CMN 548 Module 1 Study Guide Questions with
verifiable Solutions
Low serum chloride levels =✔✔may occur in eating disorder patients who purge by self-induced
vomiting.
Elevated Serum bicarbonate levels =✔✔patients who purge or who abuse laxatives.
Low Bicarbonate levels and Phos Levels=✔✔pts who hyperventilate in response to anxiety
Hypokalemia =✔✔may be present in eating disorder patients who purge or abuse laxatives and
in psychogenic vomiting.
What labs/studies should be ordered for eating disorder patients with anorexia nervosa or
bulimia nervosa?✔✔serum electrolytes (particularly potassium and phosphorus)
blood glucose
thyroid function tests
liver enzymes
total protein
serum albumin
BUN, Cr
CBC
ECG
serum amylase
low mag levels=✔✔-may be low in etoh-abusing pts
,-Low mag lvls are associated with agitation, confusion, and delirium.
-If untreated, then convulsions and coma may follow
Hyponatremia=✔✔- seen in psychogenic polydipsia (excessive fluid intake)
-SIADH and in response to certain medications, such as oxcarbazepine and carbamazepine.
-associated with delirium.
"FIFE" for exploring the pt's perspective on disease and illness✔✔-"Feelings": pt's feelings,
including fears and concerns about the problem
-"Ideas": pt's ideas about the nature and cause of the problem
-"Function": effect of the problem on pt's life and function
-"Expectations": the pt's expectations of the disease, clinician, or of health care, often based on
prior personal or family experiences
What is the best way to obtain a pt's preferred method of address?✔✔-After stating your name,
ask the pt what they would like to be called
-except with children or adolescents, avoid first names until you have specific permission
-ideally ask at the beginning of the interview or before via a questionnaire
Skills and practices to mitigate bias in your clinical encounter✔✔-reflect on patterns emotion
and behavior
-paused before starting an encounter and prepare for potential triggers of bias
-generate alternative hypotheses for biases anchored in behavior
-practice universal communication and interpersonal skills
, -explore your pt's identities
-explore your pt's experiences of bias
5 R's of cultural humility✔✔Reflection
Respect
Regard
Relevance
Resiliency
values✔✔standards we use to measure our own and other's beliefs and behaviors
biases✔✔attitudes or feelings that we attach to perceived differences
nonmaleficence✔✔Do no harm; physician has responsibility to avoid treatments or
interventions in which the potential for harm outweighs the potential for benefit
beneficence✔✔clinicians are to act for the pts good by preventing or treating disease
respect for autonomy✔✔commitment to accept the choices pts with decisional capacity make
about which tx to undergo including rejecting treatment
decisional capacity✔✔ability to make an autonomous choice that clinicians should respect
confidentiality✔✔duty to prevent the disclosure of pts personal info to parties whoa re not
authorized to learn that info
verifiable Solutions
Low serum chloride levels =✔✔may occur in eating disorder patients who purge by self-induced
vomiting.
Elevated Serum bicarbonate levels =✔✔patients who purge or who abuse laxatives.
Low Bicarbonate levels and Phos Levels=✔✔pts who hyperventilate in response to anxiety
Hypokalemia =✔✔may be present in eating disorder patients who purge or abuse laxatives and
in psychogenic vomiting.
What labs/studies should be ordered for eating disorder patients with anorexia nervosa or
bulimia nervosa?✔✔serum electrolytes (particularly potassium and phosphorus)
blood glucose
thyroid function tests
liver enzymes
total protein
serum albumin
BUN, Cr
CBC
ECG
serum amylase
low mag levels=✔✔-may be low in etoh-abusing pts
,-Low mag lvls are associated with agitation, confusion, and delirium.
-If untreated, then convulsions and coma may follow
Hyponatremia=✔✔- seen in psychogenic polydipsia (excessive fluid intake)
-SIADH and in response to certain medications, such as oxcarbazepine and carbamazepine.
-associated with delirium.
"FIFE" for exploring the pt's perspective on disease and illness✔✔-"Feelings": pt's feelings,
including fears and concerns about the problem
-"Ideas": pt's ideas about the nature and cause of the problem
-"Function": effect of the problem on pt's life and function
-"Expectations": the pt's expectations of the disease, clinician, or of health care, often based on
prior personal or family experiences
What is the best way to obtain a pt's preferred method of address?✔✔-After stating your name,
ask the pt what they would like to be called
-except with children or adolescents, avoid first names until you have specific permission
-ideally ask at the beginning of the interview or before via a questionnaire
Skills and practices to mitigate bias in your clinical encounter✔✔-reflect on patterns emotion
and behavior
-paused before starting an encounter and prepare for potential triggers of bias
-generate alternative hypotheses for biases anchored in behavior
-practice universal communication and interpersonal skills
, -explore your pt's identities
-explore your pt's experiences of bias
5 R's of cultural humility✔✔Reflection
Respect
Regard
Relevance
Resiliency
values✔✔standards we use to measure our own and other's beliefs and behaviors
biases✔✔attitudes or feelings that we attach to perceived differences
nonmaleficence✔✔Do no harm; physician has responsibility to avoid treatments or
interventions in which the potential for harm outweighs the potential for benefit
beneficence✔✔clinicians are to act for the pts good by preventing or treating disease
respect for autonomy✔✔commitment to accept the choices pts with decisional capacity make
about which tx to undergo including rejecting treatment
decisional capacity✔✔ability to make an autonomous choice that clinicians should respect
confidentiality✔✔duty to prevent the disclosure of pts personal info to parties whoa re not
authorized to learn that info
