Interview Techniques/Health History Flashcards

1
Q

Define Subjective Data.

A

What the person says about himself/herself. This is the first indication of perceived health.

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2
Q

The nurse controls the external environment before a patient interview by…

A

Providing privacy

Refusing interruptions

Controlling the physical environment

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3
Q

The nurse will control the physical environment by…

A

Providing comfortable room temperature

Providing adequate lighting

Limiting noise/distractions such as TV, cell phones

Providing eye level seating with no barriers

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4
Q

Define open-ended questions. Provide an example.

A

Open-ended questions requires a narrative.

A broad topic statement.

An example would be…“Tell me more about that” or “What brings you to the clinic today?”

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5
Q

Define closed-ended questions. Provide an example.

A

Closed-ended questions ask for very specific information.

Usually a “yes” “no” or two-word answer.

Used to fill in details or when collecting specific facts.

An example would be…“Do you have a history of heart disease?” or “What type of diabetes do you have?”

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6
Q

This communication technique allows patients time to think and organize thoughts without interruption from the nurse.

A

Silence

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7
Q

This communication technique focuses attention on phrases by repeating the patients words.

A

Reflection

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8
Q

Name the therapeutic communication demonstrated below.

A

Empathy

Recognizes a feeling and puts it into words.

“This is hard for you” is an empathetic response

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9
Q

Name the therapeutic communication demonstrated below.

A

Facilitation

Phrases such as “go on” and “ummmmm” encourage patients to continue

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10
Q

This communication technique helps clear up confusing phrases by the patient during the interview process.

A

Clarification

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11
Q

This therapeutic technique is used when actions, feelings, or statements need to be focused on.

A

Confrontation

Can point out a discrepency or a patient’s affect

Might be uncomfortable for the nurse and patient

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12
Q

Define interpretation.

A

Not a direct observation but rather a conclusion made by the nurses.

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13
Q

Define explanation

A

A therapeutic communication technique that shares facts/objective information with your patient.

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14
Q

Define summary

A

A therapeutic communication technique summarizing what the patient has told the nurse during the interview process.

It allows the patient to correct any misinformation the nurse has collected

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15
Q

Provide an example of nontherapeutic communication for false reassurance

A

Example: “Don’t worry…I am sure that lump in your breast is not cancer.”

Breaks down communication by trivializing feelings.

Denies any further discussion on the subject

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16
Q

Provide an example of nontherapeutic communication for giving unwanted advice.

A

Example: “If I were you, I would not do chemotherapy.”

Shifts the decision making process from the patient to the nurse.

17
Q

Provide an example of nontherapeutic communication for using authority.

A

Example: “The ocologist knows best.”

Promotes dependency on the health care provider and encourages the feelings of inferiority.

18
Q

Provide an example of nontherapeutic communication for using avoidance language.

A

Example: “I am sorry, but your sister has passed.”

Avoids reality

Better to use the words, in this case, “I am sorry, but your sister has died.”

19
Q

Provide an example of nontherapeutic communication for engaging distancing.

A

Example: “There is a spot on the left lung.”

Uses impersonal speech between a perceived threat and the patient

Better to say: “There is a spot on your left lung.”

20
Q

Provide an example of nontherapeutic communication for using professional jargon.

A

Example: “Your paroxysmal nocturnal dyspnea is atypical.”

Adjust your vocabulary to the patient to avoid condescension.

21
Q

Provide an example of nontherapeutic communication for biased questioning.

A

Example: “You don’t take drugs, do you?”

The implication is that one answer is better than another.

22
Q

True/False: Talking to much is helpful during the interview process. Explain your answer.

A

False: This gives the interviewer a false sense of helpfulness.

Talking too much does not meet the patient’s needs.

23
Q

True/False: Asking a patient “Why?” is an appropriate therapeutic technique. Explain your answer.

A

False

Implies blame and will put your patient on the defensive, impeding communication

24
Q

Define positive nonverbal messaging. Provide examples.

A

These are nonverbal messages that show attentiveness, acceptance, and is productive at moving the relationship forward.

Examples:

Relaxed open posture

Leaning slightly toward person

Appropriate eye contact, smiling, touch

25
Q

Define negative nonverbal messaging. Provide examples.

A

These are nonverbal messages that inattentive, nonproductive, and defeating to the relationship.

Examples:

Tense posture/standing during interview

Avoiding eye contact

Distracting gestures: finger pointing, looking at watch

Inappropriate touch

26
Q

Define objective data.

A

What the nurse notices or information collected.

Example: Vital signs, general survey, height

27
Q

Define the components of “symptom summary” using the PQRSTU mneumonic.

A

P: provocative or palliative…“What causes this sympton?” “What makes it worse/better?”

Q: quality or quantity…“What does the symptom look like, feel like, sound like?”

R: Region or radiation…“Where is this symptom?” “Does this symptom spread anywhere?”
S: Severity…“Rate on a scale of 1-10 of symptom intensity.”

T: Timing…Ask about onset/duration/frequency

U: Understanding…“What do you think this symptom means?”