Medical Knowledge and Patient Care

Question 1

Which Maslows stage of competence says that you dont know what to do or how to overcome limitations?

Answer 1

Unconscious incomptence

Question 2

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.

Answer 2

Conscious incompetence

Question 3

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?

Answer 3

Conscious competence

Question 4

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?

Answer 4

Unconscious competence

Question 5

What are the 8 reasons someone might seek care from physicians?

Answer 5

pain, anxiety, persistence of Sx causing pain, symptom persistence causing anxiety, trigger event, health maitenece, psychosocial reason, told to come

Question 6

This is the type of encounter that is simple, easy.

Answer 6

Routine

Question 7

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.

Answer 7

Drama

Question 8

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.

Answer 8

Transition ceremony

Question 9

This is the type of encounter that is always the same, well-childm prenatal, chonic, relatively easy, pt feels important to be seen.

Answer 9

Maintenance ceremony

Question 10

What questions do u ask for the meaning of the illness if the pts seems to be evasive?

Answer 10

a lot

Question 11

This is when the pt may have an entirely different reason for coming to see u

Answer 11

Hidden agenda

Question 12

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.

Answer 12

Illness prototype

Question 13

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?

Answer 13

Requests

Question 14

What are the 3 thing u do for the 3 function model to deep interviewing?

Answer 14

Gather data to understand problenm
Develop rapport and responding to pt emotions
pt education and motivation

Question 15

What tpye of deep interviewing makes the use of fact tha tfamily issues affect an are affected by illness?

Answer 15

Family systems approach

Question 16

What is the long-term effects of psychological defense mechanisms by the pt?

Answer 16

detrimental

Question 17

What is the short-term effects of psychological defense mechanisms by the pt?

Answer 17

potentially benficial

Question 18

When are defense mechanisms used by the pt?

Answer 18

in repsonse to a n internal threat that cannot be escaped, on an subconscious lvl

Question 19

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?

Answer 19

Pattern recognition

Question 20

What is the strategy for making a Dx that uses logical, signs and Sx oriented, and rapidly narrows downt he possibilites.

Answer 20

Multiple branching

Question 21

What is the strategy for making a Dx that uses zebras, and uses remote diagnoses that are ruled out one after another?

Answer 21

Exhaustion

Question 22

What is the strategy for making a Dx that uses hypothesis –> test –> revise hypotheses?

Answer 22

Hypothetico-deductive

Question 23

Which Diagnostic strategy is the best and should be used?

Answer 23

Multiple branching

Question 24

This type of hateful pt is repeated, perfervid incarcertatin fries for explanaton, affection, analgesics, sedatives and all forms of attention, and elicits aversion.

Answer 24

Dependent clingers

Question 25

This type of hateful pt uses intimidation, devaluation, guilt-oinduction to place doc in role of inexhaustable supply depot.

Answer 25

Entitled demanders

Question 26

This type of hateful pt appears to feel that no regiment will help, smugly satisfied that regimen did not work when they report after time, and elicits feelings of inadquacy?

Answer 26

Manipualtive help-rejecters

Question 27

This type of hateful pt has unconscious self-murderous behavors, and elicits everything + malice.

Answer 27

Self-destructive deniers

Question 28

What effect does hateful pts have on the physician?

Answer 28

the doc has a negative feeling toward pt due to counter transference

Question 29

This is when the pt doesn comply with the prescribed meidcal regimen.

Answer 29

Non-compliance

Question 30

What might be characteristics of th pt that can cause Non-compliance?

Answer 30

vision/hearing problems, apathy, erroneous health benefits, lack of socail support, lack of transportation/time/$

Question 31

What might be characteristics of the disease/disorder to cause Non-compliance?

Answer 31

Stable Sx

Question 32

What might be wrong with the pt/physician relaitonship to cause Non-compliance?

Answer 32

inadquate communcation, attitude and behavioral problems of phsyican and/or pt

Question 33

What might be wrong with the Tx to cause Non-compliance?

Answer 33

long wait times, lack of cohesion in delivery system, side effects of meds

Question 34

What are the 3 reasons why consultants are chosed?

Answer 34

Ability, availability, and affability

Question 35

Why are referrals/consults made?

Answer 35

Need procedure, expertise, or reassurance

Question 36

What are the 2 main problems with referrals?

Answer 36

1. chronic problems may keep getting referred

2. pt may pin their hoped on latest consultant and are often left empty handed.