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Assessment > History taking skills > Flashcards

History taking skills Flashcards

1
Q

Concepts for approaching threatening topics

A

Normalising questions
Approach with expectation of the symptom to defuse guilt
Use symptom exaggeration to determine true frequency
Use familiar language

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2
Q

Stage of the interview to use open ended questions

A

Opening stage

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3
Q

Situations to avoid open ended questions

A

Over-talkative

Extremely poor historian

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4
Q

Purpose of repetition or restatement of what the patient has said during interviews

A

Allow the patient feel you are actively listening

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5
Q

Purposes of summation during an interview

A

Allows patient to check if they have said everything they have intended to
Allow you to give structure to the information gained so far

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6
Q

Interview technique that includes leaning forward, nodding, ‘uh-huh’, ‘go on…’

A

Facilitation

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7
Q

Interview techniques used without focussing on a particular answer

A

Non-directive techniques

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8
Q

Interview techniques used when seeking a particular answer

A

Directed techniques

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9
Q

Stage of the interview to use closed questions

A

Towards the end

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10
Q

Patients to avoid closed questions with

A

Highly suggestible patients

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11
Q

Interview technique where the patient is gently reoriented towards the question

A

Redirection

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12
Q

Interview technique used to move from one topic to another

A

Transition

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13
Q

Three types of transition in interviews

A

Smooth transition
Referred transition
Introduced transition

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14
Q

Type of transition where a cue is taken from something a patient has just said

A

Smooth transition

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15
Q

Type of transition where a cue is taken from something a patient said earlier in the interview

A

Referred transition

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16
Q

Type of transition where a totally new topic is started

A

Introduced transition

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17
Q

Purpose of limit setting in an interview

A

To use time effectively

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18
Q

Interview technique where you point out to the patient something you think they are not telling you, or not being honest about

A

Confrontation

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19
Q

Interview technique where you suggest an association or relationship the patient might not be aware of e.g. ‘you seem anxious when talking about your partner. Are there any relationship difficulties?’

A

Interpretation

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20
Q

Type of interview technique where you purposefully disclose something about your own life

A

Self-revelation

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21
Q

Purposes of using silence during an interview

A

Indicate disapproval or disinterest
Allow the patient to feel they do not need to spend every moment talking
Facilitate further information from the patient

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22
Q

Interview technique where you ask a question based on the assumption a patient exhibits a behaviour without them having told you this e.g. ‘what’s your usual drink’

A

Symptom expectation

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23
Q

Purpose of using symptom expectation in interviews

A

Reduce the guilt or embarrassment of admitting a behaviour

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24
Q

Interview technique where you purposefully guess too high a frequency of a behaviour in order to elicit the true frequency e.g. ‘how many do you smoke a day? Fifty or sixty?’

A

Symptom exaggeration

25
Q

Purpose of reassurance in interview

A

Instil hope and avoid despair for the patient

26
Q

Possible drawback to using reassurance in interview

A

Instilling false hope

27
Q

Interview technique where certain topics are deliberately left for later

A

Postponement

28
Q

Interview technique where you suggest a certain behaviour or feeling is common/normal to reduce a patient’s embarrassment

A

Validation/normalisation

29
Q

Interview technique where you provide realistic praise to a patient to encourage good self-esteem

A

Positive reinforcement

30
Q

Interview technique where you use affirmative statements towards a patient e.g. ‘you have been through a tough time’

A

Statement of respect

31
Q

Interview technique where you encourage the patient to ask questions

A

Partnering

32
Q

Poor interview technique where possible answers are contained in the question

A

Suggestive questions

33
Q

Poor interview technique where you ask multiple questions within one

A

Compound questions

34
Q

Issues with asking compound questions in interview

A

Confuses the patient

Leads to a vague response

35
Q

Non-verbal interview behaviour such as yawning, checking your watch etc. that indicates a lack of attention or interest

A

Negative nonverbal gestures

36
Q

Interview technique where a patient’s own words are used to negate their answers e.g. ‘you said you can’t form relationships but you’ve told me about how close you are with your cousin’

A

Setting traps

37
Q

Advantages to open questions

A

More informative

38
Q

Disadvantages to open questions

A

Not time efficient
Low precision - do not focus on particular symptoms
Low reproducibility at another date

39
Q

Advantages to closed questions

A

Time efficient
Reproducible
Allows focus on precise symptoms

40
Q

Disadvantages of closed questions

A

Low yield in amount of information gained

41
Q

Behavioural observation method where every nth event is described in detail E.g. every fifth time the patient appears to be openly responding is recorded in depth

A

Event sampling

42
Q

Behavioural observation method where observations are made after a certain amount of time e.g. every fifteen minutes

A

Time sampling

43
Q

Behavioural observation method where an attempt is made to explain the function of a certain behaviour made by a patient

A

Functional analysis/ABC analysis

44
Q

Sequence that is recorded in functional analysis/ABC analysis

A

Antecedent
Behaviour
Consequences

45
Q

Population groups functional analysis/ABC analysis is used with

A

LD setting
Dementia care
Challenging behaviour services

46
Q

Communication to have with an interpreter, if using

A

Explain the goals of the interview
Explain the structure and content of the interview
Explain the need for literal translation
Ask for feedback if something is hard to translate
Ask about the patient’s degree of openness
Offer to debrief the interpreter afterwards

47
Q

Substance traditionally used in narcoanalysis

A

Amobarbitol

48
Q

Types of conditions that improve with amobarbitol

A

Non-organic

49
Q

Type of doctor-patient relationship where the doctor decides the treatment and the patient is expected to comply

A

Paternalistic

50
Q

Type of doctor-patient relationship where the doctor provides information and the patient makes any decisions themselves

A

Informative

51
Q

Type of doctor-patient relationship where the doctor knows the patient, and helps them make a decision i.e. there is shared decision making

A

Interpretive

52
Q

Type of doctor-patient relationship where the doctor attempts to steer the patient in a certain direction but ultimately the patient makes decisions themselves

A

Deliberative

53
Q

Repeating what the patient has said exactly how they have said it

A

Repetition

54
Q

Repeating what the patient has said but rearranging the sentence

A

Restatement

55
Q

Apparent deterioration in a patient’s symptoms after an observation of improvement by a healthcare professional

A

Negative therapeutic reaction

56
Q

Process by which a patient unconsciously attempts to mirror past relationships within a therapeutic relationship

A

Transference resistance

57
Q

Interview technique where you attempt to understand the feelings of the patient

A

Empathy

58
Q

Type of question that starts with ‘how is…’

A

Qualitative question

Assessment (22 decks)

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