Interviewing and health hx (Ch. 3) - Bates

Question 1

The ___ process generates the pt’s story and requires empathy, effective comm, and relational skills to respond to cues, feelings, and concerns

Answer 1

interviewing

Question 2

The ___ ___ format is a structured framework for organizing pt info in written or verbal form.

Answer 2

health hx

Question 3

For new pt’s, perform a ___ exam. For pt’s who seek care for specific complains, perform a ___ or ___-___ hx.

Answer 3

comprehensive, focused or problem-oriented

Question 4

___ ___ 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.

Answer 4

Active listening

Question 5

For a response to be ___, it must convey that you feel what the pt is feeling and that you recognize the pt’s feelings.

Answer 5

empathetic

Question 6

Move from ___-___ questions to ___ questions. Avoid ___ questions.

Answer 6

open-ended, focused, leading

Question 7

___ is repetition of the pt’s words and encourages the pt to expand on details and feelings.

Answer 7

Echoing

Question 8

A way to affirm the pt is to ___ what they are saying.

Answer 8

validate

Question 9

The first step to effective ___ is simply identifying and acknowledging the pt’s feelings.

Answer 9

reassurance

Question 10

To put the pt more at ease, explain to them why you are ___.

Answer 10

transitioning

Question 11

Use a ___ title to address the pt, such as Mr. Oneil or Mrs. Walsh. Also acknowledge and greet any ___ or ___ ___.

Answer 11

formal, visitors, family members

Question 12

While conducting the interview, sit at ___ ___ w/the pt if possible, and maintain ___ ___.

Answer 12

eye level, eye contact

Question 13

___ 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.

Answer 13

Disease

Question 14

___ can be defined as how the pt experiences all aspects of the dis, including its effects on relationships, function, and sense of well-being.

Answer 14

Illness

Question 15

Exploring the pt’s perspective incorporates FIFE, which stands for what?

Answer 15

(pt’s) feelings, (pt’s) ideas, (effect of the problem on pt’s) function, (pt’s) expectations

Question 16

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 -.

Answer 16

open-ended, focused, yes or no

Question 17

___ ___ is a set of attitudes, skills, behaviors, and policies that enable organizations and staff to work effectively in cross-cultural situations.

Answer 17

Cultural competence

Question 18

___ 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.

Answer 18

Culture

Question 19

What are the 3 dimensions of cultural humility?

Answer 19

self-awareness, respectful comm, collaborative partnerships

Question 20

___ are the standards we use to measure our own and others’ beliefs and behaviors.

Answer 20

Values

Question 21

___ are the attitudes or feelings that we attach to perceived differences.

Answer 21

Biases

Question 22

___-___ 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.

Answer 22

Decision-making

Question 23

If a pt gets angry, remain ___, appear ___, and avoid being ___. Keep your posture relaxed and non-___.

Answer 23

calm, accepting, confrontational, threatening

Question 24

Keep your questions ___, ___, and ___.

Answer 24

clear, short, simple

Question 25

Refer to genitalia w/explicit words such as penis or vagina and void phrases like "___ ___".

Answer 25

private parts

Question 26

___ 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.

Answer 26

Tolerance

Question 27

___ ___ 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.

Answer 27

Physical dependence

Question 28

___ is a neurobiologic disease w/genetic, psychosocial, and env factors influencing its development and manifestations.

Answer 28

Addiction

Question 29

Safe drinking by the Nat. Inst. of Alcohol Abuse limits men to

Answer 29

14, 4 7, 3 1

Question 30

Clues to domestic abuse include:

Answer 30

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

Question 31

___ are a set of principles crafted through reflection and discussion to define right and wrong.

Answer 31

Ethics

Question 32

___ is providing the greatest good for the greatest #.

Answer 32

Utilitarianism

Question 33

___, aka do no harm

Answer 33

Nonmaleficence

Question 34

___, aka do good for the pt.

Answer 34

Beneficence

Question 35

___, pt's have the right to determine what is in their own best interest.

Answer 35

Autonomy

Question 36

___ is privacy of info not being shared between the clinician and the pt.

Answer 36

Confidentiality