Assessment and Management of Individual Patient

Question 1

What influence patients’ perception?

Answer 1

o  Culture
o  Past Experiences
o  Media
o  Influence from others
o  Educational Background
o  Health Beliefs
o  Religious Beliefs
o  Priorities

Question 2

The following statements are true EXCEPT

a. Patient’s perception and reality are more or less the same.
b. No patients are alike
c. It would be more stressful for a seafarer than a professor to be diagnosed with a CVD
d. AOTA
e. NOTA

Answer 2

A

Question 3

_______ _____________ is a type of care that
is closely congruent with and responsive to the
patient‟s wants, needs and preferences

Answer 3

Patient centeredness

Question 4

“The essential unit of _______ ________ is the
occasion on which, in the intimacy of the consultation room or sick room, a ______ who is ___ or believes himself to be ill seeks the advice of a doctor who he ______. This is consultation and all else in the practice derives from it. “ (Sir James Spence, 1960)

Answer 4

“The essential unit of MEDICAL PRACTICE is the
occasion on which, in the intimacy of the consultation room or sick room, a PERSON who is ILL or believes himself to be ill seeks the advice of a doctor who he TRUSTS. This is consultation and all else in the practice derives from it. “ (Sir James Spence, 1960)

Question 5

Triaxial diagnoses include

Answer 5

biological, psychological, social perspectives

Question 6

T/F Many illnesses presented in community settings
cannot adequately be assigned to conventional
disease taxonomies.

Answer 6

T; statement by Morrell, 1972; Bain, Bassett &

Haines, 1973

Question 7

Patient Centered medicine conceives of the patient as
an ____________ individual rather than the ______ of
some ________ entity

Answer 7

Patient Centered medicine conceives of the patient as
an experiencing individual rather than the object of
some disease entity

Question 8

How should we treat a patient?

Answer 8

as you would treat a person

Question 9

What behaviours should characterize consultations?

Answer 9

behaviours such as encouraging the patient to voice ideas, listening, reflecting and offering collaborations

Question 10

Physicians‟ positive attitude (empathy, congruence

and unconditional positive regard) produces

Answer 10

therapeutic change

Question 11

[Medical model/Patient-centered model] Passive role of patients (Patient is quiet)

Answer 11

Medical model

Question 12

[Medical model/Patient-centered model] Active role of patients (Patient asks questions)

Answer 12

Patient-centered model

Question 13

[Medical model/Patient-centered model] care is quality life centered

Answer 13

Patient-centered model

Question 14

[Medical model/Patient-centered model] Physician dominates the conversation

Answer 14

Medical model

Question 15

[Medical model/Patient-centered model] Patient is a partner in the treatment plan

Answer 15

Patient-centered model

Question 16

[Medical model/Patient-centered model] Physician collaborates with the patient

Answer 16

Patient-centered model

Question 17

[Medical model/Patient-centered model] Patient is a partner in the treatment plan

Answer 17

Patient-centered model

Question 18

In which model will the patient more likely adhere to the treatment plan?

Answer 18

Patient-centered model

Question 19

using the BIOLOGICAL/BIOMEDICAL PERSPECTIVE of patient-centered assessment and intervention, what factors should be considered?

Answer 19

1. Signs and Symptoms
2. Personal Risks
3. Family History
4. Diagnosis
5. Diagnostics
6. Pharma Treatment

Question 20

using the PSYCHOLOGICAL PERSPECTIVE of patient-centered assessment and intervention, what factors should be considered?

Answer 20

1. Misperceptions
2. Personal Meaning
3. Psychological Context Assessment
4. Health Education (Psychoeducation intervention)

Question 21

using the SOCIAL PERSPECTIVE of patient-centered assessment and intervention, what factors should be considered?

Answer 21

1. Social Determinants
2. Family and Community Assessment
3. Family and Community Intervention

Question 22

SOAP vs. SCOAP

Answer 22

Subjective, Objective, Assessment, Plan

Subjective, Context, Objective, Assessment, Plan

Question 23

[Identify] shows family relationships and familial diseases

Answer 23

Genogram

Question 24

What does SCREEM stand for?

Answer 24

Social, Cultural, Religious, Educational,

Economic and Medical

Question 25

What does CEA stand for?

Answer 25

Catharsis, Education Action

Question 26

What steps are employed in catharsis?

Answer 26

Check for KFC (Knowledge, Feelings, Complications that patients fear most)

Question 27

What steps are employed in Management Education?

Answer 27

CONTEXT →ASSESSMENT→FOCUSED HEALTH

EDUCATION

Question 28

What steps are employed in Action?

Answer 28

Develop treatment plan
Communicate treatment model
Patient-Doctor Negotiation
Ensure differences are resolved

Question 29

Why is a safety net necessary in agreement check?

Answer 29

to detect mistakes as the plan is reviewed

Question 30

Patient centeredness involves utilization of the _______________ approach to disease assessment
and management

Answer 30

Patient centeredness involves utilization of the
Biopsychosocial approach to disease assessment
and management

Question 31

Patient centered assessment includes _______ _________- biomedical, psychological and social
perspectives

Answer 31

Patient centered assessment includes triaxial
diagnosis- biomedical, psychological and social
perspectives

Question 32

The ___ method is a technique to use in patientcentered approach to care.

Answer 32

The CEA method is a technique to use in patientcentered approach to care.

Question 33

How should you execute patient-centered assessment? Arrange
A. Exploring both disease and the illness experience
B. Enhancing the doctor-patient relationship
C. Finding common ground regarding management
D. Considers limitation
E. Incorporating preventive and health promotion
F. Understanding the whole person

Answer 33

A-F-C-E-B-D