Questions and CORRECT Answers
best environment conditions - CORRECT ANSWER - well-lit, moderately warm, minimal
background noise, comfortable, private, face at eye level, speak in low tones, do not sit between
patient and bright light or window
build rapport - CORRECT ANSWER - introduce yourself first and last name, explain your
role, shake hand, ask preferred name and pronouns, avoid first names without permission,
apologize if you make a mistake
rapport with newborns - CORRECT ANSWER - congratulate, encourage feeding
beforehand, calm voice, encourage holding
rapport with young children - CORRECT ANSWER - utilize play, introduce yourself to
the patient first, brush up on kid culture
rapport with adolescents - CORRECT ANSWER - direct questions to the patient, ensure
family feels heard, acknowledge confidentiality
rapport with older adults - CORRECT ANSWER - allow ample time, make a clear
walking path, environmental considerations, include family when indicated
cultural humility - CORRECT ANSWER - continually engaging in self-reflection and self-
critique as lifelong learner and reflective practitioner to mitigate bias, promote empathy, and aid
in acknowledging and respecting different cultural identities
three dimensions of cultural humility - CORRECT ANSWER - self-awareness, respectful
communication, collaborative partnership
self-awareness - CORRECT ANSWER - explore your own cultural identity, learn about
your own biases and values
, respectful communication - CORRECT ANSWER - work to eliminate assumptions about
what is normal and learn from your patients, they are the experts on their own culture, remain
respectful and open
collaborative partnership - CORRECT ANSWER - build your patient relationship and
respect mutually acceptable plans
types of cognitive errors - CORRECT ANSWER - anchoring bias, availability heuristic,
confirmation bias, diagnostic momentum, framing effect, representation error, visceral bias
anchoring bias - CORRECT ANSWER - tendency to lock onto salient features in the
patient's initial presentation too early in the diagnostic process and failure to adjust in light of
later info
availability heuristic - CORRECT ANSWER - assumption that a diagnosis is more likely
or more frequently occurring because it comes to mind more readily
confirmation bias - CORRECT ANSWER - seeking supportive evidence for a diagnosis at
the exclusion of more persuasive information refuting it
diagnostic momentum - CORRECT ANSWER - prioritizing a diagnosis made by prior
clinicians, discounting evidence of alternative explanations
framing effect - CORRECT ANSWER - interpretation of information is influenced heavily
by the way in which information about the problem is presented
representation error - CORRECT ANSWER - failure to take prevalence into consideration
when estimating the probability of a diagnosis
visceral bias - CORRECT ANSWER - visceral arousal leads to poor diagnostic decisions