Interviewing Chapter 2

Question 1

Pre-Introductory Phase

Answer 1

reviews the medical record before meeting with the client

Pg. 13

Question 2

Introductory Phase

Answer 2

• explains the purpose of the interview,
• discusses the types of questions that will be asked,
• explains the reason for taking notes, and

-assures the client (privacy) that confidential information will remain confidential.

(WIPER)

Pg. 13

Question 3

True or False
It is important for the nurse to document during the interview and assessment process, which requires the nurse to look away from the client, at times, and toward the documentation form or computer screen.

Answer 3

True

Question 4

The four Phase of Interviewing a Patient

Answer 4

preintroductory, introductory, working, and summary/closing phases

Question 5

Working Phase

Answer 5

Gathers all the subjective data-

the nurse elicits the client’s comments about major biographical data, reasons for seeking care, history of present health concern, past health history, family history, review of body systems (ROS) for current health problems, lifestyle and health practices, and developmental level

then interprets, validate info. collaborates to identify the problem and goals.

Pg 13

Question 6

Summary and closing Phase

Answer 6

the nurse summarizes information obtained during the working phase and validates problems and goals with the client

also identifies and discusses possible plans to resolve the problem (nursing diagnoses and collaborative problems) with the client

pg 14

Question 7

Non verbal communication

Answer 7

our appearance, demeanor, posture, facial expressions, and attitude

Question 8

Appearance

Answer 8

should be professional.

Question 9

Demeanor

Answer 9

When you enter a room to interview a client, display poise. Focus on the client and the upcoming interview and assessment.

Greet the client calmly, by name and not with references such as honey, sweetie, or sugar

pg 15

Question 10

Facial expression

Answer 10

keep your expression neutral and friendly

pg 15

Question 11

Attitude

Answer 11

nonjudgmental attitude

pg 15

Question 12

Silence

Answer 12

Periods of silence allow you and the client to reflect and organize thoughts,

pg 15

Question 13

Listening

Answer 13

you need to maintain good eye contact, smile or display an open, appropriate facial expression, and maintain an open body position (open arms and hands, and lean forward).

pg 15

Question 14

COMMUNICATION TO AVOID

Answer 14

Excessive or Insufficient Eye Contact

Distraction and Distance

Standing

Biased or Leading Questions

Rushing Through the Interview

pg 15

Question 15

Open-ended question

Answer 15

to elicit the clients feelings and perceptions.
Ex;
“How have you been feeling lately?

pg 16

Question 16

closed-ended questions

Answer 16

to obtain facts and focus on specific information.
“When did your headache start”

“when or did” type of questions

pg 16

Question 17

Laundry List

Answer 17

providing the patient with a list of words to choose from when describing symptoms.

pg 16

Question 18

Rephrasing

Answer 18

rephrasing what the patient has told you.

Question 19

well-placed phrases

Answer 19

encouraging the patient by using well-placed phrases.

ex;
“uh-huh, yes, or i agree”

Question 20

inferring

Answer 20

Inferring information from what the client tells you and what you observe in the client’s behavior may elicit more data

pg 16

Question 21

providing information

Answer 21

throughout the interview is to provide the client with information as questions and concerns arise

Question 22

Gerontologic Variations in Communication

Answer 22

Interviewing an older client -

When interviewing an older client, you must first assess hearing acuity. Hearing loss occurs normally with age, and undetected hearing loss is often misinterpreted as mental slowness or confusion.

pg 16

Question 23

Cultural Variations in Communication

Answer 23

f misunderstanding or difficulty in communicating is evident, seek help from an expert, what some professionals call a “culture broker.” This is someone who is thoroughly familiar not only with the client’s language, culture, and related health care practices but also with the health care setting and system of the dominant cultur

Question 24

When interacting with an anxious client

Answer 24

• Provide the client with simple, organized information in a structured format.
• Explain who you are, along with your role and purpose.
• Ask simple, concise questions.
• Avoid becoming anxious like the client.
• Do not hurry, and decrease any external stimuli.

pg 19

Question 25

When interacting with an Angry Client

Answer 25

• Approach this client in a calm, reassuring, in-control manner.
• Allow him to ventilate feelings.
• However, if the client is out of control, do not argue with or touch the client.
• Obtain help from other health care professionals as needed.
• Avoid arguing and facilitate personal space so that the client does not feel threatened or cornered.
• Never allow the client to position him or herself between you and the door.

Question 26

When interacting with a depressed client

Answer 26

• Express interest in and understanding of the client and respond in a neutral manner.
• Do not try to communicate in an upbeat, encouraging manner. This will not help the depressed client.

Question 27

When interacting with a manipulative client

Answer 27

• Provide structure and set limits.
• Differentiate between manipulation and a reasonable request.
• If you are not sure whether you are being manipulated, obtain an objective opinion from other nursing colleagues.

Question 28

When interacting with a seductive client

Answer 28

• Set firm limits on overt sexual client behavior and avoid responding to subtle seductive behaviors.
• Encourage client to use more appropriate methods of coping in relating to others.
• If the overt sexuality continues, do not interact without a witness.
• Report inappropriate behavior to a supervisor.

pg 16

Question 29

What is a chief complaint

Answer 29

reason for the patient seeking health care

Question 30

History of Present Health Concern Using

Answer 30

COLDSPA;

Character (How does it feel, look, smell, sound, etc.?)

Onset (When did it begin; is it better, worse, or the same since it began?)

Location (Where is it? Does it radiate?)

Duration (How long does it last? Does it recur?)

Severity (How bad is it on a scale of 1 [barely noticeable] to 10 [worst pain ever experienced]?)

Pattern (What makes it better? What makes it worse?)

Associated factors (What other symptoms do you have with it? Will you be able to continue doing your work or other activities [leisure or exercise]?)

Question 31

review of systems (ROS),

Answer 31

body system is addressed and the client is asked specific questions to elicit further details of current health problems or problems from the recent past that may still affect the client or that are recurring