Foundations

Question 1

Goals of an interview

Answer 1

1. Understand the patient’s Environment
2. Understand their Illness
3. Develop a problem List
4. Develop a Plan
5. Developed a Contract for care

(EPIC-L, environment, plan, illness, contract, list)

Question 2

CAGE

Answer 2

concern
annoyed
guilt
eye opener

Question 3

TACE

Answer 3

Take to get buzzed
annoyed with drinking
cut back want?
Eye opener

Question 4

CRAFFT

Answer 4

Car - been in car with driver drunk
Relax - drink to relax
Alone - drink alone?
Forget what you did
Family/friend want you to cut back
Trouble - have you gotten into trouble while drinking?

Question 5

HITS

Answer 5

Hurt you?
Insult you?
Threaten you?
Scream at you?>

Question 6

Four Cs

Answer 6

courtesy
comfort
connection
confirmation

Call - what do you call your probem
Cause - what do you think caused it
Concern - what is yours
Cope - how do you cope with this

Question 7

Facilitation

Answer 7

interview technique involving head nodding, expressing understanding and encourage them to keep going

Question 8

Reflection

Answer 8

Repeat what they’re saying and clarify to show that you are listening

Question 9

Clarification

Answer 9

What do you mean? Clarify terms with multiple meanings

Question 10

Reassurance

Answer 10

Duh + do not give false hope

Question 11

Empathy

Answer 11

Duh

Question 12

Confrontation

Answer 12

Use for disturbing behavior

Question 13

Interpretation

Answer 13

Restate and confirm

Question 14

Validation

Answer 14

acknowledge and legitimize

Question 15

Ask me three

Answer 15

What - is problem
How - should I do?
Why - should I do it?

Question 16

SIGE CAPS

Answer 16

Sleep
Interest lost
Guilt
Energy
Concentration
Appetite
Psychomotor (anxiety
Suicidal thoughts

Question 17

What is the range of drinks one can have to be considered “low risk” for developing alcoholism?

Answer 17

Men: less than or equal to 14 drinks/week, and less than or equal to 4 on one occasion

Women: Less than 7 drinks/week, and less than 3 on one occasion.

Question 18

What is the range of drinks one can have to be considered “high risk” for developing alcoholism?

Answer 18

Consuming more than the “low risk” ranges

Question 19

Define binge drinking

Answer 19

Drinking so much in 2 hours to reach a BAC of 0.08 g/dL

Question 20

What is the one part of the note that is okay to document, even though you did not personally do it?

Answer 20

Vital signs

Question 21

What type of words should you avoid when writing a note?

Answer 21

Normal, poor, good.

Question 22

If a patient defers or if you choose to omit something from your note, how should you document this?

Answer 22

State reason or that the patient declined.

Question 23

What is the correct order of information in the note?

Answer 23

CC
HPI
Meds
Allergies
PMHx
Surgical hx
FMHx
SHx
ROS
PE
A&P

Question 24

What are the six items needed to properly document medications?

Answer 24

Name
Dose
Frequency
Number of tablets
Route
Frequency
Last dose taken.

Question 25

What are items in a SHx?

Answer 25

ORT AIDS METH ``` Occupation Relationship Tobacco Alcohol Illicit drugs Diet STDs Military Exercise Travel Hobbies ```

Question 26

What are THE CHADS

Answer 26

``` Thyroid HTN Emphysema Cancer Heart disease (CAD) Asthma DM Stroke ```

Question 27

What goes on the left side of a note, must be present when writing a hand-written note?

Answer 27

Patient name/DOB | Headings

Question 28

True or false: it is acceptable to skip a line so that it makes your note easier to read.

Answer 28

False

Question 29

What type of writing utensil should notes be written in | ?

Answer 29

Blue or black ink pen

Question 30

How do you make an error correction in a hand written note?

Answer 30

Cross it out (never erase), and date and initial next to it.

Question 31

What do you have to do at the bottom of each page

Answer 31

Print and sign name

Question 32

True or false, it is okay to summarize a section if it deals with chief complaints

Answer 32

False.

Question 33

What does PPE stand for?

Answer 33

Personal protective equipment

Question 34

True or false: it is okay to recap a needle if using a one handed technique.

Answer 34

True, but generally, never recap needles--put them in the sharps container.

Question 35

When is it required to wash your hands?

Answer 35

After contact with fluids, immediately after removing gloves, and between patients.

Question 36

When is respiratory hygiene necessary? When is it necessary?

Answer 36

For any patient that has a cough. | At point of contact.

Question 37

When are standard precautions necessary?

Answer 37

FOR EVERYONE.

Question 38

What bodily secretion is not considered dangerous?

Answer 38

Sweat

Question 39

True or false, you should take precautions when touching mucus membranes.

Answer 39

True.

Question 40

What part of your hand should be used when palpating?

Answer 40

The palmar side of your fingers/hand

Question 41

What is the correct order of examination?

Answer 41

Inspect Palpate Percussion Auscultation

Question 42

What are the four Cs?

Answer 42

Courtesy Comfort Connection Confirmation