History and interviewing

An explanation of the concern that brings the patient to the visit and should be in the patient's own words describes? [...]

Chief Complaint

Any sexual contact or romantic relationship with patients is [...]

unethical
*Keep your relationsip with the patient within professional bounds and seek help if you need it

Brief test useful for screening for cognitive dysfunction or dementia? [...]

Mini Cog

Established patients, especially routine or urgent care visits should undergo [...]

focused history visits

New patients in the office or hospital should undergo a [...]

comprehensive history

This area is used to record you planned treatment along with a follow up? [...]

Plan

This section is used to document your differential diagnoses? [...]

Assessment

This section is used to record findings that you observed? [...]

Objective

True or False. Do not reassure early before all information is available? [...]

True

True or False. Family members should be used as interpreters? [...]

 False

Ways of better adherence? [...]

The use of informational handouts, cues and reminders using emails and or form letters

What are some of the purposes of taking history in the health care setting?
 [...]

Assist in diagnosis
A record for all medical personnel
Develop rapport
Search for symptoms
Secure precise chronological order of the event

What are the 4 parts of an encounter note?
1. [...]
2. [...]
3. [...]
4. [...]

Subjective
2. Objective
3. Assessment
4. Plan

What are the elements of informed consent?
1. [...]
2. [...]
3. [...]
4. [...]
5. [...]
6. [...]

1. Nature of the procedure or treatment

2. Risks and benefits of the procedure or treatment

3. Reasonable alternatives

4. Risks and benefits of alternatives

5. Assessment of the patients understanding

6. Make sure the patient has decisional capacity

What are the ethical building blocks 
1. [...]
2. [...]
3. [...]
4. [...]
5. [...]
6. [...]
7. [...]
8. [...]

1. First do no harm
2. Do good
3. Autonomy
4. Confidentiality
5. Decisional Capacity
6. Informed Consent
7. Truth Telling
8. Justice

What are the five stages defined by Kubler Ross?
1. [...]
2. [...]
3. [...]
4. [...]
5. [...]

1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance

What are the parts of a mini cog exam? [...]

Ask the patient to listen carefully and remember three unrelated words. Then have them draw the face of the clock. Scoring is determined by the amount of words that the patient can repeat.
Demented, if no words remembered
Not demented of all three words remembered
If one to two words remembered, refer to the clock, if the numbers are in the correct order than the patient is considered nondemented aka normal

What are the seven attributes of a symptom?
1. [...]
2. [...] 
3. [...]
4. [...] 
5. [...]
6. [...]
7. [...]

1. Nature
2. Location 
3. Duration
4. Onset 
5. Character
6. Aggravation
7. Treatment
NLDOCAT or OLD CARTS

What are the three dimensions of cultural humility? [...]

Self Awareness, Respectful Communcation, and Collaborative Partnerships

What is the general structure of a clinical encounter 
1. [...]
2. [...]
3. [...]
4. [...]
5. [...]

1. Start the encounter
2. Gather information
3. Perform physical exam
4. Explain and Plan
5. End the encounter

What is the goals when it comes to explaining and planning?
[...]

Assess and respond to patients need for information
Encourage mutual discussion
Teach Back

What is the legal reason for taking a medical history? [...]

Used in malpractice situtations, keeps a recorded history of what the patient has told you
*If you didnt write about it, it did not happen 

What should be used to screen for alcohol misuse?
[...]

CAGE
Cutting down on drinking
Annoyance when criticized
Gulity feeling about drinking
Eye opener
* If two or more are affirmative indiactes alcohol misuse

What should be used when disclosing serious news to a patient?
[...]

SPIKE
Setting up the interview
assessing the patients Perception
obtaining the patients Invitation
giving Knowledge
addressing the patients Emotions

What should you use when gathering information about clues to patients emotional cues? 
[...]

NURSE
Name  
Understand
Respect
Support 
Explore

What should you use when gathering information about clues to patients perspective on an illness? 
[...]

FIFE
Feelings 
Ideas 
Functions 
Expectations

What the patient tells you? [...]

Subjective

When setting the stage what is an important aspect that Dr. Robinson emphaized in class? [...]

Make sure to reflect on your biases that may affect your reactions

When starting an encounter what type of questions should you start with? [...]

Open ended questions

[...] clear and complete chronological account of the problems that promoted the patient to seak care

History of the present illness:

[...]: The data that you obtained from a clinical exam or test

Objective data

[...]: The information that the patient tells you

Subjective data