The interview

Question 1

What is the first and really the most important part of data collection?

Answer 1

The interview

Question 2

What does a successful interview entail?

Answer 2

1. Gather complete and accurate data about the persons health state.
2. Establish rapport and trust so the person feels accepted and thus free to share all relevant data
3. build rapport for a continuing therapeutic relationship
4. Begin teaching for health promotion and disease prevention.

Question 3

What are the three inner factors?

Answer 3

liking others, empathy, and the ability to listen
* Liking others- “goodness of fit” or generally optimistic view of people
Empathy-viewing world from the other persons frame of reference
Ability to listen- listen ACTIVELY ( difficulty with language? impaired memory? tone? what is the person leaving out?)

Question 4

the suggested distance between you and your patient during the interview is how much?

Answer 4

4 to 5 feet (twice arms length)

Question 5

what is equal-status seating?

Answer 5

When both you and the patient are seated comfortably at eye level.
* avoid standing because it communicates your hast and assumes superiority.

Question 6

Consider the interview as being similar to forming a _______ between you and your patient.

Answer 6

Contract
* the contract consists of spoken or unspoken rules for behavior; in this case it is what the person needs and expects from health care and what you have to offer. 
Terms of the contract: 
1. Time and place
2.Introduction and explanation of role
3. Purpose of interview
4. How long will it take
5. Expectation of participation of each person
6. Presence of any other people
7. confidentiality and its limits
8. any costs.

Question 7

____________ is exchanging information so that each person clearly understands the other. If you have not conveyed meaning, no______ has occurred

Answer 7

Communication; communication

Question 8

_____ communication is more reflective of your true feelings

Answer 8

nonverbal

Question 9

Your words and gestures must be interpreted in a __________ to have meaning

Answer 9

specific context

Question 10

T or F

Note taking during the interview is vital.

Answer 10

False.
Some times it is necessary but it has its disadvantages ( breaking eye contact, interrupting flow, distracts from patients nonverbal behavior, and bothers patient when on sensitive topics).

Question 11

_____ eliminates handwritten clinical data as well as provides access to patient education materials

Answer 11

Electronic health Recording (EHR)

Question 12

____ is the data gathering phase.

Answer 12

The working phase

Question 13

What are the two question types?

Answer 13

open ended and closed

Question 14

___ _____ questions asks for narrative information. It states the topic to be discussed but only in general terms.

Answer 14

open ended

• Use it to begin interview, introduce a new section of questions, and when the person introduces a new topic.
• this elicit free rein in answers

Question 15

_______ or direct questions ask for specific information.

Answer 15

Closed

* these elicit a short, one or two word answer, or a yes/no

Question 16

What are the nine types of verbal responses?

Answer 16

The first five: facilitation, silence, reflection, empathy, clarification; these are your reactions to the patient
Last four: confrontation, interpretation, explanation, summary; you are expressing your own thoughts and feelings

Question 17

________, also called general leads show the person you are interested and will listen further

Answer 17

Facilitation

( mhmm, go on, continue)

Question 18

______ is golden after open ended questions and allows patient to think.

Answer 18

Silence

Question 19

________ is repeating part of what the person has just said

Answer 19

Reflection

Question 20

_______ is used to summarize the persons words, simplify the words to make them clearer, and then ask if you are on the right track.

Answer 20

Clarification

Question 21

” the reason you cannot eat or drink before your blood test is that the food will change the test results “

This is an example of what?

Answer 21

Explanation

Question 22

__________ is not based on the direct observation as with confrontation, but it is based on your inference or conclusion.

Answer 22

interpretation

Question 23

_________ modes of communication include physical appearance, posture, gestures, facial expression, eye contatct, voice and touch

Answer 23

Non verbal

Question 24

A ________________is a recapitulation of what you have learned during the interview

Answer 24

Summary

Question 25

How should you address an older adult?

Answer 25

By their last name Note: Almost all hate diminutives ( honey, sweetie etc), Inappropriate plural pronouns ( "Are we ready", tag questions ( you would rather sit in this nice soft chair wouldn't you?), and shortened sentences, slow speech rate, and simple vocabulary that sounds like BABY talk.

Question 26

It is important to slow the pace of the interview for the ___________person.

