Nutrition Interview Flashcards

1
Q

What is a nutrition interview?

A

Conversation with patience in which RD asks questions to obtain info (often specific)

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2
Q

How is a nutrition interview conducted?

A

By establishing a rapport with patients/ client

-via communication skills, verbal and non verbal

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3
Q

What is the purpose of a nutrition interview?

A
  • Part of Nutrition Assessment
  • Basis for: changes NCP, patient education
  • Differentiation based on: knowledge, behaviour and feelings
  • Confidentiality and privacy
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4
Q

What are the first 3 steps in the opening of a interview?

A
  1. Make the first contact
    - intro
    - address patient by name
  2. Break ice
    - small talk
    - info from medical record
  3. Clarify purpose of the interview
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5
Q

What is included in the body of the interview?

A
  • Questions to obtain inför about diet
  • Planned question sequence
  • Several typed of questions
  • wording of questions
  • directives
  • listening skills
  • several types of responses
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6
Q

What is included in the closing o the interview?

A
  • Give works of appreciation
  • Review purpose of interview
  • discuss next steps
  • inquire about q/concerns
  • plan followup
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7
Q

What is a primary question?

A

Used to introduce new topics

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8
Q

What is a secondary question?

A

To clarify something

To elicit further information

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9
Q

What are open ended questions?

A

Non yes or no question

  • more preferable
  • Gives client the freedom to answer anyway they choose
  • Less threatening
  • Longer time in the interview

Start with: Who, What, Where, When or Why

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10
Q

What is a closed question?

A

Easily answered with just yes or no

  • good for confirming facts/obtaining specific information
  • Can bring closure to the interview

Usually start with: Can, did, are, have, will, would and do

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11
Q

What is a neutral question ?

A

non judgemental

more accurate answers

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12
Q

What is a leading question?

A

Personal biases

Expected answer

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13
Q

What are examples of primary vs secondary questions?

A

Where do you usually eat? (P)

What are your favourite choices on the cafeteria menu for lunch at work? (S)

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14
Q

What are examples of open ended vs closed questions?

A

What do you usually eat for meals? (O)

Do you put sugar in your coffee? (C)

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15
Q

What are examples of neutral vs leading questions?

A

How many meals do you eat each day? (N)

You eat 3 meals a day dont you? (L)

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16
Q

What kind of working with questions should you use and not use?

A

Productive:

  • what
  • where
  • how
  • tell me about

Avoid:

  • Do you (gives 1 word answers)
  • Why (may indicate disapproval, asks for justification)
17
Q

What are responses to patient statements?

A
Paraphrasing
Summarizing
Mirroring/parroting
Pausing
Nodding
Understanding response
-express how patient feels
Confrontation response
-challenge to action
-can inhibit rapport
18
Q

What is active listening?

A

Hearing with thoughtful intention

19
Q

What is interviewer bias?

A

Incorrect use of proving questions

Incorrect recording of responses

Intentional omission

Biases associated with:

  • interview setting
  • distractions
  • confidentiality and anonymity
  • degree of rapport
20
Q

What CAN interviewer bias be?

A
  • Random across days and subjects
  • Systematic for a specific interviewer
  • Between certain interviewers and respondents
21
Q

How can you decrease interviewer bias?

A
  • Standardizing interviewing protocols
  • Use computer

Training interviewers about:

  • Standardized protocol
  • Anticipation and recognition of distention/bias
  • Cultural sensitivity
22
Q

What are some common non verbal cues in european/North American?

A

Making eye contact: Friendly, respectful, confident
Avoiding eye contact: cold, evasive, insecure, passive
Had over mouth: Should not have spoken, regret
Biting lip & Wringing hands: Nervous, anxious, fear-full
Shaking head
Tapping feet
Finger wagging
Crossed arms
Hunching over
Erect posture
Clenched fists
Eyes wide

23
Q

What needs to be done when there is a greater difference culturally between RD and patient?

A
  • AVOID ASSUMPTIONS
  • clash in expectations
  • misunderstanding of intentions and meanings
  • complexity in interactions
24
Q

What are some concerns when clients are from certain cultural groups?

A
  • Trouble relating to direct question

- Believe that personal questions about themselves and background are invasive/unnecessary

25
Q

What are some common misconceptions about cross cultural awareness ?

A

Most people who share. a common language belong to the same culture (F)

Race is a good indicator of. food selection (F)

One prerequisite for competent cross cultural interaction is awareness of ones own beliefs and values (T)

26
Q

What are some cross cultural awareness tips?

A

Listening (T)

Patient nonverbal cues are a good indicator of how well the session is going (F)

27
Q

What are some cross cultural barriers?

A
  • If the same language isn’t shared, communication can be particularly challenging
  • common mistake: Increasing the volume of voice and the client has a heavy accent
  • Language barriers slow communication
28
Q

How do you increase cross cultural competence?

A
  • Be. awardee of your own cultural. background bias and world view
  • Know about and be sensitive to others cultural background biases and world view
  • Develop you skills in intercultural communication
29
Q

What kind of questions should you include when doing an assess meant of immigrants?

A
  • How is this kind of illness treated in your country?
  • How would you describe this problem, you have?
  • What does your family think should be done?
30
Q

What are common non verbal cues in European/ North Americans when making and avoiding eye contact?

A

When listening and speaking is being friendly, sincere self confident respectful assertive

Staring is rude

31
Q

What are common non verbal cues in Latinos, Native Americans and Asian Americans when making and avoiding eye contact?

A

Avoidance of eye contact is considered proper behaviour

32
Q

What are common non verbal cues in Latinos and Filipinos when making and avoiding eye contact?

A

Uses sustained eye contact to challenge authority

Filipinos: Express sexual interes = eye contact

Latinos:

  • avert eyes= sign of respect.
  • Express sexual interest= eye contact
33
Q

What are common non verbal cues in Middle. easterners when making and avoiding eye contact?

A

Direct. gaze for male male and female female but women may avert eyes with man

34
Q

What are common non verbal cues in African Americans when making and avoiding eye contact?

A

Direct eye contact if speaking, but may avert if prolonged

DO not find necessary to always look at another person wile talking

Look away when listening

35
Q

What are common non verbal cues in Asians when making and avoiding eye contact?

A

Staring is impolite

Avert eyes= sign of. respect

36
Q

What are common non verbal cues inNative Americans and arabs when making and avoiding eye contact?

A

Not making direct eye contact= sign of respect for the speaker

Prefer indirect. gaze when listening and speaking

Arabs: staring limits the speakers freedom to talk