leen
Forum Guru
Topics: 79
Posts: 294
|
A 27-year-old woman with alcohol dependence and major depressive disorder tells the physician that she has been repeatedly physically and emotionally abused by her current partner. Which of the following is the most appropriate initial response by the physician? A) “Battering only grows worse over time. For your safety and self-esteem, it is in your best interest to leave this relationship”
B) “Do you feel it is safe for you to return home?”
C) “Is there any way you can keep him from getting so angry?”
D) “There may be a correlation between your history of alcoholism and the abuse. If you take some steps to stop your alcohol intake, the abuse may possibly subside”
E) “Why do you think your partner abuses you?”
|
| mistral92
Forum Senior
Topics: 4
Posts: 185
|
E.
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,125
|
D
___________________
The Key to Succeed is Patience.
|
| p53
Forum Guru
Topics: 51
Posts: 804
|
B.
___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
B cos you have a duty to protect the patient????
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| Geroo
Forum Guru
Topics: 114
Posts: 799
|
i think E is the best initial response
|
| huzefa
Forum Junior
Topics: 2
Posts: 66
|
B. Because the first thing to do is make sure the patient's life is not in danger by her returning to her home. Everything else, such as why the abuse is occuring or how to stop it, is secondary.
|
| ManuNastai
Transilvanian..
Topics: 55
Posts: 838
|
who the hell knows? 
___________________
"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca
|
| mjl1717
Forum Hero
Topics: 955
Posts: 5,451
|
B is a strong answer-{ you look out for her welfare objectively} I think its unfair to blame only alcohol
___________________
Smell the coffee! "Is That an Osler move??"
|
| achilles
Forum Guru
Topics: 87
Posts: 1,208
|
i'll go for E.
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
|
| r_albayunen
Forum Senior
Topics: 0
Posts: 218
|
E ..
2 things are good: to make her talk .. and find out why is he abusing her .. if its related or not to her situation.
let see the answer ,,
|
| pearljam59
Forum Guru
Topics: 120
Posts: 273
|
I STRONGLY believe it is B...but I have no factual basis whatsoever other then the well-being of the patient a primary concern.
If you think E well you might get some answers but then she goes home and BAM! knocked upside the head and unconscious the moment she gets home! How is that being a good doctor?!
|
| pawan.dr
Forum Junior
Topics: 5
Posts: 26
|
I AM SURE IT IS B. THE SAFETY OF THE PATIENT IS UR FIRST PRIORITY. EVERYTHIN I REPEAT EVERYTHING ELSE IS UNIMPORTANT
|
| msyamp
Forum Fanatic
Topics: 60
Posts: 1,462
|
i go with E
___________________
If you think you can You can! If you think you cant you are right again!!
|
| krsna
Forum Senior
Topics: 1
Posts: 211
|
i too go for E...seems best to say under the circumstances.
u've gotto get info out of patient...we cant just believe wat an alcoholic says!!
|
| yasmeen
Forum Guru
Topics: 67
Posts: 936
|
its B I CAME ACROSS THIS Q AND ANSWER WAS B
|
| spitmetal
Forum Guru
Topics: 25
Posts: 635
|
why not a? i dont understand why a is a bad answer?
___________________
NEVER REGRET IF U DID YOUR BEST--"THE PEOPLE WHO CAN'T DO SOMETHING WILL KEEP SAYING THAT YOU CAN'T DO IT.....BUT REMEMBER YOU CAN DO IT!!" by Dr. Luck a member of this forum
|
| chazan
Forum Senior
Topics: 7
Posts: 53
|
you can't just assume everything on one line of the pt...you need more info...a is not right b/c you can't jump to correcting a situation w/o knowing all the details. I would go with E...
In the Kaplan Cd's, the psych professor says that always get more info and if in doubt about an answer, always pick the one with the pt. talking rather than the doctor. More info is always good
|
| netlover
Forum Junior
Topics: 3
Posts: 54
|
I will go with E. You need more info to make sure if she got abused before you move on next step.
|
| guest007
Forum Senior
Topics: 11
Posts: 106
|
guys if u want to score a point in usmle step 1 ......for god sake answer this one as E.......never forget this basic .....allow the patient to talk more.......
B was a real distractor......the patient's safety is important but here she is not in a state of commiting suicide.....or has not been threatened by the husband
|
| nadiabarati
|
B
|
| Diego Casali
Forum Elite
Topics: 7
Posts: 234
|
I think B is the correct answer. Patient's safety is a priority.
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
the answer is B. i saw similar question in BRS 4th edition chapter 20 p 192 ( aggression and abuse). fadem says the most important thing is to protect the patient's safety. D,E appear accusatory as though she were to blame for her problem and they are not appropriate.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| black
Forum Senior
Topics: 10
Posts: 29
|
The answer is B.
This is what they teach here in American Medical schools. NEVER choose option E in this case coz you come across as blaming the patient, D is the same,, nobody deserves to be abused even if they are alcoholics. Now after making sure the patient is safe, then you can move towards step 2 which is addressing risky behaviors that compound or expose the patient to abuse. But your intitial response is to make sure the patient is safe.
I am sure of this answer.
|
| trixy
Forum Newbie
Topics: 2
Posts: 7
|
no doubt it's B
|
|
| |
| | | | | | | | | | | | | | | | | | | | | | | | | |
