CMN 548 - MODULE 1 STUDY GUIDE QUESTIONS AND ANSWERS
"FIFE" for exploring the pt's perspective on disease and illness - (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? - (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 - (answer)-reflect on patterns emotion and
behavior
-paused before starting an encounter and prepare for potential triggers of bias
-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 - (answer)Reflection
Respect
Regard
Relevance
Resiliency
values - (answer)standards we use to measure our own and other's beliefs and behaviors
biases - (answer)attitudes or feelings that we attach to perceived differences
,CMN 548 - MODULE 1 STUDY GUIDE QUESTIONS AND ANSWERS
nonmaleficence - (answer)Do no harm; physician has responsibility to avoid treatments or interventions
in which the potential for harm outweighs the potential for benefit
beneficence - (answer)clinicians are to act for the pts good by preventing or treating disease
respect for autonomy - (answer)commitment to accept the choices pts with decisional capacity make
about which tx to undergo including rejecting treatment
decisional capacity - (answer)ability to make an autonomous choice that clinicians should respect
confidentiality - (answer)duty to prevent the disclosure of pts personal info to parties whoa re not
authorized to learn that info
informed consent - (answer)clinicians must elicit pts voluntary and informed authorization to test of tx
for for illness injury
o Required elements:
- Nature of the procedure or tx
- Risks and benefits
- Reasonable alternatives
- Risks and benefits of alternatives
- Assessment of the pt's understanding of the first 4 elements
truth telling - (answer)clinicians should disclose information beyond that required by informed consent
that may be relevant to pts
justice - (answer)value that all pts w/ similar medical needs should receive similar medical tx and should
be treated fairly by clinicians
, CMN 548 - MODULE 1 STUDY GUIDE QUESTIONS AND ANSWERS
techniques of guided questioning - (answer)-moving from open ended to focused questions
-using q's that elicit a graded response
-ask a serious of q's one at a time
offering multiple choices for answers
-clarifying what the pt means
encouraging with continuers (nonverbal encouragements, neutral utterances)
-using echoing/repetition
Non-stigmatizing language - (answer)"people-first language"
-ex: "person who uses drugs; person with a substance use disorder"
low literacy - (answer)low ability to read
low health literacy - (answer)leads to poor health outcomes and impaired use of health services
What are the components of an adult health history? - (answer)-initial info (pt's initial, age, gender)
-CC (pt's primary problem prompting the reason for visit)
-HPI
-PMH (childhood & adult illnesses; 4 areas: medical, surgical, psychiatric, ob/gyn)
-Family hx
-Social & personal hx
"FIFE" for exploring the pt's perspective on disease and illness - (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? - (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 - (answer)-reflect on patterns emotion and
behavior
-paused before starting an encounter and prepare for potential triggers of bias
-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 - (answer)Reflection
Respect
Regard
Relevance
Resiliency
values - (answer)standards we use to measure our own and other's beliefs and behaviors
biases - (answer)attitudes or feelings that we attach to perceived differences
,CMN 548 - MODULE 1 STUDY GUIDE QUESTIONS AND ANSWERS
nonmaleficence - (answer)Do no harm; physician has responsibility to avoid treatments or interventions
in which the potential for harm outweighs the potential for benefit
beneficence - (answer)clinicians are to act for the pts good by preventing or treating disease
respect for autonomy - (answer)commitment to accept the choices pts with decisional capacity make
about which tx to undergo including rejecting treatment
decisional capacity - (answer)ability to make an autonomous choice that clinicians should respect
confidentiality - (answer)duty to prevent the disclosure of pts personal info to parties whoa re not
authorized to learn that info
informed consent - (answer)clinicians must elicit pts voluntary and informed authorization to test of tx
for for illness injury
o Required elements:
- Nature of the procedure or tx
- Risks and benefits
- Reasonable alternatives
- Risks and benefits of alternatives
- Assessment of the pt's understanding of the first 4 elements
truth telling - (answer)clinicians should disclose information beyond that required by informed consent
that may be relevant to pts
justice - (answer)value that all pts w/ similar medical needs should receive similar medical tx and should
be treated fairly by clinicians
, CMN 548 - MODULE 1 STUDY GUIDE QUESTIONS AND ANSWERS
techniques of guided questioning - (answer)-moving from open ended to focused questions
-using q's that elicit a graded response
-ask a serious of q's one at a time
offering multiple choices for answers
-clarifying what the pt means
encouraging with continuers (nonverbal encouragements, neutral utterances)
-using echoing/repetition
Non-stigmatizing language - (answer)"people-first language"
-ex: "person who uses drugs; person with a substance use disorder"
low literacy - (answer)low ability to read
low health literacy - (answer)leads to poor health outcomes and impaired use of health services
What are the components of an adult health history? - (answer)-initial info (pt's initial, age, gender)
-CC (pt's primary problem prompting the reason for visit)
-HPI
-PMH (childhood & adult illnesses; 4 areas: medical, surgical, psychiatric, ob/gyn)
-Family hx
-Social & personal hx
