Chapter 3

Question 1

When preparing the physical setting for an interview, the interviewer should:

Answer 1

conduct the interview at eye level and at a distance of 4 to 5 feet.

Question 2

arents or caretakers accompany children to the health care setting. Starting at ___ years of age, the interviewer asks the child directly about his or her presenting symptoms.

Answer 2

7

Question 3

Which of the following statements made by the interviewer would be an appropriate response?
“I know just how you feel.”
“If I were you, I would have the surgery.”
“Why did you wait so long to make an appointment?”
“Tell me what you mean by ‘bad blood.’”

Answer 3

Tell me what you mean by ‘bad blood

Question 4

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 interpretation:

Answer 4

helps the nurse understand his or her own feelings in relation to the patient’s verbal message.

Question 5

The use of euphemisms to avoid reality or to hide feelings is known as:

Answer 5

avoidance language.

Question 6

When addressing a toddler during the interview, the health care provider should:

Answer 6

use short, simple, concrete sentences.

Question 7

Nonverbal communication is the primary form of communication for which group of individuals?

Answer 7

Infants

Question 8

Viewing the world from another person’s inner frame of reference is called:

Answer 8

empathy

Question 9

An example of an open-ended question or statement is:

Answer 9

“Tell me about your pain.”

Question 10

The most appropriate introduction to use to start an interview with an older adult patient is:

Answer 10

“Mr. Jones, I want to ask you some questions about your health so that we can plan your care.”

Question 11

Ad hoc interpreter

Answer 11

using patients family member, friend, or child as interpreter for a patient with limited English proficiency (LEP)

Question 12

Animism

Answer 12

Imagining that inanimate objects come alive and have human characteristics

Question 13

Avoidance language

Answer 13

the use of euphemisms to avoid reality or to hide feelings

Question 14

Clarification

Answer 14

examiners response used when the patients word choice is ambiguous or confusing

Question 15

Closed questions

Answer 15

questions that ask for specific information and elicit a short , one or two word answer, a yes or no, or a forced choice

Question 16

Confrontation

Answer 16

response in which examiner gives honest feedback about what he or she has seen or felt after observing a certain patient action, feeling, or statement

Question 17

Distancing

Answer 17

the use of impersonal speech to put space between ones self and a threat

Question 18

Elderspeak

Answer 18

infantilizing and demeaning language used by a health professional when speaking to an older adult

Question 19

Electronic health record

Answer 19

direct computer entry of a patient’s health record while in the patients presence

Question 20

Empathy

Answer 20

viewing the world from the other persons inner frame of reference while remaining yourself; recognizing and accepting the other persons feelings without criticism

Question 21

Ethnocentrism

Answer 21

the tendency to view your own way of life as the most desirable, acceptable, or best and to act in a superior manner to another cultures way of life

Question 22

Explanation

Answer 22

examiners statements that inform the patient; examiner shares factual and objective information

Question 23

Facilitation

Answer 23

examiners response that encourages the patient to say more, to continue with the story

Question 24

Geographic privacy

Answer 24

private room or space with only the examiner and patient present

Question 25

Interpretation

Answer 25

examiners statement that is not based on direct observation, but is based on examiners inference or conclusion; links events, makes associations, or implies cause

Question 26

Jargon

Answer 26

medical vocabulary used with a patient in an exclusionary and paternalistic way

Question 27

leading question

Answer 27

a question that implies hat one answer would be better than another

Question 28

nonverbal communication

Answer 28

message conveyed through body language-posture, gestures, facial expression, eye contact, touch, and even where one places the chairs

Question 29

Open ended questions

Answer 29

asks for longer narrative information; unbiased; leaves the person free to answer in any way

Question 30

Reflection

Answer 30

examiner response that echoes the patients words; repeats part of what the patient has just said

Question 31

summary

Answer 31

final review of what examiner understands patient has said; condenses facts and presents a survey of how the examiner perceives the health problem or need

Question 32

Telegraphic speech

Answer 32

speech used by age 3 or 4 yrs in which 3 or 4 word sentences contain only the essential words.

Question 33

Verbal communication

Answer 33

messages sent through spoken words, vocalizations, or tone of voice

Question 34

What demonstrates a good understanding of the interview process

Answer 34

the nurse spends more time listening to the patient than talking

Question 35

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

Answer 35

use confrontation to bring the discrepancy between verbal and nonverbal behavior to the patients attention

Question 36

For what or with whom should touch be used during an interview

Answer 36

only if the interviewer knows the person well

Question 37

Because of adolescents developmental level not all interviewing techniques can be used with them. Which technique should be avoided

Answer 37

silence and reflection

Question 38

knowledge of the use of personal space is helpful for the health care provider. Personal distance is generally considered to be

Answer 38

1 1/2 to 4 feet

Question 39

Mr B tells you “ Everyone here ignores me.” You respond, “ Ignores you?” This technique is best described as

Answer 39

reflecting

Question 40

What does active listening include

Answer 40

• watching for clues in body language
• Repeating statements back to the person to make sure you have understood
• Asking open-ended questions to explore the persons perspective

Question 41

when interviewing a patient who does not speak english, the examiner should

Answer 41

use a qualified medical interpreter who is culturally literate

Question 42

with older adults, how should the examiner proceed with the interview

Answer 42

consider the fatigue of the older person and break the interview into shorter segments