Answer 26

aging | * an aging person may fatigue earlier and may require that the interview be broken up into shorter segments.

Question 27

Alcohol, benzodiazepines, and the opioids ( heroin, meperidine, morphine, oxcycodone, Vicodin) are central nervous system __________

Answer 27

depressants

Question 28

Stimulants of the central nervous system ( cocaine, amphetamine) can cause what type of behavior?

Answer 28

intense high agitation, and paranoid behavior

Question 29

Hallucinogens cause what type of behavior?

Answer 29

bizarre, inappropriate, sometimes even violent behavior accompanied by superhuman strength and insensitivity to pain

Question 30

What type of questions do you ask while interviewing a person under the influence of alcohol or illicit drugs?

Answer 30

simple or direct * priority is time of last drink or drug, and how much he or she drank at this episode as well as the name and amount of other drugs taken.

Question 31

A 30 year old man is expressing intense anger during the interviewing process. Should you ask whats wrong, or ignore it and move one to other questions?

Answer 31

Ask about the anger and hear the person out | * if it is threatening behavior leave the door open and position yourself between the door and the person

Question 32

T or F | Nearly all sick people have some anxiety

Answer 32

True

Question 33

_____ refers to the process occurring between a health care professional and a patient, each with different cultural backgrounds, in which both attempt to understand the others point of view

Answer 33

cross-cultural communication

Question 34

which cultural group expects health care providers to be authoritarian, directive, and detached

Answer 34

Southeast Asians | *

Question 35

_______ (group of people) believe that health care provider will intuitively know what is wrong with them, and it will cause you to lose credibility when you ask simple questions

Answer 35

Asian Americans

Question 36

social harmony among ________ and ___________ may prevent the full expression of concerns or feelings during the interview (group of people)

Answer 36

Asians; American Indians

Question 37

Nodding or smiling by _____ ( group of people) may only reflect their cultural value for interpersonal harmony, not agreement with you.

Answer 37

Asians | * give the patient permission to disagree

Question 38

_______( group of people) traditionally have close family interaction patterns, which often lead them to expect close personal relationships with health care providers

Answer 38

the appalachians * Appalachians may evaluate your effectiveness by your interpersonal skills rather than professional competencies ; they may dislike impersonal bureaucratic orientation of most health care institutions

Question 39

People of ___________ or _________ origin often expect an higher degree of intimacy and may attempt to involve you in their family system by expecting you to participate in personal activities and social functions

Answer 39

Latin American or Mediterranean origin

Question 40

_______ refers to the conventional code of good manners that governs behavior and varies cross culturally

Answer 40

Etiquette

Question 41

People form ______, __________, __________,__________, expect personal or social conversation before they feel comfortable entering into the more intimate aspects of the health history and physical information

Answer 41

American Indian, hispanic, middle eastern, and african

Question 42

When you first meet a patient it is best to be __________, respectful, and polite. You should be _______ (position) when you greet them.

Answer 42

formal; standing | * Introduce self with how you want to be addressed, and inquire on what they want you to call them as well.

Question 43

Among ___, _________ and other _________ groups the family or surname is written and spoken first, followed by the first or given name.

Answer 43

Chinese, Vietnamese, and other Asian

Question 44

IN traditional Chinease, Japanese, and aother Asian cultures, when people are introduced, they show respect by _________

Answer 44

Bowing; the more profound the bow, the deeper the respect ( lower for an older adult, and less so for an adolescent) * shaking their hand to harshly is rude!

Question 45

How does naming work in mose Arab cultures and subcultures?

Answer 45

The fathers first name is used as the middle name and the last name is the family name * Address with title when they are your patients ( Mr, Mrs etc)

Question 46

IN most ________ cultures, etiquette requires either a gentle kiss on the cheeks or a handshake on arrival and departure for people of the same gender. If a man is introduced to a women he will prefer to not be touched by her - no handshaking.This is good modest behavior

Answer 46

Arab

Question 47

You should extend a gentle, non aggressive handshake when introduced to an _____- patient

Answer 47

American indian

Question 48

_________ refers to the institutionalized belief that heterosexuality is the only natural choice and assumes it is the norm.

Answer 48

Heterosexism