FACEM Patient Communication Skills 3

Question 1

During a resuscitation attempt, how should the emergency team communicate with a family member present in the room?

Accepted Answer

Assign a dedicated team member to provide ongoing explanation and emotional support to the family

Answer

Family presence during resuscitation is supported by evidence, and assigning a dedicated support person improves family outcomes and communication.

Question 2

When documenting a difficult conversation with a patient in the medical record, what should be included?

Accepted Answer

The content of the discussion, patient's understanding, questions asked, and who was present

Answer

Comprehensive documentation of difficult conversations provides medicolegal protection and ensures continuity of care.

Question 3

A 16-year-old presents alone with a suspected sexually transmitted infection and requests confidentiality from their parents. What is the best approach?

Accepted Answer

Assess the patient's Gillick competence and, if competent, maintain confidentiality

Answer

Gillick competence allows mature minors to consent to and have confidential treatment when they demonstrate sufficient understanding.

Question 4

Which non-verbal communication behaviour is most likely to build rapport with a patient during history-taking?

Accepted Answer

Sitting at the same level as the patient and using appropriate nodding

Answer

Sitting at the patient's level with open body language and affirmative nodding signals engagement and builds trust.

Question 5

A patient with intellectual disability is brought to the ED by a carer. How should communication be adjusted?

Accepted Answer

Use simple language, speak directly to the patient, and involve them in decisions to the extent possible

Answer

Patients with intellectual disability retain communication rights; simple, direct language and inclusion in decision-making respects their autonomy.

(FACEM) Fellowship of the Australasian College for Emergency Medicine Practice Test

(FACEM) Fellowship of the Australasian College for Emergency Medicine Practice Test

FACEM Patient Communication Skills 3