Unit 4 Flashcards
What are the goals of the interview?
- Gather complete & accurate info
- Establish trust & rapport
- Teach pt about health state
- Build rapport for future therapeutic relationships
- Look for chances to teach health promotion & disease prevention
Areas where enviro can affect communication
Privacy
Refuse interruptions
How often you take notes…break eye contact & connection
What are the 3 stages of the interview
- Opening –> intro self & purpose of interview
- Body/working –> gather info
- Closing –> prepare to end
What kind of Q’s are asked in an interview
Open vs closed
Neutral vs leading (don’t use)
Types of responses during interview
Facilitation (shows Pt you are interested in listening further) Ex: “Go on.”
Silence (shows attentiveness, give pt time to think)
Reflection (Repeating part of Pt’s dialogue)
Empathy (“that must be hard” feeling with pt)
Clarification (“Tell me what you mean by…”)
Confrontation (“You look sad” Say your feelings in non-judgmental way)
Interpretation (inference/conclusion “could it be because you are afraid?”)
Explanation (factual & objective “You can’t eat after 10 pm because…”)
Summary (condense conversation , both you and pt involved)
Interview Traps (10)
- Giving False assurance/reassurance
- Giving unwanted advice
- Using authority
- Using avoidance language
- Engaging in distancing
- using jargon
- using leading/biased Q’s
- Talking too much
- Interrupting
- Using Why Q’s
Non-verbal skills in interview
Physical appearance Posture Gestures Expression Eye contact Voice Touch
When preparing the physical setting for an interview, the interviewer should:
A. set the room temperature to 15°C.
B. reduce noise by turning down the volume on the television or radio.
C. conduct the interview at eye level and at a distance of 1.5 m.
D. stand next to the patient to convey a professional demeanour.
C. conduct the interview at eye level and at a distance of 1.5 m.
Parents or caretakers accompany children to the health care setting. At what age does the interviewer start asking the child directly about his or her presenting symptoms? A. 5 years B. 7 years C. 9 years D. 11 years
B. 7 years
Which of the following statements, if made by the interviewer, would be an appropriate response?
A. “I know just how you feel.”
B. “If I were you, I would have the surgery.”
C. “Why did you wait so long to make an appointment?”
D. “Tell me what you mean by ‘bad blood’.”
D. “Tell me what you mean by ‘bad blood’.”
While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician’s reaction. In this situation, the nurse’s verbal interpretation:
A. affects the nurse–physician relationship.
B. impedes further discussion.
C. helps the patient understand personal feelings in relation to his or her verbal message.
D. helps the nurse understand his or her own feelings in relation to the patient’s verbal message.
c. helps the patient understand personal feelings in relation to his or her verbal message.
The use of euphemisms to avoid reality or to hide feelings is known as: A. distancing language. B. sympathetic language. C. avoidance language. D. ethnocentric language.
C. avoidance language.
When addressing a toddler during the interview, the health care provider should:
A. ask the child, before the caretaker, about symptoms.
B. use nonverbal communication.
C. use short, simple, concrete sentences.
D. use detailed explanations.
C. use short, simple, concrete sentences.
Nonverbal communication is the primary form of communication for which group of individuals? A.Infants B. Preschoolers C. Adolescents D. Older adults
A.Infants
Viewing the world from another person’s inner frame of reference is called: A. reflection. B. empathy. C. clarification. D. sympathy.
B. empathy.