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A 68-Year-Old Man Is Brought to the Emergency Department by His

question 33

Multiple Choice

A 68-year-old man is brought to the emergency department by his wife due to "uncharacteristic behavior." The patient started buying large numbers of lottery tickets and decided to quit his job 2 weeks ago. He has maxed out multiple credit cards buying expensive jewelry for his wife. The patient has had difficulty sleeping recently and stays up watching TV into the early morning hours. He says, "I feel really good and finally like what I'm doing." The patient has no psychiatric history. Medical history includes recently diagnosed restless leg syndrome, treated with ropinirole. Temperature is 37.1 C (98.8 F) , blood pressure is 130/80 mm Hg, and pulse is 86/min. Physical examination is within normal limits. The patient is restless, appears to be easily distracted, and speaks rapidly. Complete blood count and basic metabolic panel are within normal limits. Urine drug screen is negative. Which of the following is the most appropriate initial step in management?

Definitions:

Communication Barriers

Obstacles or difficulties in the process of exchanging information that prevent clear and effective communication.

Cross-Cultural Training

Education or training designed to help individuals understand and adapt to cultural differences, enhancing their effectiveness in international environments.

Non-Hierarchical

A structure or organization in which power and authority are distributed evenly among members, without a clear chain of command.

Defensive Labeling

A strategy employed by companies to preemptively address potential criticisms about their products or services through cautious or mitigative language.