autonomy Correct Answer-pt self-determination
beneficence vs nonmaleficence Correct Answer-Beneficence
-guides the actions and behaviors of practitioners toward beneficial
patient outcomes
-ex. provide emergency meds without regard to legal consequence
Nonmaleficence
-principle that urges practitioners to avoid actions and behaviors that
might bring harm to their patients
-ex. refusing to fill a prescription that pharmacist says may harm the
patient
Utalitarianism Correct Answer-appropriately use resources for greater
good
deontological imperatives Correct Answer-Care delivered according to
traditions and in cultural contexts
Positive patient rapport depends on communication built on... Correct
Answer-Courtesy, Comfort, Connection, Confirmation, Confidentiality
open-ended question Correct Answer-pt discretion about extent of an
answer
,direct question Correct Answer-seeks out specific information
EX: OLDCART
leading question Correct Answer-a question that implies that one answer
would be better than another
what should you do if a pt doesnt understand what you are asking?
Correct Answer-Facilitate (encourage pt to say more)
Reflect (repeat what you heard)
Clarify (ask pt to reiterate)
Empathize (show understanding)
Confront (address disturbing pt behavior
Interpret (repeat what you have heard to confirm pt's meaning)
examples of communication tensions Correct Answer-curiosity, anxiety,
silence, depression, crying, emotional or physical intimacy, seduction,
anger, avoidance, financial considerations
while taking pt history, you should remain in a constant state of _____
evaluation of the pt's words and behaviors
A. objective
,B. subjective Correct Answer-subjective, you are asking pt for their own
history
sensitive issues that come up during the history taking process include
Correct Answer-alcohol/drug use, domestic violence, spirituality,
sexuality
what tools are used to screen for alcohol abuse during the history taking
process? Correct Answer-CAGE (cutting down, annoyance by criticism,
guilty feeling, eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people
ANNOYED you by criticizing your drinking? have you felt you ought to
CUT down on your drinking? have you ever had an EYE-OPENER
drink first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself
who was intoxicated? do you take drugs to RELAX or to fit in? do you
ever use drugs when your ALONE? do you ever FORGET things while
using? has a FAMILy member or FRIEND told you to cut down? have
you ever gotten into TROUBLE from using drugs?)
screening vs assessment Correct Answer-Screening is the process for
EVALUATING the possible presence of a problem VS Assessment is
the process for DEFINING the nature of the problem.
, what tools are used to screen for domestic violence during the history
taking process? Correct Answer-HITS
The wording of the question is "In the last year how often did your
partner:
1. Hurt you physically?"
2. Insult or talk down to you?"
3. Threaten you with physical harm?"
4. Scream or curse at you?"
what tools can be used to approach spirituality during the history taking
process? Correct Answer-FICA
1. Faith, belief, meaning (what is your spiritual heritage? what writings
are important to you?)
2. Importance and Influenc (how have these beliefs influenced how you
handle stress?)
3. Community (do you belong to a spiritual community?)
4. Address/Action in care (how do your religious beliefs affect your
healthcare decisions?)
what is the basic outline/sequence of taking the history? Correct
Answer-1. Chief Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)
4. Family History (FH)