mdast 323 final review

False

A 12-year-old patient recently was diagnosed with rheumatoid arthritis, which may seriously affect his ability to play sports. It is in the child's best interests to conduct education interventions with his parents rather than with him, because he will have to comply with certain activity restrictions.

ask for feedback.

A crucial aspect of successful patient teaching is

feedback

A helpful tool for testing patient understanding of material is to consistently ask for __________ throughout the intervention.

False

A holistic model for patient education means designing a patient teaching plan that focuses on the patient's disease without concern for the patient's ability to pay for care.

time

A major problem with delivering high-quality patient education in the ambulatory setting is the lack of

False

A patient who is actively using defense mechanisms can be helped best by encouraging that the patient participates in a support group.

True

A useful approach to dealing with a patient's perceived barriers to healthy living may be referral to a community resource for patient support.

A patient with vision loss

All written material should be in a large font or large print for which of the following patients?

False

Although Mr. Ignatio refuses to accept the seriousness of his disease, the medical assistant should immediately suggest that he start attending a support group for diabetics at the local hospital.

The model suggests that the medical assistant first consider how the patient perceives his or her risk of developing a disease, as well as the potential severity of the condition. For example, even though Mr. Ignatio's mother and sister developed diabetes type 2 in their 60s, he may believe he is not going to have the same problem. Therefore, even though wellness information encouraged him to lose weight, exercise, and eat a healthy diet, he didn't believe he was in danger of developing diabetes, so he didn't believe he needed to follow these disease-prevention recommendations. He may also believe that even if he does develop diabetes, the consequences of the disease are not that serious, so why bother altering his lifestyle to prevent it? Another factor considered with the health belief model is the patient's perceived benefits of action—whether the patient believes altering health behaviors will prevent him from developing the disease. In this case, because Mr. Ignatio has a strong family history of the disease, he may have decided he was going to get diabetes anyway, so why should he bother exercising and watching his diet? He may have believed he was going to develop diabetes no matter what he did, so why bother trying to prevent it? Until the patient believes that teaching and health promotion guidelines affect him and are worth pursuing, he will not follow suggested health promotion tips or comply with treatment protocols.

Based on what you have learned about the health belief model, explain the five factors that can affect a patient's attitude toward disease and give some suggestions on how the medical assistant can therapeutically perform patient education under these circumstances.

self-paced

Both videotapes and Internet sites allow patient learning to be self-directed and __________.

languages

Copies of teaching materials should be available in other __________ when possible.

True

Demonstration/return demonstration is an effective method of teaching a patient with diabetes how to give insulin injections.

True

Demonstration/return demonstration is an excellent method of teaching a patient how to perform a breathing treatment.

False

Depression is not a normal part of the grief process.

The role of the medical assistant in patient education is to reinforce physician instructions and information by encouraging patients to take an active role in their health; using "teaching moments" effectively; keeping information relevant to the patient; establishing and maintaining patient rapport; communicating clearly; being aware of learning factors; and being flexible with the teaching plan.

Describe the role of the medical assistant as the patient educator.

A.Patient's learning preference B. Individual characteristics C. Lifestyle factors D. All of the above Correct

Determining which education materials will best meet your patient's needs depends on which of the following?

The parts of the teaching plan include assessing learning needs; eliminating learning barriers; determining teaching priorities; using appropriate teaching materials and methods; gathering feedback repeatedly to ensure patient understanding; summarizing the material at the end of each education session; planning for the next meeting; evaluating the effectiveness of the session; and completely and accurately documenting the details of the teaching intervention.

Diagram and explain how to develop and implement a patient teaching plan.

Guidelines for patient education are as follows: § Provide knowledge and skills to promote recovery and health. § Encourage patient ownership and participation in the teaching process. § Include family and significant others in education interventions with patient approval. § Promote safe and appropriate use of medications and treatments. § Encourage patient adaptation to healthy behaviors. § Provide information on accessing community resources.

Discuss the guidelines for patient education.

