6660 MIDTERM EXAM STUDY GUIDE
Agreement as to process
1. introduction
2. consent to proceed
3. nature of interaction
4. amount of time for the interview
5. assess if treatment is voluntary or involuntary
Define privacy and confidentiality
1. Assure privacy, explain meaning of confide...
Agreement as to process
1. introduction
2. consent to proceed
3. nature of interaction
4. amount of time for the interview
5. assess if treatment is voluntary or involuntary
Define privacy and confidentiality
1. Assure privacy, explain meaning of confidentiality and who information will be shared
with
2. explain duty to warn
3. fee family members with the patient present, ensure consent is given (provider should
listen not present information.
4. If recordings or one way mirrors are used patient must be informed and give consent.
Define respect and consideration
Treatment patients with respect and be considerate to circumstance to alleve or not
further aggravate anxiety
Define Rapport
Harmonious responsiveness of the provider to the patient. Empathic interventions
increase rapport to understand patient feelings while maintaining objectivity mostly
nonverbal (putting pen down or leaning towards patient)
What is a crucial element of empathy
Objectivity as it differentiates empathy from identification.
Identification causes lose of objectivity and blurs boundaries.
What are the ingredients for good patient provider relationship
1. Desire for help
2. Providers respect and consideration
,3. non-judgmental attitude
4. demonstration by provider they understand what patient is stating or emoting
5. patient thinks provider cares
6. genuiness of provider.
What questions about self should the provider answer
1. Provider qualifications, if sarcastic address issue that provoked it.
2. No personal information directly unless it is patient centered, NO physician centered
information.
Define unconscious transference in a patient
The process of a patient unconsciously and inappropriately displacing onto individual in
patients current life those patteren of behavior and emotional reactions that originated
with significant figures usually from childhood.
What is unconscious counter-transference
The provider unconsciously displaces onto the patient patterns of behavior or emotions
as if they were a significant figure from earlier in the providers life.
What are resistances
The processes conscious or unconscious that interfere with the therapeutic objectives of
treatment
What is repression, and how do interpretations help?
Repression causes unawareness, interpretations are interventions that undo the
processes of repression and allow the unconscious thought and feelings that come to
awareness.
What does a patient centered interview?
Focus of interview is on understanding the patient and enabling the patient to tell his or
her story, the individuality of the patients experience is the main theme
What information according to Adolf Meyer is collected in the interview
1. early life experiences
2. family
3. education
4. occupation
5. religious beliefs
,6. hobbies/talents
7. relationships
8. losses.
What type of questions are asked in a patient centered approach.
Focuses on strengths and weaknesses.
tell me what you do best?
Open ended questions can be affected by patient mood or self image.
What is the actions taken to provide safety and comfort of provider.
1. have other staff present
2. leave door ajar
3. terminate interview if patient becomes aggitated.
What is the actions taken to provide safety and comfort of the patient
1. reassure them of their safety.
2. ensure appropriate staff will available.
3. ensure comfort
4. offer tissue or water.
What are recommended time and session numbers.
Initial interview should be 45-90 minutes, if patient is distressed 20-30min.
After initial interview provider will make decisions about subsequent visits.
What information should be gathered during the first call to the office.
Name
age
address
telephone numbers
who referred patient
reason for referral
insurance information
What information should be given to client during first call
length of time for initial interview
fees
who to call for further questions.
, What should the patient bring to the first appt.
information about past psychiatric and medical treatments
medications/preferebly medications themselves
What can be some different goals that the patient may be seen for.
determination of disability
questions of competence/capacity
cause or contributors of the psychiatric illness
What is completed in the waiting room
demographic and insurance forms
information given on practice contact for after hours
HIPAA mandated information.
list of medications requested
name and address of primary care
identification of major medical problems and allergies.
major reason for the visit.
rating scales PHQ-9, or QIDS-SR
How should the interview room be set up.
1. choice of hardback or soft chair
2. interviewer and patient chairs should be equal in height.
3. patient and psychiatrist should be seated 5-6 feet apart.
4. provider should not be behind a desk.
5. provider should be dressed professionally and be well groomed.
6. distractions should be kept to a minimum
How do you initiate the interview.
1. greet patient in waiting room
2. introduce self
3. extend hand and see if patient shakes it if not may be important.
4. indicate way to waiting room
5 in interview room offer to hang coat up
6. indicate where patient can sit.
7. ask what the patient prefers to be called.
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