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PFC 101: Introduction to Patient-Centered Care / 100% Correct Answers

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Which of the following relationships best reflects the paternalistic model of the patient-provider relationship? (A) Parent-child (B) Teacher-student (C) Commanding officer-soldier (D) Hairstylist-client - ANS -P ...

Which of the following relationships best reflects the paternalistic model of the patient-provider relationship? (A) Parent-child (B) Teacher-student (C) Commanding officer-soldier (D) Hairstylist-client - ANS -Parent-child The correct answer is A, the parent-child relationship. In the paternalistic model, providers make decisions on behalf of patients with their best interests at heart — values such as extending life, decreasing pain, and curing disease. This model is well-suited for emergency situations, but it doesn't work as well when patients have different values and interests than the provider or when social conditions affect the patient's ability to follow a plan of care. In those situations, patients and providers need to work together in collaboration to make a plan of care that works for the patients. Shared decision making, pioneered by Dr. Victor Montori of the Mayo Clinic, best reflects which of the four models of the patient-provider relationship? (A) Paternalistic (B) Informative (C) Interpretive or deliberative (D) None of the above - ANS -Interpretive or deliberative The best answer is C. The interpretive and deliberative models of the patient-provider relationship suggest the provider's role is to elicit and understand the patient's values, preferences, and social context, and then make a plan of care in collaboration with the patient. In shared decision making, providers share their thought process for recommending treatment with patients so that patients can choose the options that work best for them. Which model of the patient-provider relationship is exhibited when the expert provider simply provides information to patients, who hold decision-making power? (A) Paternalistic (B) Informative (C) Interpretive (D) Deliberative - ANS -Informative The answer is B, informative. This model assumes that patients know what their values and interests are, and they just need facts about their medical care to decide what to do. Which of the following is a reason why the paternalistic model is unsuitable for improving health outcomes? (A) Patients can choose whether or not to follow providers' medical advice.

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