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what are the three phases of the interview
- introduction
- working phase
- closing
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what are the different types of verbal responses
- facilitation
- silence
- reflection
- empathy
- clarification
- you react to the facts or feelings of the patient
- confrontation
- interpretation
- explanation
- summary
- your response focuses on your own frame of reference
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facilitation does what
encourages the patient to say more
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silence communicates what
that the patient has time to think after an open ended question
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reflection is
- repeating part of what the patient says
- "it was cutting off"
- allows patient to eloborate in there own way
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empathy is
an empathetic response recognizes a feeling and puts it into words
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clarification is used when
- a patients word is amniguous or confusing
- "tell me what you mean by your tired"
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confrontation is
- shifting the focus to a discrepancy
- you are confronting the person about something you see amiss
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interpretation is
- based on your inference or conclusion. It links events, makes associations, or implies cause.
- "could it be that you are afraind of her reaction
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explanation =
informing someone of something
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summary
this is a final review of what you understand the patient has said
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ten traps of interviewing are
- 1. providing false assurance
- 2. giving unwanted advice
- 3. using authority
- 4. avoidance language
- 5. distancing
- 6. professional jargon
- 7. leading questions
- 8. talking too much
- 9. interrupting
- 10. why
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social distance is
4 - 12ft
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sections of the health history are
- biographic data
- reason for seeking care
- present health or history or present illness
- past history
- family history
- review of systems
- ADL or functional assessment
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functional assessment does what
measures how a person manages day to day activities
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CAGE is
- cut down drinking
- annoyed by criticism
- guilty about your drinking
- eye opener (drink in the AM)
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PQRSTU
- provocation or palliative
- quality
- region/radiation
- severity scale
- timing - onset, duration, frequency
- understand pt perception
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partner violence begin with
- open ended questions - how are things at home, do you feel safe
- follow up with closed ended - have you ever been physically or emotionally abused by your partner.
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