PHYSICAL DIAGNOSIS QUIZ 1 STUDYGUIDE QUESTIONS AND CORRECT
ANSWERS
Question:
1. Patient-centered
Answer:
focus is on patient -recognize the importance of patients' expressions -following the patient's
lead to understand their thoughts, ideas, concerns, and requests, without adding additional
information
Question:
2. Clinician-centered
Answer:
Obtains key data to reach assessment and plan -Takes charge of the interaction to meet his/her
own need to acquire symptoms, their details, and other data that will help him.her identify a
disease
Question:
3. General Structure and Sequence of the Clinical Encounter
Answer:
1. Initiating the encounter
2. Gathering information
3. Performing the physical exam
4. Explaining and planning
5. Closing the encounter
Question:
4. Initiating the encounter
Answer:
- setting the stage / preparation
- greeting the patient and establishing initial rapport -set the agenda (clarify patient/provider -
centered goals and agree on agenda before beginning interview)
Question:
5. Gathering information
Answer:
-initiating information gathering -exploring the patient's perspective of illness -exploring
biomedical perspective of disease including relevant background and context
Question:
6. Physical Findings
Answer:
-denote the presence or absence of disease -follows the history -always maintain your patient's
comfort throughout
, Question:
7. Explaining and Planning
Answer:
provide correct amount and type of information negotiate plan of action options, exploring
patient preferences and moving to a decision, checking the patient is ready to make a decision)
Question:
8. Assigned sex
Answer:
Biologic sex designated at birth
Question:
9. Sexual orientation
Answer:
Person's physical, romantic, and/or emotional attraction to another person
Question:
10. Gender Identity
Answer:
Individual's internal sense of being male, female, or something else (not always visible to others)
Question:
11. How should you explore patient's perspective of illness?
Answer:
Feelings, including fears or concerns about the problem Ideas about the nature and the cause of
the problem The effect of the problem on the patient's life and Function Expectations of the
disease, of the clinician, or of health care, often based on prior personal/family experiences
Question:
12. How do you respond attentively to emotional cues using techniques like reflection,
feedback, and "continuers" that convey support?
Answer:
Name - "That sounds like a scary experience." Understand - "It's understandable that you feel
that way" Respect - "You've done better than most people would with this." Support - "I will
continue to work with you on this" Explore - "How else were you feeling about it?"
Question:
13. Teach back method niques
Answer:
Plan your approach Chunk and check Clarify and check again Start slowly and use consistently
Practice Use the show-me method Use handouts along with teach-back Guided questions
Empathic responses Summarization Transitions Partnering Empowering the patient Reassurance
Validation Appropriate verbal communication Appropriate nonverbal communication
ANSWERS
Question:
1. Patient-centered
Answer:
focus is on patient -recognize the importance of patients' expressions -following the patient's
lead to understand their thoughts, ideas, concerns, and requests, without adding additional
information
Question:
2. Clinician-centered
Answer:
Obtains key data to reach assessment and plan -Takes charge of the interaction to meet his/her
own need to acquire symptoms, their details, and other data that will help him.her identify a
disease
Question:
3. General Structure and Sequence of the Clinical Encounter
Answer:
1. Initiating the encounter
2. Gathering information
3. Performing the physical exam
4. Explaining and planning
5. Closing the encounter
Question:
4. Initiating the encounter
Answer:
- setting the stage / preparation
- greeting the patient and establishing initial rapport -set the agenda (clarify patient/provider -
centered goals and agree on agenda before beginning interview)
Question:
5. Gathering information
Answer:
-initiating information gathering -exploring the patient's perspective of illness -exploring
biomedical perspective of disease including relevant background and context
Question:
6. Physical Findings
Answer:
-denote the presence or absence of disease -follows the history -always maintain your patient's
comfort throughout
, Question:
7. Explaining and Planning
Answer:
provide correct amount and type of information negotiate plan of action options, exploring
patient preferences and moving to a decision, checking the patient is ready to make a decision)
Question:
8. Assigned sex
Answer:
Biologic sex designated at birth
Question:
9. Sexual orientation
Answer:
Person's physical, romantic, and/or emotional attraction to another person
Question:
10. Gender Identity
Answer:
Individual's internal sense of being male, female, or something else (not always visible to others)
Question:
11. How should you explore patient's perspective of illness?
Answer:
Feelings, including fears or concerns about the problem Ideas about the nature and the cause of
the problem The effect of the problem on the patient's life and Function Expectations of the
disease, of the clinician, or of health care, often based on prior personal/family experiences
Question:
12. How do you respond attentively to emotional cues using techniques like reflection,
feedback, and "continuers" that convey support?
Answer:
Name - "That sounds like a scary experience." Understand - "It's understandable that you feel
that way" Respect - "You've done better than most people would with this." Support - "I will
continue to work with you on this" Explore - "How else were you feeling about it?"
Question:
13. Teach back method niques
Answer:
Plan your approach Chunk and check Clarify and check again Start slowly and use consistently
Practice Use the show-me method Use handouts along with teach-back Guided questions
Empathic responses Summarization Transitions Partnering Empowering the patient Reassurance
Validation Appropriate verbal communication Appropriate nonverbal communication