Interview Basics Flashcards
NURS mnemonic for responding to feelings/emotions that empathetically address the emotion
Name (restate their complaint)
Understand (state understanding)
Respect (i.e., tell them they show courage)
Support (tell them you want to help)
What is one way that healthcare providers and systems are assessed?
HCAHPS survey
[hospital consumer assessment of healthcare providers and systems]
What are the ACGME core competencies for PBL?
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
ACGME core competencies for interpersonal and communication skills
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
ACGME core competencies in professionalism
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
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
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
Patient education should be written for what educational level?
6th grade or lower
What is SMASH FM?
Part of subjective:
Surgical hx Medications Allergies Social hx Hospitalizations
Family hx
(Past) Medical hx
What are the following medication routes?
PO IM IV PR PV SL TDS
PO - oral
IM - intramuscular
IV - intravenous
PR - rectally
PV - transvaginal
SL - sublingual
TDS - transdermal
Frequency of medication
QD BID TID QID QoD Prn
QD - daily
BID - twice daily
TID - 3x daily
QID - 4x daily
QoD - every other day
Prn - as needed
What would you add to your dx list if your patient is on 5-10 medications?
Polypharmacy
How should PMH be recorded
Current and past medical problems listed in order of importance
Date of diagnosis if possible
Can add comment/explanation
How are hospitalizations recorded
What they were hospitalized for, what year/time
How is PSH for a hysterectomy documented?
Must be very specific:
Partial hysterectomy if cervix remains
Total hysterecomy if full uterus removed
BSO - bilateral salpingo-oophorectomy (both ovaries removed)
What is included in social hx?
Food Exercise Drugs Tobacco Alcohol Caffeine Occupation Sexual hx Spirituality
How would you document FH if a patient is unsure if their family member has been diagnosed officially?
Report it using quotations
ROS includes what 14 systems?
General/constitutional Head/neck Cardiac Pulmonary Gastrointestinal MSK Neurological Psychiatric Endocrinology Skin Allergic/immunologic Hematologic/lymphatic Dental
What does probable vs. possible indicate in your assessment?
Probable = greater than 50% sure
Possible = less than 50% sure
How much daily activity is recommended for adults per week? For children?
150 mins/week adults
60 mins/day
How are “pack years” calculated for patients that are smokers?
(# packs smoked/day) x (# years smoked) = pack years
What 2 question sets are used to assess alcohol use?
AUDIT (alcohol use disorders identification test)
CAGE
When should you CAGE someone? - note male vs. female differences
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]
What are the CAGE questions
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?
What type of relationship info might be included in social hx?
Living environment
Support system
Domestic violence
Marriage/partnering
What questions might you ask if you suspect domestic violence?
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?
What are the 5 p’s of assessing someone’s sexual history?
Partners Pregnancy prevention Protection from STDs Practices Past hx of STDs
In what ways should you screen for general safety habits?
Guns - locked up?
Seat/safety belts in car
Helmets on bike/scooter/motorcycle
Smoke detectors, CO detectors
Fall risk - need personal alarm?
