The Patient Interview Ch.1

Question 1

A complete pt assessment starts and ends w/ the

Answer 1

patient interview

Question 2

What is the purpose of the pt history?

Answer 2

To gather pertinent historical subjective and objective data

Question 3

Most history forms contain

Answer 3

-Biographic data ( age, gender, occupation)
-Chief complaint
-Current meds
-Past health
- The pt’s family history
-Review of each body system
-Functional assessment

Question 4

The interview allows the collection of

Answer 4

subjective data about pt’s feelings regarding his/her condition

Question 5

During a successful interview, the practitioner performs the following tasks

Answer 5

1. Gathers complete and accurate data
2. Establishes rapport and trust
3. Develop and shows interest and understanding about the pt’s health state

Question 6

The art of viewing the world from the pt’s point of view while remaining separate from it

Answer 6

Empathy

Question 7

The values, beliefs, and practices shared by the majority in a group of people

Answer 7

Culture

Question 8

Culture includes

Answer 8

language, religious or spiritual practices, foods, social habits, music, and art

Question 9

A formalized system of belief and worship (e.g Catholicism, Protestantism)

Answer 9

Religion

Question 10

Entails the spirit or soul and is an element of religion

Answer 10

Spirituality

Question 11

The knowledge of the pt’s history and ancestry and an understanding of the pt’s beliefs, artistic expressions, diets, celebrations and rituals

Answer 11

Culture awareness

Question 12

Refraining from using offensive language, respecting accepted and expected ways to communicate, and not speaking disrespectfully of a person’s cultural beliefs

Answer 12

Culture sensitivity

Question 13

Knowing the health care practitioners own values, attitudes beliefs, and prejudices while, at the same time keeping an open mind and trying to view the world through the perspective of culturally diverse groups of people

Answer 13

Culture competence

Question 14

The pt’s capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions and follow instructions for treatment

Answer 14

Health literacy

Question 15

Health literacy includes the pt’s ability to

Answer 15

read, listen, analyze, and make decisions regarding their specific health situation

Question 16

Verbal techniques of communications may include

Answer 16

skillful use of open- ended questions or closed or direct questions and responses

Question 17

An _____ ______ _________ asks the pt to provide narrative information

Answer 17

open-ended question

Question 18

Open ended questions are used for

Answer 18

-used for narrative
-call for long answers
- elicit feelings, options ideas
- build and enhance rapport

Question 19

Example of open ended questions

Answer 19

“What brings you to the hospital”
“Tell me why you have come to the hospital”

Question 20

A ________ or _________ question asks the pt for SPECIFIC information

Answer 20

closed or direct

Question 21

closed or direct question elects

Answer 21

short one-word or two word answer, a yes or no or forced choice

Question 22

Example of a closed or direct question

Answer 22

“have you ever had this chest pain before?”

Question 23

Closed or direct questions are used for

Answer 23

-specific information
- call for short one or two word answers
-elicit “cold facts”
- limit rapport and leave interaction neutral

Question 24

_____________ encourages pts to say more to continue w/ the story

Answer 24

Facilitation

Question 25

Examples of facilitating

Answer 25

“Mm hmm”
“ Go on”
“Continue”
“uh huh”

Question 26

Used for pt’s choice of words is ambiguous or confusing

Answer 26

Clarification

Question 27

Example of clarification

Answer 27

” Tell me what you mean by bad air?”

Question 28

The examiner notes a certain action, feeling or statement made by the pt and focuses the pt’s attention on it

Answer 28

confrontation

Question 29

Links events and data, makes associations and implies causes

Answer 29

Interpretation

Question 30

Provides the pt w/ factual and objective information

Answer 30

Explanation

Question 31

The final overview of the examiner’s understanding of the pt’s statements

Answer 31

Summary

Question 32

During the pt interview the practitioner states: “You are worried about your child” This type of statement is an example of

Answer 32

Reflection

Question 33

Which of the following is a closed or direct question?

Answer 33

“Have you had this pain before”

Question 34

What is considered a negative nonverbal message of the interview

Answer 34

Sitting behind a desk

Question 35

Which of the following is/are likely to be found on a complete pt history form

Answer 35

1. pt’s family history
2. activities of daily living
3. pt’s cc
4. review of each body system

Question 36

What is considered a “facilitation” response?

Answer 36

” Mm hmmm, go on”

Question 37

__________ communicates that the pt has time to think and organize what they wish to say w/o interruption by the examiner

Answer 37

Silence

Question 38

Is used to echo (repeat) the pt’s words

Answer 38

Reflection