Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PCM_MIDTERM 01 > Lecture 4-5: Interview Basics > Flashcards

Lecture 4-5: Interview Basics Flashcards

1
Q

What are the laws of personal space?

A

Intimate: 1.5 feet away
Personal: 4 feet away
Social: 10 feet away

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are some active listening skills?

A 
Smile
Eye Contact
Posture
Mirroring
Minimize Distraction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

At what grade level should patient education material be written at?

A

6th grade level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a Patient Centered Medical Home (PCMH)?

A

Model of care that allows patient and sometimes their families be a partner in the treatment plan.

The patient treatment and care is coordinated through primary care provider and clincal care team in a way the patient udnerstands.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does SOAP note stand for?

A

Subjective: what the patient says about the history
Objective: physical findings (physical exam, structural findings, laboratory, and radiology data)
Assessment: Potential Diagnosis
Plan: How to treat and any OMT performed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is included in Subjective part of SOAP Note?

A 
Chief Complain
History of Present Illness (HPI)
Review of System (ROS)
Past Medical History (PMH)
Past Surgical History (PSH)
Medications (Meds)
Allergies (All)
Family History (FH)
Social History (SH)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is included in Objective part of SOAP Note?

A

Physical Findings (including Vital signs)
Laboratory Data
Radiology Data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is included in Assessment part of SOAP Note?

A

Differential Diagnosis listed in most likely to least likely
-assessment not always diagnosis

Or

Dx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is included in Plan part of SOAP Note?

A

What clinician plants to do about problems identified in assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does the mnemonic OLD CAAARTS stand for?

A 
Onset: when did it start
Location
Duration: constant or comes and goes 
Character
Alleviating Factors: Anything else about CC
Aggravating Factors
Associated Symptoms
Radiation
Timing: when is symptom more likely to happen
Severity: Scale of 0-10
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is included in PMH?

How can you elicit this?

A

Hospital Stays
ER Visits
Chronic Conditions/Illnesses
-medications

Ask:

  • have you been in the ED or hosptial before?
  • DO YOU have any chronic conditions NOT Dx by a doctor
  • are you on any medications?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is included in PSH?

A 
Any operations (including Cesarean sections)
-Dental surgeries (unless in hosptial) and sutures don't count
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is included in medication?

What should always be listed when recording them?

A

Prescription Drugs
OTC Drugs
Supplements

___

Dose, timing, positive / negative

ALWAYS ASK FOR BC PILLS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is included in allergies?

A

Meds, Environmental, Food

-include reaction, positive or ngeative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is included in family history?

A

Parents, siblings, kids
-chronic conditions, cancers, mental health issues, etc

-you are asking about kids and siblings for genetic illnesses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does the mnemonic FED TACOS cover in social history?

A 
Food (nutrition and diet)
Exercise
Drugs (recreational)
Tobacco (smoke or smokeless)
Alcohol 
Caffeine
Occupation (demographics and occupational history)
Spirituality, saftey, support, 
Sexual Relationships
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which components of social history must be covered in every encounter?

A

Drugs: Quantity, frequency, route of administration
Tobacco: Quantity, duration, pack years,
Alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The CDC recommends how many minutes of moderate activity for adults and kids?

A

adults: 150 minutes per week of moderate activity and strength training that hits all major muscle groups (2 days of the week)

for kids: 6+ should excerise for an hours or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What does the USPSTF recommend in men ages 65-75 who have ever smoked?

A

Screening for Abdominal Aortic Aneurysm with ultrasonography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What does the USPSTF recommend for adults ages 55-80 who have a 30 pack year smoking history and has currently smoked or quit in the past 15 years?

A

Lung Cancer Screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is a pack year?

A

Number of packs smoked per day x number of years smoked

Example: If a person smokes 1.5 packs a day for 40 years, pack year is 60.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are CAGE questions?

A

Screening for Alcohol Usage

  1. Has anyone suggested you CUT BACK?
  2. Are you ANNOYED when people talk to you about your drinking?
  3. Do you ever feel GUILTY about your drinking?
  4. EYE OPENER: Do you ever need a drink in the morning to steady your nerves?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

For women and adults over the age of 65, what is considered low-risk drinking?

A

No more than 3 drinks a day

No more than 7 drinks per week

24
Q

For men, what is considered low-risk drinking?

A

No more than 4 drinks a day

No more than 14 drinks per week

25
Q

What is considered a drink?

A

Beer: 12 oz
Wine: 5 oz
Liquor: 1 ounce

26
Q

What does the mnemonic FICA cover in spirituality and religion?

