HP5 MSE 2 2011
16
Which one of the following skills is NOT commonly used in alleviating patient distress?
Listening
Empathic concern
Acknowledgement of distress
Reflection
Limit setting
17
Which one of the following statements about a tearful patient is NOT true?
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?
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?
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?
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?
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.
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.