Questions And Correct Detailed
Answers.
General appearance to look for in a pt #1 - Answer Apparent state of health
General appearance to look for in a pt #2 - Answer LOC
General appearance to look for in a pt #3 - Answer Facial Expression
General appearance to look for in a pt #4 - Answer Posture, gait, motor activity and speech
General appearance to look for in a pt #5 - Answer Odor of body/breath
General appearance to look for in a pt #6 - Answer Skin color and obvious lesions
General appearance to look for in a pt #7 - Answer Dress, grooming, and personal hygiene
OLD CART - Answer Onset
Location
Duration
Characteristics
Associated manifestations
Relieving factors
Treatment
FIFE - Answer Feelings
Ideas
Function (what can't you do now that you could before)
Expectations
, Introduction - Answer put the patient at ease and establish trust (greet pt and est. rapport) est
agenda for interview
Working - Answer obtain pt info (invite pt story--ID/respond to emotional cues)(expand/clarify
pt story)(generate and test diagnostic hypotheses)(Negotiate a plan further eval, treatment,
education and self-management support and prevention)
Termination - Answer summarize important points, discuss plan of care
Techniques of a skilled interview - Answer Active listening, guided questioning, nonverbal
communication, empathetic responses, validation, reassurance, summarizing, transitions,
empowering the pt
Guided questioning - Answer Helps to continue the patient's story
-moving from open-ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing
-avoid leading questions (has your pain been improving? You don't have any blood in your stool,
do you?)
(General-->specific)
The silent pt - Answer Reasons: to collect thoughts, remember details, or decide whether you
could be trusted with info. (appear attentive--watch for nonverbal cues, encourage to continue
when appropriate, silence may be apart of culture, maybe you're asking too many short-answer
questions in rapid succession, did you offend patient, did you fail to recognize an overwhelming
symptom (pain, nausea, dyspnea))
Quantifying Q's - Answer When
For how long
How many