Practice Flashcards
Q: At the start of the interview the basic task for Dr. Bowden is to establish initial rapport and identify the reason for the consultation. There are FOUR things Dr. Bowden does to initiate the consultation. State what these FOUR things are. (4 marks)
A: Dr. Bowden greets the patient
She introduces herself
She demonstrates interest
She begins by using open questions
Q: Identify FOUR communication behaviours Dr. Bowden displays which indicate active listening. (2 marks)
A: 1/2 mark each
Dr. Bowden allows Mrs. Starling to complete her sentences and doesn’t interrupt
Dr. Bowden maintains eye contact
Dr. Bowden is nodding as Mrs. Starling is talking
Dr. Bowden has an open body posture
Dr. Bowden made an interim summary (‘there’s no doubt these headaches are having an impact on your work and social life’)
Q: Identify 2 negative communication behaviours Dr. Bowden introduces. Identify each and explain how they influence the consultation process. (4 marks)
A: Neg - At one point (3.18 mins approx.) Dr. Bowden asks a multiple question (is there anything you are worried about or have you had any thoughts about what might be causing your headaches’) This results in initially in Mrs. Starling only answering the ‘thoughts’ component of the question.
Neg - Dr. Bowden did not encourage Mrs Starling to volunteer more information about her worry (had she done so this would have provided Dr. Bowden with a wider context of information and the specifics of her concern). This omission results in Dr. Bowden swiftly moving on to another topic.
Q: Identify 1 concern and 1 expectation the patient has. (2 marks)
A: Concerns: Friend had a brain tumour, she is worried this is the same thing
Expectations: She wants to see a specialist
Q: What questions did the doctor use to elicit these concerns and expectations? (2 marks)
A: Is there anything you are worried about?
Any thoughts as to what might be causing the headaches?
You mentioned worries, what are your worries?
Did you have any thoughts about what you would like me to be doing for you?
(1 mark for any of above up to 2 marks)
Q: How did the doctor address the patient’s concerns? (1 mark)
A: She suggests arranging for the patient to see a specialist to rule out a brain tumour and reassure the patient
Q: Zola described triggers to the consultation. List 4 of Zola’s triggers that make the patient attend in this case. For each one relate it to the scenario. (4 marks)
A: Interference with vocational activities - In trouble for missing work
Sanctioning - Husband encouraged her to attend
Interference with social or personal relationships - Ruined family holiday
Temporalising - If she had them more than 2x in the last 2 weeks
(½ marks for trigger, ½ for relating to patient)
