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nr509 midterm exam Study Guide Solutions is the clinical encounter clinician-centered to patient-centered - ANSWER-both; needs to be a balance of the clinician meeting their needs of the interaction and the patient feeling heard and create personal dimension patient-centered approach - ANSWER-...

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  • November 11, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
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nr509 midterm exam Study Guide

Solutions


is the clinical encounter clinician-centered to patient-centered - ANSWER✔✔-both; needs to be a

balance of the clinician meeting their needs of the interaction and the patient feeling heard and create

personal dimension


patient-centered approach - ANSWER✔✔-Interviewing technique empowering the patient to provide a

candid and complete medical history




recognizes importance of patient concerns, feelings and emotions and understands the patients personal

contact of the symptoms/disease


FIFE model - ANSWER✔✔-mnemonic for patients perspective on the illness




Feelings (fears and concerns about the problem)


Ideas (about nature and cause of problem)


Functioning (effect of illness on function)


Expectations


general structure of patient encounter (5 steps) - ANSWER✔✔-initiate the encounter

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gather information


perform the physical examination


explaining and planning


closing the encounter


2 frameworks that continue throughout whole clinical encounter - ANSWER✔✔-relationship building


structuring the interview


what happens while initiating the encounter - ANSWER✔✔-greet the patient and set the

stage/preparation


what does it mean to set the stage - ANSWER✔✔-prepare for the interview


check your appearance


make sure patient is comfortable and environment is conducive to private info being shared


what happens during the gathering information stage - ANSWER✔✔-initiate information gathering


history of present illness


past medical history


social history


explore patients perspective of disease and relevant background information


what happens during explaining and planning - ANSWER✔✔-provide correct amount and type of

information


negotiate plan of action

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shared decision making


when asking patient about there pronouns it may be helpful to.... - ANSWER✔✔-share your own

pronouns




"in an effort to promote an inclusive and respectful environment, we use pronouns that are right for us.

The pronouns I prefer are......how about you what pronouns do you prefer?


the initial moments of your encounter lay the foundation for.... - ANSWER✔✔-your ongoing relationship


how to establish rapport - ANSWER✔✔-introduce yourself, explain your role and how you will be a part

of their care


3 dimensions of cultural humility - ANSWER✔✔-1) Self-awareness


2) Respectful communication


3) Collaborative partnerships


active listening - ANSWER✔✔-Closely listening to what the patient is communicating, connecting on an

emotional state to the patient.




use both verbal and nonverbal skills to encourage pt to expand on their feelings/concerns


Empathetic responses - ANSWER✔✔-capacity to identify with a patient and feel patients pain as your

own and respond in a supportive manner




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"That must have been difficult for you."


"I understand, you're worried."


Non-verbal: offering a tissue to a crying patient; reaching out and gently touching a patient's hand.


Therapeutic use of self: "I've had surgery before, so I can relate to what you're going through."


guided questioning - ANSWER✔✔-Helps to continue the patients story, shows sustained interest and

allows clinician to adapt questioning based on patient i.e.:




-moving from open ended to focused questions


-using questions that elicit a graded response


-asking a series of questions, ONE at a time


-clarifying what the patient means


-encouraging with continuers


-using echoing


guided questioning aka - ANSWER✔✔-adaptive questioning


nonverbal communication - ANSWER✔✔-communication using body movements, gestures, and facial

expressions rather than speech


validation - ANSWER✔✔-affirm validity of patients emotional experience




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