Multiple Choice Questions Case 1: Ruth Franklin: A 40-year-old African American woman with heart failure

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  Multiple Choice Questions Case 1: Ruth Franklin: A 40-year-old AfricanAmerican woman with heart failure Select the best answer1  Women from which of the following groups are least likely toperceive themselves as overweight?a. African American. b. Caucasian.c. Asian.d. Native American. 2  Which of the following statements best describes the importanceof addressing a patient’s anger during an office visit?a. Eliminates the possibility of a lawsuit against the physician. b. Enhances the physician’s alliance with the patient.c. Preventsthephysicianfrompursuingsensitiveissuesaboutthepatient.d. Establishes the physician’s authority over the patient. 3  When a patient expresses anger about a physician’s colleague,which of the following statements would be the most appropriateresponse?a. Why are you so aggravated over something so trivial? b. Before I ask any questions, please calm down.c. What concerns do you have about how you were treated?d. Why don’t we go talk to Dr. X about your anger? 4  Physicians who provide pharmaceutical samples in their officesshould be aware of which of the following statements?a. Patientsprefertofilltheirprescriptionsatthepharmacyratherthan receive samples. b. It is standard practice to give out free samples in physicians’offices.c. Prescriptionswrittenbyphysiciansaretypicallynotinfluenced by office samples.d. There may be a significant price difference between samplesand the generic version of the medication. 220  Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals Edited by L. Hark, H. DeLisser © 2009 Blackwell Publishing Ltd. ISBN: 978-1-405-18072-6  Multiple Choice Questions  221 5  How should physicians and office staff respond to patients whochronically miss appointments?a. Assume the patient does not want treatment and ask him/herto change doctors. b. Bill the patient for the missed appointment when he/she is a“no show.”c. Speak directly to the patient about the missed appointments.d. Accuse the patient of being insensitive and taking up valuabletime. 6  In what context is it appropriate to use pejorative phrases whendescribing patients?a. It is never acceptable to use pejorative phrases to describepatients. b. In the presence of the patient.c. Privately, with staff or other hospital employees.d. Only in the presence of a trusted colleague. 7  How should a health professional approach a colleague abouthis/her culturally insensitive behavior or remarks?a. He/She should be tolerant and open to the colleague’sopinions. b. He/She should avoid direct confrontation with the colleague.c. He/She should warn other patients about the colleague.d. He/She should speak honestly, but respectfully, to the col-league. 8  Health disparities have been shown to exist in regard to organtransplantation. African American and Hispanic patients may en-counterwhichofthefollowingcomparedwiththeirnon-Hispanicwhite counterparts?a. Shorter time in getting referred to a transplant specialist. b. Shorter time on the organ transplant list.c. Lowerratesofgraftsurvivalafterreceivinganorgantransplant.d. Lower mortality after receiving an organ transplant.  222  Multiple Choice Questions Case 2: Carl Jones: A 48-year-old homelessCaucasian man with chest pain and lung cancer Select the best answer1  Which of the following factors may contribute to the higher mor-tality rates seen in the homeless population?a. Increased exposure to air pollution. b. Overprescription of psychotropic medications.c. Suboptimal access to health care.d. Stress-induced high blood pressure. 2  Whatapproachshouldphysiciansuseintakingcareofuncoopera-tive,self-abusing,ordisruptivepatientsfromalowsocioeconomicgroup?a. Establish authority in the patient–doctor relationship by usingstern language. b. Refrain from following up on such patients when possible.c. Ensure that personal biases do not taint clinical judgment.d. Allowpatients’self-destructivebehaviorstosubsidebeforead-ministering treatment. 3  How should physicians treat patients who they suspect are inca-pable of keeping follow-up appointments?a. Encourage patients to educate themselves and take responsi- bility for their health. b. Establish a system of penalties to increase retention rate.c. Disregard patients’ incapacities and fit them into theschedule.d. Discuss the importance of personal responsibility before ad-ministering follow-up care. 4  Poor adherence results in which of the following outcomes?a. Increased patient morbidities and mortalities. b. Slight improvement in health.c. Reduced health care costs.d. Weakened physician–patient relationship. 5  Which of the following physician barriers can affect a patient’sadherence?a. Lack of insight into the patient’s illness. b. Inadequate explanation of instructions.c. Cost of medications or treatment.d. Distraction by other life issues or priorities.  Multiple Choice Questions  223 6  Which of the following health care system barriers can affect apatient’s adherence?a. Treatment of asymptomatic disease. b. Inadequate follow-up or discharge planning.c. Forgetfulness.d. Inadequate health insurance. 7  How should physicians respond to working professionals, in com-parison to unemployed or low-income patients?a. Physicians should be more flexible with schedulinglow-income patients. b. Patients from professional occupations should be affordedgreater respect.c. Physicians should promote patients’ health regardless of theirsocioeconomic status.d. Physicians should fulfill the requests of other working profes-sionals without hesitation. 8  How might the perspectives of financially secure patients withrespect to end-of-life care differ from those of disadvantagedpatients?a. Financially secure patients are more likely to insist that every-thing be done to keep them alive. b. Disadvantaged patients may interpret end-of-life care as anattempt to deny essential treatments.c. Disadvantaged patients are more likely to want to spend theirlast days outside the hospital.d. Financially secure patients are more likely to demand place-ment in assisted living facilities to avoid burdening their fami-lies. Case 3: Maria Morales: A 57-year-old Mexicanwoman with type 2 diabetes Select the best answer1  Which of the following approaches is most effective in helpingpatients with type 2 diabetes to lose weight?a. Advocate the American Diabetes Association’s 1800-caloriediet for all patients. b. Recommend daily exercise and decreased food intake.c. Suggest substituting healthy ingredients for meals and snacks based on the patient’s cultural heritage and personal prefer-ences.d. Refer patients to a dietitian for all their diet-related inquiries.  224  Multiple Choice Questions 2  Fromwhichofthefollowingethnicbackgroundsarepatientsmostlikely to change their diet after being diagnosed with a healthproblem by their physician?a. Asian. b. Latino/Hispanic.c. African American.d. Caucasian. 3  Many Latino patients incorrectly associate diabetes with which ofthe following symptoms?a. Malnutrition. b. Overexertion.c. Vitamin overdose.d. Depression. 4  How should physicians approach patients with type 2 diabetespatients who also regularly visit holistic healers ( curanderos) ?a. Takeahistoryofalternativemedicinesusedbypatientstoavoidherb–drug interactions. b. Highlighttheshortcomingsofherbalremediesfortreatingtype2 diabetes.c. Meet with the holistic healer to discuss the patient’s diabetes.d. Disregard the patient’s use of alternative medicines. 5  Among Latino patients with diabetes, which of the following fac-tors is most important in determining adherence to medicationand instilling self-confidence?a. Physician support. b. Establishing a daily routine.c. Family support.d. Eliciting the Patient’s Explanatory Model. 6  WhichofthefollowingisthebestapproachwhenreferringaMex-icanpatientwithtype2diabetestoadietitianformedicalnutritiontherapy?a. Make the referral as quickly as possible. b. Attempt to identify a bilingual dietitian familiar with the Mex-ican diet.c. Assume the dietitian is knowledgeable about all aspects of theMexican diet.d. Meet with the dietitian on a regular basis to keep up with thepatient’s eating habits.

La plenitud humana

Oct 14, 2019


Oct 14, 2019
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