False

Dr. Elisabeth Kübler-Ross's model of grief is helpful for families, because everyone experiencing grief goes through the process in the same way.

Depression

During which stage of grief does the patient grieve the loss of health and is very sad about the diagnosis?

True

Enabling the patient to gather as much information as possible about his or her disease is part of developing patient ownership of the health problem.

risk

Essential factors in __________ management for the ambulatory care setting include conducting adequate patient education and follow-up.

False

Family members of an adult patient diagnosed with diabetes mellitus do not need to be involved in patient education.

releasing patient information only to those identified on the patient authorization form.

HIPAA restrictions on PHI dictate

False

Having the patient observe while you change a wound dressing is the most effective method of teaching the skill.

False

If a patient is extremely anxious about a diagnosis, it is best to provide comprehensive information about the disease process at that time.

False

If a patient is in pain, the patient teaching session should be completed immediately so that the patient can go home and rest.

False

If a patient is refusing to accept a diagnosis, the medical assistant could suggest that the patient attend a community support group.

False

If a patient is using bargaining to avoid dealing with the immediate realities of an illness, the medical assistant may tell the patient that diagnostic tests need not be done until the person feels up to it.

A patient with hearing loss

If the medical assistant stands in front of the patient or within the person's field of vision before beginning to speak, which of the following patients would benefit most?

Both statements are true.

If the provider believes that it is in the patient's best interest that family members be involved in patient health education, the medical assistant can contact the family only if the patient has given approval. This permission should be included in the patient's HIPAA information and should be documented in the medical record so that all employees can read evidence of the patient's approval.

resources

It is important that the medical assistant be aware of the various __________ available in the community for patient education and referral.

sixth- to eighth-

Material should be written in lay language at a(n) __________ grade level to promote general patient understanding.

Explain the importance of foot care and then cover questions about his glucometer.

Mr. Ignatio tells Taylor, the medical assistant, that he is really worried about developing foot ulcers because of his diabetic condition. Taylor has only 10 minutes to spend on patient education today, and he planned to review glucometer techniques. What is the best approach?

Refer to Mr. Ignatio's authorization of access to his personal information before answering any questions.

Mr. Ignatio's daughter called today and wants details about her father's diagnosis. How should the medical assistant manage this request?

True

Nonverbal communication is important when interacting with patients who have a language barrier.

compliance

Often the key to patient understanding and __________ is involvement of family members.

perception

Patient factors that have an impact on learning include the patient's __________ of disease versus the actual state of disease.

informed

Providing adequate, correct, and understandable information to patients is integral to the __________ consent mandate in the Patients' Bill of Rights.

True

Providing an 83-year-old patient a DVD about diabetes is not an effective teaching method.

True

Reflection can be an excellent communication tool to use when a patient is angry about a diagnosis.

Denial and isolation. The patient denies the existence of the disease, may be unwilling to accept the reality of the situation, and refuses to discuss the health problem or remember health teaching interventions. Reinforce each education intervention with handouts that explain the disease and treatment. Encourage the patient's family to attend physician office visits and be involved in the patient's care. Anger. The patient may be very angry and hostile when forced to discuss the condition. Use therapeutic communication techniques, especially reflection, to acknowledge the patient's feelings about the diagnosis. Recognize the patient's need to use defense mechanisms to protect himself or herself from the reality of the disease. Bargaining. The patient tries to bargain for privileges or time. Rely on the physician's recommendations regarding postponing certain treatment methods. Discuss the patient's bargaining requests with the physician and other staff members Depression. The patient grieves the loss of health. Use available community resources to provide support for the patient and family. Acceptance. The patient finally gets to the point where he or she accepts the diagnosis and is ready to make the best of it. Take advantage of this time to renew education efforts.

Summarize Dr. Elisabeth Kübler-Ross's stages of grief and explain how the medical assistant can interact therapeutically with patients in the various stages.

True

Teaching interventions should be postponed if the patient is extremely anxious or agitated.

Intellectual

The ability to understand the complexities of the disease and treatment recommendations carries which of the following impacts?

observe the patient for cues that indicate confusion.

