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- If the patient´s demands are not met, the patient may assume that you did´nt make the propet diagnosis.
- Demand for a specific narcotic can be a warning sing of an addiction problem.

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- Take care to respond in a nonjudgmental fact.
- Use open-endes qustions, and offer the patitnt an opportunity to explain his problem.

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- Possibility of addictive behaviour.
- It´s important to distinguish between drug-seeking behaviour and true addiction.

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-By asking the patient "How can I help you?"
- Rehabilitation facilities, counseling programs.

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Has mental disorder.
Has type a personality.
Has chronic medical problems.

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- In these schenarios emocional control´s important.
- Try to identify the true sourse of the anger.
- Evaluate nonverbal sings of anger, such as a tense expresion, jaw, crossed arms.

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Identify potential threats to your safety

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Identify potential threats to your safety

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Finding an excuse to immediately leave the room.

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- Epathetic comments such as, "I understand that you are upset at having to wait."
- Involve the patient in the outcome by asking him to provide a solution.
- Provide the patient with an opportunity to discuss his concerns.

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- It´s challenging to obtain an adequate history from a patient who either cannot.
- It´s important to identify the cause for the silence.
- Review the patient´s medications.

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- A patient may be silent for many reasons.
- It you can identify the problem, you can address the cause.
- Use an open-ended question.

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- Cultural differences.
- Depression.
- Neurologic deficit.
- Language barriers.

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- The professional relationship between you and the patient should generally be terminated following seductive behaviour.

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Aggressive or escalating seductive behaviour may signal a psychosocial issue in tue patient´s history that needs further evalutacion.

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- Most clinicians are unable to identify seductive behaviour in their patients.
- Patients who demostrate such behaviours tend to have a history of abuse, emotional problems, and somatization disorders.

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T: Determine the problem that is most troubling for the patient.

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T: Determine the problem that is most troubling for the patient.

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H: Evalutate how the patient is handling the problem. 

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H: Evalutate how the patient is handling the problem. 