Nokea
Your new patient in the ER states that she was been beaten and raped. What should you do first?
- A. Ask for a psychiatric consult.
- B. Stay with her and provide support.
- C. Wash and dress her wounds before the rape kit is performed.
- D. Encourage her to tell you the details of what happened.
Correct Answer: B
Rationale: Providing security and support are the best initial interventions. Response C is incorrect. Responses A and D may be needed later.
You may also like to solve these questions
support refers to tangible items.
- A. Companionship
- B. Social
- C. Instrumental
- D. Friendship
Correct Answer: C
Rationale: Instrumental support involves tangible aid, like money or goods, unlike emotional support.
In the problems of sexuality and sexual functioning, the term gender identity refers to
- A. Sexual urges or fantasies
- B. Dissatisfaction with biological sex
- C. Problems with sexual fantasies
- D. Problems with sexual response cycle
Correct Answer: B
Rationale: Gender identity is one's internal gender sense, which may conflict with biological sex.
The role of Primary care physician's in the treatment of mental illnesses in the community is deemed:
- A. More costly.
- B. Less convenient.
- C. Only for continuing the care of follow-up or discharged cases.
- D. Ideal for detecting and treating early illnesses.
Correct Answer: D
Rationale: PCPs are well-placed to detect and treat mental illnesses early due to their accessibility and ongoing patient relationships.
What is important to note about Divalproex (Depakote)?
- A. Can be toxic to liver
- B. Lethal in overdose
- C. contraindicated in first trimester of pregnancy
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A because Divalproex (Depakote) can be toxic to the liver. This is important to note as it can lead to liver damage and liver function tests should be monitored regularly. Choice B, lethal in overdose, is incorrect as while overdose can be serious, it is not specifically lethal. Choice C, contraindicated in the first trimester of pregnancy, is also incorrect as Divalproex is actually known to be used for certain seizure disorders during pregnancy. Choice D, palpitations, is unrelated to the medication's primary side effects.
In considering intervention choice points, where should a family practitioner begin?
- A. Couple dyadic-Experiential
- B. Family-Community/Behavioural-Interactional
- C. Individual-Historical
- D. Family-Community/Experiential
Correct Answer: B
Rationale: Starting with family-community and behavioral-interactional approaches allows practitioners to assess systemic interactions and environmental influences first.