Interview Basics Flashcards

1
Q

NURS mnemonic for responding to feelings/emotions that empathetically address the emotion

A

Name (restate their complaint)
Understand (state understanding)
Respect (i.e., tell them they show courage)
Support (tell them you want to help)

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2
Q

What is one way that healthcare providers and systems are assessed?

A

HCAHPS survey

[hospital consumer assessment of healthcare providers and systems]

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3
Q

What are the ACGME core competencies for PBL?

A

Gather pertinent info

Documentation of patient encounter

Documentation and clarity of meds

Planning and coordinating follow up care

Demonstrate ability to act as patient advocate

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4
Q

ACGME core competencies for interpersonal and communication skills

A

Able to demonstrate interpersonal communication skills that:

Create/sustain therapeutic and ethically sound relationship with patients

Use effective listening and provide info verbally and written

Work effectively with others as a member of team or leader

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5
Q

ACGME core competencies in professionalism

A

Demonstrate committment to carrying out professional responsibilities

Demonstrate respect, compassion, integrity

Demonstrate committment to ethical principles

Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities

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6
Q

How would you change the medical model (below) to a patient centered model?

  • Patient’s role is passive
  • Patient is recipient of Tx
  • physician dominates conversation
  • care is disease centered
  • physician does most of talking
  • patient may or may not adhere to plan
A

Patient’s role is active

Patient is partner in Tx plan

Physician collaborates with patient

Care is quality of life centered

Physican listens more and talks less

Patient more likely to adhere to plan

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7
Q

Patient education should be written for what educational level?

A

6th grade or lower

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8
Q

What is SMASH FM?

A

Part of subjective:

Surgical hx
Medications
Allergies
Social hx
Hospitalizations

Family hx
(Past) Medical hx

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9
Q

What are the following medication routes?

PO
IM
IV
PR
PV
SL
TDS
A

PO - oral

IM - intramuscular

IV - intravenous

PR - rectally

PV - transvaginal

SL - sublingual

TDS - transdermal

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10
Q

Frequency of medication

QD
BID
TID
QID
QoD
Prn
A

QD - daily

BID - twice daily

TID - 3x daily

QID - 4x daily

QoD - every other day

Prn - as needed

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11
Q

What would you add to your dx list if your patient is on 5-10 medications?

A

Polypharmacy

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12
Q

How should PMH be recorded

A

Current and past medical problems listed in order of importance

Date of diagnosis if possible

Can add comment/explanation

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13
Q

How are hospitalizations recorded

A

What they were hospitalized for, what year/time

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14
Q

How is PSH for a hysterectomy documented?

A

Must be very specific:

Partial hysterectomy if cervix remains

Total hysterecomy if full uterus removed

BSO - bilateral salpingo-oophorectomy (both ovaries removed)

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15
Q

What is included in social hx?

A
Food
Exercise
Drugs
Tobacco
Alcohol
Caffeine
Occupation
Sexual hx
Spirituality
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16
Q

How would you document FH if a patient is unsure if their family member has been diagnosed officially?

A

Report it using quotations

17
Q

ROS includes what 14 systems?

A
General/constitutional
Head/neck
Cardiac
Pulmonary
Gastrointestinal
MSK
Neurological
Psychiatric
Endocrinology
Skin
Allergic/immunologic
Hematologic/lymphatic
Dental
18
Q

What does probable vs. possible indicate in your assessment?

A

Probable = greater than 50% sure

Possible = less than 50% sure

19
Q

How much daily activity is recommended for adults per week? For children?

A

150 mins/week adults

60 mins/day

20
Q

How are “pack years” calculated for patients that are smokers?

A

(# packs smoked/day) x (# years smoked) = pack years

21
Q

What 2 question sets are used to assess alcohol use?

A

AUDIT (alcohol use disorders identification test)

CAGE

22
Q

When should you CAGE someone? - note male vs. female differences

A

Men: 14+ drinks per week or 4+ drinks/day

Women and those over 65: 7+/week or 3+/day

[based on NIAAA safe drinking limits on CDC website]

23
Q

What are the CAGE questions

A

Has anyone ever suggested you CUT BACK

Are you ever ANNOYED when people talk about your drinking?

Do you every feel GUILTY about your drinking?

Do you ever need a drink in the morning to steady your nerves/EYE OPENER?

24
Q

What type of relationship info might be included in social hx?

A

Living environment
Support system
Domestic violence
Marriage/partnering

25
Q

What questions might you ask if you suspect domestic violence?

A

SAFE mnemonic

Do you feel SAFE in your relationship?

Have there been situations in your relationship where you have felt AFRAID?

Are your FAMILY and FRIENDS aware of what is going on?

Do you have a safe place to go in an EMERGENCY?

26
Q

What are the 5 p’s of assessing someone’s sexual history?

A
Partners
Pregnancy prevention
Protection from STDs
Practices
Past hx of STDs
27
Q

In what ways should you screen for general safety habits?

A

Guns - locked up?

Seat/safety belts in car

Helmets on bike/scooter/motorcycle

Smoke detectors, CO detectors

Fall risk - need personal alarm?