1 | Page
CMN 548 - MODULE 1 STUDY GUIDE
QUESTIONS AND ANSWERS
"FIFE" for exploring the pt's perspective on disease and illness
- correct answer- -"Feelings": pt's feelings, including fears and
concerns about the problem
-"Ideas": pt's ideas about the nature and cause of the problem
-"Function": effect of the problem on pt's life and function
-"Expectations": the pt's expectations of the disease, clinician,
or of health care, often based on prior personal or family
experiences
What is the best way to obtain a pt's preferred method of
address? - correct answer- -After stating your name, ask the pt
what they would like to be called
-except with children or adolescents, avoid first names until you
have specific permission
-ideally ask at the beginning of the interview or before via a
questionnaire
Skills and practices to mitigate bias in your clinical encounter -
correct answer- -reflect on patterns emotion and behavior
-paused before starting an encounter and prepare for potential
triggers of bias
,2 | Page
jh hj hj hj hj hj
-generate alternative hypotheses for biases anchored in
behavior
-practice universal communication and interpersonal skills
-explore your pt's identities
-explore your pt's experiences of bias
5 R's of cultural humility - correct answer- Reflection
Respect
Regard
Relevance
Resiliency
values - correct answer- standards we use to measure our own
and other's beliefs and behaviors
biases - correct answer- attitudes or feelings that we attach to
perceived differences
nonmaleficence - correct answer- Do no harm; physician has
responsibility to avoid treatments or interventions in which the
potential for harm outweighs the potential for benefit
,3 | Page
jh hj hj hj hj hj
beneficence - correct answer- clinicians are to act for the pts hj hj hj hj hj hj hj hj hj hj
good by preventing or treating disease
hj hj hj hj hj hj
respect for autonomy - correct answer- commitment to accept
hj hj hj hj hj hj hj hj
the choices pts with decisional capacity make about which tx to
hj hj hj hj hj hj hj hj hj hj hj
undergo including rejecting treatment
hj hj hj hj
decisional capacity - correct answer- ability to make an hj hj hj hj hj hj hj hj
autonomous choice that clinicians should respect
hj hj hj hj hj hj
confidentiality - correct answer- duty to prevent the disclosure hj hj hj hj hj hj hj hj
of pts personal info to parties whoa re not authorized to learn
hj hj hj hj hj hj hj hj hj hj hj hj
that info
hj hj
informed consent - correct answer- clinicians must elicit pts
hj hj hj hj hj hj hj hj
voluntary and informed authorization to test of tx for for illness
hj hj hj hj hj hj hj hj hj hj hj
injury
hj
o Required elements:
hj hj
- Nature of the procedure or tx hj hj hj hj hj
- Risks and benefits hj hj
- Reasonable alternatives hj
, 4 | Page
jh hj hj hj hj hj
- Risks and benefits of alternatives hj hj hj hj
- Assessment of the pt's understanding of the first 4 elements hj hj hj hj hj hj hj hj hj
truth telling - correct answer- clinicians should disclose
hj hj hj hj hj hj hj
information beyond that required by informed consent that may
hj hj hj hj hj hj hj hj hj
be relevant to pts
hj hj hj hj
justice - correct answer- value that all pts w/ similar medical
hj hj hj hj hj hj hj hj hj hj
needs should receive similar medical tx and should be treated
hj hj hj hj hj hj hj hj hj hj
fairly by clinicians
hj hj hj
techniques of guided questioning - correct answer- -moving hj hj hj hj hj hj hj
from open ended to focused questions
hj hj hj hj hj hj
-using q's that elicit a graded response
hj hj hj hj hj hj
-ask a serious of q's one at a time
hj hj hj hj hj hj hj hj
hj offering multiple choices for answers hj hj hj hj
-clarifying what the pt means hj hj hj hj
encouraging with continuers (nonverbal encouragements, hj hj hj hj
neutral utterances)
hj hj
-using echoing/repetition hj
Non-stigmatizing language - correct answer- "people-first hj hj hj hj hj
language"
