Patient relationship/Interviews

Question 1

What are the 3 steps to counselling

Answer 1

1. Identification of problem
2. Indentification of underlying problem
3. Plan of action for the future

Question 2

5 traits of an effective therapist

Answer 2

interpersonal skills
Communication
Collaberative
Understanding
Fexible/honest

Question 3

Types of listening styles (3)

Answer 3

active
rehearsal- not ideal, when you start formulating a response as soon as person starts talking
tape recording listening- not ideal- mentally records what patient is saying w/o providing pt. with sense of presence etc.

Question 4

4 ingredients for successful helping

Answer 4

Feedback (sandwich model)
Context (Patients values/beliefs should be considered)
Assist decision making (Empower pt)
Problem management

Question 5

What should patients bring to them to therapy(4)

Answer 5

Strengths and resources
Unused oportunities
Barriers
Guiding cultural beliefs

Question 6

what are the 3 basic characteristics that determine the value of a clinicians assessments

Answer 6

Reliability
Validity
Standardization

Question 7

What are the two aspects to reliability

Answer 7

Interrater reliability- 2+ obtain same answer

Test retest- Consistent across time

Question 8

What are the 3 aspects to validity

Answer 8

concurrent/descriptive- comparing the results to another validated test

Predictive- How well a test predicts future outcomes

Face- Whether test items appear reasonable at first glance

Question 9

What does the clinical assessment consist of

Answer 9

Clinical interview + Mental status exam

Question 10

What happens in part 1- clinical interview (3)

Answer 10

1. gather info on behaviours, attitudes, emotions
2. identify the onset of problems
3. Gather info on social factors

Question 11

What are the 5 categories in part 2- the mental status exam

Answer 11

systemic observation of an individual’s behaviour

• apperence and behaviour
• thought process
• mood/affect
• intellectual functioning
• sensorium (general awareness of surroundings)

Question 12

In opening a session the clinical should use these 3 kinds of interviewing skills

Answer 12

open ended questions
Active listening
facilitations (encourage pt to keep talking)

Question 13

DSM recommends this type of interview style and why

Answer 13

semi structured interview

–give the clinician some power and freedom to change questions etc

Question 14

pros and cons of structured interviews

Answer 14

pro- Includes probing qs, probides follow ups, thorough

cons- cumbersome, too rigid, pts may not follow exact algorithm

Question 15

pros and cons of unstructured approach

Answer 15

pro- individualized process, natural

cons- may omit qs, may miss opportunities to help patieny

Question 16

What are the 2 types of specific questions an interviewer can ask

Answer 16

Probe- requests more info in a specific area already mentioned by the pt, to narrow the field of discussion (typically open ended but direct)

Clarifying- requests an explanation of what has already been said

Question 17

what is false assurence

Answer 17

the promise of help or relief that is non realistic

Question 18

Empathetic interviewing involves what 3 steps

Answer 18

1. Detecting patient concerns
2. clarifying/exploring pt concerns
3. clinition feedback

Question 19

What is a confrontation in a clinical interview

Answer 19

attempt from teh clinition to gently bring awareness in the patient of something they may have overlooked or avoided

Question 20

What is interpretation in the clinical interview

Answer 20

Interpretation is a confortation based on inference

–ex. you seem unhappy etc