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3RD YEAR RESEARCH > [comm] > Flashcards

[comm] Flashcards

1
Q

guide interview by redirecting the patient

A

redirecting

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2
Q

communicate and compare
clarify
fill in any gaps in info

A

summarizing

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3
Q

background through which HPI develops

A

general context of symptoms

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4
Q

the patient’s views strategies

A

active listening
open & closed questions
clarify
redirect
summarize
summay+general context
time of onset
quality home
severity
duration + frequency

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5
Q

topics to be discussed in order to reach an agreement

A

nature of problem
roles of doctor and patient
goals of treatment

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6
Q

four key elements of communication

A

clear info
questions from patient
readiness to discuss
agreement

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7
Q

clinician makes decisions on behalf of patient without including them

A

paternalistic model

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8
Q

the clinician makes decisions on behalf of patient based on what they know about patient’s preferences

A

professional as agent paradigm

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9
Q

clinician provides info and patient decides independently

A

informed consumer model

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10
Q

clinician and patient share info and discuss treatment plan

A

collaborative model

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11
Q

corner stone in reaching agreement

A

collaborative patient-clinician relationship

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12
Q

ASK to assess patients needs by asking about (6)

A

privacy
physical + emotional needs
knowledge + understanding
attitudes + motivation
informational needs
literacy

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13
Q

TELL components (6)

A

1-tell info briefly
2-personalize info
3-systematic approach
4-simple non alarming words
5-appreciate patient prior successes
6-advice patient w/ supplementary resources

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14
Q

ASK about patients understanding , emotions barriers (3)

A

check for:
1-patient’s understanding
2-emotional responses (respond accordingly)
3-barriers

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15
Q

systematic approach template

A

name problem
discuss what’s expected
discuss what’s to be done

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16
Q

common pitfalls in valuing the patient’s views (5)

A

1-narrowing focus prematurely thru closed-questions
2-controlling convo
3-restricting info
4-failing to clarify/reopen inquiry
5-failure to elicit

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17
Q

clarification is done thru

A

open & closed questions

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18
Q

drawing conclusions helps

A

decrease likelihood of late arising /hidden complaints
+
helps increase diagnostic accuracy

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19
Q

non verbal warmth & attentiveness is done thru (5)

A

1-eye contact
2-posture
3-tone
4-pace
5-attentive silence

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20
Q

greeting
explaining the situation
summarizing
stating: patient’s concerns are my 1ry focus
respond to emotions right away
encourage participation

….demonstrate

A

verbal warmth & attentiveness

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21
Q

outcomes of a positive doctor patient relationship (6)

A

1-trust
2-no hidden concerns
3-better diagnosis
4-better physical-emotional outcome
5-better coping
6-satisfaction

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22
Q

skills needed to build postivie relationship (4)

A

1-competent doctor
2-warmth, attentiveness, empathy
3-support+reassurance
4-partnership

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23
Q

a complex process that begins by identifying the nature of the problem, defining preferred roles and involvement in decision making, and agreeing on goals

A

reaching agreement

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24
Q

common pitfalls in reaching an agreement (6)

A

1-making prior assumtpions about patient’s preferences
2-failure to discuss all aspects of problem
3-failure to agree on goals of TTT
4-prescribing plans w/o reaching agreement
5-failure to re-evaluate goals over course of illness
6-intepreting patient’s failure to implement plans as non compliance instead of identifying barriers

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25
Q

leading and matching are ____behaviors

A

unconscious

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26
Q

first impressions are based on

A

nonverbal communication

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27
Q

nonverbal structure of empathy
positive connection with your patient

A

rapport

28
Q

behavior that accurately reflects real,internal feeling of person

A

nonverbal

29
Q

facial expressions
eye gaze
gestures
body position

A

kinesics

30
Q

space b/w interacting individuals

A

proxemics

31
Q

qualities of voice: tone, rate, rhythm, volume, emphasis

A

paralanguage

32
Q

involuntary nonverbal signs that reflect person’s internal state & emotional statys

A

autonomic changes

33
Q

general patterns of nonverbal response

A

safe
fight
flight
conversation-withdrawal

34
Q

relaxed body, facial muscles
arms & legs uncrossed
body in open bosture
neutral facial color

A

safe pattern

35
Q

increased body tension
leaning forward w clenched fists
narrowed eyebrows
flaring of nostrils
tensing of mouth
breath deepens

A

fight pattern

36
Q

increased body tension + disengagement
person pulls back
head turned
avoiding eye contact
arms & legs crossed
faster, shallower breathing

A

flight pattern

37
Q

relative immobility
sagging of face and limbs
voice is very soft
hesitant speech
neutral facial color

A

conversation-withdrawal

38
Q

imitating patient’s behavior
helps build safety & trust

A

matching

39
Q

synchronization achieved by matching process

A

leading

40
Q

non-verbal connection that leads patient from feeling unsafe to safe

A

leading

41
Q

non-verbal connection that shows your patient that you understand their emotions & relate to them

A

matching

42
Q

reinforces feeling of power and control

A

vertical height difference

43
Q

best angles of facing?
used when?

A

side-side
presenting lab reports/documents

44
Q

best approach when dealing w cultural differences

A

patient centered approach

45
Q

skills needed to deal w cultural differences

A

curiosity
empathy
respect

46
Q

skills needed to deal w cultural differences

A

curiosity
empathy
respect

47
Q

common pitfalls in dealing w cultural differences

A

1-too much details=uncomfortable, confusing conversation
2-patient’s response is frustrating
3-avoid attacking patient+control your emotions

48
Q

crucial points in diagnosis of anxiety disorders

A

detailed history
respect & analysis of symptoms

49
Q

anxiety should be suspected in

A

-pain, fatigue, neurological symptoms
-recent exacerbation of illness
-major life problems & stress
-showing nervousness (verbally/nonverbally)
-illnesses that lead to anxiety

50
Q

anxiety disorders detected by

A

GAD-7

51
Q

response to patient w/ anxiety

A

empathy
appreciation
interest
support

52
Q

red flags in substance abuse

A

-physical findings
-mental symptoms
-social problems
-education& employment history
-legal problems
-family history

53
Q

diagnostic criteria in drug abuse

A

DSM-IV-TR (12)

54
Q

failure to fulfill obligations
use despite hazardous situations
use depsite problems caused by substance
legal problems

A

substance abuse

55
Q

-tolerance
-withdrawal symptoms
-substances taken in larger amounts/longer periods of time
-excessive time spent on acquiring substance
-obligations unfulfilled
-substance use despite problems caused by substance

A

substance dependence

56
Q

accurate diagnosis of substance abuse depends on

A

careful non biased interview

57
Q

questionnaire used to assess substance abuse

A

CAGE

58
Q

dealing w alcoholics requires

A

experienced knowledge

59
Q

NIAA safe limits

A

MEN: 4 drinks/day
WOMEN: 3 drinks/day

60
Q

best approach in dealing w alcoholics

A

patient-centered approach

61
Q

if an alcoholic patient is uninterested

A

throw light on need for future quitting

62
Q

if alcoholic patient is uncertain

A

motivate them

63
Q

if an alcoholic patient is ready for change

A

augment their confidence

64
Q

alarming signs of alcohol abuse

A

alcohol in breath
DUI
family history

65
Q

steps of breaking bad news

A

1-getting started
2-what the patient already knows
3-how much do they need to know
4-sharing the info
5-responding to feeling
6-planning follow up

66
Q

treatment plan of MUS (4)

A

antidepressant
2-substituting addicting medications
3-physical therapy
4-involving family member

3RD YEAR RESEARCH (3 decks)

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