6512 Midterm Exam Questions And
Answers 2024/2025 Update
·Communication techniques used to obtain a patient's health history ANS✔✔ Courtesy, Comfort,
Connection, Confirmation
Courtesy Communication Technique ANS✔✔ • Knock before entering a room.
• Address, first, the patient formally (e.g., Miss, Ms., Mrs., Mr.) It is all right to shake hands.
• Meet and acknowledge others in the room and establish their roles and degree of participation.
• Learn their names.
• Ensure confidentiality.
• Be in the room, sitting, with no effort to reach too soon for the doorknob.
• If taking notes, take notes sparingly; note key words as reminders but do not let note-taking distract
from your observing and listening.
• If typing in the electronic medical record, type briefly and maintain eye contact with patient, if
possible.
• Respect the need for modesty.
• Allow the patient time to be dressed and comfortably settled after the examination. Follow-up
discussion with the patient still "on the table" is often discomfiting.
Comfort Communication Technique ANS✔✔ • Ensure physical comfort for all, including yourself.
• Try to have a minimum of furniture separating you and the patient.
• Maintain privacy, using available curtains and shades.
• Ensure a comfortable room temperature or provide a blanket—a cold room will make a patient want
to cover up.
, • Ensure good lighting.
• Ensure necessary quiet. Turn off the television set.
• Try not to overtire the patient. It is not always necessary to do it all at one visit.
Confirmation Communication Technique ANS✔✔ • Ask the patient to summarize the discussion. There
should be clear understanding and uncertainty should be eased.
• Allow the possibility of more discussion with another open-ended question: "Anything else you want
to bring up?"
• If there is a question that you cannot immediately answer, say so. Be sure to follow up later if at all
possible.
• If you seem to have made a mistake, make every effort to repair it. Candor is important for
development of a trusting partnership. Most patients respect it.
Connection Communication Technique ANS✔✔ • Look at the patient; maintain good eye contact if
cultural practices allow.
• Watch your language. Avoid professional jargon. Do not patronize with what you say.
• Do not dominate the discussion. Listen alertly. Let the patient order priorities if several issues are
raised.
• Do not accept a previous diagnosis as a chief concern. Do not too readily follow a predetermined path.
• Find out whether the patient has turned from other healthcare providers to come to you.
• Take the history and conduct the physical examination before you look at previous studies or tests.
Consider first what the patient has to say.
• Avoid leading or direct questions at first. Open-ended questions are better for starters. Let specifics
evolve from these.
• Avoid being judgmental.
• Respect silence. Pauses can be productive.
• Be flexible. Rigidity limits the potential of an interview.
• Assess the patient's potential as a partner.
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