COLLECTING SUBJECTIVE DATA

Question 1

It is a conversation between the nurse
and the patient

The goal is to record a complete
health history

The health history is important , it
helps establish patient’s strengths
and problems

It is a prelude to physical examination

Answer 1

INTERVIEW

Question 2

To encourage an
exchange of information between the
patient and the nurse.

Allows nurse to:

Gather accurate data

Establish trust & rapport

Teach patient about his health state/ condition

Provide health education for health promotion
& disease prevention

Answer 2

MAIN PURPOSE:

Question 3

Establish rapport and a trusting
relationship with the client/ to elicit
accurate and meaningful information

Answer 3

Focus

Question 4

Preintroductory phase

Introductory Phase

Working Phase

Summary & Closing Phase

Answer 4

Phases of the Interview

Question 5

Getting to know the patient by reviewing
the patient’s chart

REVIEW AS MUCH AS POSSIBLE
ABOUT THE PATIENT

The chart/ medical record contains

Biographical information about the patient

Physical limitations; hearing impairment-

Answer 5

Pre-Introductory Phase

Question 6

Orientation Phase

Phase where both parties begin to
introduce themselves & nurse explains the
purpose of the interview

Introduces self, name/ position & explains
purpose of the activity / interview

Discusses what questions are to be asked,
explain need for taking down information.

Assure the patient of confidentiality

Answer 6

Introductory Phase

Question 7

Maintenance Phase

In this phase, the nurse elicits the client’s
comments about major biographic data,
reasons for seeking care, history of
present health concern, past health
history, family history, review of body
systems for current health problems,
lifestyle and health practices, and
developmental level.

Answer 7

Working Phase

Question 8

Concluding Phase/ Termination Phase

Summarizes information obtained during
the working phase and validates problems
and goals with the client

The nurse identifies and discusses with
the patient possible plans to resolve the
problem (nursing diagnoses and
collaborative problems) with the client

Answer 8

Summary & Closing Phase

Question 9

The Approach to the Interview

Take time for self reflection; personal
awareness. This affects our expectations and
reactions

Review your clinical behavior and
appearance. Consciously or not, words and
behavior speaks a lot about how we express
ourselves.

Answer 9

Getting Ready

Question 10

Review the Medical record or chart.

The MR speaks a lot about the patient
and its health history.

Answer 10

Review the CHART!

Question 11

Consider patient’s privacy

Close door

Excuse all not involved in the
conversation to leave the room

Set goals for the interview

Know what you want

Balance nurse centered and patient
centered goals

Answer 11

Adjust the ENVIRONMENT

Question 12

Greet and establish rapport

Use patient’s family name not first
name, introduce self

Shake hands

If first time , explain your role, state
status that you are a student and how
you can help

Maintain confidentiality , ask patient who
can remain and who goes out.

Answer 12

Learning About the Patient

Question 13

Use of Non verbal communication
techniques

Appearance, dress professionally, hair neatly
combed

Demeanour / behaviour should be
professional

Facial expression,

Attitude

Silence

Listening

Answer 13

Communication During The
Interview

Question 14

Use of open ended questions

Close ended

Laundry list

rephrasing

Answer 14

Use of Verbal Communication

Question 15

Appearance

Demeanor

Facial Expression

Attitude

Silence

Listening

Answer 15

Non Verbal
Communications

Question 16

Use of Open & Close
ended Questions

Use of a laundry list

Rephrasing

Well placed phrases

Inferring

Providing information

Answer 16

Verbal Communications

Question 17

Make use of the different _______

Answer 17

COMMUNICATION TECHNIQUES

Question 18

Both _______________
techniques should be utilized

Answer 18

VERBAL & NON-VERBAL

Question 19

Provide a _____________- providing the
client with a choice of words to choose
from in describing symptoms, conditions,
or feelings.

helps you to obtain specific answers and
reduces the likelihood of the client’s
perceiving or providing an expected
answer.

Answer 19

LAUNDRY LIST

Question 20

the client has
provided is an effective way to
communicate during the interview. This
technique helps you to clarify information
the client has stated;

Answer 20

Rephrasing information

Question 21

listen closely to the client during his or
her description and use phrases such as
“um-hum,” “yes,” or “I agree” to
encourage the client to continue.

Answer 21

Use of well placed phrases

Question 22

_______information from what the client
tells you and what you observe in the
client’s behavior may elicit more data or
verify existing data. Be careful not to
lead the client to answers that are not
true

Answer 22

INFERRING

Question 23

Another important thing to consider
throughout the interview is to provide
the client with information as questions
and concerns arise. Make sure you
answer every question as well as you
can.

Answer 23

Providing Information

Question 24

GERONTOLOGIC VARIATIONS

2. CULTURAL VARIATIONS
3. EMOTIONAL VARIATIONS

Answer 24

SPECIAL CONSIDERATIONS
DURING THE INTERVIEW