The best method for communicating with a patient who speaks a different language is to

True

The health belief model focuses on what patients believe about themselves and how a health problem affects them.

physical

The holistic model suggests that patient education should consider all aspects of the patient's life, including the person's __________, emotional, social, economic, and spiritual needs.

Documentation should clearly describe the education intervention, methods and materials used, the patient's response to the intervention, the date of each session, and the individual who conducted each intervention. Each documentation entry should completely describe the material covered and the patient's feedback regarding the information to show that the patient clearly understood the information and was able to perform any related skills properly and adequately.

The medical assistant just completed a short teaching intervention with Mr. Ignatio and his wife about diabetic foot care. Summarize the details that should be included in the documentation entry.

True

The medical assistant should not automatically release healthcare information to the spouse of the patient.

True

The patient may use defense mechanisms as protection from the realities of a serious disease.

True

The use of appropriate body language during a teaching intervention is especially helpful for a patient with a language barrier.

True

To accept the severity of a disease, the patient first must understand the potential complications of the disorder.

§ Emotional effect of the disease: Is the patient in shock and denial? Is he angry or depressed? How will his emotional reaction to the diagnosis affect his response to patient education efforts? § Social impact: How will his family and employer respond to the demands of the diagnosis? Does he have a support system that will assist him in making healthy lifestyle choices? § Intellectual impact: Is the patient able to understand the complexities of the disease and treatment recommendations? § Economic impact: Can he afford the treatment for diabetes? Does he have health insurance to cover the cost, or will he need assistance in paying for ongoing diagnostic and treatment recommendations? § Spiritual impact: What is the patient's spiritual response to his diagnosis?

What factors should be considered in a holistic approach to patient education for Mr. Ignatio?

Use community resources to reinforce your message.

What is one of the best ways to manage a large amount of information within a short time?

Assessment

What is the first requirement in developing a teaching plan that works for a particular individual?

False

When suggesting possible education tools, the medical assistant should encourage the patient to conduct his or her own research for informative websites.

The health belief model

Which model analyzes what people believe to be true about themselves and their health?

A. Patient's response B. Material covered C. Date of each session D. Individual conducting each intervention E. All of the above Correct

Which of the following aspects should be included in the patient's health record regarding education intervention?

Perception of the disease B. Age C. Emotional state D. Learning style E. All of the above Correct

Which of the following factors affects a patient's learning?

Providing adequate, correct, and understandable information

Which of the following is integral to the informed consent mandate in the Patients' Bill of Rights?

The material should promote specific pharmaceutical companies.

Which of the following is not a guideline to follow when developing or ordering educational supplies?

A. Waiting room B. Exam rooms C. Front desk D. All of the above Correct

Which of the following locations is an appropriate place for learning?

Denial and isolation

Which stage of grief is associated with a patient's refusal to meet with a dietician because he says his diet is fine and there is no need to change it?

Some patients respond to a disturbing diagnosis with anger toward the physician or medical assistant.

Which statement is true about Dr. Elisabeth Kübler-Ross's stages of grief model?

Patient education guidelines: provide knowledge and skills that promote recovery and health; include family in education interventions; encourage patient ownership of the education process; promote safe use of medications and treatments; encourage healthy behaviors; and provide information on how to access community resources. Patient factors: perception of disease versus the actual state of disease; the need for information; age and developmental level; mental and emotional state; the influence of multicultural and diversity factors; individual learning style; and the impact of physical disabilities on the education process.

You are responsible for conducting a patient education intervention for a patient newly diagnosed with diabetes. What are some guidelines you should follow for patient teaching to be successful? Should you pay attention to any particular patient factors so that you design an education intervention that best meets the needs of the patient? Explain a minimum of four guidelines and four patient factors that can affect patient teaching.

Using language that a sixth- to eighth-grader can understand

You are responsible for developing a patient education pamphlet on diabetes mellitus. Which factor is most important to remember?

Medlineplus.gov

__________ is a comprehensive Internet site for accurate healthcare information.