Question 8

September 9, 2015

Question:

In terms of follow-up for this patient, which is the most appropriate strategy? [Select the one best answer]

Answers

Answer:

Refrain from asking about intimate partner violence during follow-up visits. Since she has already disclosed her situation, if the patient wants to bring up anything in the future, she will do so on her own.

Correct Answer?

Explanation:

A. Incorrect Follow-up is important in terms of the abuse that was disclosed. When the health care provider voices ongoing care and concern, the patient feels believed, supported and validated. In addition, it is important to remember that survivors also require ongoing well and illness care, and that follow-up is key to providing appropriate prevention-focused primary health care.

Answers

Answer:

Health privacy laws prohibit the health care provider from asking follow-up questions unless they are designed to assess whether a report to Child Protective Services is warranted.

Correct Answer?

Explanation:

B. Incorrect This statement is without basis in fact.

Answers

Answer:

The patient should be asked if she would be willing to come in for one or more dedicated follow-up visits to further explore the abuse she has disclosed, at a time and place that she feels would be helpful.

Correct Answer?

Explanation:

C. CORRECT This is an appropriate and preferred response, as described above in answer (a).

Answers

Answer:

Since both of the patient’s medical problems (hypertension and asthma) are likely caused by, related to, or exacerbated by the abusive relationship she is in, the next time the patient comes in for a scheduled visit, only a domestic violence advocate, not a clinical health care provider, should see the patient.

Correct Answer?

Explanation:

D. Incorrect Even though advocates and social workers are key allies and can serve as expert resources for health care providers, they should only be called in at the patient's request or with the patient's consent. It is often advantageous for a hospital or community-based advocate or social worker to meet with the patient in a safe and secure office setting, however, this should be in addition to, and not in place of, the medical encounter.

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