behavioral

Question 1

When an error is noted in patient care, the most appropriate initial step in fixing the issue is?

Answer 1

Conducting a root cause analysis

Question 2

Avoidant vs Schizoid personality disorder

Answer 2

Avoidant: is characterized by lack of social interaction due to fear of rejection. Generally, patients still have a desire for social interaction and relationships.

Schizoid: social withdrawal with no desire for social interaction or close relationships.

Question 3

Referential delusions

Answer 3

Patients believe that everyday occurrences have special meaning for them.

Question 4

Dialectical behavioral therapy

Answer 4

Promotes acceptance and change in order to improve emotional regulation, mindful awareness, and distress tolerance. It also has a group therapy component that focuses on managing self harm.
It is indicated in borderline patients

Question 5

Suppression vs reaction formation

Answer 5

Suppression manages the present by avoiding unwanted thoughts and feelings for later processing (e.g., a woman setting aside resentment to care for her father), while reaction formation addresses anxiety and guilt through exaggerated opposite behaviors (e.g., showing care while feeling resentment).

Question 6

Decision making capacity evaluation

Answer 6

DMC includes four components: clear communication of a choice, understanding information, appreciating consequences, and providing rationale.

Question 7

Accurate quality measurement involves

Answer 7

Structural, process, outcome, and balancing measures.

Process compliance and variations.

Question 8

Ad hoc interpretation

Answer 8

Unqualified individuals may be needed in urgent situations when interpreter services are unavailable and delaying care could harm the patient.

Question 9

High-value health care

Answer 9

Optimizes quality while minimizing costs and waste.
The value of an intervention can be assessed by comparing the ratio of quality metrics (eg, outcomes, safety, patient satisfaction) to the total costs of care per patient over the length of treatment.

Question 10

Common cognitive errors in medicine

Answer 10

Anchoring: Fixating on initial impressions.

Availability: Being swayed by recent cases.

Confirmation: Favoring evidence that supports a diagnosis.

Framing: Context influences diagnosis for ex, checking the patient files.

Question 11

Quality improvement in medical practice

Answer 11

Hinges on plan do study act (PDSA) cycles, a process in which providers plan an intervention, execute it, study the intervention and identify successes and areas of improvement for the next cycle.

Question 12

Four decisional capacity criteria

Answer 12

1. Consistent choice
2. Understanding of the risks and benefits of the choice
3. Demonstrate an understanding of the significance of the choice for their personal circumstances.
4. Be able to reason through the options.

Question 13

Failure modes and effects analysis (FMEA)

Answer 13

Is a prospective, systematic method used to identify and mitigate potential process errors before they occur. Integrating human factors engineering, it enhances safety and reliability.

The process involves:
Forming an interdisciplinary team.
Defining goals and processes.
Mapping the process with flowcharts.
Identifying potential failure modes in each step.
Conducting hazard analysis (evaluating root causes, effects, and probability).
Formulating an action plan to address identified failures.