Consultation

Question 1

connecting, summarising, handing over, safety netting and housekeeping

Answer 1

Neighbour

Question 2

After first unprovoked seizure, how long minimum to not drive?

Answer 2

6 months

Question 3

what is collusion in medical/doctor-patient relationship terms?

Answer 3

An unquestioning acceptance to the explanation offered by the patient

Question 4

Maximum number of foster children allowed for a family?

Answer 4

3

Question 5

A male employee of the practice tells you that his wife is expecting twins, and he would like to take some leave. He meets all the requirements for Shared Parental Leave.

What is the MAXIMUM amount (combined) of time both parents are entitled to? Select ONE option only.

Answer 5

50 weeks
37 weeks paid

Question 6

Who does a Young Carers Needs Assessment?

Answer 6

Social worker

Question 7

• What has happened?
• Why?
• Why to me?
• Why now?
• What would happen if left?
• What should I do?

Answer 7

Helman

Question 8

• The management of the presenting complaint
• Modification of health seeking behaviours
• Management of continuing problems
• Opportunistic health promotion.

Answer 8

Stott & Davis

Question 9

Making a connection
Exploration of the reason for coming
History and examination
Consideration of the problem by doctor and/or patient
Treatment and investigation considered
End

Answer 9

Byrne & Long

Question 10

exploring both the disease and the illness experience
understanding the whole person
finding common ground
incorporating prevention and health promotion
enhancing the doctor-patient relationship
being realistic (with time and resources)

Answer 10

Stewart

Question 11

interviewing and history-taking
physical examination
diagnosis and problem-solving
patient management
relating to patients
anticipatory care
record keeping

Answer 11

Fraser - Areas of competence - 1992

Question 12

the consultation is a meeting between two experts
doctors are experts in medicine
patients are experts in their own illnesses
shared understanding is the aim
doctors should seek to understand the patient’s beliefs
doctors should address explanations in terms of the patient’s belief system

Answer 12

Tuckett - meeting of two experts - 1985

Question 13

initiating the session
gathering information
building the relationship
giving information, explaining and planning
closing the session

Answer 13

Calgary-Cambridge observation guide- Kurtz and Silverman - 1996

Question 14

define the reason for the patient’s attendance (ideas, concerns and expectations)
consider other problems
with the patient, choose an appropriate action for each problem
achieve a shared understanding of the problems with the patient
involve the patient in the management and encourage him/her to accept appropriate responsibility
use time and resources appropriately
establish or maintain a relationship with the patient which helps to achieve the other tasks

Answer 14

Pendleton - The Consultation: an Approach to Learning and Teaching - 1984, 2003