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HEALTH HISTORY > Interview > Flashcards

Interview Flashcards

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1
Q

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

A

Health History

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2
Q

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

A

Interview

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3
Q

Focus of Interview

A
  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
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4
Q

Phases of interview

A
  1. Pre-introductory Phase
  2. Introductory Phase
  3. Working Phase
  4. Summary and Closing Phase
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5
Q

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

A

Pre-introductory Phase

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6
Q

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

A

Rely on the interview to elicit information from the client

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7
Q

What to do if the client is unable to speak?

A

Rely on the family or significant others of the client

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8
Q

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

A

Introductory Phase

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9
Q

Where to conduct introductory phase?

A

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

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10
Q

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

A

Working Phase

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11
Q

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

A

Working phase

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12
Q

Phase that is free flowing or more structured with specific questions

A

Working Phase

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13
Q

Phase that summarizes information obtained from the cluent

A

Summary and Closing Phase

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14
Q

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.

A

Summary and Closing Phase

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15
Q

Set the proper environment

A
  • 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
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16
Q

Proper distance between the nurse and client during interview

A

3-4ft away

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17
Q

Helpful tips to make intervies more pleasing to the client

A

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

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18
Q

How long does it usually take for a formal interview?

A

45min - 1hour

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19
Q

Overcoming Language Barriers

A
  1. Interpreter
  2. Hearing Impaired
  3. Dealing with culturally different clients
  4. Communicate effectively
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20
Q

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

A

Interpreter

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21
Q

Interpreter should translate exactly the same words

A

Verbatim

22
Q

Who to avoid using as interpreters?

A

Family members or friends

23
Q

What to do if the client is hearing impaired?

A
  • 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
24
Q

What to avoid when conversing with client?

A
  • avoid medical terms and jargons
  • avoid using terms of endearment
25
Q

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

A

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

26
Q

2 types of communication strategies

A

Non-verbal communication strategies
Verbal communication strategies

27
Q

Non-verbal communication strategies 1-5

A
  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
28
Q

Non-verbal communication strategies (a-f)

A

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

29
Q

Gives nurses a chance to assess his ability to organize thoughts

A

Silence

30
Q

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

A

Appearance

31
Q

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

A

Demeanor

32
Q

Overlook aspect of communication

A

Facial expression

33
Q

Often shows what you are truly thinking

A

Facial expression

34
Q

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

A

Attitude

35
Q

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

A

Listening

36
Q

What to avoid when listening to the client?

A

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

37
Q

Ranges from alternating between open ended and closed ended questions

A

Verbal communication strategies

38
Q

Questions where the client responds more freely with explanation

A

Open ended questions

39
Q

Response may provide more answers to many other questions

A

Open ended questions

40
Q

What does open ended questions require?

A

The client to express feelings, opinions, and ideas

41
Q

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

A

Closed-ended questions

42
Q

“please continue”
Encourage client to continue with the story

A

Facilitation

43
Q

Helps that you and the client are on the same track

A

Confirmation

44
Q

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

A

Confirmation

45
Q

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

A

Reflection

46
Q

Use this technique if information is vague

A

Clarification

47
Q

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

A

Summarization

48
Q

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

A

Conclusion

49
Q

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

A

Conclusion

50
Q

Communication to avoid

A
  1. Biased or leadinf question
  2. Rushing through the interview
  3. Reading rhe question
51
Q

Non-verbal communication

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

HEALTH HISTORY (2 decks)

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