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The Interview - Health Assessment from Missy
Terms in this set (34)
What is a health interview?
-Structured interaction between you and the patient
-Rules governing should be clearly outlined and agreed on by you and the patient at the start of the interview
-Mutual GOAL: Patients optimal health
What is communication?
-Exchange of information so that each person clearly understands the other
-May be verbal or non-verbal (all behavior has meaning)
What are the 2 roles of a two-person interaction?
-Being aware of the messages you send
-Verbal - words spoken, vocalization, tone of voice
-Nonverbal - body language
Nonverbal is probably more reflective of true feelings
-Interpretation of words & gestures into a specific context to have meaning
-What you bring to the interview
What 3 internal factors promote good communication?
-Having the ability to listen
What is empathy?
-Viewing the world from the other person's inner frame of reference while remaining yourself
-Recognizing and accepting the other person's feels without criticism
-Relate to the physical setting
How can you foster good communication with external factors?
-Creating a conducive environment
-Documenting responses without interfering with the conversation
What are the 3 phases to the interview?
-Keep it short
-Introduce yourself & agency
-Give reason for interview
-Data gathering phase
-Start with an open-ended question
-As person answers, stop and listen
-Lean forward slightly toward patient
-Make eye contact
-Signal that the interview is ending
-Briefly summarize what you learned in the interview
What are the 10 traps of interviewing?
-Providing false assurances or reassurances
-Giving unwanted advice
-Using avoidance language
-Engaging in distancing
-Using professional jargon
-Using leading or biased questions
-Talk too much
-Using "why" questions
Interview-Nonverbal modes of communication
An accurate understanding of the other person's feelings within a communication context is an example of:
You have come into a patient's room to conduct an admission interview. Because you are expecting a phone call,you stand near the door during the interview. A more appropriate approach would be to:
Have someone else answer the phone so you can sit facing the patient
During a patient interview, you recognize the need to use interpretation. This verbal response is based on:
Interviewer's inference from the data that has been presented
A "good" rule for an interviewer is to
Spend more time listening to the patient than talking
During an interview, a patient denies having any anxiety. The patient frequently changes position in the chair, holds his arms folded tight against his chest, and has little eye contact with the interviewer. The interviewer should:
Use confrontation to bring the discrepancy between verbal and nonverbal behavior to the patient's attention
Touch should be used during the interview only if
The interviewer knows the person well
Children are usually brought for health care by a parent. At about what age should the interviewer begin to questions the child him/herself regarding presenting symptoms?
Because of adolescents' developmental level, not all interviewing techniques can be used with them. The two to be avoided are:
Silence and reflection
Knowledge of the use of personal space is helpful for the health care provider. Personal distance is generally considered to be:
1.5 to 4 feet
Mr. B. tell you, "everyone here ignores me." You respond, "ignores you?" This technique is best described as:
Active listening includes:
-Watching for clues in body language
-Repeating statements back tot he person to make sure you have understood
-Asking open-ended questions to explore the person's perspective
-Exploring the person's fears about his/her illness
When interviewing patients who do not speak English or have limited proficiency, the examiner should:
Use a qualified medical interpreter who is culturally literate
With older adults, what is the best approach to take with the interview?
-Consider the fatigue of the aging person
-Break the interview into shorter segments
While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician's reaction. In this situation, the nurse's verbal interpretations helps:
The patient understand personal feedings in relation to his/her verbal message.
The use of euphemisms to avoid reality or to hide feelings is known as:
When addressing a toddler during the interview, the health care provider should use
Short, simple, concrete sentences
Nonverbal communication is the primary form of communication for which group of individuals
The most appropriate introduction to use to start an interview with an older patient is
"Mr. Jones, I want to ask you some questions about your health so that we can plan your care."
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