6660 Midterm Exam Study Guide Questions with Correct Answers Graded A+

Agreement as to process 1. introduction 2. consent to proceed 3. nature of interaction 4. amount of time for the interview 5. assess if treatment is voluntary or involuntary Define privacy and confidentiality 1. Assure privacy, explain meaning of confidentiality and who information will be shared with 2. explain duty to warn 3. fee family members with the patient present, ensure consent is given (provider should listen not present information. 4. If recordings or one way mirrors are used patient must be informed and give consent. AD Define respect and consideration Treatment patients with respect and be considerate to circumstance to alleve or not further aggravate anxiety Define Rapport Harmonious responsiveness of the provider to the patient. Empathic interventions increase rapport to understand patient feelings while maintaining objectivity mostly nonverbal (putting pen down or leaning towards patient) What is a crucial element of empathy Objectivity as it differentiates empathy from identification. Identification causes lose of objectivity and blurs boundaries. What are the ingredients for good patient provider relationship 1. Desire for help 2. Providers respect and consideration 3. non-judgmental attitude 4. demonstration by provider they understand what patient is stating or emoting 5. patient thinks provider cares 6. genuiness of provider. What questions about self should the provider answer 1. Provider qualifications, if sarcastic address issue that provoked it. 2. No personal information directly unless it is patient centered, NO physician centered information. Define unconscious transference in a patient The process of a patient unconsciously and inappropriately displacing onto individual in patients current life those patteren of behavior and emotional reactions that originated with significant figures usually from childhood. What is unconscious counter-transference The provider unconsciously displaces onto the patient patterns of behavior or emotions as if they were a significant figure from earlier in the providers life. What are resistances The processes conscious or unconscious that interfere with the therapeutic objectives of treatment What is repression, and how do interpretations help? Repression causes unawareness, interpretations are interventions that undo the processes of repression and allow the unconscious thought and feelings that come to awareness. What does a patient centered interview? Focus of interview is on understanding the patient and enabling the patient to tell his or her story, the individuality of the patients experience is the main theme AD What information according to Adolf Meyer is collected in the interview 1. early life experiences 2. family 3. education 4. occupation 5. religious beliefs 6. hobbies/talents 7. relationships 8. losses. What type of questions are asked in a patient centered approach. Focuses on strengths and weaknesses. tell me what you do best? Open ended questions can be affected by patient mood or self image. What is the actions taken to provide safety and comfort of provider. 1. have other staff present 2. leave door ajar 3. terminate interview if patient becomes aggitated. What is the actions taken to provide safety and comfort of the patient 1. reassure them of their safety. 2. ensure appropriate staff will available. 3. ensure comfort 4. offer tissue or water. What are recommended time and session numbers. Initial interview should be 45-90 minutes, if patient is distressed 20-30min. After initial interview provider will make decisions about subsequent visits. What information should be gathered during the first call to the office. Name age address telephone numbers who referred patient reason for referral insurance information