MIDTERM EXAM: NR509 2025 update COMPREHENSIVE FREQUENTLY
TESTED QUESTIONS and verified |answers/100% accurate answers|al-
ready graded A+
Study online at https://quizlet.com/_gdpa2d
both; needs to be a balance of the clini-
is the clinical encounter clinician-cen- cian meeting their needs of the interac-
tered to patient-centered tion and the patient feeling heard and
create personal dimension
Interviewing technique empowering the
patient to provide a candid and complete
medical history
patient-centered approach
recognizes importance of patient con-
cerns, feelings and emotions and under-
stands the patients personal contact of
the symptoms/disease
mnemonic for patients perspective on
the illness
Feelings (fears and concerns about the
FIFE model
problem)
Ideas (about nature and cause of prob-
lem)
Functioning (effect of illness on function)
Expectations
initiate the encounter
gather information
general structure of patient encounter (5
perform the physical examination
steps)
explaining and planning
closing the encounter
2 frameworks that continue throughout relationship building
whole clinical encounter structuring the interview
what happens while initiating the en- greet the patient and set the
counter stage/preparation
prepare for the interview
what does it mean to set the stage check your appearance
make sure patient is comfortable and
, MIDTERM EXAM: NR509 2025 update COMPREHENSIVE FREQUENTLY
TESTED QUESTIONS and verified |answers/100% accurate answers|al-
ready graded A+
Study online at https://quizlet.com/_gdpa2d
environment is conducive to private info
being shared
initiate information gathering
history of present illness
what happens during the gathering infor- past medical history
mation stage social history
explore patients perspective of disease
and relevant background information
provide correct amount and type of infor-
what happens during explaining and mation
planning negotiate plan of action
shared decision making
share your own pronouns
"in an effort to promote an inclusive
when asking patient about there pro-
and respectful environment, we use pro-
nouns it may be helpful to....
nouns that are right for us. The pronouns
I prefer are......how about you what pro-
nouns do you prefer?
the initial moments of your encounter lay
your ongoing relationship
the foundation for....
introduce yourself, explain your role and
how to establish rapport
how you will be a part of their care
1) Self-awareness
3 dimensions of cultural humility 2) Respectful communication
3) Collaborative partnerships
Closely listening to what the patient is
communicating, connecting on an emo-
tional state to the patient.
active listening
use both verbal and nonverbal skills to
encourage pt to expand on their feel-
ings/concerns
, MIDTERM EXAM: NR509 2025 update COMPREHENSIVE FREQUENTLY
TESTED QUESTIONS and verified |answers/100% accurate answers|al-
ready graded A+
Study online at https://quizlet.com/_gdpa2d
capacity to identify with a patient and feel
patients pain as your own and respond in
a supportive manner
"That must have been difficult for you."
"I understand, you're worried."
Empathetic responses
Non-verbal: offering a tissue to a crying
patient; reaching out and gently touching
a patient's hand.
Therapeutic use of self: "I've had surgery
before, so I can relate to what you're
going through."
Helps to continue the patients story,
shows sustained interest and allows clin-
ician to adapt questioning based on pa-
tient i.e.:
-moving from open ended to focused
questions
guided questioning
-using questions that elicit a graded re-
sponse
-asking a series of questions, ONE at a
time
-clarifying what the patient means
-encouraging with continuers
-using echoing
guided questioning aka adaptive questioning
communication using body movements,
nonverbal communication gestures, and facial expressions rather
than speech
affirm validity of patients emotional expe-
rience
validation
"Your accident must have been terrifying.
Car accidents are always unsettling be-
cause they remind us how vulnerable we
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