History and physical: lecture 1 term 4

Question 1

What is the difference between physician centered vs patient centered encounter?

Answer 1

Physician centered approach is asking more close ended questions, getting details out of the pt, but results in patient’s dissatisfaction.

Patient centered approach lets the patient talk, is more time consuming, and encourages patient centered relationship.

Question 2

The following statement is which of the following:
“I see you have left knee pain and fell yesterday but noticed knee swelling today, then what. “

a. Reflection
b. an open ended question
c. A close ended question
d. Echoing

Answer 2

Echoing.

signals the patient that you heard what was said by repeating a word or phrase. Encourages the patient to proceed.

Question 3

Explain the emotion seeking skills for a physician

Answer 3

FIFE:
F: Feeling towards the problem
I: Idea: having an idea what caused the problem
F: Functioning affected by the problem
E: Expectations of the patient from the physician, disease process, and health care/treatment etc

Question 4

The following statement suggests the following suggest which of the following.

“I see you are upset, and I understand that you had to wait for 2 hrs. Thank you for your patience, I will take care of you medically and you would have my full attention.”

a. NURS
b. FURS
c. FIFA

Answer 4

A. NURS:

N: Name the expressed emotion
U: understand why the emotion is there
R. Respect or praise patient’s plight
S: Support or give concrete solution to the problem.