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Early Patient Encounter and Communication Skills > Final revision communication skills > Flashcards

Final revision communication skills Flashcards

1
Q

________is a science and an art

A

Communication

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2
Q

Areas of communication in medicine include

A

questioning skills in history taking, giving information in health education/patient education and anticipatory care

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3
Q

Anticipatory care is

A

active listening and consultation

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4
Q

The goal of communication is_________

A

mutual understanding

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5
Q

Linear approach is

A

a sender having an idea translated as a message sent to a receiver along a communication channel

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6
Q

transactional approach

A

receiver through feedback, will also affect the sender

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7
Q

A sender is

A

an individual that initiates the communication

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8
Q

Encoding is when

A

The sender put his ideas and thoughts in a message using several forms of verbal and non-verbal communication: speech, written text, pictures
- A good way for the sender to improve encoding their message is to think from the receiver’s point of view to reduce misunderstanding

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9
Q

Messages need to be

A

courteous, complete, coherent, correct, concrete, concise and clear

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10
Q

Types of communication channels

A

Face to face, print media, mass media, telephones, internet and social media

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11
Q

Decoding is done by the

A

reciever

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12
Q

Interpretation of the message depends on receiver’s

A

experiences, attitude, knowledge, skills, perceptions, and culture
-It is similar to the sender’s relationship with encoding.

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13
Q

Successful communication takes place when the

A

receiver correctly interprets the sender’s message.

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14
Q

Types of noise

A

environmental
phycological
Health status
Channel of communication (unsuitable message or unclear language)

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15
Q

Non-verbal communication represents

A

two thirds of communication in practice.

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16
Q

eye contact and body touch

A

should respect the local culture (between different sexes)

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17
Q

Listening is an _____ in which conscious decision is made to listen to and understand the message of the speaker.

A

active process

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18
Q

When is small group communication used

A

In health education and in group therapy

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19
Q

Communication barriers

A

Factors related to sender: not clear message
Factors related to receiver: Limited receptiveness, negative attitude and limited education

Social and culture gaps
Factors related to message: confusing, not related
Factors related to the environment: distraction or loud noises.

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20
Q

Physicians consider a _______ approach to build trust, and establish caring relationships with patients.

A

bio-psycho

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21
Q

-For Effective Consultation:

A

Acknowledge patient’s concerns and symptoms

 To allocate time and resources to solve concerns

 Encourage honest transfer of information that will provide a more comprehensive picture of patient’s concerns

 Avoid open skepticism or disproving comments when discussing patient’s concerns

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22
Q

Communication process is

A

Dynamic
Continuous
Irreversible
Transactional

23
Q

Represents 2/3 of communication

A

Non-verbal communication

24
Q

non verbal communication addresses ______. Its also ___________

A

all senses, indirect and unconscious

25
Q

Successful communication is the message of sender well perceived and produces changes in ………

A

Knowledge, Attitude, Practice

26
Q

Satisfied patient is reflected on doctor in

A

Job satisfaction
Less work stress
Reduce Burnout

27
Q

Goals of doctor-patient communication

A

Creating a good relationship
Facilitating exchange of info
Including patients in decision making
More patient centered care—->More satisfaction

28
Q

Consultation inculdes

A

All steps of patient encounter and relationship

29
Q

Consultation must follow…….

A

Holistic approach (look at person as a whole)

30
Q

For effective consultation

A

Acknowledge patient concerns and symptoms
Allocate time and resources
Honest transfer of info
Avoid open skepticism or disproving comments

31
Q

Types of questions

A

Open: what, why, how
Closed: Yes or no
Clarifying: to understand
Verifying: to confirm

32
Q

Skills for good patient communication

A

Show you care

May ask same questions in different ways to be sure client understands

Start with open questions
Use facilitating nonverbal communication
Closed questions to get more specific info
Avoid leading questions
Avoid interrogating questions
33
Q

Reflecting is

A

Paraphrasing but with more emotional tone

34
Q

Proper nonverbal communication

A

Lean forward and eye contact

35
Q

What are the techniques for communication

A

Use silence appropriately; don’t interrupt during pauses

Clarify what you don’t understand

Paraphrasing in your own words

Reflection

Proper non verbal communication

Summarize at the end

36
Q

Requirements for communication

A

Picking up cues
Facilitation
Clarification
Reflection: help patient to proceed

Help patient to be relevant by interrupting at appropriate points to redirect the patient

Silence: use it to observe patient

Summarize

37
Q

Information giving skills

A 
Sequencing events
Direct flow of info
Summarize points
Follow rules of health education
Put important things 1st
38
Q

Communication before examination or medical procedures

A

Reassure
Proper H/O
Explain procedure
Explain when the procedure will be formed

39
Q

Communication during procedures

A

Privacy and respect patient modesty
Reassure
Ensure presence of nurse
Explain each step before it happens

40
Q

Communication after procedure

A 
Outcome
Time of discharge
Additional investigation
Signs of normal recovery
Warning signs of immediate return
Follow up appointment
41
Q

Anticipatory care

A

Messages to prevent side effects

Opportunity for general health education

42
Q

Useful anticipatory care actions

A

review patient records to find opportunity for preventive intervention

Be alert for verbal and non verbal cues point to problem

Be selective and prioritize problems to be adressed

43
Q

Medical instructions are hard to be remembered and followed for both patient and provider so

A

Treatment plan should be discussed with patients periodically assessed

Ask patient to an appointment

Overcome communication barriers

Plain language

Instructions

Focus on immediate skills and behaviors

More info at the correct time

Adherence aids and reminders

Use teach back: Patient repeats in his own words

44
Q

final aim of consultation is

A

Patient compliance and cure

45
Q

Principles of consultation

A

Discover reason for attendance
Define clinical problem
Address patient problem
Explain to patient

46
Q

Health literacy

A

Is the degree which individuals have the capacity to obtain process and understand basic health info and services needed to make appropriate decisions

47
Q

Goals of health education

A

Make realistic improvements in quality of life
Change of behavior and adoption
KAP (Knowledge, attitude and practice)

48
Q

Adoption means

A

Practice becomes normal without relapse.

49
Q

Role of health educators

A 
Assessment of community needs 
Plan HE program
Implement HE program
Evaluation
Coordination
Communication
50
Q

HE message must be

A 
One major concern at a time
Simple clear and easy to understand
Cheap 
Action oriented
Physically accessible
Doesn't contradict religion or tradition
Acceptable
51
Q

_________is the first step for development of suitable message

A

Education diagnosis

52
Q

Purpose of community HE

A

People affecting many people and cooperation is required

Emergencies

Problem requires pooling of resources

53
Q

Disadvantages of mass media

A

One way
Message may not touch needs of recipient
Less effective

54
Q

Requirements for a successful HE

A

Educator
Material
Message
Two way communication

Early Patient Encounter and Communication Skills (2 decks)

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