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Psychosocial Final| 507 Questions & Complete Answer 2023/2024.

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Psychosocial Final| 507 Questions & Complete Answer 2023/2024. What are the E4 communication model of physician-patient communication - Answer 1. Engage: human interaction needed to elicit patient complaints 2. Empathize: active emotion for others - NOT sympathize 3. Educate: active process - not just provide info 4. enlist: actively involve patient in treatment plan What are the benefits of the E4 communication model? - Answer patients more likely to to follow medical advice, return for follow up visits, and less likely to sue if they have a good experience/trust you What is the purpose of the patient interview? - Answer 1. Information Gathering 2. Establishing a patient relationship 3. Implementing a treatment plan Who is Sir William Osler - Answer Best known MD in english speaking world at turn of century stated "if you listen to the patient they will usually give you the diagnosis and if you listen even more carefully they will likely indicate the best treatment? termed "most influential MD in history" What is listening behavior and how do you implement? - Answer Powerful effect on pt-provider relationship pt continue to speak IF listening is apparent need to SHOW you are listening: non verbal acknowledgement What are the tasks in medical interviewing - Answer 1. Opening the interview: Greeting and introduction, optimize environment, fine tune communication skill/style) 2. Addressing barriers to communication: physical constraints external conditions like wait time, language (try not to use jargon) 3. Eliciting patients story: switch from open to closed ended questions, show EMPATHY (reflection, confrontation, validation, respect), get to know patient as a person: cultivate interest, weave conversation through "clinical" dialogue 4. Clinician self awareness: try to minimize preconceived ideas and know your biases, maintain professionalism Generating Hypothesis 6. Negotiating Priorities 7. Implementing Treatment Plan 8. Closing the Interview What are aspects of non-verbal skills? - Answer 1. Body Language: posture 2. Voice/Speech: rate/tone/reflection 3. facial expressions

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