Pediatric and Adolescent Interview

Question 1

Characteristics of active listening?

Answer 1

● Active listening (ie. ask detailed f/u questions)
○ Not just listening, but hearing
○ Suggests awareness and understanding on multiple levels

Question 2

Characteristics of guided questioning?

Answer 2

● Guided questioning (ie. draw out of silence)
○ Open ended -> focused
○ Eliciting a graded response
○ Asking a series of questions, one at a time
○ Offering multiple choices
○ Clarifying what the patient means
○ Encouraging the continuers
○ Echoing

Question 3

Characteristics of empathetic responses?

Answer 3

○ Identify the patient’s feelings

○ Respond with understanding and acceptance

Question 4

Characteristics of validation?

Answer 4

● Validation (i.e praise patient for approaching a health care provider and validate concerns)
○ Legitimize the patient’s emotional experience

Question 5

Characteristics of reassurance?

Answer 5

Reassurance (ie. Patient may respond to hearing that challenges with parents are common)
○ Related to acknowledging patient’s feelings
○ Don’t be premature

Question 6

Characteristics of summarization?

Answer 6

● Summarization
○ Demonstrates active listening
○ Also great for stalling

Question 7

Characteristics of empowering the patients?

Answer 7

● Empowering the patient
○ Evoke patient’s perspective
○ Convey interest in the person, not just the problem
○ Follow the patient’s leads
○ Elicit and validate emotional content
○ Share info with patient
○ Make clinical reasoning transparent
○ Acknowledge your own limits

Question 8

How is adolescent interview different than childhood?

Answer 8

■ Talk with them alone
■ Provide educational materials
■ Longer appointment
■ Use developmentally appropriate language and content of interview
■ Attention to privacy
■ Psychosocial history very important

Question 9

What are the Components of the “Heads” mnemonic?

Answer 9

● Home-environment, relationships
● Education- academic performance, grade level, career aspirations
● Eating- nutrition, attitudes
● Activities- interests, work, participation
● Affect/ anxiety
● Drugs- smoking, drinking, drugs
● Sexuality- behavior, orientation, attitudes
● Safety- driving behavior, violence screen, abuse

Question 10

What is paralanguage?

Answer 10

Qualities of speech (pacing, tone and volume