USA - CMN 548 - Bickley
(Bates) Questions and
Complete Solutions
Graded A+
CH 1 : The 5 rs for ectcultural humility - Answer: Reflection, Respect, Regard, Relevance, Resiliency
CH 1: Self Awareness - Answer: Provider bring own values and biases to a conscious level. Values: your
own beliefs and behaviours. Biases: Attitudes or feelings that we attach to perceived differences.
CH 1: Core values of medical ethics - Answer: Nonmaleficence: First do not hamr
Beneficence: Provider act on patient's good by preventing/treating.
Respect for autonomy: accept choices patients with decisional capacity make, including rejecting
treatment.
Decisional Capacity: ability to make autonomous choise that clinicians should respect.
Confidentiality: prevent disclosure of patient's personal information.
Informed consent: providers should elicit patient's voluntary and informed authorization to test/treat
for illness or injury.
Truth telling: Clinicians should disclose information beyond what's required that may be relevant to
patients.
Justice: Patient with similar needs should receive similar medical treatment and should be treated fairly
by clinicians.
CH 2: Techniques for Guided Questioning - Answer: Moving from open-ended to focused questions.
Using questioning that elicits a graded response
Asking a series of questions, one at a time.
, Offering multiple choices for answers.
Clarifying what the patient means.
Encouraging with continuers.
Using echoing/repetition.
CH2:Nonstigmatizing Language - Answer: Avoid using phrases which could be perceived as
dehumanizing, perpetuate stigma, and tend to marginalize rather than support them. Eg: Criminal thug:
person who was formerly incarcerated. Drug abuser: person who uses drugs, Schizophrenic: person who
have been diagnosed with schizophrenia.
CH2: Informed consent - Answer: Patient's consent to a procedure or treatment. Elements of the
informed consent discussion:
Nature of the procedure or treatment
Risks and benefits of the procedure or treatment
Reasonable alternatives
Risks and benefits of alternatives
Assessment of the patient's understanding of the first four elements
CH2: Motivational interviewing - Answer: Techniques that improve health outcomes. Encourages
provider to help patients discover their interest in considering and making a change in their behaviours.
CH 2: Challenging patient situations and Behaviors - Answer: Silent, talkative, with confusing narrative,
with altered state or cognitions, with emotional lability, angry or aggressive, flirtatious, discriminatory,
with hearing loss, with low or impaired vision, with limited intelligence, burdened by personal problems,
nonadherent, with low literacy, with low health literacy, with limited language proficiency, with terminal
illness or dying.
CH2; The patient with low literacy or low health literacy - Answer: Asses ability to read. For low health
literarcy,
CH 3: Details of the components of the adult health history - Answer: Identifying patient information :
initials, age and gender
Source, Reliability:Patient or caregiver, patients memory, trust, and mood
(Bates) Questions and
Complete Solutions
Graded A+
CH 1 : The 5 rs for ectcultural humility - Answer: Reflection, Respect, Regard, Relevance, Resiliency
CH 1: Self Awareness - Answer: Provider bring own values and biases to a conscious level. Values: your
own beliefs and behaviours. Biases: Attitudes or feelings that we attach to perceived differences.
CH 1: Core values of medical ethics - Answer: Nonmaleficence: First do not hamr
Beneficence: Provider act on patient's good by preventing/treating.
Respect for autonomy: accept choices patients with decisional capacity make, including rejecting
treatment.
Decisional Capacity: ability to make autonomous choise that clinicians should respect.
Confidentiality: prevent disclosure of patient's personal information.
Informed consent: providers should elicit patient's voluntary and informed authorization to test/treat
for illness or injury.
Truth telling: Clinicians should disclose information beyond what's required that may be relevant to
patients.
Justice: Patient with similar needs should receive similar medical treatment and should be treated fairly
by clinicians.
CH 2: Techniques for Guided Questioning - Answer: Moving from open-ended to focused questions.
Using questioning that elicits a graded response
Asking a series of questions, one at a time.
, Offering multiple choices for answers.
Clarifying what the patient means.
Encouraging with continuers.
Using echoing/repetition.
CH2:Nonstigmatizing Language - Answer: Avoid using phrases which could be perceived as
dehumanizing, perpetuate stigma, and tend to marginalize rather than support them. Eg: Criminal thug:
person who was formerly incarcerated. Drug abuser: person who uses drugs, Schizophrenic: person who
have been diagnosed with schizophrenia.
CH2: Informed consent - Answer: Patient's consent to a procedure or treatment. Elements of the
informed consent discussion:
Nature of the procedure or treatment
Risks and benefits of the procedure or treatment
Reasonable alternatives
Risks and benefits of alternatives
Assessment of the patient's understanding of the first four elements
CH2: Motivational interviewing - Answer: Techniques that improve health outcomes. Encourages
provider to help patients discover their interest in considering and making a change in their behaviours.
CH 2: Challenging patient situations and Behaviors - Answer: Silent, talkative, with confusing narrative,
with altered state or cognitions, with emotional lability, angry or aggressive, flirtatious, discriminatory,
with hearing loss, with low or impaired vision, with limited intelligence, burdened by personal problems,
nonadherent, with low literacy, with low health literacy, with limited language proficiency, with terminal
illness or dying.
CH2; The patient with low literacy or low health literacy - Answer: Asses ability to read. For low health
literarcy,
CH 3: Details of the components of the adult health history - Answer: Identifying patient information :
initials, age and gender
Source, Reliability:Patient or caregiver, patients memory, trust, and mood
