Chapter 3 - The Interview Flashcards

1
Q

The ____ is the best chance to gain an understanding of the patient’s beliefs, concerns, and perception of their individual state

A

interview

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2
Q

The interview allows for compilation of ____ and awareness of ____ (physical appearance, posture, ability to arry on a conversation, and demeanor)

A

subjecive data

objective dsta

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3
Q

Interview Characteristics

A

1) Gather complete and accurate data about person’s health state including description and chronology of any symptoms
2) Establish trust to foster acceptance and allow for data sharing
3) Teach the person about their individual health state
4) Build rapport to continue therapeutic relationship
5) Discuss health promotion and disease prevention

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4
Q

Interview Contract Terms

Location:

A

Time and place with follow-up for physical exam

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5
Q

Interview Contract Terms

Explanation:

A

Introduction and delineation of role

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6
Q

Interview Contract Terms

Purpose:

A

Mutual goal is optimal health

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7
Q

Interview Contract Terms

Time frame:

A

Length of time for process

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8
Q

Interview Contract Terms

Participation:

A

Expected participation and/or presence of others

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9
Q

Interview Contract Terms

Confidentility:

A

Reasonable and/or limited as it applies to legal/ethical standards

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10
Q

Interview Contract Terms

Cost:

A

Disclosure of any financial costs

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11
Q

Verbal communication is…

A

Words you speak-vocalization

Tone used in conversation

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12
Q

Nonverbal communication is…

A

Body language

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13
Q

____ may help to provide cues which may be correlated with truer feelings

A

body language

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14
Q

____ are specific to the health care team member which can help maximize communication skills

A

Internal factors

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15
Q

Internal Factors include

A

Liking others - Using a genuine” approacj

Empathy - Develop an understanding and sensitivity for other’s feelings

Ability to listen - Using an “active” process

Self-awareness - Be aware of “implicit bias”

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16
Q

External Factors are the ____

A

environment

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17
Q

External factors (envrionemnt) include

A

Ensuring privacy - Aim for “geographic” privacy, but ensure “phychological” privacy

Avoid interrutions - Minimize and/or refuse

Physical envrionment - “equal status” seating

Dress - Appearance and comfort

Note-taking - Keep to a minimum, offer “focused” attention

18
Q

The ____ mandates the EHR (Electronic Health Record) to improve quality and safety

A

federal government

19
Q

During the working phase of the interview, you are ____

A

gathering data and using verbal skills to ask open-ended questions

20
Q

Verbal Responses

What does facilitation do

A

Encourages the patient to say more

21
Q

Verbal Responses

What does silence do

A

Directed attentiveness

22
Q

Verbal Responses

What does reflection do

A

Echoes to help expres meaning

23
Q

Verbal Responses

What does Empathy do

A

Names a feeling and allows its expression

24
Q

Verbal Responses

What does clarification do

A

Asking for confirmation

25
Q

Verbal Responses

What does confrontation do

A

Clarifiying inconsistent information

26
Q

Verbal Responses

What does interpretaion do

A

Makes association to identify cause or conclusion

27
Q

Verbal Responses

What does Explanation do

A

Informing person by sharing factual and objective information

28
Q

Verbal Responses

What does summary do

A

Provides conclsion based on verified information which in turn identifies that the interview process is closing

29
Q

What are the ten traps of interviewing

A

1) Providing false assurance or reassurance
2) Giving unwanted advice
3) Using authority
4) Using avoidance language
5) Engaging in distancing
6) Using professionl jargon
7) Using leading or biased questions
8) Talking too much
9) Interrupting
10) Using “why” questions

30
Q

When verbal and nonverbal messages are congruent, the verbal message is ____

A

reinforced

31
Q

When verbal and nonverbal message are incongruent, ____ messages are viewed as the truer one as it is under unconscious control

A

nonverbal

32
Q

When closing the interview, a ____ is provided as the final statement

A

summary

33
Q

According to the stages of cognitive development, when interviewing an infant (bith-12 months), you want to be ____

A

Gentle handing with quet, calm voice

34
Q

According to the stages of cognitive development, when interviewing a todler (12-36 months), you want to ____

A

Give one direction at a time and provide simple explanations

35
Q

According to the stages of cognitive development, when interviewing a preschooler (3-6 years old), you want to give ____

A

Short directions with concrete explanation

36
Q

According to the stages of cognitive development, when interviewing a school-age child (7-12 years old), you want to ____

A

Ask questions to gather data and be nonjudgmental

37
Q

According to the stages of cognitive development, when interviewing adolescents starts at puberty), you want to be ____

A

Respectful, honest attitude with focus on the individual

38
Q

When interviewing an ____, the process will take longer

A

older adult

39
Q

____ is more than just the ability to read, but rather includes understanding and following directions that lead to effective communication between the patient and the health care provider

A

Health Literacy

40
Q

What are the techniques to improve health literacy

A

Oral teaching

Written materials

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