CMN 548 - MODULE 1 STUDY GUIDE

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CMN 548 - MODULE 1 STUDY GUIDE

QUESTIONS AND ANSWERS

"FIFE" for exploring the pt's perspective on disease and illness

- correct 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? - correct 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 - correct answer- -reflect on patterns emotion and behavior -paused before starting an encounter and prepare for potential triggers of bias

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-generate alternative hypotheses for biases anchored in behavior -practice universal communication and interpersonal skills -explore your pt's identities -explore your pt's experiences of bias

• R's of cultural humility - correct answer- Reflection

Respect Regard Relevance Resiliency

values - correct answer- standards we use to measure our own and other's beliefs and behaviors

biases - correct answer- attitudes or feelings that we attach to perceived differences

nonmaleficence - correct answer- Do no harm; physician has responsibility to avoid treatments or interventions in which the potential for harm outweighs the potential for benefit

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beneficence - correct answer- clinicians are to act for the pts good by preventing or treating disease

respect for autonomy - correct answer- commitment to accept the choices pts with decisional capacity make about which tx to undergo including rejecting treatment

decisional capacity - correct answer- ability to make an autonomous choice that clinicians should respect

confidentiality - correct answer- duty to prevent the disclosure of pts personal info to parties whoa re not authorized to learn that info

informed consent - correct 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

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• Risks and benefits of alternatives
• Assessment of the pt's understanding of the first 4 elements

truth telling - correct answer- clinicians should disclose information beyond that required by informed consent that may be relevant to pts

justice - correct 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 - correct 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 offering multiple choices for answers -clarifying what the pt means encouraging with continuers (nonverbal encouragements, neutral utterances) -using echoing/repetition

Non-stigmatizing language - correct answer- "people-first language"