)  occupational stress 
A)  emotional exhaustion 
B)  depersonalization 
C)  reduced personal accomplishment 
D)  occupational stress

Question 15

Transformational leaders likely focus on the ______________.

Accepted Answer

A)  tasks to be completed 
B)  methods for completing tasks 
C)  rationale for tasks 
D)  reward and punishment 
A)  tasks to be completed 
B)  methods for completing tasks 
C)  rationale for tasks 
D)  reward and punishment

Question 16

A culture of safety in the radiation oncology department requires the participation of which of the following?
I.Physicians
II.Physicists
III.Radiation therapists

Accepted Answer

A)  I, II 
B)  II, III 
C)  I, III 
D)  All of the above 
A)  I, II 
B)  II, III 
C)  I, III 
D)  All of the above

Question 17

Regular safety rounds may be instituted by a department in order to do which of the following?

Accepted Answer

A)  Discuss items needed to perform tasks successfully. 
B)  Improve interpersonal and organizational communication. 
C)  Report various issues noticed during the day. 
D)  Evaluate the quality of work by others. 
A)  Discuss items needed to perform tasks successfully. 
B)  Improve interpersonal and organizational communication. 
C)  Report various issues noticed during the day. 
D)  Evaluate the quality of work by others.

Question 18

The main objective of peer review activities is to __________________________.

Accepted Answer

A)  break down hierarchy 
B)  enhance quality of performance 
C)  improve the quality of decisions made during patient setup 
D)  evenly distribute the workload 
A)  break down hierarchy 
B)  enhance quality of performance 
C)  improve the quality of decisions made during patient setup 
D)  evenly distribute the workload

Question 19

The appropriate management of change efforts facilitates which of the following?
I.Improved procedures
II.Staff development as leaders
III.Positive clinical outcomes

Accepted Answer

A)  I, III 
B)  I, II 
C)  II, III 
D)  All of the above 
A)  I, III 
B)  I, II 
C)  II, III 
D)  All of the above

Exam 18: Patient Safety in Radiation Oncology

According to Kotter, which of the following would be a characteristic of successful implementation of change?

Which of the following would be a key restraining force in the development of staff exhibiting initiating and enhancing behaviors during culture change efforts?

Which of the following is one tool used to depict how different processes change over time?

The step in the plan-do-study-act improvement cycle associated with making adjustments to address a problem is the ______________ step.

Transactional-transformational leadership (TTL)focuses on which of the following?

Which of the following characteristics is least reflective of a good leader?

One tool used to show problem areas leading to potential solutions is a graph showing the range of data collected.Data would be displayed in a _____________________.

Place the three levels of burnout in progressive order. I.Depersonalization II.Emotional exhaustion III.Reduced personal accomplishment

Transformational leadership focuses on which of the following?

Which of the following would be a key driving force for the development of staff exhibiting "initiating" and "enhancing" behaviors during culture change efforts?

The new accreditation program initiated by the American Society for Radiation Oncology (ASTRO)aims to improve departmental __________________.

ASTRO accreditation program assesses radiation oncology departments using _____ standards.

According to Harold Freudenberger, physical signs of burnout would not include which of the following?

A therapist who seems cynical toward coworkers and patients may be experiencing burnout at the level known as ______________________.

Transformational leaders likely focus on the ______________.

A culture of safety in the radiation oncology department requires the participation of which of the following? I.Physicians II.Physicists III.Radiation therapists

Regular safety rounds may be instituted by a department in order to do which of the following?

The main objective of peer review activities is to __________________________.

The appropriate management of change efforts facilitates which of the following? I.Improved procedures II.Staff development as leaders III.Positive clinical outcomes

Cancer: An Overview

The Ethics and Legal Considerations of Cancer Management

Principles of Pathology

Overview of Radiobiology

Detection and Diagnosis

Medical Imaging

Treatment Delivery Equipment

Treatment Procedures

Infection Control in Radiation Oncology Facilities

Patient Assessment

Pharmacology and Drug Administration

Applied Mathematics Review

Introduction to Radiation Therapy Physics

Aspects of Brachytherapy

Special Procedures

Particle Therapy

Radiation Safety and Protection

Quality Improvement in Radiation Oncology

Surface and Sectional Anatomy

Simulator Design

Computed Tomography Simulation

Photon Dosimetry Concepts and Calculations

Photon Dose Distributions

Electron Beams in Radiation Therapy

Electronic Charting and Image Management

Bone, Cartilage, and Soft Tissue Sarcomas

Lymphoreticular System Tumors

Endocrine System Tumors

Respiratory System Tumors

Head and Neck Cancers

Central Nervous System Tumors

Digestive System Tumors

Gynecological Tumors

Male Reproductive and Genitourinary Tumors

Breast Cancer

Pediatric Solid Tumors

Skin Cancers and Melanoma

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