Medical Knowledge and Patient Care Flashcards
Which Maslows stage of competence says that you dont know what to do or how to overcome limitations?
Unconscious incomptence
Which Maslows stage of competence says that u relaize ur not ready to take care of pts, but have an IDEA of what is required to reach that.
Conscious incompetence
Which Maslows stage of competence says that u know how to diagnose and treat by applyign meidcal knowledge, and should be reached by getting ur license?
Conscious competence
Which Maslows stage of competence says that the level of expertise where u know what to do without thinking about it, and develops gradually as u practice medicine?
Unconscious competence
What are the 8 reasons someone might seek care from physicians?
pain, anxiety, persistence of Sx causing pain, symptom persistence causing anxiety, trigger event, health maitenece, psychosocial reason, told to come
This is the type of encounter that is simple, easy.
Routine
This is the type of encounter that is complicated difficult, trouble, crisis, low back pain, chronic fatigue, wher eht ept wants more beyond a ismple interaction.
Drama
This is the type of encounter that is a schedule buster, where there is a new surpise Dx of chinic disease, and the pot doesnt want to amke 2 appointments so ur tyring to get everything done at once.
Transition ceremony
This is the type of encounter that is always the same, well-childm prenatal, chonic, relatively easy, pt feels important to be seen.
Maintenance ceremony
What questions do u ask for the meaning of the illness if the pts seems to be evasive?
a lot
This is when the pt may have an entirely different reason for coming to see u
Hidden agenda
This is when the pt has a preconcieved ide of what is wrong with them based on past experiences, and its improtnat u understand their through process.
Illness prototype
This is when the pt seems to know exacly what they want from u (DRUGS), may be right (NOT LIKELY), or may create a headache for the doc?
Requests
What are the 3 thing u do for the 3 function model to deep interviewing?
Gather data to understand problenm
Develop rapport and responding to pt emotions
pt education and motivation
What tpye of deep interviewing makes the use of fact tha tfamily issues affect an are affected by illness?
Family systems approach
What is the long-term effects of psychological defense mechanisms by the pt?
detrimental
What is the short-term effects of psychological defense mechanisms by the pt?
potentially benficial
When are defense mechanisms used by the pt?
in repsonse to a n internal threat that cannot be escaped, on an subconscious lvl
What is the strategy for making a Dx that uses what the most likely etiology of the Sx is, and is the primary diagnostic technique?
Pattern recognition
What is the strategy for making a Dx that uses logical, signs and Sx oriented, and rapidly narrows downt he possibilites.
Multiple branching
What is the strategy for making a Dx that uses zebras, and uses remote diagnoses that are ruled out one after another?
Exhaustion
What is the strategy for making a Dx that uses hypothesis –> test –> revise hypotheses?
Hypothetico-deductive
Which Diagnostic strategy is the best and should be used?
Multiple branching
This type of hateful pt is repeated, perfervid incarcertatin fries for explanaton, affection, analgesics, sedatives and all forms of attention, and elicits aversion.
Dependent clingers
