6512 Midterm Exam Questions and Answers 2025

6512 Midterm Exam Questions and
Answers 2025
·CommunicationAtechniquesAusedAtoAobtainAaApatient'sAhealthAhistoryA-AcorrectAanswers-
Courtesy,AComfort,AConnection,AConfirmation
CourtesyACommunicationATechniqueA-AcorrectAanswers-•AKnockAbeforeAenteringAaAroom.
•AAddress,Afirst,AtheApatientAformallyA(e.g.,AMiss,AMs.,AMrs.,AMr.)AItAisAallArightAtoAshakeAhan
ds.
•AMeetAandAacknowledgeAothersAinAtheAroomAandAestablishAtheirArolesAandAdegreeAofAparti
cipation.
•ALearnAtheirAnames.
•AEnsureAconfidentiality.
•ABeAinAtheAroom,Asitting,AwithAnoAeffortAtoAreachAtooAsoonAforAtheAdoorknob.
•AIfAtakingAnotes,AtakeAnotesAsparingly;AnoteAkeyAwordsAasAremindersAbutAdoAnotAletAnote-
takingAdistractAfromAyourAobservingAandAlistening.
•AIfAtypingAinAtheAelectronicAmedicalArecord,AtypeAbrieflyAandAmaintainAeyeAcontactAwithApati
ent,AifApossible.
•ARespectAtheAneedAforAmodesty.
•AAllowAtheApatientAtimeAtoAbeAdressedAandAcomfortablyAsettledAafterAtheAexamination.AFoll
ow-upAdiscussionAwithAtheApatientAstillA"onAtheAtable"AisAoftenAdiscomfiting.
ComfortACommunicationATechniqueA-AcorrectAanswers-
•AEnsureAphysicalAcomfortAforAall,AincludingAyourself.
•ATryAtoAhaveAaAminimumAofAfurnitureAseparatingAyouAandAtheApatient.
•AMaintainAprivacy,AusingAavailableAcurtainsAandAshades.
•AEnsureAaAcomfortableAroomAtemperatureAorAprovideAaAblanket—
aAcoldAroomAwillAmakeAaApatientAwantAtoAcoverAup.
•AEnsureAgoodAlighting.
•AEnsureAnecessaryAquiet.ATurnAoffAtheAtelevisionAset.
•ATryAnotAtoAovertireAtheApatient.AItAisAnotAalwaysAnecessaryAtoAdoAitAallAatAoneAvisit.
ConfirmationACommunicationATechniqueA-AcorrectAanswers-
•AAskAtheApatientAtoAsummarizeAtheAdiscussion.AThereAshouldAbeAclearAunderstandingAand
AuncertaintyAshouldAbeAeased.

•AAllowAtheApossibilityAofAmoreAdiscussionAwithAanotherAopen-
endedAquestion:A"AnythingAelseAyouAwantAtoAbringAup?"
•AIfAthereAisAaAquestionAthatAyouAcannotAimmediatelyAanswer,AsayAso.ABeAsureAtoAfollowAupA
laterAifAatAallApossible.
•AIfAyouAseemAtoAhaveAmadeAaAmistake,AmakeAeveryAeffortAtoArepairAit.ACandorAisAimportant
AforAdevelopmentAofAaAtrustingApartnership.AMostApatientsArespectAit.

ConnectionACommunicationATechniqueA-AcorrectAanswers-
•ALookAatAtheApatient;AmaintainAgoodAeyeAcontactAifAculturalApracticesAallow.
•AWatchAyourAlanguage.AAvoidAprofessionalAjargon.ADoAnotApatronizeAwithAwhatAyouAsay.
•ADoAnotAdominateAtheAdiscussion.AListenAalertly.ALetAtheApatientAorderAprioritiesAifAseveralA
issuesAareAraised.

