When instructing patients the HCP should adapt the message according to the beliefs and concerns of the patient?

Under a Creative Commons license

Open access

In this article, we specifically focus on the identification and management of patient beliefs and expectations during consultations with health-care professionals (HCPs). In examination of the nature and purpose of communication during consultations, we evaluate the research relating to doctor–patient communication, present the Calgary–Cambridge framework and highlight the identification and management of the patient's beliefs and expectations as a key part of this process. Having identified what can go wrong, we identify the characteristics of effective consultations and consider strategies for improving communication. In recommending a clear and more focussed approach to the identification and management of patient beliefs and expectations, we consider not only the nature of the therapeutic climate, but also the style and content that could enhance the effectiveness of the communication. Having identified techniques for facilitating self-disclosure, we conclude by offering suggestions on how to ‘close down’ the consultation and hand over responsibility to the patient.

Keywords

doctor–patient consultation

communication skills

therapeutic climate

Cambridge–Calgary framework

self-disclosure

Copyright © 2009 Elsevier Ltd.

QuestionAnswered step-by-step1 pts Which of the following statements is true regarding patient…1 pts Which of the following statements is true regarding patient education?Group of answer choicesKnowledge about health is sufficient to influence health behaviors. Patient education may result in better compliance with treatment programs. Estimates of patient compliance with recommendations made by HCPs range from 10% to 20%. Most patients are quite knowledgeable about health and disease.  Flag question: Question 2Question 21 pts Which of the following statements is true regarding patient education?Group of answer choicesPain and anxiety may distract the patient and negatively influence their ability to absorb instruction. Patient demographics refer to the physical demonstration of a task or technique to the patient. Kinesthetic learners respond well to the use of pictures, anatomic models, and literature. Situational context refers to the environment in which the instruction will take place.  Flag question: Question 3Question 31 pts Which of the following is true regarding patient education?Group of answer choicesThe teaching session should include both need-to-know and nice-to-know information. Side effects of a medication should be discussed before beneficial effects. Behavioral objectives that result from instruction should be specific and measurable. Previous experiences with HCPs and healthcare institutions rarely influence a patient’s perspective.  Flag question: Question 4Question 41 pts Which of the following is true regarding “plain language”?Group of answer choicesThe use of the third person (“patients”) instead of the second person (“you”) is recommended. Clinical terms should be used instead of common terms. The use of medical terminology is recommended. Sentences should be kept short and to the point.  Flag question: Question 5Question 51 pts Which of the following is considered a preferred practice when instructing patients?Group of answer choicesLink new behaviors to old ones. Recommend larger changes in behavior instead of smaller changes. The use of a single instructional technique is recommended. Eliminate old behaviors instead of adding new ones.  Flag question: Question 6Question 61 pts How does two-way communication enhance the educational process between the HCP and the patient?Group of answer choicesIt gives the patient an opportunity to show that he or she knows as much about their condition as the HCP. It ensures that patients will comply with the HCP’s treatment recommendations. It gives the HCP the time to share nice-to-know facts in addition to need-to-know information. It helps keep the patient engaged and focused on the instruction at hand.  Flag question: Question 7Question 71 pts An HCP needs to teach her patient about a new medication. When designing her instruction, which information should the HCP present to the patient first?Group of answer choicesDo you have any questions? Some possible side effects are dizziness and an upset stomach. You need to take this medication first thing in the morning. If you don’t feel better in a few days, you should call my office.  Flag question: Question 8Question 81 pts Patients educated about their health are less likely to comply with recommendations made by their HCP.Group of answer choicesTrue False  Flag question: Question 9Question 91 pts The most important information to be conveyed to the patient should be introduced at the beginning of the teaching session.Group of answer choicesTrue False  Flag question: Question 10Question 101 pts The beneficial effects of a recommendation should be described to the patient before they are warned of any potential difficulties or adverse effects.Group of answer choicesTrue False  Flag question: Question 11Question 111 pts Patient education is more effective when clinical terms instead of common terms are used.Group of answer choicesTrue False  Flag question: Question 12Question 121 pts Patients are more likely to comply with recommendations for smaller changes in behavior rather than larger changes.Group of answer choicesTrue False  Flag question: Question 13Question 131 pts Knowledge about health is necessary but not sufficient to influence health behaviors.Group of answer choicesTrue False  Flag question: Question 14Question 141 pts A patient’s upcoming colonoscopy is an example of a situational context.Group of answer choicesTrue False  Flag question: Question 15Question 151 pts Instructional context refers to the environment in which the instruction will take place (e.g., doctor’s office, hospital room, outpatient clinic).Group of answer choicesTrue False  Flag question: Question 16Question 161 pts The teaching session should focus on need-to-know information as opposed to nice-to-know.Group of answer choicesTrue False  Flag question: Question 17Question 171 pts The HCP should encourage the patient to add new behaviors instead of eliminating old ones.Group of answer choicesTrue False  Flag question: Question 18Question 181 pts The use of a single instructional technique is recommended.Group of answer choicesTrue False  Flag question: Question 19Question 191 pts The use of clinical terms instead of common terms is recommended.Group of answer choicesTrue False  Flag question: Question 20Question 201 pts The HCP should use their “white coat” and not be hesitant to make unpopular recommendations to their patients.Group of answer choicesTrue False  Flag question: Question 21Question 211 pts One goal of patient education is to encourage the patient to make a commitment to do or change something.Group of answer choicesTrue False  Flag question: Question 22Question 221 pts Patient education should include behavioral objectives that are specific and measurable.Group of answer choicesTrue False  Flag question: Question 23Question 231 pts Visual learners learn by the physical demonstration of a task or technique by the HCP, followed by the practice of the technique by the patient.Group of answer choicesTrue False  Flag question: Question 24Question 241 pts When instructing patients, the HCP should adapt the message according to the beliefs and concerns of the patient.Group of answer choicesTrue False  Flag question: Question 25Question 251 pts The HCP should not hesitate to make judgmental comments regarding their patient’s health choices.Group of answer choicesTrue False  Flag question: Question 26Question 261 pts The HCP should not hesitate to avoid eye contact by continuously writing notes while the patient is speaking.Group of answer choicesTrue False  Flag question: Question 27Question 271 pts Repeated interruptions from other HCPs may negatively impact the teaching session.Group of answer choicesTrue False  No new data to save. Last checked at 10:15am Submit Quiz Questions Haven’t Answered YetQuestion 1Haven’t Answered YetQuestion 2Haven’t Answered YetQuestion 3Haven’t Answered YetQuestion 4Haven’t Answered YetQuestion 5Haven’t Answered YetQuestion 6Haven’t Answered YetQuestion 7Haven’t Answered YetQuestion 8Haven’t Answered YetQuestion 9Haven’t Answered YetQuestion 10Haven’t Answered YetQuestion 11Haven’t Answered YetQuestion 12Haven’t Answered YetQuestion 13Haven’t Answered YetQuestion 14Haven’t Answered YetQuestion 15Haven’t Answered YetQuestion 16Haven’t Answered YetQuestion 17Haven’t Answered YetQuestion 18Haven’t Answered YetQuestion 19Haven’t Answered YetQuestion 20Haven’t Answered YetQuestion 21Haven’t Answered YetQuestion 22Haven’t Answered YetQuestion 23Haven’t Answered YetQuestion 24Haven’t Answered YetQuestion 25Haven’t Answered YetQuestion 26Haven’t Answered YetQuestion 27Time Elapsed:Hide TimeAttempt due: Apr 9 at 11:59pm Arts & HumanitiesCommunicationsMED,PEC 218Share Question