Introduction, Interview, Complete Health History

Question 1

What is Subjective Data?

Answer 1

What the pt says about themselves
Ex: Statements that are NOT provable

Question 2

What is Objective Data?

Answer 2

What you observe during the physical exam
ex: The things that the HCP does to investigate

Question 3

What is the goal of nurse- patient relationship?

Answer 3

Establish trust
Demonstrate caring
Gather information

Question 4

A successful patient interview will?

Answer 4

Gather- complete & accurate data
Establish- Establish & build rapport & trust
Begin- Teaching
Discuss- Health promotion

Question 5

What are the external factors that affect interviewing?

Answer 5

Privacy
Interruptions
Physical environment (including “equal status seating”)
Dress
Note-taking

Question 6

What are the internal factors that affect interviewing?

Answer 6

Comfort
Genuineness (like your patient)
Empathy (Non-judgmental)
Active Listening
Self- awareness (implicit bias)

Question 6

What are the 3 phases of the interview?

Answer 6

Orientation
Working-
Termination- Evaluation, Summary of progress

Question 7

What are the key components of the Orientation phase?

Answer 7

Introduction
Establish purpose of the visit
Establish rapport
Collect information
Provide comfort
Awareness of implicit biases and non verbal communication

Question 8

What are the key components of the Working phase?

Answer 8

Communication techniques (9 verbal Responses)- Open & Closed-ended questions
Active listening
Empathy
Data collection

Question 9

Termination Phase

Question 10

What are the 9 Verbal Responses?

Answer 10

Facilitation- Allows them to speak (Aha, tell me more..)
Silence- Allows them to open up (& us to think)
Reflection- Repeat back key parts of what they are saying
Empathy- Show you are interested in what they are feeling & Express empathy
Clarification- Make sure you understand correctly and have not assumed something
Confrontation- Addressing contradictory information
Interpretation- Based on what you are telling me….
Explanation- Things that we need to tell the patient
Summary- Wraps it up and confirms objective of the interview

Question 11

What are the 10 interviewing traps?

Answer 11

False assurance
Unwanted advice
Authority
Avoidance
Distance
Professional Jargon
leading or biased steps
Talking too much
Interrupting
Asking why questions

Question 12

What are the essential nonverbal Skills?

Answer 12

MUST be congruent with verbal message
- Physical Appearance
- Posture
- Gestures
- Facial Expressions
- Eye contact
- Voice
- Touch

Question 12

What are the considerations for data collection in children?

Answer 12

Build rapport with caregiver initially
Allow child to observe your interaction
Address child by name (fosters engagement)
Physical Relationships (promote sense of self)
Use of nonverbal behaviors to maintain engagement
*** Adolescents: Privacy is paramount & should treat with same respect you do an adult & Do not allow silence (awkward) & sensitive to non-verbal communication

Question 12

What are the stages of Cognitive Development? (Jarvis pg 29)

Answer 12

Birth- 2 yrs- Sensorimotor
2-6 yrs- Pre-operational
7-11 yrs- Concrete Operations
12+ yrs- Formal Operations

Question 13

What ages are infants? And what is the main consideration during the interview?

Answer 13

Birth- 12 months
Handle gently & with quiet, calm voice

Question 14

What ages are Toddlers? And what is the main consideration during the interview?

Answer 14

12-36 months
One direction at a time
simple explanations

Question 15

What ages are Preschoolers? And what is the main consideration during the interview?

Answer 15

3-6 yrs old
Short directions
Concrete explanation

Question 16

What ages are School- age? And what is the main consideration during the interview?

Answer 16

7- 12 yrs old
Ask questions
Be nonjudgmental
- girls develop quicker in this stage

Question 17

What ages are Adolescents? And what is the main consideration during the interview?

Answer 17

Puberty ++
Respectful
Honest
Focus on the individual