Exam 1 - Societal Aspects of Interviewing

Question 1

Cultural Competence

Answer 1

Cultural competence
“The capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs.”

Question 2

Cultural humility

Answer 2

Cultural humility
A process that requires an individual to continually engage in self-reflection and self-critique as lifelong learners and reflective practitioners.

Question 3

What are the three dimensions of Cultural Humility?

Answer 3

1. Self-awareness.
   Learn your own biases- everyone has them.
2. Respect communication.
   Learn directly from your patients and avoid assumptions.
3. Collaborative partnerships.
   Build patient relationships built on respect and mutually accepted plans.

Question 4

Self Awareness

Answer 4

Explore your own cultural identity.

Ethnicity, class, region or country of origin, religion, and political affiliation.

Question 5

Bias

Answer 5

Bias = attitudes or feelings we attach to perceived differences.

Question 6

Values

Answer 6

Values = standards we use to measure our own and other’s beliefs and behaviors.

Question 7

Respectful Communication

Answer 7

Get to know the patient’s cultural background.
Explore the patient’s perspective
Maintain an open, respectful, and inquiring attitude
If you establish rapport and trust, patients will be willing to teach you

Question 8

FIFE

Answer 8

FIFE
The patient’s Feelings, Ideas, Function, Expectations

Feeling or concern about the problem.
Ideas about the cause of the problem.
Function of how it’ll affect them.
Expectations of the disease and PA.

Question 9

Sexuality in PA/Pt Relationship

Answer 9

Emotional and physical intimacy of the clinician-patient relationship may cause sexual feelings.
If you experience those feelings, accept them as normal and bring them to a conscious level so they will not affect your behavior.
Denying the feelings makes it more likely for any clinician to act inappropriately.
ANY sexual contact or romantic relationship with a patient is UNETHICAL.
Keep your relationship with your patient professional.
If you meet a patient who makes sexual advances or acts inappropriately, calmly but firmly make it clear that your relationship is professional, NOT personal.
If the patient continues, leave the room and seek a chaperone.

Question 10

Ethics

Answer 10

Ethics- set of principles that define right and wrong.

Question 11

Building blocks of professional ethics in patient care

Answer 11

Ethics

Nonmaleficence or primum non nocere = “First, do no harm.”
Beneficence = “Do good.”

Patient autonomy
Confidentiality

Question 12

Patient autonomy

Answer 12

Autonomy = reminds us that the patient has the right to determine what is in his or her own best interest.

Question 13

Confidentiality

Answer 13

Confidentiality = the clinician is obligated not to repeat what is learned from or known about a patient.