Medical Malpractice Case
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Questions and Answers

What is the main assumption behind the 'sick role' theory?

  • That patients are always motivated to change their behavior
  • That patients should not follow physician recommendations
  • That patients should prioritize their social support network
  • That patients are exempt from their usual responsibilities (correct)
  • What is the most important factor in patient adherence to medical advice?

  • Patient religious beliefs
  • Patient education level
  • Patient socioeconomic status
  • Strength of the doctor-patient relationship (correct)
  • According to the 'Stages of Change' model, what is the critical point for patient motivation?

  • When patients start taking medication
  • When patients undergo a medical test
  • When patients change their lifestyle
  • When patients recognize their condition is problematic (correct)
  • What is the primary responsibility of physicians regarding adherence issues?

    <p>Dealing with adherence issues</p> Signup and view all the answers

    What is the percentage of patients who fully adhere to management recommendations?

    <p>About one-third</p> Signup and view all the answers

    What is the primary factor in whether patients sue their doctors?

    <p>Strength of the doctor-patient relationship</p> Signup and view all the answers

    What is the primary goal of good physician-patient communication?

    <p>All of the above</p> Signup and view all the answers

    What is the ideal arrangement during a physician-patient interview?

    <p>The physician and patient interact at eye level with no obstacles between them.</p> Signup and view all the answers

    What is the recommended approach to asking patients about embarrassing or fear-provoking issues?

    <p>Asking open-ended questions</p> Signup and view all the answers

    What is the primary goal of the initial stage of the physician-patient interview?

    <p>To establish trust and rapport with the patient.</p> Signup and view all the answers

    Who decides how and when to inform an ill child about their diagnosis?

    <p>The parents</p> Signup and view all the answers

    What type of questions are used in emergency situations or with seductive or overly talkative patients?

    <p>Direct questions.</p> Signup and view all the answers

    What is the purpose of using open-ended questions in a physician-patient interview?

    <p>To encourage the patient to speak freely and obtain more information.</p> Signup and view all the answers

    What is a criticism of the sick role theory?

    <p>It only applies to middle-class patients</p> Signup and view all the answers

    When interviewing young children, what is the first step the physician should take?

    <p>Establish rapport by interacting with the child in a nonmedical way.</p> Signup and view all the answers

    What type of questions should be used when interviewing young children?

    <p>Direct questions.</p> Signup and view all the answers

    What is the purpose of asking questions in the third person when interviewing young children?

    <p>To avoid direct confrontation.</p> Signup and view all the answers

    What is the primary purpose of the clinical interview?

    <p>To obtain physical, psychological, and social information about the patient.</p> Signup and view all the answers

    What is the ideal way to establish trust and rapport with a patient?

    <p>By being at eye level with the patient and having no obstacles between them.</p> Signup and view all the answers

    What should the physician do if the patient appears dangerous or threatening?

    <p>Obtain backup, such as hospital security.</p> Signup and view all the answers

    What percentage of Americans with symptoms seek medical care?

    <p>One-third</p> Signup and view all the answers

    What is a major factor that influences a patient's behavior when seeking medical care?

    <p>Culture of the patient</p> Signup and view all the answers

    What is a common correlation found in patients who need psychiatric attention?

    <p>Higher morbidity rates and higher mortality rates</p> Signup and view all the answers

    What is a major reason why many patients fail to seek psychiatric help in the United States?

    <p>Stigma associated with psychiatric illness</p> Signup and view all the answers

    What is a factor that contributes to the patient's decision to file a malpractice suit against the physician?

    <p>Poor communication with the doctor</p> Signup and view all the answers

    What is a common consequence of not seeking psychiatric help?

    <p>Higher morbidity rates and higher mortality rates</p> Signup and view all the answers

    What is a factor that influences a patient's expectations of physicians?

    <p>Previous experiences with medical care</p> Signup and view all the answers

    What is a characteristic of patients who do not seek medical care?

    <p>They tend to contend with illnesses at home with over-the-counter medications and home management</p> Signup and view all the answers

    What is a common reason why patients seek medical care?

    <p>Because of symptoms that they are experiencing</p> Signup and view all the answers

    What is a factor that affects a patient's decision to seek psychiatric care?

    <p>The stigma associated with psychiatric illness</p> Signup and view all the answers

    What is the primary goal of the initial stage of the physician-patient interview?

    <p>To establish trust and rapport with the patient</p> Signup and view all the answers

    What type of questions are used in emergency situations or with seductive or overly talkative patients?

