A 57-Year-Old Woman with a History of Type 2 Diabetes

question 129

Multiple Choice

A 57-year-old woman with a history of type 2 diabetes mellitus and asthma comes to the office for a preventive visit during influenza season.  The patient belongs to an ethnic minority group and is accompanied by her daughter.  The patient's medical conditions are well controlled, and she currently has no symptoms.  The provider explains that she is at high risk for complications from seasonal influenza and recommends that she get the seasonal influenza vaccine.  The patient says, "I don't trust that vaccine.  It's from the government, so I don't think it's safe for people like me."  Which of the following actions by the physician is most appropriate?

• A)Ask the patient's daughter to encourage her to get the vaccine
• B)Assess the patient for additional delusional thoughts
• C)Initiate discussion about the vaccine, incorporating culturally inclusive materials
• D)Inquire about the patient's understanding of federally funded health care
• E)Respect the patient's wishes and do not administer the vaccine

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Definitions:

Producer Surplus

The difference between the amount producers are willing and able to sell a good for and the actual amount received by them when the good is sold at the market price.

Comparative Advantage

The capacity of a person or collective to conduct a specific economic operation more effectively compared to another.

Absolute Advantage

The ability of an individual, company, or country to produce a good or service at a lower cost per unit than the cost at which any other entity produces that good or service.

Jobs Argument

An economic perspective that emphasizes the creation or maintenance of employment as a primary consideration in policy-making.