Chapter 8

Question 1

flawed disclosures

Answer 1

“just the facts”: jargony - pt’s comprehension is obscured - not authentically communicative
“there’s always hope”: overly optimistic falsification
you can’t tell a pt everything: clinician must disclose what’s meaningful/useful/important
omission: a form of lying!
evasion: language of indirection - can become avoidance and self-deception

Question 2

communication elements for “ideal clinician-patient relationship”

Answer 2

choice, competence, continuity, compassion, lack of conflict of interest, communication

listen/understand - pt values!
= less misinterpretation, quicker response/clarification

Question 3

ethical grounds to disclose or not to disclose

Answer 3

principle of respect for pt’s AUTONOMY and trust!

- communication of knowledge is necessary for pts to participate in decision-making