Interview Techniques/Health History

Question 1

what is important to remember before interviewing a patient?

Answer 1

• “build” a history rather than take one
• this is a JOINT EFFORT
• adapt to who your patient is; their AGE for example

Question 2

how do we build a POSITIVE PATIENT RELATIONSHIP? *5 Cs

Answer 2

through;
- COURTESY
- COMFORT
- CONNECTION
- CONFIRMATION
- CONFIDENTIALITY

Question 3

setting for interview

Answer 3

• COMFORT FOR EVERYONE
• removing physical barriers
• EYE CONTACT
• unobstructive access to CLOCK
• CONVERSATIONAL TONE

Question 4

how do we establish RAPPORT?

Answer 4

• be GENUINELY INTERESTED
• BE CALM/CONFIDENT
• BE EMPATHETIC
• BE HONEST, SINCERE, TRUSTWORTHY

Question 5

what is the general ok space for personal space?

Answer 5

around 18 in - 4 feet
- ALWAYS ASK FOR PERMISSION TO TOUCH A PATIENT

Question 6

during interview and history taking; what if it’s so BUSY?

Answer 6

• still understand and make the EFFORT TO LISTEN
• speeding away - CAN GET INCOMPLETE HISTORY
• ASK THE RIGHT QUESTIONS

Question 7

what are some potential barriers to communicating with your patient?

Answer 7

• silence
• depression
• anxiety
• avoidance
• finance
• emotional/physical intimacy

Question 8

open-ended questions

Answer 8

• allows patient time and discretion to think of an answer
• reveals more INFO
• typically begins with HOW or WHAT

ex. “what do you think is causing your pain?”

Question 9

direct question

Answer 9

• seeks SPECIFIC INFO
• answered quickly
• specific to priorities
• typically with WHEN or DID

ex. “when did you last eat or drink?”

Question 10

leading question

Answer 10

• can LIMIT info provided; patient thinks and answers to what YOU MAY WANT TO KNOW

Question 11

laundry list

Answer 11

• Provide a list of words to choose from
  ex. Is the pain severe, sharp, dull, throbbing, mild, cutting or piercing

Question 12

validating (confirming)

Answer 12

• recognizing and accepting another person’s thoughts/feelings - they are understandable

Question 13

what are our THERAPEUTIC COMMUNICATION TECHNIQUES? (9)

Answer 13

• CLARIFYING
• REFLECTIVE
• SEQUENCING
• ACTIVE LISTENING
• FOCUSING
• PARAPHRASING
• ASKING RELEVANT QUESTIONS
• SUMMARIZING
• CONFRONTATION; just becoming aware of some inconsistencies

Question 14

what are some more therap. comm cont. (5)

Answer 14

• USING TOUCH
  *most potent form of comms.
• USING SILENCE
• SHARING OBSERVATIONS
• SHARING EMPATHY
• SHARING HOPE/HUMOR/FEELINGS

Question 15

what are some SENSITIVE ISSUES?

Answer 15

• alcohol & drug use
• intimate partner violence
• spirituality
• sexuality/gender identity

Question 16

what are COMMON TRAPS OF INTERVIEWING (10)?

Answer 16

• FALSE ASSURANCES
• UNWANTED ADVICE
• USING AUTHORITY
• USING AVOIDANCE LANGUAGE
• DISTANCING/IMPERSONAL SPEECH
• JARGON
• LEADING/BIASED QUESTIONS
• TALKING TOO MUCH
• INTERRUPTING
• USING PROBING QUESTIONS

Question 17

describe cultural comp

Answer 17

• everyone has different views and ways in responding
• have a genuine wish to help; apologize if there are any misinterpretations

Question 18

when should we use interpreters?

Answer 18

WHENEVER POSSIBLE–gives ACCURATE INFORMATION
- do not use FAMILY MEMBER

Question 19

complete history

Answer 19

record the first time you see a patient

Question 20

inventory history

Answer 20

touches on MAJOR POINTS without complete detail

Question 21

problem/focused history

Answer 21

for acute issues

Question 22

interim history

Answer 22

chronicles events since last visit

Question 23

what is the STRUCTURE FOR HISTORY TAKING?

Answer 23

1. IDENTIFIERS
2. CHIEF CONCERN (CC)
3. HISTORY OF PRESENT PROBLEM (HPI)
4. PAST MEDICAL HISTORY (PMH)
5. FAMILY HISTORY (FH)
6. PERSONAL & SOCIAL HISTORY (PSH)
7. REVIEW OF SYSTEMS (ROS)