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Kaplan Qbank USMLE



Author6 Posts
  #1

The daughter of a 65 y.o. vietnamese woman brings her mother in for treatment of a serious medical condition. The older woman who lives with her daughter is alert and oriented. The necessary treatment regimen is quite complex and the older woman does not speak english. To best convey the needed information to this patient, the physician should
a- write the instruction down in english to be translated later
b- explain the instructions to the daughter and have her monitor her mothers treatment
c- call in a translator to explain the instructions to the mother
d- ask the daughter to translate the instruction to the mother
e- refer the patient to a doctor who speaks vietnamese

  #2

d ?

___________________
I can't change the direction of the wind, but I can adjust my sails to always reach my destination.

  #3

Try again..

  #4

c ?

  #5

Answer is C. Communicating as directly as posible with the ptient is particularly importnat in cultures in which the adult chidren may protect an elderly relative from a negative medical diagnosis (asian and hispanic cultures). Thus, in translating the information or monitoring the treatment the daughter may not relay to the elerdly patient the complete picture. Writing the instructions down in english to be translated later is not approporiate because it is uncertain how and when the translation will be done. Since the doctor can call in a translator there is no reason to refer the patient to another doctor. Patients expect to receive care when they visit a physician, and referals should only be make for medical reason. (never pick referals on the exam)

  #6

C







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