PCE7final7exam7flashcards7Questions7With7Complete7Solutions
1. biomedical7model:7focuses7on7pathophysiology7of7disease7caused7by7anatomic,7biomedical,7and/or7neu-
rophysiologic7deviations7from7the7norm
7
2. clinician7task7in7biomedical7model:7identifying,7describing,7and7determining7the7cause7of7medical7dis
eases
3. biopsychosocial7 model:7 acknowledges7the7interdependence7of7pts7biological7(disease),7psychological,7an
d7social7characteristics,7making7it7consistent7w/7general7system7theory
4. disease:7-7implies7a7disruption7in7normal7biologic7function
- objective
5. illness:7 -7subjective
- people7feel7a7sense7of7"disease";7identify7themselves7as7sick,7behave7in7accordance7w/7the7way7they7feel,7which7is7ditt
erent7from7how7they7act7when7they7feel7healthy
6. most7pts7who7seek7medical7care7have7what?:7disease7and7illness7in7varying7degrees
7. medical7interviewing:7process7of7gathering7and7sharing7information7in7the7context7of7a7trustworthy7rela
tionship7that7takes7into7account7both7disease,7if7present,7and7illness
- ettective7diagnostic7tool
8. patient7story:7pertinent7personal7features7of7the7pt,7the7ettectiveness7of7the7clinician-
pt7relationship,7the7family,7the7community,7and7the7pts7spirituality7or7lack7thereof
9. what7is7the7structure7of7the7evidence-
based7interviewing7method?:71.7set7the7stage7for7the7interview
2. elicit7chief7concern7and7set7agenda
3. begin7the7interview7w/7nonfocusing7skills7that7help7the7pt7to7express7her/himself
4. use7focusing7skills7to7elicit7sxs7story,7personal7context,7and7emotional7context
,5. transition7to7middle7of7interview
6. complete7a7chronological7description7of7HPI/OAP
7. PMHx
8. Social7Hx
9. Family7Hx
10. ROS
11. end7of7interview
10. clinician-
centered7interviewing:7the7clinician7takes7charge7of7the7entire7interaction7to7acquire7the7details7of7the7pt
s7sxs7and7other7date7that7will7help7the7clinician7to7identify7a7disease
- close-ended7questions
,- clinician7controls7the7flow7of7information,7kept7the7focus7away7from7the7pt's7experience7of7illness,7and7prevented7most7p
ersonal7information,7feelings,7and7emotions7from7emerging,7limiting7the7clinician's7ability7to7form7an7adequate7relationshi
p7w/7the7pts7or7develop7a7biopsychosocial7description7of7the7pts7problem
11. patient-centered7 interviewing:7 encourage7pts7to7express7what7is7most7important7to7them
- recognizes7the7importance7of7pts7expressions7of7personal7concerns,7feelings,7and7emotions
- pts7ideas,7concerns,7and7expectations7are7drawn7out
- complement7clinician-centered7interviewing
12. do7 pts7 seek7 heatlhcare7 because7 of7 one7 sxs?:7 NO
13. this7method7can7help7clinicians7to7reach7the7correct7diagnosis:7have7pt7tell7his/her7sy
mptom7story
14. when7is7it7appropriate7to7use7clinician-centered7interviewing:7rare7emergency7situa-
tions
7
15. set7the7stage7for7interview:71.7welcome/greet7pt
2. use7pts7name
3. introduce7yourself7and7identify7specific7role
4. ensure7pt7readiness7and7privacy
5. address7barriers7to7communication
6. ensure7comfort7and7put7pt7at7ease
16. elicit7chief7concern7and7set7agenda:7-7indicate7time7available7(-/+)
- forecast7what7you7would7like7to7have7happen7during7the7interview
- obtain7a7list7of7all7issues7pts7wants7to7discuss
- summarize7and7finalize7agenda
17. begin7 the7 interview7 w/7 non-
, focusing7 skills7 that7 help7 the7 pt7 to7 express7her/himself:7-7start7w/7open-
ended7question/statement
- use7nonfocusing7open-ended7skills
- obtain7add.7date7from7nonverbal7sources
18. Use7 focusing7 skills7 to7 learn7 the7 symptom7 story,7 the7 personal7 context,7 and7 the7e
motional7context:7-7obtain7further7description7of7sxs
- elicit/develop7personal7context
- elicit/develop7emotional7context
- respond7to7feelings7and7emotion7w/7empathy7skills
