Med-Surg Chp 4 Interviewing and Assessment Flashcards
Parts of the Interview
(1) Introductory Phase
(2) Working Phase
(3) Summary and Closure Phase
Introductory Phase
Establish rapport.
Explain the purpose of the interview.
Explain the types of questions that will be asked and the reasons for taking notes or using a computer to record information.
Working Phase
Collect information related to demographic data, reason(s) for seeking care, history of present health concern(s), family history, review of body systems, health practices, and developmental level.
Summary and Closure Phase
Review the information obtained and confirm problems and concerns.
Discuss any plans to resolve the health concern(s).
Ask the client if there are any questions.
Assessment Techniques
Inspection
Palpation
Percussion
Auscultation