HP5 MSE 1 2011
Which one of the following approaches to clinical uncertainty is not true?
Premature diagnosis can be driven by an intolerance of uncertainty
Attributing symptoms as “all in the mind” can occur when symptoms and signs do not fit a clinical syndrome
If there are no clinical signs, a medical diagnosis can not be made.
Clinical zeal is when increased investigation and treatment is used to deal with clinical uncertainty
Clinical nihilism describes a process of decreased medical activity in the face of uncertainty
Which one of the following statements regarding uncertainty in clinical practice is not true?
Uncertainty refers to a state where it is impossible to exactly describe future outcome
Most medical decisions are made based on the probability that the chosen action is the best option
Certainty can be experienced as freedom from doubt
Acquiring accurate scientific knowledge will remove uncertainty in clinical decision making
Uncertainty around decisions can lead to anxieties about adverse outcomes
Which of the following is not a recommended strategy for deal with stress?
Identify and acknowledge your stresses
Enhancing strengths and minimizing weakness
Develop social networks
Develop time management skills
Which of the following is not a component of a root cause analysis after an adverse event?
identifying factors that cause adverse events.
Identifying the individual responsible for the error
showing the ‘cause and effect’ relationship in causal statements
identifying human errors in the causal chain
determining what can be done to prevent an adverse event from happening again
Which of the following is not a component of open disclosure process for dealing with medical errors?
Acknowledging that an error has occurred
Referring the case to a more senior clinician
Providing ongoing contact
Which of the following is not a core aspect of being a professional?
Expert knowledge and skill
A commitment to the good of the community
Making the needs and interests of the patient the sole focus of the relationship
Autonomy and self-regulation of standards of practice and behaviour.
Accountable to the profession and the community.
Which of the following is the least mature defense mechanism that may arise in a difficult doctor patient relationship?