Interview

Question 1

Data collected about a patient’s level of wellness, change of life patterns, sociocultural role, and mental and emotional illness

Answer 1

Health History

Question 2

-Used to gather health history
-subjective
- conversation where questions to client and client answers

Answer 2

Interview

Question 3

Focus of Interview

Answer 3

1. Establishing rapport and a trusting relationship with the client to elicit accurate and meaningful information
2. Gathering information on client’s:
   - Developmental
   - Psychological
   - Physiological
   - Sociocultural
   - Spiritual statuses

Question 4

Phases of interview

Answer 4

1. Pre-introductory Phase
2. Introductory Phase
3. Working Phase
4. Summary and Closing Phase

Question 5

Phase that happens before interviewing the client, reviewing medical records, and reveal the client’s reason for seeking health care and past health history.

Answer 5

Pre-introductory Phase

Question 6

What to do if there are no available past medical records?

Answer 6

Rely on the interview to elicit information from the client

Question 7

What to do if the client is unable to speak?

Answer 7

Rely on the family or significant others of the client

Question 8

Phase where you explain the purpose of the interview, discuss the type of questions that will be asked.

Answer 8

Introductory Phase

Question 9

Where to conduct introductory phase?

Answer 9

Where it is comfortable and has privacy. Not on the bedside of the client or around patients

Question 10

Phase where nurse listens, observe cues and uses critical thinking skills to interpret and validate information from the client

Answer 10

Working Phase

Question 11

Phase where there is a collaboration of the nurse and clientr to indentify the client’s problems and goals

Answer 11

Working phase

Question 12

Phase that is free flowing or more structured with specific questions

Answer 12

Working Phase

Question 13

Phase that summarizes information obtained from the cluent

Answer 13

Summary and Closing Phase

Question 14

Phase that identifies and discusses possible plans to solve problem with client and ask if anything else concerns the client and if there are any further questions.

Answer 14

Summary and Closing Phase

Question 15

Set the proper environment

Answer 15

• create an environment in which the patient feels comfortable
• use various communication strategies
• establish rapport with the client
• explain what will be covered during the interview
• a supportive, encouraging approach will make tour client much more approaching and will enable you to provide optimal care

Question 16

Proper distance between the nurse and client during interview

Answer 16

3-4ft away

Question 17

Helpful tips to make intervies more pleasing to the client

Answer 17

A. Choose a quiet, private, and well-lit setting
B. Make sure that the client is comfortable
C. Introduce yourself; explain the purpose of the health history and assessment
D. Reassure confidentiality
E. Reassure how long the interview will last
F. Use touch sparingly
G. Be wary of what you say

Question 18

How long does it usually take for a formal interview?

Answer 18

45min - 1hour

Question 19

Overcoming Language Barriers

Answer 19

1. Interpreter
2. Hearing Impaired
3. Dealing with culturally different clients
4. Communicate effectively

Question 20

Who to call if the client has a different language as you?

Answer 20

Interpreter

Question 21

Interpreter should translate exactly the same words

Answer 21

Verbatim

Question 22

Who to avoid using as interpreters?

Answer 22

Family members or friends

Question 23

What to do if the client is hearing impaired?

Answer 23

• light should be bright enough for them to see your lips move
• face client, speak slowly and clearly
• let the client use assistive devices such as hearing aids
• sign language, see if the institution has a sign language interpreter

Question 24

What to avoid when conversing with client?

Answer 24

• avoid medical terms and jargons
• avoid using terms of endearment

Question 25

What should we be aware of when dealing if culturally different clients?

Answer 25

We should be aware of our own culture as nurses before knowing culture of our client to prevent biases

Question 26

2 types of communication strategies

Answer 26

Non-verbal communication strategies Verbal communication strategies

Question 27

Non-verbal communication strategies 1-5

Answer 27

1. Listen attentively and make eye contact frequently 2. Use reassuring gestures 3. Watch nonverbal cues that indicate the client is uncomfortable or unsure about how to answer a question 4. Be aware of your nonverbal behaviors that might cause the client to stop talking or become defensive. 5. Observe the client closely to see if he understands the questions

Question 28

Non-verbal communication strategies (a-f)

Answer 28

A. Silence B. Appearance C. Demeanor D. Facial expression E. Attitude F. Listening

Question 29

Gives nurses a chance to assess his ability to organize thoughts

Answer 29

Silence

Question 30

Being professiona, wearing neat clothes, laboratory coats, nametags, ID cards, hair is neat, fingernails should be short and neat, no jewelry

Answer 30

Appearance

Question 31

It is the manner, character, and conduct. Being professional.

Answer 31

Demeanor

Question 32

Overlook aspect of communication

Answer 32

Facial expression

Question 33

Often shows what you are truly thinking

Answer 33

Facial expression

Question 34

All client should be accepted, regardless of belief, ethnicity, lifestyle, and health care practices.

Answer 34

Attitude

Question 35

Most important skill to learn and develop fully in order to collect complete and valid data

Answer 35

Listening

Question 36

What to avoid when listening to the client?

Answer 36

Avoid crossing arms, sitting back, tilting your head away from the client, thinking other things or looking blank in attentive

Question 37

Ranges from alternating between open ended and closed ended questions

Answer 37

Verbal communication strategies

Question 38

Questions where the client responds more freely with explanation

Answer 38

Open ended questions

Question 39

Response may provide more answers to many other questions

Answer 39

Open ended questions

Question 40

What does open ended questions require?

Answer 40

The client to express feelings, opinions, and ideas

Question 41

Elicit yes and no answers. Limits the development of nurse-client rapport

Answer 41

Closed-ended questions

Question 42

"please continue" Encourage client to continue with the story

Answer 42

Facilitation

Question 43

Helps that you and the client are on the same track

Answer 43

Confirmation

Question 44

Technique help clear misconceptions that you and the client might have. Confirm what your client said

Answer 44

Confirmation

Question 45

Repeatinf something the client has just said, to obtain more specific information

Answer 45

Reflection

Question 46

Use this technique if information is vague

Answer 46

Clarification

Question 47

Restate the information to ensure the information and data you collected are accurate and complete

Answer 47

Summarization

Question 48

Signals the client when the nurse is ready to conclude the interview

Answer 48

Conclusion

Question 49

This signal gives client the opportunity to gather his thoughts and make pertinent final statement

Answer 49

Conclusion

Question 50

Communication to avoid

Answer 50

1. Biased or leadinf question 2. Rushing through the interview 3. Reading rhe question

Question 51

Non-verbal communication

Answer 51

1. Eye contact 2. Distraction and Distance 3. Standing