Screening in the Patient Interview Flashcards
Your patient under-reported the extent of their injury. This is an example of?
a. patient assessment erros
b. telescoping
c. disclosure error
d. adverse event
B. telescoping
Which of the following is FALSE regarding patient literacy?
a. The patient may read and write simple sentences.
b. You might need to adjust your language use.
c. Patient’s will illiteracy are easily recognized during the subjective interview.
d. It is important to consider for accuracy of responses when administering a subjective outcome measure.
c. Patient’s will illiteracy are easily recognized during the subjective interview. (Typically NOT evidence during clinical encounters.)
T/F Federal Civil Rights Laws indicate that ALL healthcare providers must provide free interpreter services.
False, only if the provider receives federal funding.
The OSPRO red flag tool assess
patient red flag reporting
The OSPRO yellow flag tool assess
pain-associated psychological distress
You are a pelvic floor PT seeing a 51 YO female for pelvic pain. She reports other symptoms of fatigue, “brain fog”, difficulty sleeping, and urinary incontinence. You are suspecting menopause. She reports her last menstrual period was 1.5 years prior.
What red flag should you screen her for?
any spontaneous vaginal bleeding
You are referred to work with a new high school athlete after a knee injury. When she comes into your clinic you notice she appears very skinny, has a low BP/HR, is slightly irritable, and reports 2 exercise sessions/day 5x/week. You suspect:
an eating disorder
Addiction
daily need for substance to function, inability to stop, and recurrent use when it is harmful physically, socially, and/or psychologically
Dependence
physiological dependence on substance such that abrupt reduction in dosage leads to withdrawal.
Tolerance
need for increasing amounts of a substance over time to produce the same effect.
All of the following groups are at risk for substance abuse, EXCEPT:
a. Teens and adults with ADD/ADHD
b. Transgender patients
c. Individuals with sleep, anxiety, and/or depression disorders
d. Baby boomers
d. Baby boomers (only those with Hx of substance use, also individuals with Hx of PTSD.
You are in acute care seeing a patient for alcohol withdrawals. You can expect the following potential signs and symptoms, EXCEPT:
a. Blood glucose problems
b. Motor hyperactivity, tachycardia
c. Headache, agitation, irritability, hallucinations
d. Seizures or delirium tremens
a. blood glucose problems (sign of excessive alcohol, not withdrawal; other signs include: insomnia, anorexia, N/V/D, loss of balance, incoordination, elevated BP)
You are treating a patient who has lost quite a bit of weight in the three weeks you have seen him. He states he is “just under a lot of stress” and dismisses you. His BP has been high each time you assessed it, which he dismissed as “not sleeping well.” Today when he arrived he stumbled in looking like a hot mess - when you asked how he was feeling he seems a little lost.
You might suspect:
excessive alcohol intake
ost quite a bit of weight in the three weeks you have seen him. He states he is “just under a lot of stress” and dismisses you. His BP has been high each time you assessed it, which he dismissed as “not sleeping well.” Today when he arrived he stumbled in looking like a hot mess - when you asked how he was feeling he seems a little lost. You suspect excessive alcohol intake.
What questionnaire might be a good resource?
CAGE Questionnaire
CAGE Questionnaire
- have you ever though about CUTTING down drinking?
- have you ever been ANNOYED by criticism of your drinking?
- have you ever felt GUILTY about your drinking?
- do you ever have an EYE-OPENER in the morning?