    <p>Direct questions</p> Signup and view all the answers

    When interviewing young children, what is the recommended approach?

    <p>First establish rapport by interacting with the child in a nonmedical way</p> Signup and view all the answers

    What is the purpose of using open-ended questions in a physician-patient interview?

    <p>To encourage the patient to speak freely</p> Signup and view all the answers

    What should the physician do if the patient appears dangerous or threatening?

    <p>Obtain backup, such as hospital security</p> Signup and view all the answers

    What is the ideal arrangement during a physician-patient interview?

    <p>The physician and patient should interact at eye level, with no obstacle in between</p> Signup and view all the answers

    What type of questions are used with young children?

    <p>Direct questions</p> Signup and view all the answers

    What is the purpose of asking questions in the third person when interviewing young children?

    <p>To make the child feel more comfortable</p> Signup and view all the answers

    What is the primary purpose of the clinical interview?

    <p>To obtain physical, psychological, and social information</p> Signup and view all the answers

    When interviewing young children, what is the first step the physician should take?

    <p>First establish rapport by interacting with the child in a nonmedical way</p> Signup and view all the answers

    What is a primary expectation of individuals assuming the 'sick role'?

    <p>Exemption from usual responsibilities</p> Signup and view all the answers

    What is a key factor in determining whether a patient will adhere to medical advice?

    <p>The strength of the doctor-patient relationship</p> Signup and view all the answers

    Why is it important to ask patients about embarrassing or fear-provoking issues?

    <p>To address the patient's concerns directly</p> Signup and view all the answers

    What is the primary purpose of the clinical interview?

    <p>To gather information about the patient's symptoms</p> Signup and view all the answers

    What is a common criticism of the sick role theory?

    <p>It is too focused on the doctor's power</p> Signup and view all the answers

    What is the purpose of telling relatives about a patient's illness?

    <p>To relieve the relatives' fears</p> Signup and view all the answers

    What is a key factor in a patient's decision to seek medical care?

    <p>The patient's recognition of their problematic behavior</p> Signup and view all the answers

    What is the primary reason for using open-ended questions in a physician-patient interview?

    <p>To avoid leading the patient's responses</p> Signup and view all the answers

    What is a potential consequence of not establishing a strong doctor-patient relationship?

    <p>The patient is more likely to sue the doctor</p> Signup and view all the answers

    What is a characteristic of patients who are motivated to change their behavior?

    <p>They recognize that their behavior or condition is problematic</p> Signup and view all the answers

    What is the primary reason why many patients in the United States fail to seek help for psychiatric illnesses?

    <p>Stigma associated with psychiatric illness</p> Signup and view all the answers

    What is the significance of the correlation between psychological illness and physical illness?

    <p>It highlights the importance of seeking help for psychological illness</p> Signup and view all the answers

    What is the consequence of not seeking help for psychiatric illnesses?

    <p>Morbidity rates and mortality rates increase</p> Signup and view all the answers

    What influences a patient's behavior when seeking medical care?

    <p>Their culture, previous experiences, physical and mental conditions, personality styles, and coping skills</p> Signup and view all the answers

    What is a characteristic of patients who fail to seek medical care?

    <p>They tend to rely on over-the-counter medications and home management</p> Signup and view all the answers

    What is a factor that influences a patient's expectations of physicians?

    <p>Their culture, previous experiences, physical and mental conditions, personality styles, and coping skills</p> Signup and view all the answers

    What is a common reason why patients seek medical care?

    <p>To address a specific medical concern</p> Signup and view all the answers

    What is the significance of the patient's decision to file a malpractice suit against the physician?

    <p>It is influenced by the patient's coping skills and communication with the physician</p> Signup and view all the answers

    What is a common consequence of not seeking medical care?

    <p>Increased symptoms</p> Signup and view all the answers

    What is a factor that affects a patient's decision to seek psychiatric care?

    <p>The stigma associated with psychiatric illness</p> Signup and view all the answers

    Study Notes

    Medical Practice

    • A patient is more likely to file a malpractice suit against a physician if they believe the doctor missed a diagnosis or have poor communication with the doctor.
    • A patient's behavior when seeking medical care is influenced by their culture, previous experiences, physical and mental conditions, personality styles, and coping skills.

    Seeking Medical Care

    • Only about one-third of Americans with symptoms seek medical care, while most people self-medicate with over-the-counter medications and home management.
    • Patients may fail to seek help due to stigma, but it is essential to seek help as there is a strong correlation between psychological illness and physical illness.

