UNIT – GIVING BAD NEWS 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 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 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 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? This is an example of life-altering chronic diseases: A cirrhosis B AIDS C cancer D pneumonia This is an example of life-limiting serious diseases: A rheumatologic disease B chronic heart failure C coronary heart disease D hematological malignancy 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 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: A blame B anger C denial D shock 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, 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, you? 1B 2C 3D 4B 5A 6D 7B 8C 9D 10C