CHAP 2 Flashcards

1
Q

Subjective
data provide clues to:

A

physiological, psychological, and sociologic
problems.

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2
Q

The subjective data is obtained through

A

interviewing

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3
Q

2 focuses of nursing interview

A
  • establish rapport & rltship
    gain info on client
  • developmental, psychological status
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4
Q

4 basic phases of an interview in nursing:

A

preintroductory
introductory
working
summary

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5
Q

in this phase, the nurse reviews the medical record before meeting with the client
Knowing some of the client’s already documented biographical information

A

Preintroductory phase

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6
Q

during the introductory phase, the nurse explains these:

A
  • discuss the of questions
  • explain reason for notes
  • assure confidential info to the client
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7
Q

the guidelines that ensure confidentiality of client info

A

Health Insurance Portability and Accountability Act (HIPAA)

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8
Q

conducting an interview should be at what level

A

eye level with client

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9
Q

these are essential to promote full disclosure of information

A

develop trust and rapport

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10
Q

Developing rapport
depends heavily on

A

verbal and nonverbal communication

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11
Q

During this phase, the nurse elicits the client’s comments about major biographical
data

A

Working phase

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12
Q

during this phase, the nurse summarizes information obtained during
the working phase and validates problems and goals with the client

A

Summary & closing phase

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13
Q

in this phase, the nurse identifies and discusses possible plans to resolve the problem

A

summary and closing phase

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14
Q

The client interview involves two types of communication

A

Nonverbal and verbal

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15
Q

Your appearance, demeanor, posture, facial expressions, and attitude strongly influence
how the client perceives the questions you ask belongs to what type of communication

A

Nonverbal communication

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16
Q

Actions that must be followed during a nurisng interview of nonverbal actions

A

Appearance
Demeanor
Facial expression
Attitude
Silence
Listening

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17
Q

The client is expecting
to see a health professional; therefore, you should look the part. Wear comfortable,
neat clothes and a laboratory coat or a uniform. What type of nonverbal component is this?

A

Appearance

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18
Q

in nonverbal communication your ___ should be professional

A

Demeanor

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19
Q

not being overwhelmingly friendly/touchy is under

A

Demeanor

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20
Q

Greeting the client calmly, by name and not
with references such as honey, sweetie, or sugar is under what type of nonverbal communication

A

Demeanor

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21
Q

When you enter a room to interview a
client, display what?

A

Poise

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22
Q

an overlooked aspect of communication. it often shows what you are truly thinking

A

Facial expression

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23
Q

No matter what you think about a client or what kind
of day you are having, keep your expression

A

neutral and friendly

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24
Q

appear shocked, disgusted, or surprised at what you are told is under

A

Attitude

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25
One of the most important nonverbal skills to develop as a health care professional is a
Nonjudgemental attitude
26
allow you and the client to reflect and organize thoughts, which facilitate more accurate reporting and data collection.
silence
27
is the most important skill to learn and develop fully in order to collect complete and valid data from your client
Listening
28
Nonverbal communications to avoid
Excessive or Insufficient Eye contact Distraction & distance Standing
29
Verbal Communication to avoid
Biased or leading question Rushing through interview Reading the questions
30
these questions are used to elicit the client’s feelings and perceptions
Open ended questions
31
open ended questions begins with the words
"how" or "what"
32
Asking _____may help to reveal significant data about the client’s health status.
open ended questions
33
these questions are asked to obtain facts and to focus on specific information
close ended questions
34
these questions are useful in keeping the interview on course
close ended questions
35
Closed-ended questions typically begin with the words
"when or did"
36
used to clarify or obtain more accurate information
Close ended questions
37
this approach helps you to obtain specific answers and reduces the likelihood of the client perceiving or providing an expected answer.
laundry list
38
these type of questions are what? “Is the pain severe, dull, sharp, mild, cutting, or piercing?” “Does the pain occur once every year, day, month, or hour?” Repeat choices as necessary.
Laundry list
39
This technique helps you to clarify information the client has stated; it also enables you and the client to reflect on what was said.
Rephrasing
40
these words can encourage client verbalization
Well-placed phrases
41
“uh-huh,” “yes,” or “I agree” are what types of words
Well placed phrases
42
getting information from what the client tells you and what you observe in the client’s behavior may elicit more data or verify existing data is what type of action
Inferring
43
Examples of verbal communication
Open & close ended Laundry list Rephrasing Well-placed phrases inferring Providing information
44
include information that identifies the client, such as name, address, phone number, gender, and who provided the information—the client or significant others
Biographical data
45
This category includes two questions: “What is your major health problem or concern at this time?” and “How do you feel about having to seek health care?”
Reasons for seeking health care
46
Three variations in communication must be considered as you interview clients
gerontologic, cultural and emotional
47
age effects are under what variation of interviewing
Gerontologic variations
48
used to identify clients’ strengths and limitations in lifestyle and health status
Health history data
49
Religious or spiritual practices Educational level Occupation are what type of data
Biographical data
50
Meaning of COLDSPA
Character Onset Location Duration Severity Pattern Associated factors
51
(How does it feel, look, smell, sound, etc.? is what type of question
Character
52
when did it begin? is it worse than before? what statement tdoes this belong
Onset
53
what makes it better? unsay maka lala ani? is what type of question
Pattern
54
what other sympomts do u have? can u work with having this?
Associated factors
55
Nursing health history format (client care plan)
Biographical data History of present health (COLDSPA) Past health history Family Health history Lifestyle and Health practice Developmental Level
56
PQRST meaning
Provocative Quality Radiates Severity Timing
57
in pqrst what does this question stand for "What provokes the pain or relieves it?
Provocative
58
is the pain localized? or ga spread? what type of analysis is this from PQRST stand for?
Radiates
59
Ask the client about any childhood illnesses and immunizations to date is what type of data
Personal health history
60
the questions elicit data about the client’s health history related to their strengths and weaknesses
Past health or personal history
61
include nutritional habits, activity and exercise patterns, sleep and rest patterns, self-concept and self-care activities, social and community activities, relationships, values and beliefs system, education and work, stress level and coping style, and environment.
Lifestyle & health practices profile
62
This information is necessary to elicit an overview of how the client sees their usual pattern of daily activity
Description of typical day
63
These questions uncover food habits that are health promoting as well as those that are less desirable
Nutrition and weight management
64
sexual responsibility, basic hygiene practices, regularity of health care checkups (i.e., dental, visual, medical), breast/testicular self-examination, and accident prevention and hazard protection (e.g., seat belts, smoke alarms, and sunscreen). are under what data
self concept and self care responsibilities