Social Sci

Question 1

Exceptions to confidentiality

Answer 1

1. Suspected child, disabled person, or elder abuse
2. Knife or gunshot wounds
3. Diagnosis of a reportable communicable disease
4. Suicidal / homicidal

Question 2

Sublimation vs reaction formation

Answer 2

Sublimation: Socially acceptable reaction

Reaction formation: opposite reaction to unacceptable feelings/ impulses

Question 3

Medical emancipation

Answer 3

1. Emergency
2. STDs
3. Mental health and substance abuse
4. Pregnancy
5. Contraception

Question 4

Legal emancipation

Answer 4

1. High school graduate
2. In the military
3. Is a parent
4. Married
5. Financially independent

Question 5

Screening for elder abuse

Answer 5

1. Do you feel safe where you live?
2. Who cooks?
3. Who handles your checkbook?

Question 6

Delivering bad news

Answer 6

» SPIKES protocol «

Set the stage
Perception of situation by fam
Invitation: how much should they like to know
Knowledge: simple terms, check for understanding
Empathy
Summarize

Question 7

Fee for service

Answer 7

Insurer pays provider for each service

Question 8

Global payment

Answer 8

Insurer pays provider a single payment to cover all expenses

Question 9

Capitation

Answer 9

HMO

Fixed pre-determined fee per pt to cover all medical services