hj
CMN 548 - MODULE 1 STUDY GUIDE
QUESTIONS AND ANSWERS
"FIFE" for exploring the pt's perspective on disease and illness
- correct answer- -"Feelings": pt's feelings, including fears and
concerns about the problem
-"Ideas": pt's ideas about the nature and cause of the problem
-"Function": effect of the problem on pt's life and function
-"Expectations": the pt's expectations of the disease, clinician,
or of health care, often based on prior personal or family
experiences
What is the best way to obtain a pt's preferred method of
address? - correct answer- -After stating your name, ask the pt
what they would like to be called
-except with children or adolescents, avoid first names until you
have specific permission
-ideally ask at the beginning of the interview or before via a
questionnaire
Skills and practices to mitigate bias in your clinical encounter -
correct answer- -reflect on patterns emotion and behavior
-paused before starting an encounter and prepare for potential
triggers of bias
,2 | Page
jh hj hj hj hj hj
-generate alternative hypotheses for biases anchored in
behavior
-practice universal communication and interpersonal skills
-explore your pt's identities
-explore your pt's experiences of bias
5 R's of cultural humility - correct answer- Reflection
Respect
Regard
Relevance
Resiliency
values - correct answer- standards we use to measure our own
and other's beliefs and behaviors
biases - correct answer- attitudes or feelings that we attach to
perceived differences
nonmaleficence - correct answer- Do no harm; physician has
responsibility to avoid treatments or interventions in which the
potential for harm outweighs the potential for benefit
,3 | Page
jh hj hj hj hj hj
beneficence - correct answer- clinicians are to act for the pts hj hj hj hj hj hj hj hj hj hj
good by preventing or treating disease
hj hj hj hj hj hj
respect for autonomy - correct answer- commitment to accept
hj hj hj hj hj hj hj hj
the choices pts with decisional capacity make about which tx to
hj hj hj hj hj hj hj hj hj hj hj
undergo including rejecting treatment
hj hj hj hj
decisional capacity - correct answer- ability to make an hj hj hj hj hj hj hj hj
autonomous choice that clinicians should respect
hj hj hj hj hj hj
confidentiality - correct answer- duty to prevent the disclosure hj hj hj hj hj hj hj hj
of pts personal info to parties whoa re not authorized to learn
hj hj hj hj hj hj hj hj hj hj hj hj
that info
hj hj
informed consent - correct answer- clinicians must elicit pts
hj hj hj hj hj hj hj hj
voluntary and informed authorization to test of tx for for illness
hj hj hj hj hj hj hj hj hj hj hj
injury
hj
o Required elements:
hj hj
- Nature of the procedure or tx hj hj hj hj hj
- Risks and benefits hj hj
- Reasonable alternatives hj
, 4 | Page
jh hj hj hj hj hj
- Risks and benefits of alternatives hj hj hj hj
- Assessment of the pt's understanding of the first 4 elements hj hj hj hj hj hj hj hj hj
truth telling - correct answer- clinicians should disclose
hj hj hj hj hj hj hj
information beyond that required by informed consent that may
hj hj hj hj hj hj hj hj hj
be relevant to pts
hj hj hj hj
justice - correct answer- value that all pts w/ similar medical
hj hj hj hj hj hj hj hj hj hj
needs should receive similar medical tx and should be treated
hj hj hj hj hj hj hj hj hj hj
fairly by clinicians
hj hj hj
techniques of guided questioning - correct answer- -moving hj hj hj hj hj hj hj
from open ended to focused questions
hj hj hj hj hj hj
-using q's that elicit a graded response
hj hj hj hj hj hj
-ask a serious of q's one at a time
hj hj hj hj hj hj hj hj
hj offering multiple choices for answers hj hj hj hj
-clarifying what the pt means hj hj hj hj
encouraging with continuers (nonverbal encouragements, hj hj hj hj
neutral utterances)
hj hj
-using echoing/repetition hj
Non-stigmatizing language - correct answer- "people-first hj hj hj hj hj
language"
hj
