16

Which one of the following skills is NOT commonly used in alleviating patient distress?

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  Listening

  Empathic concern

  Acknowledgement of distress

  Reflection

  Limit setting

17

Which one of the following statements about a tearful patient is NOT true?

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  Doctors may feel uncertain as to how to respond

  Doctors may feel embarrassed and responsible

  Doctors may feel concerned that the patient may become more distressed

  Doctors have little capacity to reduce psychological distress

  Doctors may feel they do not have the time to deal with emotional distress

18

When managing a tearful patient which statement is not correct?

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  The most common cause of crying is major depression

  Delirium is a common cause of tearfulness

  Acknowledging the patients distress does not inevitably make it worse

  Resident doctors find tearful patient difficult to manage because they are unsure how to respond

  Communicating an understanding of the patients concerns can help alleviate distress in some cases.

19

Which one of the following is NOT a component of patient-centred medicine?

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  Exploring both the disease and the illness experience

  Detailing prognosis

  Finding common ground

  Incorporating prevention and health promotion

  Enhancing the doctor-patient relationship

20

When confronted with an angry patient, which one of the following is correct?

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  It is never appropriate to end the interaction

  The anger usually reflects a personality problem in the patient

  Anger is usually due to the doctor not having done the right thing

  There are limits to what an is acceptable level of aggression that can be expressed in a doctor patient interaction

  Angry outbursts usually have little emotional effect on professionals.

21

Which one of the following strategies is least likely to effect a change in the prevalence of Chlamydia infection in a large regional Australian town?

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  Greatly increasing the availability of condoms in the community

  Introducing a health promotion program that targets persons with recurrent sexually transmissible infections

  Increasing the frequency of clinics run by health workers trained to diagnose and treat sexually transmissible infections

  Running television advertisements on the dangers of sexually transmissible infections

  Engaging a health worker to involve local sex workers in preventive health practices

22

Which one of the following changes will result in a significant fall in prevalence of gonorrhoea in a population with a high rate of gonorrhoea among heterosexuals.

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  A 30% reduction in the mean number of sexual partners per year in this population (standard deviation remains constant).

  A significant increase in testing and treatment of women in the non core group

  A significant reduction in the number of sexual acts per sexual partnership

  Significantly greater access to sexual health services for the population

  The introduction of an abstinence only before marriage campaign in schools in that community.