CMN 260 EXAM 2 QUESTIONS AND ANSWERS
mutual influence - Answers -Impact people have on one another because of their
connections. when physician or patient adjusts the information they share based on
their level of trust
social norms - Answers -do whatever your doctor says to do.
Therapeutic Privilege - Answers -privilege sometimes granted to doctors to withhold
information from patients if they feel disclosing information would do more harm than
good.
Therapeutic Privilege: Cons - Answers -Could be used to maintain patients'
_dependence_ to medical specific establishments
Therapeutic Privilege: why doctors do it - Answers -1. Doctors afraid to share bad news
2. Bad news might damage doctor's _reputation_
3. Doctors don't want patents to know about harmful, but rare side effects from
treatment
Quantity of talk - Answers -who talks the most?
1. Providers talk more / Patients talk less
2. Doctors typically interrupt patients within __16-18 seconds__
3. __1/3__ of Medical Residents didn't ask patients about their concerns
Quality of talk - Answers -1. Patients may make mistake of _doorknob disclosure_
2. Providers engage in _blocking_
3. Providers may patronize patients
4. Patients and providers may commit transgressions
Quality of talk: doorknob disclosure_ - Answers -when patients reveal their main
medical concerns when the physician is getting ready to end the interaction.
Quality of talk: blocking - Answers -any practice that is likely to interfere with, prevent,
materially discourage, or otherwise inhibit the access, exchange or use of health
information. Provider wants to put less energy into the interaction
Patient-Centered Communication: Model of Collaborative Interpretation - Answers -
Model of Collaborative Interpretation - Health communication is most effective when
patients actualize the roles of _decision makers. Patient and provider are two minds
collaborating and working together.
, Patient-Centered Communication: The Patient as a Central Construct: - Answers -1.
The goal of patient-caregiver communication is to minimize reliance on _Medicine_ and
maximize the importance of everyday health and_fulfillment_ 2.Collaborative
communication emphasizes _dialogue_
The Patient as a Central Construct: positive outcomes - Answers -1. Higher satisfaction
2. Overcome racial and ethnic discrimination
3. Lower costs
4. Improve medical outcomes
__Motivational Interviewing (MI)_ - Answers -1. The interviewer helps an interviewee
"explore and resolve ambivalence" about a decision all while respecting the
interviewee's "autonomy and freedom of choice"
2. used in counseling (like AA)
3. support them in making positive choices
__Motivational Interviewing Step 1: Establish Rapport - Answers -1. ask them about
themselves
2. "You may feel a little fed up with people lecturing you about your smoking.
I'm not going to do that, but it would help me if I really understand how you feel about
where smoking fits into your life"
__Motivational Interviewing Step 2: Assess _readiness_ - Answers -1. "Can you tell me
what you think about cutting out smoking?"
Motivational interviewing Step 3: Assess _Confidence and Motivation__ - Answers -
1."On a scale of 1 to 10, where 1 is not at all motivated to quit smoking and 10 is 100%
motivated, what number would you give yourself at the moment?"
2."If you really decide to, do you think you could do it?"
Motivational interviewing Step 4: Help Patient Identify Problems and Solutions -
Answers -1."If you decided to quit smoking, how would it benefit you?"
2."Why are you at a 4 and not a 1?"
3."What would it take for you to get from a 4 to an 8?"
motivational interviewing Step 5: Identify next actions & follow-up - Answers -Setting
SMART goals:
S_Specific_
M_measurable_
A_Action-oriented_
Realistic
Time-limited
mutual influence - Answers -Impact people have on one another because of their
connections. when physician or patient adjusts the information they share based on
their level of trust
social norms - Answers -do whatever your doctor says to do.
Therapeutic Privilege - Answers -privilege sometimes granted to doctors to withhold
information from patients if they feel disclosing information would do more harm than
good.
Therapeutic Privilege: Cons - Answers -Could be used to maintain patients'
_dependence_ to medical specific establishments
Therapeutic Privilege: why doctors do it - Answers -1. Doctors afraid to share bad news
2. Bad news might damage doctor's _reputation_
3. Doctors don't want patents to know about harmful, but rare side effects from
treatment
Quantity of talk - Answers -who talks the most?
1. Providers talk more / Patients talk less
2. Doctors typically interrupt patients within __16-18 seconds__
3. __1/3__ of Medical Residents didn't ask patients about their concerns
Quality of talk - Answers -1. Patients may make mistake of _doorknob disclosure_
2. Providers engage in _blocking_
3. Providers may patronize patients
4. Patients and providers may commit transgressions
Quality of talk: doorknob disclosure_ - Answers -when patients reveal their main
medical concerns when the physician is getting ready to end the interaction.
Quality of talk: blocking - Answers -any practice that is likely to interfere with, prevent,
materially discourage, or otherwise inhibit the access, exchange or use of health
information. Provider wants to put less energy into the interaction
Patient-Centered Communication: Model of Collaborative Interpretation - Answers -
Model of Collaborative Interpretation - Health communication is most effective when
patients actualize the roles of _decision makers. Patient and provider are two minds
collaborating and working together.
, Patient-Centered Communication: The Patient as a Central Construct: - Answers -1.
The goal of patient-caregiver communication is to minimize reliance on _Medicine_ and
maximize the importance of everyday health and_fulfillment_ 2.Collaborative
communication emphasizes _dialogue_
The Patient as a Central Construct: positive outcomes - Answers -1. Higher satisfaction
2. Overcome racial and ethnic discrimination
3. Lower costs
4. Improve medical outcomes
__Motivational Interviewing (MI)_ - Answers -1. The interviewer helps an interviewee
"explore and resolve ambivalence" about a decision all while respecting the
interviewee's "autonomy and freedom of choice"
2. used in counseling (like AA)
3. support them in making positive choices
__Motivational Interviewing Step 1: Establish Rapport - Answers -1. ask them about
themselves
2. "You may feel a little fed up with people lecturing you about your smoking.
I'm not going to do that, but it would help me if I really understand how you feel about
where smoking fits into your life"
__Motivational Interviewing Step 2: Assess _readiness_ - Answers -1. "Can you tell me
what you think about cutting out smoking?"
Motivational interviewing Step 3: Assess _Confidence and Motivation__ - Answers -
1."On a scale of 1 to 10, where 1 is not at all motivated to quit smoking and 10 is 100%
motivated, what number would you give yourself at the moment?"
2."If you really decide to, do you think you could do it?"
Motivational interviewing Step 4: Help Patient Identify Problems and Solutions -
Answers -1."If you decided to quit smoking, how would it benefit you?"
2."Why are you at a 4 and not a 1?"
3."What would it take for you to get from a 4 to an 8?"
motivational interviewing Step 5: Identify next actions & follow-up - Answers -Setting
SMART goals:
S_Specific_
M_measurable_
A_Action-oriented_
Realistic
Time-limited
