Final revision communication skills

Question 1

________is a science and an art

Answer 1

Communication

Question 2

Areas of communication in medicine include

Answer 2

questioning skills in history taking, giving information in health education/patient education and anticipatory care

Question 3

Anticipatory care is

Answer 3

active listening and consultation

Question 4

The goal of communication is_________

Answer 4

mutual understanding

Question 5

Linear approach is

Answer 5

a sender having an idea translated as a message sent to a receiver along a communication channel

Question 6

transactional approach

Answer 6

receiver through feedback, will also affect the sender

Question 7

A sender is

Answer 7

an individual that initiates the communication

Question 8

Encoding is when

Answer 8

The sender put his ideas and thoughts in a message using several forms of verbal and non-verbal communication: speech, written text, pictures
- A good way for the sender to improve encoding their message is to think from the receiver’s point of view to reduce misunderstanding

Question 9

Messages need to be

Answer 9

courteous, complete, coherent, correct, concrete, concise and clear

Question 10

Types of communication channels

Answer 10

Face to face, print media, mass media, telephones, internet and social media

Question 11

Decoding is done by the

Answer 11

reciever

Question 12

Interpretation of the message depends on receiver’s

Answer 12

experiences, attitude, knowledge, skills, perceptions, and culture
-It is similar to the sender’s relationship with encoding.

Question 13

Successful communication takes place when the

Answer 13

receiver correctly interprets the sender’s message.

Question 14

Types of noise

Answer 14

environmental
phycological
Health status
Channel of communication (unsuitable message or unclear language)

Question 15

Non-verbal communication represents

Answer 15

two thirds of communication in practice.

Question 16

eye contact and body touch

Answer 16

should respect the local culture (between different sexes)

Question 17

Listening is an _____ in which conscious decision is made to listen to and understand the message of the speaker.

Answer 17

active process

Question 18

When is small group communication used

Answer 18

In health education and in group therapy

Question 19

Communication barriers

Answer 19

Factors related to sender: not clear message
Factors related to receiver: Limited receptiveness, negative attitude and limited education

Social and culture gaps
Factors related to message: confusing, not related
Factors related to the environment: distraction or loud noises.

Question 20

Physicians consider a _______ approach to build trust, and establish caring relationships with patients.

Answer 20

bio-psycho

Question 21

-For Effective Consultation:

Answer 21

Acknowledge patient’s concerns and symptoms

 To allocate time and resources to solve concerns

 Encourage honest transfer of information that will provide a more comprehensive picture of patient’s concerns

 Avoid open skepticism or disproving comments when discussing patient’s concerns

Question 22

Communication process is

Answer 22

Dynamic
Continuous
Irreversible
Transactional

Question 23

Represents 2/3 of communication

Answer 23

Non-verbal communication

Question 24

non verbal communication addresses ______. Its also ___________

Answer 24

all senses, indirect and unconscious

Question 25

Successful communication is the message of sender well perceived and produces changes in .........

Answer 25

Knowledge, Attitude, Practice

Question 26

Satisfied patient is reflected on doctor in

Answer 26

Job satisfaction Less work stress Reduce Burnout

Question 27

Goals of doctor-patient communication

Answer 27

Creating a good relationship Facilitating exchange of info Including patients in decision making More patient centered care---->More satisfaction

Question 28

Consultation inculdes

Answer 28

All steps of patient encounter and relationship

Question 29

Consultation must follow.......

Answer 29

Holistic approach (look at person as a whole)

Question 30

For effective consultation

Answer 30

Acknowledge patient concerns and symptoms Allocate time and resources Honest transfer of info Avoid open skepticism or disproving comments

Question 31

Types of questions

Answer 31

Open: what, why, how Closed: Yes or no Clarifying: to understand Verifying: to confirm

Question 32

Skills for good patient communication

Answer 32

Show you care May ask same questions in different ways to be sure client understands ``` Start with open questions Use facilitating nonverbal communication Closed questions to get more specific info Avoid leading questions Avoid interrogating questions ```

Question 33

Reflecting is

Answer 33

Paraphrasing but with more emotional tone

Question 34

Proper nonverbal communication

Answer 34

Lean forward and eye contact

Question 35

What are the techniques for communication

Answer 35

Use silence appropriately; don't interrupt during pauses Clarify what you don't understand Paraphrasing in your own words Reflection Proper non verbal communication Summarize at the end

Question 36

Requirements for communication

Answer 36

Picking up cues Facilitation Clarification Reflection: help patient to proceed Help patient to be relevant by interrupting at appropriate points to redirect the patient Silence: use it to observe patient Summarize

Question 37

Information giving skills

Answer 37

``` Sequencing events Direct flow of info Summarize points Follow rules of health education Put important things 1st ```

Question 38

Communication before examination or medical procedures

Answer 38

Reassure Proper H/O Explain procedure Explain when the procedure will be formed

Question 39

Communication during procedures

Answer 39

Privacy and respect patient modesty Reassure Ensure presence of nurse Explain each step before it happens

Question 40

Communication after procedure

Answer 40

``` Outcome Time of discharge Additional investigation Signs of normal recovery Warning signs of immediate return Follow up appointment ```

Question 41

Anticipatory care

Answer 41

Messages to prevent side effects | Opportunity for general health education

Question 42

Useful anticipatory care actions

Answer 42

review patient records to find opportunity for preventive intervention Be alert for verbal and non verbal cues point to problem Be selective and prioritize problems to be adressed

Question 43

Medical instructions are hard to be remembered and followed for both patient and provider so

Answer 43

Treatment plan should be discussed with patients periodically assessed Ask patient to an appointment Overcome communication barriers Plain language Instructions Focus on immediate skills and behaviors More info at the correct time Adherence aids and reminders Use teach back: Patient repeats in his own words

Question 44

final aim of consultation is

Answer 44

Patient compliance and cure

Question 45

Principles of consultation

Answer 45

Discover reason for attendance Define clinical problem Address patient problem Explain to patient

Question 46

Health literacy

Answer 46

Is the degree which individuals have the capacity to obtain process and understand basic health info and services needed to make appropriate decisions

Question 47

Goals of health education

Answer 47

Make realistic improvements in quality of life Change of behavior and adoption KAP (Knowledge, attitude and practice)

Question 48

Adoption means

Answer 48

Practice becomes normal without relapse.

Question 49

Role of health educators

Answer 49

``` Assessment of community needs Plan HE program Implement HE program Evaluation Coordination Communication ```

Question 50

HE message must be

Answer 50

``` One major concern at a time Simple clear and easy to understand Cheap Action oriented Physically accessible Doesn't contradict religion or tradition Acceptable ```

Question 51

_________is the first step for development of suitable message

Answer 51

Education diagnosis

Question 52

Purpose of community HE

Answer 52

People affecting many people and cooperation is required Emergencies Problem requires pooling of resources

Question 53

Disadvantages of mass media

Answer 53

One way Message may not touch needs of recipient Less effective

Question 54

Requirements for a successful HE

Answer 54

Educator Material Message Two way communication