Correct Key Answers Well Detailed Exam Fall
Semester (Sore A Original)-Marquette
University
studies have shown that good communication improves health outcomes by?
resolving symptoms and reducing patients psychological distress and anxiety
questions for diet for 1-4 year old
what are the child's eating habits like
is the child drinking water (encouraged) or juice (discouraged)
is the child eating foods from all four food groups or has he or she gotten pickier
does the family eat meals together?
after 1-12 months of age what other questions do you ask besides breast-feeding and
formula feeding?
,what foods is the baby eating like soft baby foods are they store bought or home
cooked
baby cereal by spoon (good source of iron starting 4-6 months of age)
soft table foods? soft finger foods? (recommended starting at 9-12 months of age)
what else is the baby drinking? encourage water by cup after 6 months, no cows milk
before 1 year of age, and juice is not recommended
good communication improves?
health outcomes by resolving symptoms and reducing patients psychological distress
and anxiety
basic principles of an interview
good communication
gather all pertinent information consider influence of social, economic, and cultural
factors
be aware of subtle cues- through shifts in body language in addition to spoken word
pt will tell you what is wrong with them if you ask the right questions
,how can you be aware of subtle cues when conducting an interview?
through shifts in body language in addition to the spoken word
Methods to Improve provider-patient relationships
practice actively listening to your patient
through some questions can be asked in a "check style manner" listen to the story of
your patient and watch their body language, tone, eye contact, speech in a addition to
the words spoken
focus on the pt, not technology. A good ICU nurse goes into room with an alarm going
on and checks the monitor to see what is happening with their patient. A great nurse
goes in and assesses the patient first
ask your pt what they think is wrong with them and how this effects their life
remember little details the patient shares about their interests, hobbies, and loved
ones. before i see a child, i look up the guardians name on the chart so when i go into
the room , i can address them accordingly
symptoms
what the patient feels
, described by the patient (subjective)
influenced by culture, intelligence, and socioeconomic background
constitutional symptoms
effects all systems: fever, weight gain/loss, chills
signs
what the examiner finds on assessment (objective)
signs and symptoms work together to lead the practitioner to develop differential
diagnoses
basic interviewing techniques
questions- open ended, OLDCARTS, don't use medical jargon
silence- if the patient is silent, you are silent. "What are you thinking about?"
Facilitation- "tell me more about that"