Chapter 3 Flashcards
When preparing the physical setting for an interview, the interviewer should:
conduct the interview at eye level and at a distance of 4 to 5 feet.
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.
7
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.’”
Tell me what you mean by ‘bad blood
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:
helps the nurse understand his or her own feelings in relation to the patient’s verbal message.
The use of euphemisms to avoid reality or to hide feelings is known as:
avoidance language.
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?
Infants
Viewing the world from another person’s inner frame of reference is called:
empathy
An example of an open-ended question or statement is:
“Tell me about your pain.”
The most appropriate introduction to use to start an interview with an older adult patient is:
“Mr. Jones, I want to ask you some questions about your health so that we can plan your care.”
Ad hoc interpreter
using patients family member, friend, or child as interpreter for a patient with limited English proficiency (LEP)
Animism
Imagining that inanimate objects come alive and have human characteristics
Avoidance language
the use of euphemisms to avoid reality or to hide feelings
Clarification
examiners response used when the patients word choice is ambiguous or confusing
Closed questions
questions that ask for specific information and elicit a short , one or two word answer, a yes or no, or a forced choice
Confrontation
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
Distancing
the use of impersonal speech to put space between ones self and a threat
Elderspeak
infantilizing and demeaning language used by a health professional when speaking to an older adult
Electronic health record
direct computer entry of a patient’s health record while in the patients presence
Empathy
viewing the world from the other persons inner frame of reference while remaining yourself; recognizing and accepting the other persons feelings without criticism
Ethnocentrism
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
Explanation
examiners statements that inform the patient; examiner shares factual and objective information
Facilitation
examiners response that encourages the patient to say more, to continue with the story
Geographic privacy
private room or space with only the examiner and patient present
Interpretation
examiners statement that is not based on direct observation, but is based on examiners inference or conclusion; links events, makes associations, or implies cause
Jargon
medical vocabulary used with a patient in an exclusionary and paternalistic way
leading question
a question that implies hat one answer would be better than another
nonverbal communication
message conveyed through body language-posture, gestures, facial expression, eye contact, touch, and even where one places the chairs
Open ended questions
asks for longer narrative information; unbiased; leaves the person free to answer in any way
Reflection
examiner response that echoes the patients words; repeats part of what the patient has just said
summary
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
Telegraphic speech
speech used by age 3 or 4 yrs in which 3 or 4 word sentences contain only the essential words.
Verbal communication
messages sent through spoken words, vocalizations, or tone of voice
What demonstrates a good understanding of the interview process
the nurse spends 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 patients attention
For what or with whom should touch be used during an interview
only if the interviewer knows the person well
Because of adolescents developmental level not all interviewing techniques can be used with them. Which technique should be avoided
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 1/2 to 4 feet
Mr B tells you “ Everyone here ignores me.” You respond, “ Ignores you?” This technique is best described as
reflecting
What does active listening include
- 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
when interviewing a patient who does not speak english, the examiner should
use a qualified medical interpreter who is culturally literate
with older adults, how should the examiner proceed with the interview
consider the fatigue of the older person and break the interview into shorter segments
