ENT Communication and Documentation 3

Question 1

When delivering a new diagnosis of laryngeal squamous cell carcinoma, which protocol provides a structured approach to breaking bad news?

Accepted Answer

SPIKES

Answer

SPIKES (Setting, Perception, Invitation, Knowledge, Emotions, Strategy/Summary) is the widely taught framework for delivering bad news.

Question 2

A patient with a cuffed tracheostomy cannot speak. What is the most appropriate first step to facilitate communication?

Accepted Answer

Provide a writing board or communication board

Answer

With an inflated cuff, a speaking valve is contraindicated, so alternative communication tools like writing boards are used.

Question 3

A wrong-side ear procedure is narrowly avoided during the surgical time-out. How should this event be handled?

Accepted Answer

Report it through the institution's incident or near-miss reporting system

Answer

Near misses should be reported through safety reporting systems to identify system vulnerabilities.

Question 4

Under HIPAA, which disclosure of protected health information does NOT require patient authorization?

Accepted Answer

Sending information to a consulting physician for treatment

Answer

HIPAA permits PHI disclosure without authorization for treatment, payment, and health care operations.

Question 5

When communicating with a patient who has severe hearing loss and reads lips, which practice is best?

Accepted Answer

Face the patient in good lighting and speak clearly at a normal pace

Answer

Lip-readers need a clear, well-lit view of the speaker's face and natural articulation.

ENT - Ear, Nose, and Throat Specialist Certification Practice Test