- expand7the7story7to7new7chapters
1. biomedical7model:7focuses7on7pathophysiology7of7disease7caused7by7anatomic,7biomedical,7and/or7neu-
rophysiologic7deviations7from7the7norm
7
2. clinician7task7in7biomedical7model:7identifying,7describing,7and7determining7the7cause7of7medical7dis
eases
3. biopsychosocial7 model:7 acknowledges7the7interdependence7of7pts7biological7(disease),7psychological,7an
d7social7characteristics,7making7it7consistent7w/7general7system7theory
4. disease:7-7implies7a7disruption7in7normal7biologic7function
- objective
5. illness:7 -7subjective
- people7feel7a7sense7of7"disease";7identify7themselves7as7sick,7behave7in7accordance7w/7the7way7they7feel,7which7is7ditt
erent7from7how7they7act7when7they7feel7healthy
6. most7pts7who7seek7medical7care7have7what?:7disease7and7illness7in7varying7degrees
7. medical7interviewing:7process7of7gathering7and7sharing7information7in7the7context7of7a7trustworthy7rela
tionship7that7takes7into7account7both7disease,7if7present,7and7illness
- ettective7diagnostic7tool
8. patient7story:7pertinent7personal7features7of7the7pt,7the7ettectiveness7of7the7clinician-
pt7relationship,7the7family,7the7community,7and7the7pts7spirituality7or7lack7thereof
9. what7is7the7structure7of7the7evidence-
based7interviewing7method?:71.7set7the7stage7for7the7interview
2. elicit7chief7concern7and7set7agenda
3. begin7the7interview7w/7nonfocusing7skills7that7help7the7pt7to7express7her/himself
4. use7focusing7skills7to7elicit7sxs7story,7personal7context,7and7emotional7context
,5. transition7to7middle7of7interview
6. complete7a7chronological7description7of7HPI/OAP
7. PMHx
8. Social7Hx
9. Family7Hx
10. ROS
11. end7of7interview
10. clinician-
centered7interviewing:7the7clinician7takes7charge7of7the7entire7interaction7to7acquire7the7details7of7the7pt
s7sxs7and7other7date7that7will7help7the7clinician7to7identify7a7disease
- close-ended7questions
,- clinician7controls7the7flow7of7information,7kept7the7focus7away7from7the7pt's7experience7of7illness,7and7prevented7most7p
ersonal7information,7feelings,7and7emotions7from7emerging,7limiting7the7clinician's7ability7to7form7an7adequate7relationshi
p7w/7the7pts7or7develop7a7biopsychosocial7description7of7the7pts7problem
11. patient-centered7 interviewing:7 encourage7pts7to7express7what7is7most7important7to7them
- recognizes7the7importance7of7pts7expressions7of7personal7concerns,7feelings,7and7emotions
- pts7ideas,7concerns,7and7expectations7are7drawn7out
- complement7clinician-centered7interviewing
12. do7 pts7 seek7 heatlhcare7 because7 of7 one7 sxs?:7 NO
13. this7method7can7help7clinicians7to7reach7the7correct7diagnosis:7have7pt7tell7his/her7sy
mptom7story
14. when7is7it7appropriate7to7use7clinician-centered7interviewing:7rare7emergency7situa-
tions
7
15. set7the7stage7for7interview:71.7welcome/greet7pt
2. use7pts7name
3. introduce7yourself7and7identify7specific7role
4. ensure7pt7readiness7and7privacy
5. address7barriers7to7communication
6. ensure7comfort7and7put7pt7at7ease
16. elicit7chief7concern7and7set7agenda:7-7indicate7time7available7(-/+)
- forecast7what7you7would7like7to7have7happen7during7the7interview
- obtain7a7list7of7all7issues7pts7wants7to7discuss
- summarize7and7finalize7agenda
17. begin7 the7 interview7 w/7 non-
, focusing7 skills7 that7 help7 the7 pt7 to7 express7her/himself:7-7start7w/7open-
ended7question/statement
- use7nonfocusing7open-ended7skills
- obtain7add.7date7from7nonverbal7sources
18. Use7 focusing7 skills7 to7 learn7 the7 symptom7 story,7 the7 personal7 context,7 and7 the7e
motional7context:7-7obtain7further7description7of7sxs
- elicit/develop7personal7context
- elicit/develop7emotional7context
- respond7to7feelings7and7emotion7w/7empathy7skills
- expand7the7story7to7new7chapters
