Physical Examination Ch. 2 Flashcards
Interviewing, Communication, & Interpersonal Skills (32 cards)
What is paramount in choosing to enter the healthcare professions?
Building effective and healing relationships
This is a central theme in therapeutic interviewing.
What does the interviewing process during a clinical encounter generate?
A patient’s story that draws on various relational skills
This includes responding effectively to patient cues, feelings, and concerns.
How does the interviewing process differ from the health history format?
The interviewing process focuses on relational skills, while the health history provides a framework for organizing patient stories
Both have distinct but complementary purposes.
What are the stages of a clinical encounter?
Initiating the session, information gathering, physical examination, explaining and planning, closing the session
These stages help structure the clinical encounter.
What is active or attentive listening?
A skill that facilitates, directs, and structures interaction with the patient
It involves attending to verbal and nonverbal communication.
What is guided questioning?
A technique to elicit more information without interrupting the patient’s story
It helps avoid restrictive questions and encourages full communication.
What is the purpose of moving from open-ended to focused questions?
To facilitate a flow from general to specific inquiries
This approach helps in gathering detailed patient information.
What are the techniques of guided questioning?
- Moving from open-ended to focused questions
- Eliciting graded responses
- Asking questions one at a time
- Offering multiple choices for answers
- Clarifying patient meanings
- Encouraging with continuers
- Echoing/repetition
These techniques enhance patient communication.
What is the significance of empathic responses?
They are vital for building rapport and healing
Empathy involves identifying with the patient’s pain and responding supportively.
What does summarization during an interview achieve?
Communicates careful listening and identifies known and unknown information
It also helps structure the visit and fosters collaboration.
Why are transitions important during a healthcare visit?
They help prepare patients for changes in the interview direction
This can ease patient apprehension.
What is the purpose of partnering in patient relationships?
To express commitment to ongoing care
This support is especially important even for students in clinical settings.
What does validation of a patient’s emotional experience entail?
Affirming the legitimacy of their feelings
It helps patients feel understood in distressing situations.
What is the clinician–patient relationship characterized by?
An inherent power asymmetry
This is influenced by factors like experience, pain, and socio-economic status.
What techniques can be used to empower patients?
- Evoke the patient’s perspective
- Convey interest in the person
- Follow the patient’s leads
- Elicit and validate emotional content
- Share information
- Make clinical reasoning transparent
- Reveal limits of knowledge
Empowering patients encourages active participation in their care.
What is the first step to effective reassurance?
Identifying and acknowledging the patient’s feelings
This establishes a connection before providing further reassurance.
What is appropriate verbal communication in clinical settings?
Using careful language that enhances patient rapport
The effectiveness of communication significantly impacts the clinician-patient relationship.
What is the role of understandable language in clinician communication?
To ensure clarity and enhance patient rapport
It involves using simple and recognizable terms.
What is the role of reassurance in clinical communication?
Reassurance is appropriate when the patient feels that problems have been fully understood and are being addressed.
Why is appropriate verbal communication important in a clinical encounter?
It enhances patient rapport and leads to a satisfying clinician–patient relationship.
What is understandable language in clinical communication?
Understandable language uses simple, recognizable and clear words.
What should clinicians avoid when communicating with patients?
Clinicians should avoid medical jargon, abbreviations, and complex words or phrases.
Fill in the blank: The ‘Ask Me Three’ approach encourages patients to ask three main questions: What is my main ______?, What do I need to do?, Why is it important for me to do this?
problem
What is the teach-back method?
Teach-back is a method to ensure the patient understands the information explained by the clinician.
