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 (D)</p> Signup and view all the answers

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

<p>About one-third (C)</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 (B)</p> Signup and view all the answers

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

<p>All of the above (D)</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. (D)</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 (C)</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. (A)</p> Signup and view all the answers

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

<p>The parents (A)</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. (A)</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. (D)</p> Signup and view all the answers

What is a criticism of the sick role theory?

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

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

<p>Direct questions. (B)</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. (D)</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. (D)</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. (D)</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. (A)</p> Signup and view all the answers

What percentage of Americans with symptoms seek medical care?

<p>One-third (A)</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 (C)</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 (B)</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 (B)</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 (B)</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 (B)</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 (C)</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 (B)</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 (B)</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 (C)</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 (D)</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 (D)</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 (C)</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 (B)</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 (A)</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 (D)</p> Signup and view all the answers

What type of questions are used with young children?

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

What is the primary purpose of the clinical interview?

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

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

<p>Exemption from usual responsibilities (B)</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 (D)</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 (D)</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 (D)</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 (A)</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 (C)</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 (C)</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 (C)</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 (C)</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 (C)</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 (D)</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 (B)</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 (B)</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 (B)</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 (C)</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 (A)</p> Signup and view all the answers

What is a common reason why patients seek medical care?

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

What is a common consequence of not seeking medical care?

<p>Increased symptoms (D)</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 (A)</p> Signup and view all the answers

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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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