A

F: Faith and belief
I: Importance
C: Community
A: Address in care

27
Q

What are good questions to ask about safety?

A 
Seatbelt Use
Helmet Use
Car Seats
Fences 
Medication Storage
Immunizations
28
Q

What should you ask for domestic violence if you think a pt is in a dangerous situation?

A 
SAFE
S: Stress/Safety
A: Afraid/Abused
F: Friends/Family
E: Emergency Plan
29
Q

What should be your opening remarks?

A
  • hello my name is student doc x and i am working with your doctor today as part of your health care team
  • im here to collect some info and report back to your doctor is that cool?
  • before we begin can I confirm your first, last name and dob
  • how would you like to be adressed
  • what brings you in today/ how many I help you
30
Q

If you sit down the patients perception feels

A

like the convo was longer than it actually was.

31
Q

Use ____ and ____ to get more information from the patient.

A

verbal and non verbal cues

32
Q

How can you elicit detials?

A

ask open ended questions.

33
Q

What are some active listening skills?

A
  • be attentive
  • ask open ended questions
  • ask probing questions
  • request clarification
  • paraphrase
  • sumarize
  • be attuned to and reflect feelings
34
Q

always provide

A

-closure. Summarize the counter and clarify follow up or next steps in encounter.

35
Q

How do you elicit a CC

A

WHAT BRINGS YOU IN TODAY

36
Q

If Sx is not related to pain then for severity what should you do?

A

ask how its affecting every day life: like im so nauseated i cant go to work or it keeps me up.

37
Q

For drugs ask:

A

how much, how often, route

-use recreational drugs not illegal drugs

38
Q

Caffeine

A

ask how much and how often, what forms (tea, enegy drinks, soda…)

39
Q

Is liking running the same as doing it?

A

no people exagerate about how much they excerise

40
Q

Owning excercise equipment ________.

A

Does not mean a person uses it, people tend to exaggerate how much they work out.

41
Q

For tobacco ask

A
  • smoking, smokeless, vape, ecigs,
  • quantity
  • duration
  • pack years (ppd x years)
42
Q

Most smokers know _____.
A person has to ____ to quit before they will be successful.
Most ex smokers tried to _______ before success.

A
  • they should quit
    -want to quit
    quit 7-8 times
43
Q

For alcohol what should you do for screening?

A
  • get quantity and frequency
  • use AUDIT (alcohol use disorders identification test) or cage questionare
  • (audit is better than cage but has a lot more questions to remember)
44
Q

What is AUDIT

A

It is a screening for unhealthy use of alcohol, tobacco and other drugs

  • it is a good tool to see if a problem exists and its very sensitive and specific
  • it takes a lot of time though
45
Q

Occupational history covers what?

A
  • how do you make your living/ what work do you do?
  • any stressors at work, any type of exposures (ie around sick kids, radiation, fumes dust)
  • how is work
  • what jobs have you done in the past
46
Q

Spirutaility does not always mean ____.

A

religion

47
Q

Some think of spirtiuality as ______

A

where do you get your strength?

48
Q

spiruatility does not

A

reuqire belief in a higher power

49
Q

What is patient center interviewing?

A
  • centers on the patients needs (not disease based)
  • engages the patient to play a role
  • obtain a accurate hx
50
Q

What is physician centered interviewing

A
  • tradional way of interviewing
  • asking a laundry list of items
  • ask stuff based on organ system
  • doc interupts 18 seconds ahver the pt speaks
  • will loose important info and change the hx
  • jumps to conclusions
51
Q

Express empathy by

A

naming: it seems like you are feeling….
Understanging: I understand how that might upset you
respecting: it must be a lot to deal with/ wow thats tough
supporting: i want to help in any way I can
exploring: tell me more about …

NURSE:
NAMING, UNDERSTANDING, RESPECTING, SUPPORTING, EXPLORING

52
Q

For character or for agrivating factors/ alevating factors what should you do?

A

ALWAYS let the patient answer first, if stuck then give them a list.

53
Q

FOR ROS what are some time savers?

A

-define a time frame that pts may have expreience these sx

54
Q

Why do we obtain ros

A
  • identify co exisiting medical conditions
  • build your case medically and legally
  • provide accurate billing info
55
Q

Centor criteria

A

used in ROS are a set of criteria which may be used to identify the likelihood of a bacterial infection in adult patients complaining of a sore throat.

56
Q

ROS needs

A

10 body systems

57
Q

When you end an interview with the patient ask what?

A

tell patient that you have come to the end of the question and answer and ask if there is anything/ something else they like to add and tell them you are going take this info back and will be back together in a few mins.

PCM_MIDTERM 01 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions