CMS final exam questions and
answers11
What should a naturopathic doctor do as part of setting the stage in a medical interview? -
ANSWERS-make the patient feel comfortable and at ease.
- address any barriers to communication
- ensure patient readiness and privacy
- introduce yourself and role
what occurs during the setting the agenda + elicting C.C (step 2) - ANSWERS-- indicate how
much time is available in the appointment
- forecast what you would like to happen during the intake
- discuss the concerns of the patient and their priority of them
- summarize and finalize agenda
How does patient centered interviewing differ from clinician-centered interviewing - ANSWERS-
clinician centered:
- clinician leads conversation based on their priorities and beliefs
- more close ended questions
- differentiating different conditions patient could be suffering from
- interview is focused on eliciting patient symptoms
patient-centered:
- patient leads the conversation
- more open ended questions
- interview is focused on eliciting patient experience of disease (symptoms + personal)
, - patient is able to express their expectations and their priorities
- builds and maintains a clinician-patient relationship
Which of the following utterances from a clinician would be most suited to the middle of a
patient interview? - ANSWERS-"would you describe this pain as sharp or stabbing" or "Tell me
about your difficulty catching your breath"
Specific more closed ended questions that are related to to symptom data collection
what are the steps of a medical interview and what is involved in each step? - ANSWERS-1. set
the stage
- greet the patient, introduce yourself and role
- make sure the patient is comfurtable and at ease
- address any barriers to communication
- ensure patient privacy and patient readiness
2. set the agenda and C.C
- indicate time available
- forecast what you would like to occur during the intake
- discuss list of concerns with patient
- summarize and adjust agenda (negotiate what concerns to discuss first if they have many)
3. early interview
- History of the present illness
- learn EXPERIENCE of symptoms
- symptom story, personal context, emotional impact of illness
- patient centered interviewing
answers11
What should a naturopathic doctor do as part of setting the stage in a medical interview? -
ANSWERS-make the patient feel comfortable and at ease.
- address any barriers to communication
- ensure patient readiness and privacy
- introduce yourself and role
what occurs during the setting the agenda + elicting C.C (step 2) - ANSWERS-- indicate how
much time is available in the appointment
- forecast what you would like to happen during the intake
- discuss the concerns of the patient and their priority of them
- summarize and finalize agenda
How does patient centered interviewing differ from clinician-centered interviewing - ANSWERS-
clinician centered:
- clinician leads conversation based on their priorities and beliefs
- more close ended questions
- differentiating different conditions patient could be suffering from
- interview is focused on eliciting patient symptoms
patient-centered:
- patient leads the conversation
- more open ended questions
- interview is focused on eliciting patient experience of disease (symptoms + personal)
, - patient is able to express their expectations and their priorities
- builds and maintains a clinician-patient relationship
Which of the following utterances from a clinician would be most suited to the middle of a
patient interview? - ANSWERS-"would you describe this pain as sharp or stabbing" or "Tell me
about your difficulty catching your breath"
Specific more closed ended questions that are related to to symptom data collection
what are the steps of a medical interview and what is involved in each step? - ANSWERS-1. set
the stage
- greet the patient, introduce yourself and role
- make sure the patient is comfurtable and at ease
- address any barriers to communication
- ensure patient privacy and patient readiness
2. set the agenda and C.C
- indicate time available
- forecast what you would like to occur during the intake
- discuss list of concerns with patient
- summarize and adjust agenda (negotiate what concerns to discuss first if they have many)
3. early interview
- History of the present illness
- learn EXPERIENCE of symptoms
- symptom story, personal context, emotional impact of illness
- patient centered interviewing
