Patient Care Quiz#2

Question 0

Emotional reactions to illness

AAAPSB

Answer 0

Annoyed 
angry 
apprehensive 
panic 
self-pity 
bitter (anger and self-pity)

Question 1

Physical effects of illness

FPLURD

Answer 1

Fever 
pain 
digestive problems 
urinary problems 
Lethargy
restlessness

Question 2

Influences on a patient’s reaction to illness

Answer 2

Childhood 
senescence 
life role 
adjustment 
dependency 
cultural background /language barriers /past experiences

Question 3

Challenges for providers

Answer 3

• Relating to the patient
• communicating with the patient:
• use appropriate vocabulary for age educational level linguistic skills
• many other patients are hard of hearing
• many patients will not speak English

Question 4

Disruptive patient

Answer 4

• Take the patient out of the waiting room
• listen to the patient
• explained delays offer alternatives
• apologize when appropriate
• never argue
• never respond aggressively or offensively
• try to identify the problem by restating or paraphrase

Question 5

Deaf -hard of hearing

Answer 5

• tone -lots of individuals have lost hearing in the upper ranges
• most read lips
• Do not yell or shout
• speak slower and enunciate words
• remind them to bring hearing aids to future appointments

Question 6

Visual impairment:

• Legally blind
• visually impaired

Answer 6

-Legally blind -20/400 or less BVCA in best eye
Visual field less than 10°

-visually impaired -20/60 or less BCVA in best eye
Visual field less than 20°

Question 7

Assisting with visual impairments

Answer 7

• guide dogs / CNI dogs
• leading
• make sure you ask ! how can I assist you?

Question 8

Tools

Answer 8

Telescopes 
projection devices 
lighting 
large print writing guides
marking pens 
yellow filter

Question 9

Children

Answer 9

Positioning

infants
-papoose board

toddlers
Parents

Question 10

Diabetics

Answer 10

Hypoglycemia
- most offices have a plan 
      (schedule first thing in the morning)
-scheduling 
-exam taking longer than expected

Question 11

Guidelines for improving healthcare provider /patient relations

Answer 11

• -accept the patient
• -show interest and concern
• -listening and observing
• -recognize significant behavior
• -use appropriate responses
• -maintain confidentiality
• -be sensitive to feelings
• -identify patients needs

Question 12

Egocentrism -_______________

Regression-_______________________________

Answer 12

Egocentrism -being self-centered

Regression -behaviors that are appropriate to an earlier level of development

Question 13

-unfriendly behavior
-aggressive behavior:
-
-
-
-
-hostility

Answer 13

Aggressive behavior :

• physical or verbal
• get supervisor ASAP
• children need limits
• passive aggression
  - hostility -listen -remain calm

Question 14

Crying

Answer 14

do not offer false hope
do not make promises you cannot keep
do not minimize the patients cause for crying
do not express disapproval of crying

Question 15

Over cheerful patient

Answer 15

• Still requires same amount of care

- may have disguised behavior

Question 16

Over friendly patient

Answer 16

• Being hit on

- wanting to have someone to talk to

Question 17

Ways healthcare provider can help patients Adjust to illness

Answer 17

• identify patient’s needs
• introduction to clinic
• adapt your behavior
• providing emotional support
• use good judgment

Question 18

Your role in identifying patients needs

Answer 18

• You don’t know what you don’t know

- importance of a good complete history!!!!