Interview Techniques/Health History Flashcards
Define Subjective Data.
What the person says about himself/herself. This is the first indication of perceived health.
The nurse controls the external environment before a patient interview by…
Providing privacy
Refusing interruptions
Controlling the physical environment
The nurse will control the physical environment by…
Providing comfortable room temperature
Providing adequate lighting
Limiting noise/distractions such as TV, cell phones
Providing eye level seating with no barriers
Define open-ended questions. Provide an example.
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?”
Define closed-ended questions. Provide an example.
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?”
This communication technique allows patients time to think and organize thoughts without interruption from the nurse.
Silence
This communication technique focuses attention on phrases by repeating the patients words.
Reflection
Name the therapeutic communication demonstrated below.
Empathy
Recognizes a feeling and puts it into words.
“This is hard for you” is an empathetic response
Name the therapeutic communication demonstrated below.
Facilitation
Phrases such as “go on” and “ummmmm” encourage patients to continue
This communication technique helps clear up confusing phrases by the patient during the interview process.
Clarification
This therapeutic technique is used when actions, feelings, or statements need to be focused on.
Confrontation
Can point out a discrepency or a patient’s affect
Might be uncomfortable for the nurse and patient
Define interpretation.
Not a direct observation but rather a conclusion made by the nurses.
Define explanation
A therapeutic communication technique that shares facts/objective information with your patient.
Define summary
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
Provide an example of nontherapeutic communication for false reassurance
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