, •ADoAnotAacceptAaApreviousAdiagnosisAasAaAchiefAconcern.ADoAnotAtooAreadilyAfollowAaApred
eterminedApath.
•AFindAoutAwhetherAtheApatientAhasAturnedAfromAotherAhealthcareAprovidersAtoAcomeAtoAyo
u.
•ATakeAtheAhistoryAandAconductAtheAphysicalAexaminationAbeforeAyouAlookAatApreviousAstu
diesAorAtests.AConsiderAfirstAwhatAtheApatientAhasAtoAsay.
•AAvoidAleadingAorAdirectAquestionsAatAfirst.AOpen-
endedAquestionsAareAbetterAforAstarters.ALetAspecificsAevolveAfromAthese.
•AAvoidAbeingAjudgmental.
•ARespectAsilence.APausesAcanAbeAproductive.
•ABeAflexible.ARigidityAlimitsAtheApotentialAofAanAinterview.
•AAssessAtheApatient'sApotentialAasAaApartner.
•ASeekAcluesAtoAproblemsAfromAtheApatient'sAverbalAbehaviorsAandAbodyAlanguageA(e.g.,At
alkingAtooAfastAorAtooAlittle).
•ALookAforAtheAhiddenAconcernsAunderlyingAchiefAconcerns.
•ANeverAtrivializeAanyAfindingAorAclue.
•AProblemsAcanAhaveAmultipleAcauses.ADoAnotAleapAtoAoneAcauseAtooAquickly.
•ADefineAanyAconcernAcompletely:AWhere?AHowAsevere?AHowAlong?AInAwhatAcontext?AWh
atAsoothesAorAaggravatesAtheAproblem?
SOAPANotesA-AcorrectAanswers-SASubjectiveAdata—
theAinformation,AincludingAtheAabsenceAorApresenceAofApertinentAsymptoms,AthatAtheApatie
ntAtellsAyou
OAObjectiveAdata—
yourAdirectAobservationsAfromAwhatAyouAsee,Ahear,Asmell,AandAtouchAandAfromAdiagnosticA
testAresults
AAAssessment—
yourAinterpretationsAandAconclusions,AyourArationale,AtheAdiagnosticApossibilities,AandApre
sentAandAanticipatedAproblems
PAPlan—
diagnosticAtesting,AtherapeuticAmodalities,AneedAforAconsultants,AandArationaleAforAtheseAd
ecisions
EthicalAConsiderationsA-AcorrectAanswers-•AAutonomy:ATheApatient'sAneedAforAself-
determination.AAutonomyAsuggestsAthatAchoicesAexist,AandAaApatientAmayAchooseAbetwee
nAalternatives.AUncertaintyAexistsAwhenAtheApatientAisAaAchildAorAisAcognitivelyAimpaired.AP
arents,Aguardians,Afamily,AorAotherAsignificantApersonsAshouldAthenAbeAincluded,AandAtheA
boundariesAofAthatAparticipationAmustAbeAclearlyAset.AInAsomeAcases,AtheAboundariesAareA
establishedAbyAanAadvanceAdirectiveAfromAtheApatient.ACompetencyAisAnotAalwaysAeasilyAd
etermined,AandAthereAmayAbeAdisagreement.ABothAtheAmentalAstatusAexaminationA(seeAC
hapterA7)AandAconsultationAwithAindividualsAwhoAknowAtheApersonAwellAcanAassist.
•ABeneficence:ADoAgoodAforAtheApatient.AThisAmayAbeAtooAeagerlyApursuedAandAmayAresult
AinAaApaternalismAthatAmightAprecludeAautonomyAofAtheApatient.AHowever,ApaternalismAma

yAhaveAsomeAbenefitAwhenAusedAwithAconstraintAandArespectAforAautonomy.
•ANonmaleficence:ADoAnoAharmAtoAtheApatient.
•AUtilitarianism:AConsiderAappropriateAuseAofAresourcesAwithAconcernAforAtheAgreaterAgood
AofAtheAlargerAcommunity.AChooseAwisely.