NU 650 Exam 1
Make it private and comfortable to im-
Know how environment can impact prove communication. Set temperature,
health assessment and strategies to cre- lights, privacy curtains. Arrange the room
ate one that best facilitates it to facilitate eye contact and personal
space. Remove physical barriers,
Be attentive, respectful and encourage
How to deal with gathering history with a them to continue. Maybe ask if they are
silent patient upset, and be mindful of how you ask
questions.
Give free reign for 5 minutes and listen.
Focus on what seems important to them.
How to deal with gathering history with a
Set limits, and reschedule for another
talkative patient
patient as needed. Avoid showing impa-
tience.
Use guided, clarification, summarizing.
How to deal with gathering history with a Watch for underlying issues and if not
confusing story making sense shift to a mental status
exam.
A process that requires humility as indi-
viduals continually engage in self-reflec-
tion and self-critique as lifelong learners
and reflective practitioners
Know the three dimensions of cultural
(1) self awareness: learn own bias/val-
humility
ues
(2) respectful communication
(3) collaborative partnerships: respect
and mutually accept patients
set of unconscious beliefs or associa-
tions that lead to a negative evaluation of
implicit bias
a person on the basis of their perceived
group identity
5Rs
reflection
respect
how to reduce implicit bias?
regard
relevance
resilience
1/9
, NU 650 Exam 1
(1) Initial encounter: set stage, rapport
(2) Gather information: explore patient
Know general principles of collecting a perspective
health history (3) Perform physical exam
(4) Explain and plan
(5) Close encounter
Set the stage
Adjust the environment
Review the clinical record
Set your agenda
what step should be taken in the initial
Greet the patient and establish initial rap-
encounter?
port
Identify patient title, name, and preferred
gender pronouns
Establish rapport
Establish agenda
Discover patient perspective on illness
what steps should be taken during gath- Respond to emotional cues (NURSE)
ering information phase? Gather information about biomedical
perspective of disease including back-
ground and context
a tendency to fixate on initial information,
anchoring bias from which one then fails to adequately
adjust for subsequent information
assuming a diagnosis is more likely if it
availability heuristic bias
comes more readily to mind
seeks supportive evidence for a diagno-
confirmation bias sis at exclusion of more persuasive infor-
mation refuting it
Visceral arousal (negative and positive
visceral bias feelings toward patients) lead to poor di-
agnostic decisions
anchoring bias
availability heuristic bias
types of cognitive errors
confirmation bias
visceral bias
how to address cognitive errors? 2/9
Make it private and comfortable to im-
Know how environment can impact prove communication. Set temperature,
health assessment and strategies to cre- lights, privacy curtains. Arrange the room
ate one that best facilitates it to facilitate eye contact and personal
space. Remove physical barriers,
Be attentive, respectful and encourage
How to deal with gathering history with a them to continue. Maybe ask if they are
silent patient upset, and be mindful of how you ask
questions.
Give free reign for 5 minutes and listen.
Focus on what seems important to them.
How to deal with gathering history with a
Set limits, and reschedule for another
talkative patient
patient as needed. Avoid showing impa-
tience.
Use guided, clarification, summarizing.
How to deal with gathering history with a Watch for underlying issues and if not
confusing story making sense shift to a mental status
exam.
A process that requires humility as indi-
viduals continually engage in self-reflec-
tion and self-critique as lifelong learners
and reflective practitioners
Know the three dimensions of cultural
(1) self awareness: learn own bias/val-
humility
ues
(2) respectful communication
(3) collaborative partnerships: respect
and mutually accept patients
set of unconscious beliefs or associa-
tions that lead to a negative evaluation of
implicit bias
a person on the basis of their perceived
group identity
5Rs
reflection
respect
how to reduce implicit bias?
regard
relevance
resilience
1/9
, NU 650 Exam 1
(1) Initial encounter: set stage, rapport
(2) Gather information: explore patient
Know general principles of collecting a perspective
health history (3) Perform physical exam
(4) Explain and plan
(5) Close encounter
Set the stage
Adjust the environment
Review the clinical record
Set your agenda
what step should be taken in the initial
Greet the patient and establish initial rap-
encounter?
port
Identify patient title, name, and preferred
gender pronouns
Establish rapport
Establish agenda
Discover patient perspective on illness
what steps should be taken during gath- Respond to emotional cues (NURSE)
ering information phase? Gather information about biomedical
perspective of disease including back-
ground and context
a tendency to fixate on initial information,
anchoring bias from which one then fails to adequately
adjust for subsequent information
assuming a diagnosis is more likely if it
availability heuristic bias
comes more readily to mind
seeks supportive evidence for a diagno-
confirmation bias sis at exclusion of more persuasive infor-
mation refuting it
Visceral arousal (negative and positive
visceral bias feelings toward patients) lead to poor di-
agnostic decisions
anchoring bias
availability heuristic bias
types of cognitive errors
confirmation bias
visceral bias
how to address cognitive errors? 2/9
