communicating with patients

Question 1

Central building block of the physician – patient relationship which leads to an ideal delivery of care

Answer 1

Communication

Question 2

The ability to be fully present in the moment of the interview with the person who has come for help and care

Answer 2

Listening skills

Question 3

Educational principles

Answer 3

 Feedback  Reinforcement  Individualization  Facilitation  Relevance  Multiple channels

Question 4

 A key element in establishing the 3R’s of an interview

Answer 4

 Rapport  Respect  Relationship

Question 5

Active listening skills

Answer 5

 Attending  Bracketing  Leading  Reflecting content  Reflecting feeling  Reflecting experience  Focusing  Probing

Question 6

I am listening to you and I understand where you are coming from.

Answer 6

Attending

 L – lean forward  O – open stance  V – voice of compassion  E – eye contact  R – relaxed position  S – sit at an angle

Question 7

 Setting aside our biases, prejudices and preconceived notions about the situation or condition that the patient is talking about

Answer 7

Bracketing

Question 8

Integral part of patient care

Answer 8

Health education

Question 9

Rflecting

 Paraphrasing 
 Articulate the feelings for the patient
 Counselor takes note of the patient’s gestures or nonverbal cues

Perception checking

Answer 9

Content
Feeling
Experience
Content

Question 10

Barriers to effective communication

Answer 10

 Time demands  Interruptions  Technology

Question 11

 Open invitation for the patient to talk about anything that he / she wishes

Answer 11

Indirect leads

Question 12

 Usually consist of open-ended questions

Answer 12

Probing

Question 13

 Explore what the news means to the patient  Offer REALISTIC hope  Inquire about the patients emotional and spiritual needs  Offer resources for assistance as indicated

Answer 13

Encourage and validate

Question 14

 Enumerate the problems brought up by the patient and identify which one is the most troublesome

Answer 14

Focusing

Question 15

 The patient is asked to choose which issue is most important

Answer 15

Focusing

Question 16

Be prepared to discuss basics of treatment and prognosis

Answer 16

Advanced preparation

Question 17

 Assess and respond to emotional reactions  Be aware of body language  Be supportive and empathetic  Avoid criticizing health professionals

Answer 17

Deal with reactions

Question 18

 Often an unpleasant task that must be approached with the patient’s best interest in mind

Answer 18

Breaking the bad news

Question 19

 Familiarize yourself with relevant clinical information

Answer 19

Advanced preparation

Question 20

 Patient’s generally desire frank and empathic disclosure of a terminal diagnosis or other bad news

Answer 20

Breaking the bad news

Question 21

 Doctor – counselor makes a judgement call where the patient should go

Answer 21

Direct leads

Question 22

 Use appropriate touch  Meet everyone Have family support present

Answer 22

Build a therapeutic environment and relationship

Question 23

 Allow for silence and tears  Ask the patient to restate what has been said  Always allow time for questions

Answer 23

Communicate well

Question 24

 Share additional information frankly using common language and compassion

Answer 24

Communicate well