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CMN 548 Module 1 Study Guide with Complete Solutions
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CMN 548 Module 1 Study Guide with Complete Solutions "FIFE" for exploring the pt's perspective on disease and illness - Answer--"Feelings": pt's feelings, including fears and concerns about the problem -"Ideas": pt's ideas about the nature and cause of the problem -"Function": effect of the pr...

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  • October 16, 2024
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  • 2024/2025
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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024




CMN 548 Module 1 Study Guide with
Complete Solutions

"FIFE" for exploring the pt's perspective on disease and illness - Answer✔✔--"Feelings": pt's

feelings, including fears and concerns about the problem


-"Ideas": pt's ideas about the nature and cause of the problem


-"Function": effect of the problem on pt's life and function


-"Expectations": the pt's expectations of the disease, clinician, or of health care, often based on

prior personal or family experiences


What is the best way to obtain a pt's preferred method of address? - Answer✔✔--After stating

your name, ask the pt what they would like to be called


-except with children or adolescents, avoid first names until you have specific permission


-ideally ask at the beginning of the interview or before via a questionnaire


Skills and practices to mitigate bias in your clinical encounter - Answer✔✔--reflect on patterns

emotion and behavior


-paused before starting an encounter and prepare for potential triggers of bias


-generate alternative hypotheses for biases anchored in behavior



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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


-practice universal communication and interpersonal skills


-explore your pt's identities


-explore your pt's experiences of bias


5 R's of cultural humility - Answer✔✔-Reflection


Respect


Regard


Relevance


Resiliency


values - Answer✔✔-standards we use to measure our own and other's beliefs and behaviors


biases - Answer✔✔-attitudes or feelings that we attach to perceived differences


nonmaleficence - Answer✔✔-Do no harm; physician has responsibility to avoid treatments or

interventions in which the potential for harm outweighs the potential for benefit


beneficence - Answer✔✔-clinicians are to act for the pts good by preventing or treating disease


respect for autonomy - Answer✔✔-commitment to accept the choices pts with decisional

capacity make about which tx to undergo including rejecting treatment


decisional capacity - Answer✔✔-ability to make an autonomous choice that clinicians should

respect




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confidentiality - Answer✔✔-duty to prevent the disclosure of pts personal info to parties whoa

re not authorized to learn that info


informed consent - Answer✔✔-clinicians must elicit pts voluntary and informed authorization to

test of tx for for illness injury




o Required elements:


- Nature of the procedure or tx


- Risks and benefits


- Reasonable alternatives


- Risks and benefits of alternatives


- Assessment of the pt's understanding of the first 4 elements


truth telling - Answer✔✔-clinicians should disclose information beyond that required by

informed consent that may be relevant to pts


justice - Answer✔✔-value that all pts w/ similar medical needs should receive similar medical tx

and should be treated fairly by clinicians


techniques of guided questioning - Answer✔✔--moving from open ended to focused questions


-using q's that elicit a graded response


-ask a serious of q's one at a time


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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


offering multiple choices for answers


-clarifying what the pt means


encouraging with continuers (nonverbal encouragements, neutral utterances)


-using echoing/repetition


Non-stigmatizing language - Answer✔✔-"people-first language"




-ex: "person who uses drugs; person with a substance use disorder"


low literacy - Answer✔✔-low ability to read


low health literacy - Answer✔✔-leads to poor health outcomes and impaired use of health

services


What are the components of an adult health history? - Answer✔✔--initial info (pt's initial, age,

gender)




-CC (pt's primary problem prompting the reason for visit)




-HPI




-PMH (childhood & adult illnesses; 4 areas: medical, surgical, psychiatric, ob/gyn)

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