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ITP First Exam > The First Minutes > Flashcards

The First Minutes Flashcards

1
Q

Establish a good relationship to: 3

A

-improve care and compliance
-enhance patient and physician
satisfaction
-prevent litigation

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2
Q

Early interruption leads to?

A

incomplete data

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3
Q

Cartesian thought of mind and body

A

They are completely separate, and body is a machine to be fixed when broken. No psychological connection.

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4
Q

Percentage of non elderly people with employer provided insurance?

A

About 55%

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5
Q

Percent of non-elderly that are uninsured?

A

18%

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6
Q

Percent of non-elderly that are using medicaid/other public insurance?

A

About 21%

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7
Q

What percent of diagnoses are from the interview?

A

85%

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8
Q

BPS model (biopsychosocial) focuses on?

A

Osteopathic ideals. Encouraged.

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9
Q

What percent of health outcomes is related to health behavior? What about to medical care?

A

80% to health behaviors, 10% to medical care

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10
Q

4 lifestyle changes that are first step in treating mild-moderate hypertension?

A
  1. salt restriction
  2. weight reduction
  3. stress reduction
  4. exercise
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11
Q

what is the most effective thing in treating type 2 diabetes? Modest weight loss can greatly affect health. This percent of loss is?

A

Exercise.

7% weight loss huge help, considered moderate weight loss.

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12
Q

What motivation model is based on partnership, and is linked with stages of change model?

A

Transtheoretical model

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13
Q

What is pre-contemplation?

A

No consideration of change

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14
Q

what is contemplation?

A

potential for change

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15
Q

what is preparation/determination? (stage of change)

A

taking steps, build confidence and conviction

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16
Q

What is the termination step in stages of change?

A

Patient identifies with new, fixed behavior. final step.

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17
Q

“Change” for behavior should be planned within what time period?

A

One month.

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18
Q

Stage-appropriate interventions for the “pre-contemplative” stage?

A

Develop discrepancy between current behaviors and desires

a. bring future to present
b. double sided reflection

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19
Q

Stage-appropriate interventions for the contemplative stage? 2

A
  1. explore ambivalence

2. elicit “change talk”

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20
Q

What are evocative questions? What can they be used for?

A

Used to get ‘change talk’
Using open questions to ask directly for the kind of change talk you want. Some examples are:
“Why would you want to exercise?” (evoking desire talk)
“How do you know that you could do it if you tried?” (evoking ability talk)
“Tell me more about how you overcame difficulties in the past.”
“What were things like in your life before you started using drugs?”
“What are some of your goals for the future?”

21
Q

When should you enhance self-efficacy to evoke change?

A

If the patient isn’t confident

22
Q

1 in how many men/women are the victim of severe physical violence in an intimate relationship within their lifetime? (U.S.)

A

1 in 4 women

1 in 7 men

23
Q

1 in how many women across the globe are the victims of physical/sexual assault within their lifetime?

A

1 out of 3

24
Q

Common presenting complaints in abused women?

A 
Injury and pain- 32%
Mental health- 19%
Upper respiratory infec- 19%
Gyn/pregnancy concerns- 16%
HTN- 15%
25
Q

Examples of pre-existing conditions in abused women?

A

Hypertension, asthma, ARTHRITIS, diabetes, seizures

26
Q

Percentage of children that witness IPV in home that have common conditions associated with it?

A

taking meds- 35%
chronic medical condition- 35%
Asthma- 20%
rash or derm- 17%

27
Q

What percentage of pregnant women are battered?
Complications?
Increased rates of?

A

6%
low weight gain, anemia, infections, bleeding
Increased rates of maternal depression, suicide attempts, substance abuse

28
Q

In what percentage of IPV homes are the children abused as well?
What percentage of children in IPV homes have symptoms of PTSD?

A

30-60%

85% have PTSD symptoms

29
Q

What percentage of physicians witnessed IPV or were/are victims?

A

12-15%

30
Q

Most desirable physician intervention if patient admits to IPV in home?

A

validating statements, and compassion.

31
Q

In IPV counseling, don’t say:

A

Leave him/her

Why don’t you get couples counseling?

32
Q

73% of femicide attempts occur around?

A

significant relationship change. Usually the relationship was not changing due to violence.

33
Q

Percentage of people who have sex a few times a year/not at all?

A

30%

34
Q

Percentage of people who have sex once or several times a month?

A

35%

35
Q

Percentage of people who have sex 2 or more times a week?

A

35%

36
Q

Percentage of men and women who report some sort of sexual dysfunction?

A

33% men, 43% women.

37
Q

Percentage of people between 60 and 69 that have sex at least once a week?

A

37%

38
Q

macular degeneration and cataracts both increase risk in what activity?

A

smoking.

39
Q

Most smokers have to try how many times to quit smoking?

A

5-7 times

40
Q

withdrawl from nicotine symptoms?

A 
weight gain
irritability
dysphoria
insomnia
anger/frustration
appetite change
difficulty concentrating.
41
Q

Do opiates reach a max tolerance? What do the tolerance and fatal dose lines look like on a graph?

A

Both are linear, with fatal does always being greater than tolerance.

42
Q

State when someone functions normally only with a drug is called?

A

Dependence.

43
Q

acute dependence example?

A

Hangover after first drug use.

44
Q

Depressants: Primary and secondary effects?

A

Primary: depressant
secondary: stimulant

45
Q

Stimulants: Primary and secondary effects:

A

Primary: Stimulant
Secondary: depressant

46
Q

Opiates: primary and secondary effects:

A

Primary: pain killer
Secondary: Pain

47
Q

What risks come with sleep apnea?

A

hypertension, heart attack, stroke

48
Q

Things that proceed sleep anea?

A

snoring, depression, dementia

ITP First Exam (1 decks)

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