An 18-Year-Old Woman Comes to the Office to Discuss Test

question 55

Multiple Choice

An 18-year-old woman comes to the office to discuss test results.  She was evaluated one week ago for recurrent vulvovaginal discharge and reported being sexually active with two partners, using oral contraceptives sometimes.  The patient was counseled on safe sexual practices and tested for sexually transmitted diseases.  The results have returned as positive for HIV.  She has no significant medical history and takes no medications other than oral contraceptives.  The patient's family history is significant for a mother with schizophrenia and a paternal uncle with alcohol use disorder who lives in the home with them.  On hearing her test results and the recommendation to start antiretroviral therapy, she is visibly upset.  Which of the following is the most important intervention to promote adherence to treatment in this patient?

• A)Develop a trusted partnership that incorporates the patient's goals into treatment
• B)Explain in simple language the complications of HIV and have the patient repeat them back
• C)Identify barriers to medication adherence and address them at each visit
• D)Identify underlying psychological stressors and provide supportive counseling
• E)Provide clear written instructions about how and when to take the medications

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Definitions:

Weighted-Average Method

This method calculates inventory and cost of goods sold values by averaging the costs of all goods available for sale, weighting them according to their quantities.

Labour and Overhead

Combined costs associated with the workforce (labour) and indirect expenses (overhead) necessary for production but not directly tied to specific units of product.

Process Costing System

An accounting method used where production is continuous, assigning costs to units of product based on the processes they undergo.

Weighted-Average Method

An inventory costing method that calculates the cost of ending inventory and cost of goods sold based on the average cost of all similar items in the inventory.