Exam 2

Question 1

Mindset

Answer 1

is a state of mind or attitude/assumptions we hold that influence our patient-provider encounters

Our mindset influences how we view and interact with others and our environment

Question 2

Implicit Bias

Answer 2

predicts how we will behave more than our conscious knowledge

Implicit bias is not prejudice

To be mindful of both, implicit bias + prejudice we have to try to understand our beliefs, values, culture, traditions, expectations, past experiences, assumptions, stereotypes and interpersonal personal preferences (positive and negative)

Question 3

Prejudice

Answer 3

Prejudice is our conscious preconceived attitude, opinion or feeling about a subject.

Question 4

What is the Humanistic Domain?

Answer 4

The component of the patient-provider interaction that seeks to engage the patient historically through appropriate use of verbal, listening, educational, and instructional skills and the demonstration of respect, empathy and professionalism.

Question 5

Five Humanistic Domains

Answer 5

Verbal/Listening

Education/Instruction

Respect

Empathy

Professionalism

Question 6

Verbal skills check-list

Answer 6

Speak clearly and appropriately

speak at the appropriate level of education

avoid medical jargon

open to closed question

keep on task

Question 7

Listening skills checklist

Answer 7

Observe the patient for use of non-verbal clues

actively model and remodel the differential diagnosis with each answered question

encourage spontaneity of patient storytelling through prompt minimization

recognize and respond to historical clues

collaborate with the patient and gauge his/her responses to treatment plans

avoid repeating questions that were already answered

legitimize patient concerns

Question 8

Educational/Instructional Checklist

Answer 8

Clearly explain diagnoses

avoiding medical terminology

invest the patient in the outcome by including the patient in the development of his/her plan of treatment

inquire if others should be included in developing a plan of treatment

assure that the treatment plan is logical and easily understood

have the patient restate the treatment plan to assure understanding

Question 9

Respect Checklist

Answer 9

Begin each new patient encounter with unbiased consideration

be polite

introduce yourself by name, title and role

greet the patient by title and last name

ask how the patient would like to be addressed

shake the patient’s hand unless prohibited by culture

demonstrate kindness

help the patient with position changes

preserve patient dignity

ask permission before examining or exposing the patient

respect the patient’s right to choose

respect differences in culture and background

Question 10

Empathy Checklist

Answer 10

demonstrate compassion and sympathy

make appropriate eye contact

truly listen to the patient

show interest in patient’s condition

demonstrate investment of time and concern

acknowledge patient’s current life situation

recognize the impacts on patient’s life

Question 11

Professionalism Checklist

Answer 11

wear professional attire

maintain good hygiene and grooming

prioritize patient concerns verbally

demonstrate compassion and kindness

be confident but avoid egotism

assure and preserve confidentiality

adhere to the highest ethical standards

avoid unprofessional behaviors

Question 12

What is the average time a patient typically speak fore before being interrupted by their doctor?

Answer 12

12-18 seconds

Question 13

What percent of patients are able to fully complete their reason for their visit?

Answer 13

23%

Question 14

What does OLD CARTS stand for?

Answer 14

OLD CARTS

Onset, Location/radiation, Duration, Character, Aggravating factors, Relieving factors, Time and Severity

Question 15

What percent of adults with chronic conditions underuse medication?

Answer 15

30%

Question 16

Qhat percent of adults in hospitals can identify their diagnosis?

Answer 16

less than 50%

Question 17

What is the difference between an open-ended and closed-ended?

Answer 17

Open-ended questions

• questions posed that prompts the patient to answer in their own words, knowledge, and feelings.
• always try to start with open-ended questions

Close-ended questions

• questions posed that narrow a patient responses to yes or no, or a specific selection of choices.
• Use these when the open ended answers are not fruitful to preserve the momentum of a conversation

Question 18

What is Health Literacy?

Answer 18

The degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions

Question 19

What is culture?

Answer 19

a dynamic and creative phenomenon, some aspects of which are shared by large groups of people and other aspects of which are the creation of small groups and individuals resulting from particular life circumstances and histories.

Question 20

What is Cultural competency?

Answer 20

the ability of systems to provide care to patients with diverse values, beliefs, and behaviors, including tailoring the delivery of care to meet patients’ social, cultural and linguistic needs.

Question 21

What is Cultural humility?

Answer 21

the lifelong commitment to self-evaluation and self-critique, to redressing the power imbalances in the patient-physician dynamic, and to developing mutually beneficial and non-paternalistic clinical and advocacy partnerships with communities on behalf of individuals and defined populations

Question 22

What are the steps to cultural competency?

Answer 22

Self-awareness, respectful communication, and collaborative partnerships

Question 23

“Ask me 3” is a tool to…

Answer 23

• facilitate clear communication between patients and physicians
• a simple patient-centered approach to improving health outcomes
• encouraging patients to understand the answers to three questions

1. What is my main problem?
2. What do I need to do?
3. Why is it important for me to do this?

Question 24

The “4C’s” tool …

Answer 24

improves communication by helping patients articulate their preferences

1. Call: What do you call your problem?
2. Cause: What do you think has caused or contributed to your problem?
3. Concern: What concerns you most that we need to be sure to address?
4. Cope: what are you currently doing to cope with your problem.

Question 25

Patient interview

Answer 25

The process of gathering historical data surrounding the patient’s medical concern while employing the humanistic principles

Question 26

Confidence

Answer 26

Assurance and belief in oneself and abilities

Question 27

Confidentiality

Answer 27

the tenant of professionalism assuring that information given by the patient will be kept in strictest confidence

Question 28

HIPPA

Answer 28

health insurance portability and accountability act of 1996 (HIPPA) was designed to protect the private health information of patients

Question 29

Medical Ethics

Answer 29

Moral principles and rules of conduct in the practice of medicine