Second Person In The Room

Question 1

What are the 5 steps of patient centered interview?

Answer 1

1. Set the stage
2. Elicit chief concern and set agenda
3. Non focusing skills
4. Symptom story, personal context and emotional context
5. Transition to middle of interview

Question 2

What are 3 open ended focused skills?

Answer 2

Echo the patient, request more information about things you need to know about, summarize

Question 3

What is the mnemonic for responding to feelings and emotions?

Answer 3

Name
Understanding
Respect
Support

Question 4

What should we always insist on when we have a female adult patient?

Answer 4

Time alone interviewing them, especially if they are with a man.

Question 5

What MUST be done if there is suspicion of abuse or neglect of a child?

Answer 5

Report to Child Protective Services

Question 6

What is the potential problem when dealing with a patient who is dependent?

Answer 6

Laundry list of needs. Too needy.

Question 7

What is the potential problem with a patient who is OCD?

Answer 7

Control battle.

Question 8

What is a health care agent?

Answer 8

Formal signed doc that gives someone authority to make decisions for someone else.

Question 9

What is a surrogate?

Answer 9

Informal medical decision maker for someone else because they know the situation and the patients wishes.

Question 10

What is a guardian?

Answer 10

Court appointed medical guardian.

Question 11

Best way to treat a schizoid patient?

Answer 11

Quiet and reassuring

Question 12

Best way to treat a paranoid patient?

Answer 12

Friendly and courteous, but avoid too close

Question 13

How to treat a narcissistic patient?

Answer 13

Respect and concern, not warmth

Question 14

Best way to treat a self defeating patient?

Answer 14

Avoid hope. Use strict approach.

Question 15

What kind of patient is a histrionic?

Answer 15

Way too emotional