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DHA Marriage and Family Psychology (DHA-FamilyPsyc) Practice Exams & Test Prep Questions - Review


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DHA Marriage and Family Psychology - Reviews


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DHA Marriage and Family Psychology - Test Reviews Sample Questions

What is the term used to define "the timely use of personal health services to achieve the best health outcomes"?

Correct Answer:
access to care


the term "access to care" is used to define the timely use of personal health services to achieve the best health outcomes. this concept is a crucial aspect of health care as it focuses on the ability of individuals to obtain and use health services when needed. the ultimate goal of access to care is to improve and maintain the health of individuals and communities.

access to care involves several distinct steps. the first is gaining entry into the health care system, which can be achieved through insurance coverage, local availability of services, and the ability to pay for services. the second step involves reaching a location where needed health services are provided. this could be a clinic, a hospital, or a doctor's office, and it depends on factors like transportation, travel time, and convenience of service hours.

the third step of access to care involves finding health care providers who meet the patient's needs and can establish a trusted relationship with them. this includes finding providers who respect patients' culture, communicate in their language, are sensitive to their needs, and involve them in decisions about their own health.

it's important to note that access to care does not guarantee good health outcomes, but it increases the likelihood of receiving necessary medical care and preventing serious illness. barriers to access, including lack of availability, high cost, and lack of insurance coverage, can lead to unmet health needs, delays in receiving appropriate care, inability to get preventive services, and hospitalizations that could have been prevented.

in summary, "access to care" is the term used to define the timely use of personal health services to achieve the best health outcomes. it involves gaining entry into the health care system, getting to a location where needed health services are provided, and finding health care providers who meet the patient's needs. improving access to care is a key goal of health care systems around the world.

If a legally incompetent client has dementia and is experiencing hallucinations but is eligible for a new drug trial, what would he not be able to provide? 

Correct Answer:
informed consent


the concept of informed consent is foundational in both ethical and legal frameworks within healthcare, particularly when involving patients in clinical trials. informed consent implies that a patient fully understands the potential risks, benefits, and implications of a medical procedure or participation in a clinical trial. this understanding enables the individual to make a knowledgeable and voluntary decision about whether to proceed.

for informed consent to be valid, the individual must have the capacity to comprehend the information presented and must be able to make decisions based on this understanding. capacity, in this context, refers to the cognitive and mental ability to process information and foresee the consequences of decisions.

in the scenario described, the client has dementia and is experiencing hallucinations. dementia is a condition characterized by a decline in memory, reasoning, judgment, and other cognitive functions. hallucinations, which are perceptions that occur without an actual external stimulus, further impair the individual's ability to maintain a clear and consistent understanding of reality.

given these symptoms, the client's cognitive impairments likely hinder their ability to fully grasp complex medical information, including the details of the drug trial. this impairment compromises the client’s capacity to provide true informed consent. they may not be able to appreciate the nature and purpose of the trial, evaluate the potential risks and benefits, or communicate a well-reasoned decision.

in such cases, it is crucial for healthcare providers to seek the involvement of a legally authorized representative who can make decisions on behalf of the client. this could be a family member, a legal guardian, or someone else designated by the law or court. the role of this representative is to act in the best interests of the client, considering the client's known wishes and values to the extent that these can be ascertained.

therefore, in this scenario, while the client is eligible for the drug trial, he would not be able to provide informed consent personally due to the limitations imposed by his medical condition. instead, informed consent must be obtained through an appropriate and authorized surrogate decision-maker, ensuring the ethical and legal obligations toward the client are fully met.