1. What is the process of clinical reasoning?
    Assessment & plan
  2. What is the record of Mrs. N & the challenges of clinical data?
    Recording your findings
  3. What is the checklist for a clear & accurate record?
    Recording your findings
  4. What is the integration of clinical reasoning, assessment, and analysis of clinical evidence?
    Lifelong learning
  5. What is the information gathered in the health history from the patient or family termed?
    Subjective data
  6. What is the information gathered in the health history from the physical examination & lab tests termed?
    Objective data
  7. What are the appropriate steps in identifying problems & making your diagnoses?
    • Identify abnormal findings
    • Localize findings anatomically
    • Interpret findings
    • Make hypotheses
    • Test hypotheses
    • Develop plan that patient agrees
  8. When generating the problem list, how do you make the list?
    List most active & serious problems first while recording their date of onset
  9. What are the challenges that you will face when dealing with clinical data?
    • Clustering data into single vs multiple problems
    • Sifting through an extensive array of data
    • Assessing the quality of data
  10. What is one of the most important adjuncts to patient care?
    Clear, well-organized clinical record
  11. What should your goal be as a clinician when recording your findings?
    To report a clear, concise but comprehensive report that documents key findings of patient assessment & communicates patients problems in a succint & legible format
  12. What are some tips for ensuring the quality of patient data?
    • Open-ended questions
    • Systematic sequence
    • Open mind to patient
    • Worst-case scenario
    • Analyze data
    • Confer w/colleagues
    • Apply principles of data analysis
  13. Describe the acronym "SnNout"
    Sensitivity of sympton is high, Negative response rules out target disorder
  14. Describe the acronym "SpPin"
    Specificity is high, positive test result rules in target disorder
  15. What are the interviewing milestones that you as a clinician need to know?
    • Approach
    • Sequence
    • Building Relationship
    • Adapting to specific situations
    • Sensitive topics
    • Societal Aspects
  16. Why is self-reflection important for professional development in clinical work?
    It brings a deepening personal awareness to our work w/patients
  17. How should the clinician get ready for the interview or approach be?
    • Self-reflection
    • Review record
    • Setting goals
    • Review their clinical behavior/appearance
    • Adjusting environment
    • Take notes
  18. How should the sequence for the interview be carried out?
    • Greet & establish rapport w/patient
    • Establish agenda
    • Inviting to patient's story
    • Notice emotional cues
    • Expand/clarify story
    • Hypotheses testing
    • Shared understanding of problem
    • Plan
    • Follow-up/closing
  19. What is an appropriate response technique for responding to emotional cues?
    • NURS
    • Naming-sounds like a scary exp
    • Understand-its understandable that you feel that way
    • Respecting-you've done better than most people would with this
  20. What are the 7 attributes of a sympton?
    • Location
    • Quality
    • Quantitiy/severity
    • Timing
    • Setting in which it occurs
    • Remitting or exacerbating factors
    • Associated maifestations
  21. When asking the patient about the location of sympton what do you want to know?
    • Where is it?
    • Does it radiate?
  22. When asking the patient about the quality of sympton what do you want to know?
    What is it like?
  23. When asking the patient about the quantity or serverity of a sympton what do you want to know?
    How bad is it using a scale of 0-10
  24. When asking the patient about the timing of a symptom it is important to note what?
    • When did it start?
    • How long it lasts?
    • How often does it come?
  25. When asking the patient about setting in which symptoms occurs note what?
    • Environmental
    • Personal activities
    • Emotional reactions
    • Circumstances that may contribute
  26. When asking the patient about exacerbating factors what is important to note?
    What makes it feel better or worse?
  27. When asking the patient about associated manifestations of a symptom note what?
    If anything else accompanies it
  28. What is important to note when exploring the patients perspective?
    • Feelings
    • Ideas
    • Function
    • Expectations
  29. What are the techniques of skilled interviewing?
    • Active listening
    • Guided questioning
    • Nonverbal communication
    • Empathic responses
    • Validation
    • Reassurance
    • Partnering
    • Summarization
    • Transitions
    • Empowering patient
  30. Guided questioning: options for expanding & clarifying patient's story is done how?
    • Open-ended to focused questions
    • Questions that elicit graded resp
    • Series of questions-1 at time
    • Multiple choices for answers
    • Clarifying
    • Encourage
    • Echoing
  31. How can you empower the patient that shows principles of sharing power?
    • Patient's perspective
    • Show interest in person
    • Follow their lead
    • Emotional content
    • Share information at transition points
    • Clinical reasoning transparent
    • Reveal limits of your knowledge
  32. What are the general guidelines for broaching sensitive topics?
    • Nonjudgmental
    • Explain why you need certain info
    • Opening questions
    • Consciously acknowledge whatever discomforts you are feeling
  33. When asking about sexual hx what general questions should you ask?
    • Last time you had intimate contact
    • Sex w/men, women, or both
    • Number of partners in last 6 mo's
    • Concerns about HIV or AIDS
  34. The CAGE questionnaire is helpful when dealing with what types of questions?
    Alcohol & Drugs
  35. Cage represents what?
    • Cut down
    • Annoyed by criticsm
    • Guilty
    • Eye opener
  36. A good question for opening the lines of communication concerning illicit drugs?
    Have you ever used any drugs other than those required for medical reasons
  37. What are some possible clues to possible physical abuse?
    • Unexplained injuries
    • Delayed treatment
    • Repeated injuries or accidents
    • Alcohol or drug abuse
    • Partner dominates interview
  38. What are the 3 dimensions of cultural humility?
    • Self-awareness
    • Respectful communication
    • Collaborative partnerships
  39. What are the 4 building blocks of professional ethics in patient care?
    • Nonmaleficence
    • Beneficence
    • Automonomy
    • Confidentiallity
  40. What are the tavistock principles?
    • Rights
    • Balance
    • Comprehensiveness
    • Cooperation
    • Improvement
    • Safety
    • Openness
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