Lecture 1

Question 1

What are the three functions of the medical interview?

Answer 1

1. To build the relationship between a doctor and patient
2. To assess (diagnose) a patient’s problems.
3. To treat a patient’s problems

Question 2

What are some good nonverbal communication skills for the interview?

Answer 2

1. Eye contact
2. Smile
3. Good energy
4. Arms uncrossed
5. Seated at eye level

Question 3

What is the empathy (NURS) model?

Answer 3

1. Naming - I can see that you are angry (sad, scared)
2. Understanding - I can understand why you might be angry (upset, afraid, nervous)
3. Respect - you did the right things by coming in, I respect how you are handling this
4. Support - I’ll be here when you need me again, We’ll be here when you need us again

Question 4

What are the four “Cs”?

Answer 4

1. Courtesy (meet and acknowledge others in the room and establish their roles and degree of participation)
2. Comfort (ensure physical comfort for all; yours too)
3. Connection (listen alertly, respect silence, avoid being judgmental
4. Confirmation (ask the patient to summarize the discussion)

Question 5

What are the two types of health histories and what context do you do them both in?

Answer 5

1. Comprehensive history - new patients in either the office or hospital, “physicals”
2. Problem-focused history - relies on selected and relevant portions of the comprehensive history. Adapted to the patient, the goal of the assessment and the clinical setting and time

Question 6

Identifying Data (4 aspects)

Answer 6

1. Date and time
2. Age, gender
3. Source of the history (patient, caregiver)
4. Estimate reliability

Question 7

How do you ask for the chief compaint?

Answer 7

• Open ended question, “Tell me why your’re here today”

- Make sure to record in the patient’s own words ALWAYS in quotations

Question 8

What are the eight attributes of history of present illness?

Answer 8

Onset and context - When did it begin? What were you doing when it started?

Location- Where is it located? Can you point to it with one finger?

Duration - How long has it been going on? Is it continuous? Does it come and go? If it comes and goes, how long does it last for?

Character - What does it feel like?

Addravating/associated factors - Does anythign make it worse? If so, what? Do you have any other symptoms?

Relieving/ Radiating - Is there anything that makes it better? Does it go anywhere?

Temporal factors - How has it changed over time?

Severity of symptoms - 0-10 scale, how does the pain affect your ability to go about daily activities?