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The patients and their family members will NOT expect this when they receive bad news: A.. The main purpose of step P in SPIKES is to: A.. get the patient ready C.. The doctor can say

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UNIT 7 – GIVING BAD NEWS

1 The patients and their family members will NOT expect this when they receive bad news:

A Clarity of message B Time-saving conversation

C Privacy arrangement D Sense of empathy

2 The main purpose of step P in SPIKES is to:

A have a good preparation B get the patient ready

C understand the patient D give detailed information

3 The doctor can say “you’re very quiet, can I ask what’s going through your mind?” to

the patient in the step of:

A Invitation B Perception C Strategy D Emotion

4 In the step of Invitation, the doctor can say:

A Could you tell me what’s happened so far?

B Would you like me to tell you the details of the diagnosis?

C I can see this news was a huge shock

D So you’ve told me that your biggest worries are telling your children?

5 This is an example of life-altering chronic diseases:

6 This is an example of life-limiting serious diseases:

A rheumatologic disease B chronic heart failure

C coronary heart disease D hematological malignancy

7 The action of inviting the patient and their relatives into a small quite room helps ensure the during a delivery of bad news

A dignity B privacy C empathy D competency

8 After receiving a bad news, the patient keeps talking to himself that “This is not true,

I can not have cancer” This is a response of:

9 The doctor can say “Well, the situation does appear to be more serious than that.” to

the patient in the step of:

A perception B empathy C strategy D knowledge

10 In order to explore the patient’s perception, the doctor might say:

A This might be a bit bewildering, do you follow roughly what I’m saying?

B How are you feeling about hearing the news?

C Do you have any ideas as to what the problem might be?

D You don’t want to be bothered with the details, do you?

1B 2C 3D 4B 5A 6D 7B 8C 9D 10C

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