behavioral health

Question 1

romantic relationships

Answer 1

not with current patients; never for psychiatrists

Question 2

ethically/legal requirement to report impaired colleagues to what?

Answer 2

physician health program

Question 3

PCP pw, reason for mortality

Answer 3

violent behavior, loss of coordination, nystagmus, acute brain syndrome ; violence and subsequent trauma

Question 4

4 situations where disclosure of pt info is allowed without consent

Answer 4

1. suspected child/elder abuse, 2. gunshot or stabbing injuries, 3. diagnosis of reportable communicable dz, and 4. suicidal/homicidal intention

Question 5

delivering bad news: SPIKES

Answer 5

set the stage, understand their perception, invite how much they want to know, give knowledge, show empathy, and summarize

Question 6

stages of grief; what do to if pt is in denial?

Answer 6

denial, anger, bargaining, depression, acceptance; denial that does not impair relationships or interfere with care should not be confronted

Question 7

marijuana pw

Answer 7

increased appetite, impaired time perception, conjunctival injection

Question 8

LSD pw

Answer 8

visual hallucinations

Question 9

cocaine pw

Answer 9

chest pain, seizures

Question 10

heroin withdrawal

Answer 10

dilated pupils, yawning, piloerection, lacrimation, hyperactive bowel sounds

Question 11

cocaine withdrawal

Answer 11

intense psychomotor retardation (severe depression/crash)

Question 12

nicotine withdrawal

Answer 12

increased appetite

Question 13

EToH, BZD withdrawal

Answer 13

tachycardia

Question 14

root cause analysis

Answer 14

quality improvement measure that identifies what, how, and why a preventable adverse outcome occured