Patient Dilemmas pt2

Question 1

What is patient adherence?

Answer 1

patient’s failure to follow the recommendations of his or her physician or other healthcare providers

Question 2

What % of patients fail to adhere to treatment recommendations?

Answer 2

40%

Question 3

What is the strongest predictor of patient non-adherence?

Answer 3

depression

Question 4

Patient may
comprehend what is being said, but they may not
understand the medical instructions or information =

Answer 4

Language barrier; Adherence

Question 5

Building trust helps with what?

Answer 5

Patient adherence

Question 6

Involved patients ask more questions and keep physicians involved in ways to sustain that collaborative relationship =

Answer 6

Adherence

Question 7

A patient’s beliefs (religion) can influence whether or not they want to follow the physicians recommended instruction =

Answer 7

Adherence

Question 8

Ethnicity, age, and gender are examples that physicians tailor to improve patient adherence=

Answer 8

Adherence

Question 9

Definition of Adherence

Answer 9

the ability to follow a
healthcare professional’s recommendation on
treatment regimens.

Question 10

Whats the percentage of patients discharged from the
hospital failed to pick up their first-time prescription?

Answer 10

30%

Question 11

What is a boundary?

Answer 11

Something that indicates or fixes a limit or extent

Question 12

Categories of boundaries

Answer 12

-Physical
-Emotional
-Intellectual
-Sexual
-Material
-Time

Question 13

Boundary Crossing

Answer 13

a deviation from classical therapeutic activity that is harmless, non-exploitative, and
possibly supportive of the therapy itself

Question 14

Boundary crossing purpose

Answer 14

-Purpose could be to meet a particular need of the patient
-Typically this behavior is an isolated event; repeating these types of behaviors should be
avoided

Question 15

Boundary Violations

Answer 15

-Dangerous, could cause distress or harm to the patient
-Crossing a boundary that is not therapeutic for the patient, such as keeping a patient in the hospital when a qualified caregiver could give
them care instead

Question 16

Boundary Crossing

Answer 16

-Benign and even helpful breaks in the frame
-Usually occur in isolation
-Discussable
-Ultimately cause no harm to patient, clinician or treatment

Question 17

Boundary Violations

Answer 17

-Exploitive breaks in the frame
-Usually repetitive
-Egregious and often extreme (ex. sexual)
-Clinician discourages discussion
-Typically cause harm to patient, clinician or treatment

Question 18

T/F: Boundary violations are always harmful of the patient

Answer 18

True

Question 19

Patients should have a ________ that allows the patient and the provider to act in a way that is healthy and has the patient at the forefront of all interactions.

Answer 19

“Safe space”

Question 20

What concept is involved with boundary violations?

Answer 20

Slippery Slope

Question 21

What are the factors that increase likelihood of sliding down a slippery slope?

Answer 21

-not using chaperones during sensitive portions of exams
-treating some patients differently than others
-revealing excessive personal information to patients
-keeping secrets

Question 22

Patient relationship

Answer 22

Safer, better, cheaper for patient

Question 23

Receiving a prescription but not filling it, taking incorrect doses of medicine, and stopping treatment too soon are all examples of what?

Answer 23

Non-compliance

Question 24

Delaying in seeking healthcare, failure to follow doctor’s instructions, “Drug holidays” and “White-coat compliance” are all examples of?

Answer 24

Non-compliance

Question 25

What type of patients are rare?

Answer 25

Over compliers

Question 26

What percentage of patients who take their prescription to a pharmacy fail to pick them up when they’re filled?

Answer 26

50%

Question 27

What is the most common type of Non-compliance?

Answer 27

Omission of doses

Question 28

Errors of dosage, incorrect administration of medication, and premature discontinuation of treatment are examples of?

Answer 28

Types of Non-compliance

Question 29

Special packages:Medrol dose pack is an example of?

Answer 29

Compliance

Question 30

Reduction in cost is a benefit of what?

Answer 30

Patient compliance