EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
CMN 548 Module 1 Study Guide with
Complete Solutions
"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
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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
-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
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
Page 2/34
,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
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
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
Page 3/34
, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
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)
Page 4/34
CMN 548 Module 1 Study Guide with
Complete Solutions
"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
Page 1/34
,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
-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
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
Page 2/34
,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
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
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
Page 3/34
, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
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)
Page 4/34
