NR 509 / NR509 MIDTERM EXAM
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COMPLETE QUESTIONS AND |! |! |!
VERIFIED ANSW ERS |!
is the clinical encounter clinician-centered to patient-centered - Correct
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answer ✔both; needs to be a balance of the clinician meeting their needs of
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the interaction and the patient feeling heard and create personal dimension
|! |! |! |! |! |! |! |! |! |!
patient-centered approach - Correct answer ✔Interviewing technique
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empowering the patient to provide a candid and complete medical history
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recognizes importance of patient concerns, feelings and emotions and
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understands the patients personal contact of the symptoms/disease
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FIFE model - Correct answer ✔mnemonic for patients perspective on the
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illness
Feelings (fears and concerns about the problem)
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Ideas (about nature and cause of problem)
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Functioning (effect of illness on function)
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Expectations
,general structure of patient encounter (5 steps) - Correct answer ✔initiate the
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encounter
|!
gather information |!
perform the physical examination |! |! |!
explaining and planning |! |! |!
closing the encounter |! |!
2 frameworks that continue throughout whole clinical encounter - Correct
|! |! |! |! |! |! |! |! |! |!
answer ✔relationship building |! |! |!
structuring the interview |! |!
what happens while initiating the encounter - Correct answer ✔greet the
|! |! |! |! |! |! |! |! |! |! |!
patient and set the stage/preparation
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what does it mean to set the stage - Correct answer ✔prepare for the
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interview
check your appearance|! |!
make sure patient is comfortable and environment is conducive to private
|! |! |! |! |! |! |! |! |! |! |!
info being shared
|! |!
what happens during the gathering information stage - Correct answer
|! |! |! |! |! |! |! |! |! |!
✔initiate information gathering |! |! |!
history of present illness |! |! |!
past medical history
|! |!
social history |!
,explore patients perspective of disease and relevant background information
|! |! |! |! |! |! |! |!
what happens during explaining and planning - Correct answer ✔provide
|! |! |! |! |! |! |! |! |! |!
correct amount and type of information |! |! |! |! |!
negotiate plan of action |! |! |! |!
shared decision making |! |!
when asking patient about there pronouns it may be helpful to.... - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔share your own pronouns |! |! |! |! |!
|!
"in an effort to promote an inclusive and respectful environment, we use
|! |! |! |! |! |! |! |! |! |! |! |!
pronouns that are right for us. The pronouns I prefer are......how about you
|! |! |! |! |! |! |! |! |! |! |! |! |!
what pronouns do you prefer? |! |! |! |!
the initial moments of your encounter lay the foundation for.... - Correct
|! |! |! |! |! |! |! |! |! |! |! |!
answer ✔your ongoing relationship |! |! |!
how to establish rapport - Correct answer ✔introduce yourself, explain your
|! |! |! |! |! |! |! |! |! |! |!
role and how you will be a part of their care
|! |! |! |! |! |! |! |! |! |!
3 dimensions of cultural humility - Correct answer ✔1) Self-awareness
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2) Respectful communication
|! |!
3) Collaborative partnerships
|! |!
, active listening - Correct answer ✔Closely listening to what the patient is
|! |! |! |! |! |! |! |! |! |! |! |!
communicating, connecting on an emotional state to the patient. |! |! |! |! |! |! |! |!
use both verbal and nonverbal skills to encourage pt to expand on their
|! |! |! |! |! |! |! |! |! |! |! |! |!
feelings/concerns
Empathetic responses - Correct answer ✔capacity to identify with a patient
|! |! |! |! |! |! |! |! |! |! |!
and feel patients pain as your own and respond in a supportive manner
|! |! |! |! |! |! |! |! |! |! |! |! |!
"That must have been difficult for you."
|! |! |! |! |! |!
"I understand, you're worried."
|! |! |!
Non-verbal: offering a tissue to a crying patient; reaching out and gently
|! |! |! |! |! |! |! |! |! |! |! |!
touching a patient's hand. |! |! |! |!
Therapeutic use of self: "I've had surgery before, so I can relate to what you're
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
going through."
|! |!
guided questioning - Correct answer ✔Helps to continue the patients story,
|! |! |! |! |! |! |! |! |! |! |!
shows sustained interest and allows clinician to adapt questioning based on
|! |! |! |! |! |! |! |! |! |! |!
patient i.e.: |!
-moving from open ended to focused questions
|! |! |! |! |! |!
-using questions that elicit a graded response
|! |! |! |! |! |!
-asking a series of questions, ONE at a time
|! |! |! |! |! |! |! |!
-clarifying what the patient means |! |! |! |!
-encouraging with continuers |! |! |!
|! |! |! |! |! |!
COMPLETE QUESTIONS AND |! |! |!
