Medical Hx II and Interview Skills

Question 1

What are the 3 things to prepare before interview?

Answer 1

1. self reflection (mental and physical)
2. review chart
3. goals for today’s visit

Question 2

What are the three types of questions to use in an interview?

Answer 2

open-ended, direct, forced

Question 3

what types of questions should you avoid?

Answer 3

multiple/compound, leading (imply judgement)

Question 4

Whats another big point about interviewing?

Answer 4

DO NOT INTERRUPT

Question 5

What is the purpose of summarizing?

Answer 5

shows the patient you were listening and makes sure that you understood everything.

Question 6

what is the purpose of transitional statements?

Answer 6

explains to patient why the next question may be important, allows progression of encounter, permission to sensitive topics

Question 7

How do you direct the conversation with talkative patients?

Answer 7

use direct questions more, open questions sparingly

Question 8

How do you encourage silent patients?

Answer 8

use more open ended questions, silence can be useful

Question 9

What is the best thing to do for incapacitated patient?

Answer 9

get info from other people and old records - must have a very detailed physical exam

Question 10

What is the best thing to do when there is a language barrier?

Answer 10

get a translator - communication is key

Question 11

What is the worse thing to do with an angry, paranoid, dependent or demanding patient?

Answer 11

‘rise to the occasion’ - do not get angry back

Question 12

How do you help a tearful/crying patient?

Answer 12

allow time to cry and be empathetic

Question 13

How do you handle a seductive patient?

Answer 13

• allow for more personal space and use chaperone
• always be professional
• may need to confront, set ground rules/limits

Question 14

What about a patient who has multiple symptoms and provides limited detail?

Answer 14

be open minded, patient, and use direct questions