6512 MIDTERM EXAM WITH ACTUAL
QUESTIONS AND CORRECT
ANSWERS[FOR A+ GRADES]
[FOR ANY OTHER EXAM OR ASSIGNMRNT EMAIL @ MACHARIALWS]
·Communication techniques used to obtain a patient's health
history - ANSWER>>>>>Courtesy, Comfort, Connection,
Confirmation
Courtesy Communication Technique - ANSWER>>>>>• Knock before
entering a room.
• Address, first, the patient formally (e.g., Miss, Ms., Mrs., Mr.) It is
all right to shake hands.
• Meet and acknowledge others in the room and establish their
roles and degree of participation.
• Learn their names.
• Ensure confidentiality.
• Be in the room, sitting, with no effort to reach too soon for the
doorknob.
• If taking notes, take notes sparingly; note key words as reminders
but do not let note-taking distract from your observing and
listening.
• If typing in the electronic medical record, type briefly and
maintain eye contact with patient, if possible.
• Respect the need for modesty.
• Allow the patient time to be dressed and comfortably settled
after the examination. Follow-up discussion with the patient still
"on the table" is often discomfiting.
Comfort Communication Technique - ANSWER>>>>>• Ensure
physical comfort for all, including yourself.
• Try to have a minimum of furniture separating you and the
patient.
• Maintain privacy, using available curtains and shades.
, • Ensure a comfortable room temperature or provide a blanket—a
cold room will make a patient want to cover up.
• Ensure good lighting.
• Ensure necessary quiet. Turn off the television set.
• Try not to overtire the patient. It is not always necessary to do it
all at one visit.
Confirmation Communication Technique - ANSWER>>>>>• Ask the
patient to summarize the discussion. There should be clear
understanding and uncertainty should be eased.
• Allow the possibility of more discussion with another open-ended
question: "Anything else you want to bring up?"
• If there is a question that you cannot immediately answer, say so.
Be sure to follow up later if at all possible.
• If you seem to have made a mistake, make every effort to repair
it. Candor is important for development of a trusting partnership.
Most patients respect it.
Connection Communication Technique - ANSWER>>>>>• Look at the
patient; maintain good eye contact if cultural practices allow.
• Watch your language. Avoid professional jargon. Do not
patronize with what you say.
• Do not dominate the discussion. Listen alertly. Let the patient
order priorities if several issues are raised.
• Do not accept a previous diagnosis as a chief concern. Do not too
readily follow a predetermined path.
• Find out whether the patient has turned from other healthcare
providers to come to you.
• Take the history and conduct the physical examination before you
look at previous studies or tests. Consider first what the patient has
to say.
• Avoid leading or direct questions at first. Open-ended questions
are better for starters. Let specifics evolve from these.
• Avoid being judgmental.
• Respect silence. Pauses can be productive.
QUESTIONS AND CORRECT
ANSWERS[FOR A+ GRADES]
[FOR ANY OTHER EXAM OR ASSIGNMRNT EMAIL @ MACHARIALWS]
·Communication techniques used to obtain a patient's health
history - ANSWER>>>>>Courtesy, Comfort, Connection,
Confirmation
Courtesy Communication Technique - ANSWER>>>>>• Knock before
entering a room.
• Address, first, the patient formally (e.g., Miss, Ms., Mrs., Mr.) It is
all right to shake hands.
• Meet and acknowledge others in the room and establish their
roles and degree of participation.
• Learn their names.
• Ensure confidentiality.
• Be in the room, sitting, with no effort to reach too soon for the
doorknob.
• If taking notes, take notes sparingly; note key words as reminders
but do not let note-taking distract from your observing and
listening.
• If typing in the electronic medical record, type briefly and
maintain eye contact with patient, if possible.
• Respect the need for modesty.
• Allow the patient time to be dressed and comfortably settled
after the examination. Follow-up discussion with the patient still
"on the table" is often discomfiting.
Comfort Communication Technique - ANSWER>>>>>• Ensure
physical comfort for all, including yourself.
• Try to have a minimum of furniture separating you and the
patient.
• Maintain privacy, using available curtains and shades.
, • Ensure a comfortable room temperature or provide a blanket—a
cold room will make a patient want to cover up.
• Ensure good lighting.
• Ensure necessary quiet. Turn off the television set.
• Try not to overtire the patient. It is not always necessary to do it
all at one visit.
Confirmation Communication Technique - ANSWER>>>>>• Ask the
patient to summarize the discussion. There should be clear
understanding and uncertainty should be eased.
• Allow the possibility of more discussion with another open-ended
question: "Anything else you want to bring up?"
• If there is a question that you cannot immediately answer, say so.
Be sure to follow up later if at all possible.
• If you seem to have made a mistake, make every effort to repair
it. Candor is important for development of a trusting partnership.
Most patients respect it.
Connection Communication Technique - ANSWER>>>>>• Look at the
patient; maintain good eye contact if cultural practices allow.
• Watch your language. Avoid professional jargon. Do not
patronize with what you say.
• Do not dominate the discussion. Listen alertly. Let the patient
order priorities if several issues are raised.
• Do not accept a previous diagnosis as a chief concern. Do not too
readily follow a predetermined path.
• Find out whether the patient has turned from other healthcare
providers to come to you.
• Take the history and conduct the physical examination before you
look at previous studies or tests. Consider first what the patient has
to say.
• Avoid leading or direct questions at first. Open-ended questions
are better for starters. Let specifics evolve from these.
• Avoid being judgmental.
• Respect silence. Pauses can be productive.
