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What are the concepts of developing a relationship with the
patient? - Answer: See the patient as a unique individual
Let them know that you really want to know all that is needed
Be open and flexible
Explain boundaries
Be honest
What is the primary objective when developing a relationship
with the patient? - Answer: To discover the details about a
patient's concern, explore expectations, display interest, and
partnership
What does establishing a positive relationship with the patient
depend on? - Answer: Communication built on courtesy,
comfort, connection, and confirmation.
What are effective communication strategies when obtaining a
health history? - Answer: Using open-ended questions, direct
questions, rarely leading questions. Facilitate by encouraging
patient to say more. Reflect by repeating what you heard.
Clarify. Empathize by showing understanding and acceptance.
,Confront by discussing disturbing behavior. Interpret by
repeating what you heard to confirm.
What are open-ended questions? - Answer: Those that give the
patient discretion about the extent of the answer. Such as
"How have you been feeling?" or "What brings you in today?"
What are direct questions? - Answer: Those that seek specific
information. Such as "How long ago did that happen?" or
"Where does it hurt?"
What are leading questions? - Answer: Those that are
prompting the patient toward the desired answer and these are
the most risky.
What is a patient centered question? - Answer: One that
respects and responds to a patient's wants, needs, preferences
so that they can make choices in their care that best fit their
individual circumstances. Such as "How would you like to be
addressed?", "What would you like us to do today?", "How are
you coping with your illness?".
, What are potential barriers of patient and provider
communication? - Answer: When the patient is curious about
you, anxiety, silence, depression, crying/compassionate
moments, physical & emotional intimacy, seduction, anger,
avoiding the full story, financial considerations.
What is the structure and components of the patient history? -
Answer: Patient identifiers, chief complaint, history of present
illness, past medical history, family history, personal/social
history, review of systems
What kind of patient information is obtained in the patient
identifier component of the patient history? - Answer: name,
age, gender, race, occupation, date, time, and referral source
What kind of patient information is obtained in the chief
complaint component of the patient history? - Answer: a brief
statement about why the patient is seeking care while probing
for underlying concerns.
What kind of patient information is obtained in the HPI
component of the patient history? - Answer: a chronological
order of events leading up to the presenting problem, health
status prior to the onset, a complete description of first