    The "Sick Role"

    • The "sick role" includes exemption from usual responsibilities and expectation of care by others, as well as working toward becoming healthy and cooperating with healthcare personnel.
    • Critics argue that the sick role theory applies only to middle-class patients with acute physical illness and emphasizes the power of the physician.

    Telling Patients the Truth

    • Adult patients are generally told the complete truth about their diagnosis, management, and prognosis.
    • Information must be given directly to the patient, and not relayed through relatives, unless the patient permits.

    Special Situations

    • Patients may be afraid to ask questions about embarrassing or fear-provoking issues, and physicians should ask about such issues openly and address them truthfully.
    • Physicians have the primary responsibility for dealing with adherence issues and angry or complaining behavior by patients.

    Adherence

    • Adherence refers to the extent to which a patient follows the physician's recommendations.
    • Patients need to recognize that their behavior or condition is problematic before they are motivated to change or seek medical care.
    • The "Stages of Change" model refers to the point at which recognition and readiness to change occur.

    Factors Affecting Adherence

    • Adherence is not related to patient intelligence, education, sex, religion, race, socioeconomic status, or marital status.
    • Adherence is most closely related to how well the patient likes the doctor.

    The Clinical Interview

    • Good physician-patient communication improves patient adherence to medical advice, detection of physical and psychological problems, and patient satisfaction.
    • The physical setting for the interview should be private, with no obstacles between the physician and patient, and at eye level.
    • The physician should establish trust and rapport with the patient, gather information, and educate the patient about the illness.
    • The interview serves to obtain the patient's psychiatric history, including prior mental problems, drug and alcohol use, and sources of stress.

    Interviewing Techniques

    • Direct questions are used to elicit specific information quickly, while open-ended questions are more likely to aid in obtaining information about the patient.
    • Open-ended questions give little structure to the patient and encourage them to speak freely.
    • Examples of specific interviewing techniques are listed in Table 21.5.

    Medical Practice

    • A patient is more likely to file a malpractice suit against a physician if they believe the doctor missed a diagnosis or have poor communication with the doctor.
    • A patient's behavior when seeking medical care is influenced by their culture, previous experiences, physical and mental conditions, personality styles, and coping skills.

    Seeking Medical Care

    • Only about one-third of Americans with symptoms seek medical care, while most people self-medicate with over-the-counter medications and home management.
    • Patients may fail to seek help due to stigma, but it is essential to seek help as there is a strong correlation between psychological illness and physical illness.

    The "Sick Role"

    • The "sick role" includes exemption from usual responsibilities and expectation of care by others, as well as working toward becoming healthy and cooperating with healthcare personnel.
    • Critics argue that the sick role theory applies only to middle-class patients with acute physical illness and emphasizes the power of the physician.

    Telling Patients the Truth

    • Adult patients are generally told the complete truth about their diagnosis, management, and prognosis.
    • Information must be given directly to the patient, and not relayed through relatives, unless the patient permits.

    Special Situations

    • Patients may be afraid to ask questions about embarrassing or fear-provoking issues, and physicians should ask about such issues openly and address them truthfully.
    • Physicians have the primary responsibility for dealing with adherence issues and angry or complaining behavior by patients.

    Adherence

    • Adherence refers to the extent to which a patient follows the physician's recommendations.
    • Patients need to recognize that their behavior or condition is problematic before they are motivated to change or seek medical care.
    • The "Stages of Change" model refers to the point at which recognition and readiness to change occur.

    Factors Affecting Adherence

    • Adherence is not related to patient intelligence, education, sex, religion, race, socioeconomic status, or marital status.
    • Adherence is most closely related to how well the patient likes the doctor.

    The Clinical Interview

    • Good physician-patient communication improves patient adherence to medical advice, detection of physical and psychological problems, and patient satisfaction.
    • The physical setting for the interview should be private, with no obstacles between the physician and patient, and at eye level.
    • The physician should establish trust and rapport with the patient, gather information, and educate the patient about the illness.
    • The interview serves to obtain the patient's psychiatric history, including prior mental problems, drug and alcohol use, and sources of stress.

    Interviewing Techniques

    • Direct questions are used to elicit specific information quickly, while open-ended questions are more likely to aid in obtaining information about the patient.
    • Open-ended questions give little structure to the patient and encourage them to speak freely.
    • Examples of specific interviewing techniques are listed in Table 21.5.

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    A patient discovers a breast mass and wonders if her doctor missed it during a previous exam. Is the doctor liable for malpractice?

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