Patient Centered Interview

Question 0

Emotion-handling skills: What does NURS stand for?

Answer 0

N-naming, labeling (“you sound sad”)
U-understanding, legitimation (“I can sure understand why”)
R- respecting, praising (“you have been through a lot”)
S- supporting, partnership (“I am here to help you any way I can”)

Question 1

It has been estimated that 70% of all claims and 75% of the malpractice suits lost by physicians reflect…..?

Answer 1

poor communication

Question 2

What are the 3 non-focusing open-ended skills?

Answer 2

1) silence
2) nonverbal encouragement (head nodding, leaning forward)
3) neutral utterances, continuers (“um-hmm”)

Question 3

What are the 3 Focusing open-ended skills?

Answer 3

1) Reflection, echoing (P:”im worried” A:”worried?”)
2) open-ended requests (“can you say more about that?”)
3) summary, paraphrasing

Question 4

What are the 2 emotion-seeking skills?

Answer 4

1) Direct (“how did that make you feel?”)

2) Indirect: self-disclosure, impact on life, impact on others, and belief about problem

Question 5

What are the two crucial elements to patient-centered interviewing?

Answer 5

1) agenda-setting (eliciting complete list of patients concerns, narrowing down concerns to what can be accomplished in the allotted time)
2) focusing (redirect patients so that they continue to discuss topics that enhance understanding of their primary concerns)