Chapter 6: The Art of Interviewing (Lessons 9, 10 & 11) Flashcards

1
Q

Trauma and Violence-informed Approach

A

-emphasizing confidentiality
-identifying interview purpose
-shaping questions based on needs
-letting the client have control
-empowerment
-promoting safety

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2
Q

Why is always applying a trauma-informed approach beneficial?

A

-you never know who has experienced trauma or what kind
-doesn’t require them to disclose their experience and re-traumatize themselves

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3
Q

What is trauma?

A

the emotional consequences of a distressing event

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4
Q

Introducing Yourself

A

-NOD
-ask them what they want to be called and their pronouns

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5
Q

Assure Confidentiality

A

-who will be involved with the information
-this honesty builds trust

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6
Q

What to say to inform about confidentiality:

A

“Everything we discuss will remain confidential and only be discussed among healthcare team members involved in your care.”

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7
Q

Provide a Purpose

A

-tell them what you are doing, when you are doing it, and why
-ask if it works with them (involve them in care)

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8
Q

Open Ended Question

A

-don’t make assumptions
-allows them to share their story in their own words

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9
Q

Empathy

A

-respond to their words not the appearance of their illness
-tell them what you are assessing for to reassure them
-don’t dismiss concerns

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10
Q

Relational Inquiry

A

the complex interplay of human life, the world, and nursing practice (means avoid viewing clients on a strictly individual level)

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11
Q

Intrapersonal Communication

A

-an aspect of relational inquiry
-assess what is occurring within all people involved

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12
Q

Interpersonal Communication

A

-an aspect of relational inquiry
-allows you to assess what is occurring between people involved
-behaviours and priorities

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13
Q

Contextual Communication

A

-an aspect of relational inquiry
-allows you to assess what is occurring around the people involved

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14
Q

What is the opposite of relational inquiry?

A

individualist approach

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15
Q

“Who is with you today?”

A

-doesn’t allow for assumptions
-allows them to identify the relationship in own words

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16
Q

Preferred Names of Guests

A

-ask others in the room what they prefer to be called
-acknowledges others and their role
-builds trust, rapport, involves them in the care process

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17
Q

Asking Questions

A

-some people may not know they are supposed to ask questions
-give them the opportunity to ask questions
-remind them to ask if they are unsure and provide a safe way to do so

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18
Q

Example of Intrapersonal question:

A

“How are you feeling today?”

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19
Q

Example of an interpersonal question:

A

“Tell me about your support system”

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20
Q

An example of a contextual question:

A

“Are there any other resources that would be helpful to you?”

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21
Q

Anti-racism

A

-an active process of changing attitudes, beliefs, practices, and policies to dismantle systemic hierarchy and oppressive power

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22
Q

What is involved in an anti-racism approach?

A

-identifying and challenging institutional racism
-specific and directed action
-recognizing self and an agent for change

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23
Q

What do health professionals need to do?

A

-use an anti-racist approach
-advocate for clients and colleagues experiencing racism

24
Q

Opening the Conversation

A

-use cues to open conversations and give opportunity for an educational experience

25
Q

Identify Actions of Others

A

-tell them what is wrong with their actions and why they are wrong

26
Q

Be Respectful

A

-don’t attack others
-educate and provide opportunity for further education
-don’t label people as “racist,” it is systemic and everyone contributes

27
Q

Subjective Data

A

-information shared with you via client, family, friends
-statements, feelings, experiences

28
Q

Primary Source

A

client

29
Q

Secondary Data

A

-from family, friends, care partners, other providers

30
Q

Objective Data

A

-factual information
-observation, measurement, diagnostic procedures

31
Q

General Overview

A

-review clients chart, health record
-general history

32
Q

Purpose of Reviewing Records

A

-conveys interest and competence
-follow up on missing data
-saves client from repetition
-identify changes in status

33
Q

Interview Environment

A

-quiet location
-welcoming environment
-physical comfort
-inclusive space
-privacy
-professional boundaries
-understand your role

34
Q

Confidentiality

A

-you are legally required to keep confidentiality
-must request permission before disclosure, except when harm is a factor

35
Q

Self-reflection

A

-recognize your own emotional state
-minimizes unintentional miscommunication

36
Q

Self Considerations

A

-your thoughts
-your biases
-are you physically expressing emotions?
-how is your health?
-is your environment a distraction?

37
Q

Mindfulness

A

-valuable strategy for connecting with clients and being authentic

38
Q

Mindful Awareness

A

-being consciously aware of your physical presence, cognitive processes, emotional state

39
Q

Mindful Practice

A

-conscious development of skills needed to show attention, compassion, and be less reactive

40
Q

Attention

A

-attending fully to the present moment
-involved awareness

41
Q

Intention

A

-knowing why we are doing what we do
-goals

42
Q

Attitude

A

-how we pay attention
-open, kind, curious

43
Q

COAL

A

curiosity, openness, acceptance, love

44
Q

Five Facets of Mindfulness

A

-observing phenomena
-describing what is occurring
-acting with awareness
-non-judging attitude
-non-reactivity to distressing events

45
Q

Note Taking

A

-let them know if you are taking notes and how they will be used

46
Q

Closed-ended Questions

A

-direct questions you ask when seeking precise information
-generate a yes or no response
-ie. do you smoke?

47
Q

Open-ended Questions

A

-invite descriptive answers
-ie. how have you been feeling this past week?

48
Q

Probing Questions

A

-questions that allow you to gather more subjective data based on the clients response
-ie. tell me more

49
Q

Therapeutic Communication

A

-foundation of the professional relationship
-ensures well-being, holistic, client centred, quality care

50
Q

Competitive Listening

A

-when we are too focused on sharing our own POV rather than listening to others

51
Q

Passive Listening

A

-not interested in listening to the other person and assume we understand without verification

52
Q

Active Listening

A

-communicate verbally and nonverbally
-interested in what the other person says
-verify understanding

53
Q

Aspects of Therapeutic Communication

A

-clear and simple language
-open-ended questions
-clarification
-paraphrasing
-shared observation
-summarizing
-silence
-honesty
-one question at a time

54
Q

Permission Statements

A

a combination of statements and questions that suggest to the client that an experience is normal

55
Q

Non-therapeutic Responses

A

-closed questions
-why questions
-passing judgement
-giving advice
-defensiveness
-changing subject
-sympathy
-false reassurance

56
Q

Concluding the Interview

A

-ensure you understand everything
-make sure client shared everything they wanted to and doesn’t have anything to add
-ensure client knows next steps in care