Doctor-patient Relationship

Question 0

What is the most important factor in MD-patient relationship?

Answer 0

Ability to convey intrinsic interest esp in the initial encounter

Question 1

It is the primary therapeutic instrument:

Answer 1

Doctor

Question 2

The primary therapeutic focus:

Answer 2

Patient

Question 3

3 ways of MD’s attitude towards patient:

Answer 3

Must identify with patient
Must be humble, caring & respectful
Believes the patient will teach him something

Question 4

Aspects of MD-patient relationship, based on patient’s unconscious & conscious desires and to cooperate w/ therapist’s efforts to help him are under what?

Answer 4

Therapeutic alliance

Question 5

The type of relationship that focuses on needs of both parties:

Answer 5

Social

Question 6

Relationship when MD directs his clinical skills & experience towards evaluation & treatment of px’s problem:

Answer 6

Professional

Question 7

Refers to the forces within the patient and the conscious/unconscious which opposes the purpose & goals of the therapeutic process:

Answer 7

Resistance

Question 8

Give examples of resistance:

Answer 8

Tardiness
Floor staring
Avoid looking at therapist
Hiding behind hands
Sitting stiffly
Not moving at all or moving incessantly
Announcing that he has nothing to say

Question 9

When the feelings are displaced onto therapist from unconscious representations of people important to the Px early in his childhood.

Answer 9

Transference

Question 10

Feelings towards the therapist may be based on:

Answer 10

Two-fold bases
Reality
Transference

Question 11

What the Px representa to therapist’s unconscious in terms of early significant figures:

Answer 11

Countertransference

Question 12

The feeling towards the Px that stems from Px’s appearance, personality & character conflicts.

Answer 12

Reality

Question 13

It is counterproductive, may be dehumanizing and is a confusing form of resistance:

Answer 13

Jargon & humor

Question 14

The impediments to listening:

Answer 14

Anxiety
Fatigue
Impatience
Inattentiveness
Restlessness
Daydreaming

Question 15

4 MD-Px models:

Answer 15

Active-passive
Teacher-student
Mutual participation
Friendship model

Question 16

The model that is dysfunctional and reflects psych problem in MD.

Answer 16

Friendship model

Question 17

Model when the MD is taking control & Px is completely passive.

Answer 17

Active-passive

Question 18

Model when the MD is paternalisitic and the Px is dependent & accepting:

Answer 18

Teacher-student

Question 19

Model that shows equality, in which MD and Px require & depend on each other’s input:

Answer 19

Mutual participationt

Question 20

T or F:In effective listening, one should avoid subtle verbal or non verbal expressions of disdain or judgement of Ox’s story even when content affects therapist’s sensibilities.

Answer 20

TRUE

Question 21

T or F: The psychiatric and medical interview should be a systematic survey of subjective & objective aspect of illness.

Answer 21

TRUE

Question 22

Other aspects of psychiatric interview are wide range of biological & psychosocial data, emotional rxns of the patient and interaction between Px and interviewer. Do these apply to medical interview as well?

Answer 22

No (medical interview is simply a systematic survey of subjective & objective aspect of illness)

Question 23

Factors that may affect the interview:

Answer 23

Px's physical or emotional distress
Cognitive capacities of Px
Emotionally based biases of interviewer
Situational factors
Racial, ethnic & cultural factors

Question 24

When asking for childhood and adulthood aspects such as educ history, relationship, social & sexual history, religion, you are asking about?

Answer 24

Personal history

Question 25

Alcohol and drugs is under what history?

Answer 25

Psychiatric history

Question 26

The psychiatric database involves:

Answer 26

Identifying data
Chief complaint
Reason for consultation
History of present illness 
Psychiatry history
Medical history
Family history
Personal history

Question 27

Examples of MD’s emotional resources:

Answer 27

Intrinsic desire to help
Ability to relate warmly
Respect for self & others
Value for human life
Philosophy of life

Question 28

Confidence, tolerance of perplexity, empathy, attitude towards sickness, sensitivity to suffering & ability to reorganize & confront different feelings are aspects of what?

Answer 28

MD’s emotional resources & standards of conduct

Question 29

It is the matrix of the healing relationship:

Answer 29

Doctor-patient relationship