Interviewing and health hx (Ch. 3) - Bates Flashcards
The ___ process generates the pt’s story and requires empathy, effective comm, and relational skills to respond to cues, feelings, and concerns
interviewing
The ___ ___ format is a structured framework for organizing pt info in written or verbal form.
health hx
For new pt’s, perform a ___ exam. For pt’s who seek care for specific complains, perform a ___ or ___-___ hx.
comprehensive, focused or problem-oriented
___ ___ is the process of closely attending to what the pt is comm, being aware of the pt’s emotional state, and using verbal/nonverbal skills to encourage the speaker to continue and expand upon important concerns.
Active listening
For a response to be ___, it must convey that you feel what the pt is feeling and that you recognize the pt’s feelings.
empathetic
Move from ___-___ questions to ___ questions. Avoid ___ questions.
open-ended, focused, leading
___ is repetition of the pt’s words and encourages the pt to expand on details and feelings.
Echoing
A way to affirm the pt is to ___ what they are saying.
validate
The first step to effective ___ is simply identifying and acknowledging the pt’s feelings.
reassurance
To put the pt more at ease, explain to them why you are ___.
transitioning
Use a ___ title to address the pt, such as Mr. Oneil or Mrs. Walsh. Also acknowledge and greet any ___ or ___ ___.
formal, visitors, family members
While conducting the interview, sit at ___ ___ w/the pt if possible, and maintain ___ ___.
eye level, eye contact
___ is the explanation that the clinician brings to the symptoms. It is the way that the clinician organizes what he/she learns from the pt that leads to a clinical dx.
Disease
___ can be defined as how the pt experiences all aspects of the dis, including its effects on relationships, function, and sense of well-being.
Illness
Exploring the pt’s perspective incorporates FIFE, which stands for what?
(pt’s) feelings, (pt’s) ideas, (effect of the problem on pt’s) function, (pt’s) expectations
At the top of the cone is ___-___ questions to get more of the pt’s story, the middle is more ___ questions to elicit the 7 features of a symptom, and the bottom is ___ or ___ questions that include pertinent + and -.
open-ended, focused, yes or no
___ ___ is a set of attitudes, skills, behaviors, and policies that enable organizations and staff to work effectively in cross-cultural situations.
Cultural competence
___ is the system of shared ideas, rules, and meanings that influences how we view the world, experience it emotionally, and behave in relation to other ppl.
Culture
What are the 3 dimensions of cultural humility?
self-awareness, respectful comm, collaborative partnerships
___ are the standards we use to measure our own and others’ beliefs and behaviors.
Values
___ are the attitudes or feelings that we attach to perceived differences.
Biases
___-___ capacity is the ability to understand info r/t health, to make medical choices based on reason and a consistent set of values, and to declare preferences about tx.
Decision-making
If a pt gets angry, remain ___, appear ___, and avoid being ___. Keep your posture relaxed and non-___.
calm, accepting, confrontational, threatening
Keep your questions ___, ___, and ___.
clear, short, simple
Refer to genitalia w/explicit words such as penis or vagina and void phrases like “___ ___”.
private parts
___ is a state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more of the drug’s effects over time.
Tolerance
___ ___ is a state of adaptation that is manifested by a drug class-specific withdrawal syndrome that can be produced by abrupt cessation of an antagonist.
Physical dependence
___ is a neurobiologic disease w/genetic, psychosocial, and env factors influencing its development and manifestations.
Addiction
Safe drinking by the Nat. Inst. of Alcohol Abuse limits men to
14, 4
7, 3
1
Clues to domestic abuse include:
unexplained injuries, delay in seeking tx, hx of repeated injuries, presence of alcohol/drug abuse in pt or partner, partner tries to dominate the visit, pregnancy at young age, repeated vaginal infections, difficulty walking/sitting, vaginal lacerations/bruises, fear of pelvic exam or physical contact, fear of leaving the exam rm
___ are a set of principles crafted through reflection and discussion to define right and wrong.
Ethics
___ is providing the greatest good for the greatest #.
Utilitarianism
___, aka do no harm
Nonmaleficence
___, aka do good for the pt.
Beneficence
___, pt’s have the right to determine what is in their own best interest.
Autonomy
___ is privacy of info not being shared between the clinician and the pt.
Confidentiality
