exam 1 Flashcards
What are the 10 traps of interviewing?
- Providing False Reassurance
- Giving Unwanted Advice
- Using Authority
- Using Avoidance Language
- Distancing
- Using Professional Jargon
- Leading or Biased Questions
- Talking too much
- Interrupting
- Using “why” questions
What are some internal factors of communication?
Empathy, ability to listen, self awareness ( must be able to put aside bias)
What are some external factors of communication?
Insures privacy, minimal interruptions, dress, note taking
Facilitation
Encourages pt to say more showing interest “Go on”
Silence
Allows pt to think, able to observe pt and note nonverbal cues.
Reflection
Mirroring pt words, using inflection in voice as if asking a question. Echoing pt words in order to get more information.
Empathy
Names a feeling and allows its expression “this must be hard for you”
Clarification
Used when pt word choice is confusing, ensures you understand correctly “can you tell me what you mean by”
Confrontation
Clarify inconsistent info if things don’t align “earlier you said..”
Interpretation
Link events by association between symptoms and events (implies cause).
Explanation
Informing pt, factual information
Summary
Signals the end of an interview and allows for corrections, condenses/validates facts
Providing false reassurance
Closes off communication or promises something that may not be true which can diminish rapport. “Don’t worry, I assure you and the baby will be okay”.
Giving unwanted advice
Based on experience or a hunch. You are not the client so cannot say “if I were you” because cannot make decisions for them
Using authority
Promotes dependency and inferiority, diminishes client’s concerns “your doctor knows best”
Using avoidance language
Using euphemisms promotes avoiding reality and hiding feelings “passed away”
Distancing
Allowing pt to deny association, can communicate you are afraid. “there is a lump in the breast” (not saying you to pt)
Using professional jargon
Can lead to misunderstanding. Pt may think hypertension means being tense
Leading or biased questions
Implies there is a correct answer, may make pt lie to have a better answer. “You don’t smoke do you?”
Talking too much
Must listen and talk less than pt
Using “why” questions
Makes you sound accusatory or judgemental. Why did you take so much medication?
Interupting
Signals impatience or boredom
EBP Step 2
Aquire sources of evidence, how to solves this
EBP Step 1
Ask the clinical questions (whys) ex. How come all pt who come into unit get an infection?
EBP Step 3
Appraise and synthesize the evidence, will it actually help?
EBP Step 4
Apply relevant evidence in practice, ex. make sure to foam in and out
EBP Step 5
Assess outcomes, ex. infection went down
Complete (total health) Database