Concepts of Communication

Question 1

What are two aspects of Reflective Statements that demonstrate active listening?

Answer 1

Echoing (Pt: It was difficult. Doc: Difficult, how?)

Summarizing (Pt: talks for 2 min. Doc: Summarizes)

Question 2

What is Mirroring?

Answer 2

Physician notices and copies pt’s nonverbal communication

Demonstrates Empathy

Question 3

What are some examples of good body language?

Answer 3

Nodding

Eye Contact

Leaning forward

Question 4

What quality in the physician leads to better patient satisfaction and health outcomes

Answer 4

Humility

Question 5

how do you know if a certain topic is not appropriate for a specific encounter?

Answer 5

Both “gut feeling” and experience

Question 6

What are some actions that most people would agree are unethical?

Answer 6

dating/sexy times with a patient

prescribing a controlled med to self or family

Question 7

What are some actions that may be unethical to some and okay to others?

Answer 7

allowing pt’s to call them by first name

allowing access to cell phone numbers

Question 8

What are some ethical “grey areas”?

Answer 8

Rx-ing meds for someone who is not an established pt

providing money to pts

Question 9

How should we respond when pt’s ask us to do things that may be inappropriate?

Answer 9

Blame the guidelines

Blame the administration

Express discomfort in request

Question 10

what is ambivalence?

Answer 10

smoking even though you know it’s bad for you

Question 11

What are the four steps of motivational interviewing?

Answer 11

1. Open-ended questions
2. Affirmations
3. Reflective Listening
4. Summaries

Question 12

What are the Stages of Behavior Change?

Answer 12

1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance

Question 13

What is a Written Controlled Substance agreement?

Answer 13

signed agreement between pt and doc to provide education and lsit expectations by each of the parties signing the agreement

• Restricts pt to one drug in the category and one pharmacy
• Docutments proper way to fill request
• Rx how frequently pt must make appts.
• Deiscusses monitoring

Question 14

What are verbal agreements?

Answer 14

Physician clearly stats and ensures that the patient understands

Must be documented in note

Question 15

What is necessary for informed consent?

Answer 15

Pt must be able to demonstrate understanding, consequences, reasoning and their own wishes

Age, neuro/psych conditions, low education and language barriers can conflict with ability to give informed conset

Question 16

What is implied consent?

Answer 16

Pt passively goes along with doc without discussion of r/b

Example is a physical exam

Question 17

What is verbal consent?

Answer 17

Pt verbalizes consent to a specific procedure after discussing r/b

Question 18

What is written consent?

Answer 18

Pt signs a form after discussing r/b

Usually for more intense procedures

Question 19

What are some things to remember about using a translator?

Answer 19

Should not be a child or family member unless it’s an emergency

Speak to pt in small sentences and allow time for the translator to translate

Allow extra time in the encounter

Use teach-back methods

Document the translators name