VERIFIED ANSW ERS |!
is the clinical encounter clinician-centered to patient-centered - Correct
|! |! |! |! |! |! |! |! |!
answer ✔both; needs to be a balance of the clinician meeting their needs of
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
the interaction and the patient feeling heard and create personal dimension
|! |! |! |! |! |! |! |! |! |!
patient-centered approach - Correct answer ✔Interviewing technique
|! |! |! |! |! |! |!
empowering the patient to provide a candid and complete medical history
|! |! |! |! |! |! |! |! |! |!
recognizes importance of patient concerns, feelings and emotions and
|! |! |! |! |! |! |! |! |!
understands the patients personal contact of the symptoms/disease
|! |! |! |! |! |! |!
FIFE model - Correct answer ✔mnemonic for patients perspective on the
|! |! |! |! |! |! |! |! |! |! |!
illness
Feelings (fears and concerns about the problem)
|! |! |! |! |! |!
Ideas (about nature and cause of problem)
|! |! |! |! |! |!
Functioning (effect of illness on function)
|! |! |! |! |!
Expectations
,general structure of patient encounter (5 steps) - Correct answer ✔initiate the
|! |! |! |! |! |! |! |! |! |! |!
encounter
|!
gather information |!
perform the physical examination |! |! |!
explaining and planning |! |! |!
closing the encounter |! |!
2 frameworks that continue throughout whole clinical encounter - Correct
|! |! |! |! |! |! |! |! |! |!
answer ✔relationship building |! |! |!
structuring the interview |! |!
what happens while initiating the encounter - Correct answer ✔greet the
|! |! |! |! |! |! |! |! |! |! |!
patient and set the stage/preparation
|! |! |! |!
what does it mean to set the stage - Correct answer ✔prepare for the
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
interview
check your appearance|! |!
make sure patient is comfortable and environment is conducive to private
|! |! |! |! |! |! |! |! |! |! |!
info being shared
|! |!
what happens during the gathering information stage - Correct answer
|! |! |! |! |! |! |! |! |! |!
✔initiate information gathering |! |! |!
history of present illness |! |! |!
past medical history
|! |!
social history |!
,explore patients perspective of disease and relevant background information
|! |! |! |! |! |! |! |!
what happens during explaining and planning - Correct answer ✔provide
|! |! |! |! |! |! |! |! |! |!
correct amount and type of information |! |! |! |! |!
negotiate plan of action |! |! |! |!
shared decision making |! |!
when asking patient about there pronouns it may be helpful to.... - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔share your own pronouns |! |! |! |! |!
|!
"in an effort to promote an inclusive and respectful environment, we use
|! |! |! |! |! |! |! |! |! |! |! |!
pronouns that are right for us. The pronouns I prefer are......how about you
|! |! |! |! |! |! |! |! |! |! |! |! |!
what pronouns do you prefer? |! |! |! |!
the initial moments of your encounter lay the foundation for.... - Correct
|! |! |! |! |! |! |! |! |! |! |! |!
answer ✔your ongoing relationship |! |! |!
how to establish rapport - Correct answer ✔introduce yourself, explain your
|! |! |! |! |! |! |! |! |! |! |!
role and how you will be a part of their care
|! |! |! |! |! |! |! |! |! |!
3 dimensions of cultural humility - Correct answer ✔1) Self-awareness
|! |! |! |! |! |! |! |! |!
2) Respectful communication
|! |!
3) Collaborative partnerships
|! |!
, active listening - Correct answer ✔Closely listening to what the patient is
|! |! |! |! |! |! |! |! |! |! |! |!
communicating, connecting on an emotional state to the patient. |! |! |! |! |! |! |! |!
use both verbal and nonverbal skills to encourage pt to expand on their
|! |! |! |! |! |! |! |! |! |! |! |! |!
feelings/concerns
Empathetic responses - Correct answer ✔capacity to identify with a patient
|! |! |! |! |! |! |! |! |! |! |!
and feel patients pain as your own and respond in a supportive manner
|! |! |! |! |! |! |! |! |! |! |! |! |!
"That must have been difficult for you."
|! |! |! |! |! |!
"I understand, you're worried."
|! |! |!
Non-verbal: offering a tissue to a crying patient; reaching out and gently
|! |! |! |! |! |! |! |! |! |! |! |!
touching a patient's hand. |! |! |! |!
Therapeutic use of self: "I've had surgery before, so I can relate to what you're
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
going through."
|! |!
guided questioning - Correct answer ✔Helps to continue the patients story,
|! |! |! |! |! |! |! |! |! |! |!
shows sustained interest and allows clinician to adapt questioning based on
|! |! |! |! |! |! |! |! |! |! |!
patient i.e.: |!
-moving from open ended to focused questions
|! |! |! |! |! |!
-using questions that elicit a graded response
|! |! |! |! |! |!
-asking a series of questions, ONE at a time
|! |! |! |! |! |! |! |!
-clarifying what the patient means |! |! |! |!
-encouraging with continuers |! |! |!
