Deck 5: Care Provider Perspectives

Question 1

According to the book, all of the following are components of burnout EXCEPT:

A) Sensory deprivation
B) Emotional exhaustion
C) Depersonalization
D) Reduced sense of accomplishment

Answer 1

A
Explanation: Burnout is a combination of factors, including emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment

Question 2

Which of the following is recommended as a good way to deal with difficult patients?

A) Ignore them. They will usually stop behaving badly if it doesn't attract attention.
B) Have supervisors on hand so frontline personnel never have to deal with difficult patients.
C) Treat complaints as opportunities.
D) Speak very slowly and quietly.

Answer 2

C
Explanation: Frustrated patients and family members may want or need something they are afraid to ask for outright. Their emotion can be a signpost calling your attention to it.

Question 3

Teamwork offers all of the following advantages EXCEPT:

A) It involves people in decision-making.
B) It reduces costly oversights and duplications.
C) It increases reliance on biomedical care.
D) It allows people to address a number of issues simultaneously.

Answer 3

C
Explanation: To the contrary, interprofessional teamwork is conducive to biopsychosocial care.

Question 4

Which of the following reduces costly oversights and duplications, helps people see the larger picture, and stimulates communication?

A) Interprofessional teamwork
B) Rational-legal authority
C) Vertical hierarchies
D) Bureaucracies

Question 5

Which of the following most accurately describes burnout?

A) Another word for professional burnout is stress.
B) Burnout occurs at the same levels, even among people who feel they are very appreciated for the work they do.
C) Burnout can lead to physical changes in the body.

Question 6

Which of the following is NOT usually a benefit of mindful health communication techniques used by health care providers?

A) Providers are better able to manage stress.
B) Patients report increased satisfaction with their care.
C) Patient care encounters are longer.
D) Providers feel more empowered and engaged.

Question 7

You have been inspired by your professors' compassion when it comes to sharing bad news with patients and their families. In addition to what you learn in the classroom, you have picked up many of their techniques. This is a good example of the:

A) Oppositional exemplification approach
B) Psychometric effect
C) Hidden curriculum
D) Prototypical delivery method

Question 8

You have learned that, while it is important to understand how your patients feel, you can easily burn out if you allow yourself to feel everything they feel. Which of the following best describes a sense of caring without becoming emotionally involved yourself?

A) Remote affect
B) Separation anxiety
C) Detached concern
D) Emotional contagion

Question 9

The Sanders decide to change doctors because the nurse in their doctor's office seemed curt and uninterested when they mentioned how anxious they were about the chance of a big blizzard. They did not get a chance to say they were worried that a medical emergency would occur during the blizzard. Instead, the nurse switched the topic to questions about physical symptoms and health history. A vocabulary that is highly focused on physical health is called:

A) The Therapeutic Voice
B) The Voice of Medicine
C) The Voice of Pharmacology
D) A Healing Vocabulary

Question 10

The empathic communication model reflects which common phenomenon?

A) People who are attracted to health careers are often at high risk for burnout because they care so much.
B) When patients are empathic communicators, their care providers are likely to be more empathic as well.
C) People must limit their empathic communication to avoid burnout.
D) Empathic communication is the best means of reducing burnout and building quality relationships.

Question 11

Several of your coworkers are disappointed when they are appointed to interprofessional teams because they believe it will take too much time. However, you are able to point out that interprofessional teamwork presents one or more of the following advantages:

A) It helps reduces costly oversights and duplications
B) It reinforced professional stereotypes.
C) It stimulates specialization

Question 12

In the Willie King story described in your book, a Tampa surgeon amputated the wrong leg because:

A) The doctor refused to believe what the nurses were telling him.
B) The patient was confused and indicated the wrong leg to the health care team.
C) The leg was listed incorrectly on the surgery schedule and draped for surgery before the doctor entered the operating room.
D) The doctor read the chart wrong.

Question 13

According to your book, all of the following are common reasons for not telling the family about a medical mistake except. Which is NOT a reason commonly given?

A) "I don't subscribe to medical malpractice insurance."
B) "No permanent harm was done."
C) "The family will just feel worse if they know."
D) "It didn't make a difference. The patient would have died anyway."

Question 14

A never event is most accurately defined as:

A) A medical mistake that no one ever learns about.
B) A clear, preventable error with serious consequences.
C) A procedure that has never been done before.

Question 15

If a test item says, "Please review the scenario below and describe what you can deduce about the patient's condition," the teaching approach is most consistent with:

A) Problem-based learning
B) Rote learning
C) A medical initiative curriculum
D) The traditional medical school curriculum

Question 16

All of the following are good tips for managing medical mistakes EXCEPT:

A) Rehearse how you will disclose the information.
B) Deliver the news as simply and truthfully as possible.
C) Don't allow the other person to interrupt until you have explained everything fully.
D) Respond empathically.

Question 17

"I am more sympathetic toward my colleagues when things don't go well because I know that even good doctors make mistakes." This sentiment might occur when a doctor is in which stage of managing a serious medical mistake?

A) Stepping in
B) Integration
C) Forgiving
D) Wisdom

Question 18

In the "Blowing the Whistle on an Impaired Physician" case study, the clinic manager reports the physician to authorities after:

A) The doctor shows up drunk to perform surgery.
B) The local pharmacy reports suspicious prescriptions for narcotics.
C) The doctor physically threatens a patient.
D) The physician refuses to admit that the effects of a recent stroke have made him incapable of performing surgery.

Question 19

Assigned to a team with students from a variety of other health care disciplines, Paulo reflects on how much they have all learned by sharing perspectives. This activity suggests that Paulo is part of a(n) ____________ program.

A) intersectionality
B) interprofessional education
C) cross-cultural fundamentals
D) Dewey Ware Training

Question 20

Medical mistakes are typically the result of:

A) ineffective communication
B) malicious intent
C) trying too hard

Question 21

Traditionally, medical school students have become more sensitive and optimistic about health care the longer they are in school.

Question 22

Socialization involves the process of learning to behave appropriately within a speech community such as a school or university.

Question 23

If insurance companies refuse to pay for conditions related to medical mistakes, some people worry that doctors may become more adventuresome about using untested therapies.

Question 24

A good way to avoid lawsuits is to refuse to give patients and their families many details when things go wrong.

Question 25

The class is given information about a hypothetical patient and asked to create a list of questions they might ask that person to learn more about their condition. When students analyze scenarios rather than simply memorizing information, it is called rote learning.

Question 26

Physicians are typically not satisfied with interviews that focus on strictly biological indicators.

Question 27

In the second stage of coping with a serious medical mistake, health professionals often blame systemic flaws for the error.

Question 28

When the staff of Virginia Mason Cancer Center eliminated waiting rooms, patients ended up standing around in the halls.

Question 29

When time is limited, experts recommend that care providers interrupt patients to get to the real point of their visit more quickly.

Question 30

If health professionals seem tired and rushed, it may be more because of bureaucratic demands than the challenges of patient care.

Question 31

Name and describe at least three strategies from the book for avoiding burnout as a care provider. Which of these do you, or might you, incorporate into your own life whether you are a care provider or not?

Question 32

List at least three tips from the book for bonding with patients when time is limited. Which of these do you consider most important? Why?

Question 33

Describe at least four communication techniques described in the book for dealing with difficult patients.

Question 34

Based on what you learned in the book, describe at least five strategies would you recommend to care providers to avoid mistakes, misunderstandings, disappointments, and lawsuits as much as possible?