communication

Question 1

standard healthcare model

Answer 1

identify the problem–>develop alternative solution–>select, implement, evaluate chosen situation

Question 2

reality of standard healthcare model

Answer 2

Not easy to identify the root problem–>not everyone is ready to make a change–>best place to start comes from the patient

Question 3

goals of patient communication

Answer 3

partnership
patient autonomy
undetstanding & empathy
value their worth

Question 4

partnership

Answer 4

patient is expert on their life and experiences
practitioner is guide

Question 5

patient autonomy

Answer 5

practitioner can influence but patient makes decision

Question 6

understanding and empathy

Answer 6

accurately understands the patients situation
empathize with appropriate boundaries

Question 7

value their worth

Answer 7

recognize that everyone has value even if they aren’t ready to make a behavior change

Question 8

MI

Answer 8

motivational interviewing

Question 9

MI framework process

Answer 9

engage, focus, evoke, plan

Question 10

MI process outcome

Answer 10

find one goal within reach for the patient

Question 11

core skills

Answer 11

open questions
affirmations
reflections
summaries
information exchange

Question 12

why do we ask questions in healthcare

Answer 12

• to start new conversation (engage)
• to gather new information (focus, evolve)
• transition to goal setting (plan)

Question 13

open questions obtain

Answer 13

story

Question 14

open questions: begin with

Answer 14

what, why, how, tell me, describe

Question 15

OQ: if they pause you

Answer 15

pause

Question 16

closed question

Answer 16

ends dialogue
set up expert trap
obtain short factual answers

Question 17

stems for OQ

Answer 17

tell me about
what, if any
why might
how would you
what is
can you

Question 18

affirmations are not

Answer 18

compliments

Question 19

affirmations help people feel more capable of

Answer 19

change

Question 20

affirmations show an appreciation for

Answer 20

who the patient is, focus on specific behaviors or values

Question 21

affirmations reflect

Answer 21

something good based on what you heard them say

Question 22

most effective response

Answer 22

reflections

Question 23

reflections

Answer 23

making statements, not asking questions to giving advice

Question 24

why are reflections necessary

Answer 24

in any verbal interaction there are 3 points for miscommunication

Question 25

3 points for miscommunication

Answer 25

what the speaker means--> words the speaker says--> words the listener hears--> what the listener thinks the speaker means

Question 26

goal of reflection

Answer 26

verify if what the speaker means is the same as what the listener thinks the speaker means

Question 27

reflective listening

Answer 27

statements not questions listening with intention

Question 28

reflective listening eliminates

Answer 28

assumptions about what the patient means

Question 29

stems for reflection

Answer 29

it sounds like you seem I hear that you you would like

Question 30

OARS: what

Answer 30

longer reflections contain multiple ideas

Question 31

OARS: when

Answer 31

to point out pattern, notice discrepancy from information provided earlier short on time chatty patient change direction of convo bring whole picture together