- active listening - correct answer ✔✔what are some key features to motivational interviewing?
- moving from open ended to focused questions
- use questions that elicit a graded response ("how many steps can you climb before you cant breath")
- ask a series of questions, 1 at a time
- offer MC for answers ("Is the pain achy, numb, tingling")
- clarify what the patient means
- encourage with continuers ("go on")
- use echoing - correct answer ✔✔what are the 7 parts of guided questioning?
- identifying data, source, reliability (these can be part of your intake forms)
- chief complaint(s) (reason for visit)
- present illness (description of the patient's problem)
- past history (childhood illness, adult illness, trauma etc.)
- family history (cancer)
- personal and social history
- review of systems - correct answer ✔✔what are the 7 components to a healthy history?
general
skin
head, eyes, ears, nose, throat
neck
breasts
respiratory
,cardiovascular
GI
peripheral vascular
urinary
genital
MSK
psychiatric
neurologic
hematologic
endocrine - correct answer ✔✔whats included in a systems review?
- uses a guided style of interviewing to help patients realize why and how they should change
- ask open ended questions
- listen to understand your patients experience
- inform by asking permission to provide information, and then asking what the implications might be for
the patient - correct answer ✔✔motivational interviewing
DONT give unsolicited advice
REFRAIN from instructing, directing or warning - correct answer ✔✔what do you not do in motivational
interviewing?
justify your diagnosis and plan of management; protects you from malpractice claims; for patient care
and continuity - correct answer ✔✔what are the purpose of clinic records?
date; patients name and identifiers; practitioners name; clinic name and address - correct answer
✔✔what are the 4 components to a clinical record?
S= subjective
O = objective
A = assessment
, P = plan - correct answer ✔✔what does the SOAP format include?
under the A section - correct answer ✔✔where in the SOAP format would the diagnosis be recorded?
E - correct answer ✔✔which of the following is true about medical reports?
A) can be in the form of a letter
b) can be in a specific form
c) may foster interproffesional care
d) may be reqeusted by employers, insurers or lawyers
e) all of the above
physiological (location, onset, duration etc.)
sensory (intensity, quality)
affective (mood, state, anxiety, depression)
cognitive (view of self, coping skills, attitudes and beliefs)
sociocultural-ethnocultural (social influences, family, social life) - correct answer ✔✔what are the 6
dimensions of pain?
Acute: recent onset, lasting up to 3 months, directly related to tissue damage and resolves as tissue heals
chronic: persistent pain lasting over 3 months, may have some element of central sensitization (sensory
receptors that detect pain have an increased) - correct answer ✔✔whats the difference between acute
vs. chronic pain?
8 - correct answer ✔✔__ million Canadians live with chronic pain
primary pain: no identifiable cause, persists when tissue has already healed (fibromyalgia)
secondary pain: occurs in association with an underlying cause (cancer treatment, post surgical pain) -
correct answer ✔✔what the difference between chronic primary pain and chronic secondary pain?
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