Exam (elaborations)
IHI Certificate_ PFC 101 (1)
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- Chapter 14
IHI Certificate_ PFC 101 (1)
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IHI Certificate: PFC 101Which of the following relationships best reflects the informative model of the patient-provider
relationship? - ANS-Hairstylist-client
Shared decision making, pioneered by Dr. Victor Montori of the Mayo Clinic, best reflects which
of the four models of the patient-provider relationship? - ANS-Interpretive or deliberative
Imagine you're a first-year resident enjoying a meal at a restaurant on your day off, and another
customer starts choking. The customer's companion shouts, "Is there a doctor here?" in a panic.
You rush over to assist the patient, who can't breathe.
Which of the following patient-provider relationship would be most appropriate in this situation? -
ANS-Paternalistic
Which model of the patient-provider relationship is exhibited when the expert provider simply
provides information to patients, who hold decision-making power? - ANS-Informative
Which of the following relationships best reflects the paternalistic model of the patient-provider
relationship? - ANS-Parent-child
A pediatric primary care team in California is providing care to a man from Mexico who is living
with HIV. The man's wife died of AIDS one year before, and he has a four-year-old son who is
HIV-positive as well. Nevertheless, the father hasn't been bringing the child in regularly for care.
The pediatrician and her team are growing worried about the child's health, and she suspects
that the man may have a different cultural understanding of HIV that makes him less likely to
seek medical treatment.
Which of the following would be the best action for the pediatrician to take? - ANS-The
pediatrician should call the father to ask why he's having trouble making the appointments
A 24-year-old exchange student from China is in graduate school in London when she develops
palpitations, shortness of breath, dizziness, fatigue, and headaches. She visits a primary care
team, and following a thorough medical work-up, receives no medical diagnosis. Instead, her
primary care provider recommends she start weekly visits with a mental health counselor. She
improves a little bit, but the symptoms don't disappear. The mental health counselor refers her
to a psychiatrist, who diagnoses her with a depressive-anxiety disorder and prescribes
antidepressants.
Then, suddenly, the student drops out of care. A social worker visits her at home and learns that
she has a cousin with a severe mental disorder, and the stigma around mental illness is so
strong in her family that she can't accept that she has a mental health disorder. She says that in
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