Week 2 (08/31/15) - Interactive Processes: Communication and Interviewing

Question 1

QUESTION:

What three contexts should we focus on when interviewing and assessing a patient?

Answer 1

CORRECT ANSWER:

Patient-centered needs, family, and culture/community

Question 2

QUESTION:

What are some examples of non-verbal communication to avoid during an interview with a patient?

Answer 2

CORRECT ANSWER:
Excessive/insufficient eye contact, distraction/distance, standing, touching without permission, negative facial expressions/posture/body language/gestures, etc.

Question 3

QUESTION:

What are some examples of verbal communication to avoid during an interview with a patient?

Answer 3

CORRECT ANSWER:

Biased/leading questions, rushing through the interview, reading the questions, etc.

Question 4

QUESTION:

What should you do during the introductory phase when interviewing a patient?

Answer 4

CORRECT ANSWER:
Introduce yourself, explain purpose of the interview, discuss what type of questions you will ask, explain your reason for taking notes (if the patient is okay with it), keep it confidential, make sure the patient is comfortable, and develop trust

Question 5

QUESTION:

What should you do during the working phase when interviewing a patient?

Answer 5

CORRECT ANSWER:
Ask about biography, reasons for seeking care, health history (personal and family), and collaborating with patient about his/her problems and goals

Question 6

QUESTION:

What should you do during the summary/closing phase when interviewing a patient?

Answer 6

CORRECT ANSWER:
Summarize the information obtained during the working phase, validate problems and goals with the patient, identify and discuss plans with patient, and make sure that there is nothing else bothering the patient

Question 7

Subjective Data

Answer 7

Data that the patient has stated and that only he/she can validate (examples: pain, nausea, etc.)

Question 8

Objective Data

Answer 8

Measurable/observable/verifiable data (examples: vital signs, pressure ulcers, etc.)

Question 9

Nursing Assessment

Answer 9

Collecting subjective and objective data to determine a client’s overall level of functioning in order to make a professional clinical judgment; leads to a nursing diagnosis; for RNs

Question 10

Medical Assessment

Answer 10

Focuses primarily on the client’s physiologic development status; leads to a medical diagnosis; for physicians, NPs, and PAs

Question 11

QUESTION:

What does the acronym “ADPIE” stand for?

Answer 11

CORRECT ANSWER:

Assessment, Diagnosis, Planning, Implementation, and Evaluation

Question 12

QUESTION:

What are the phases of “ADPIE” a part of?

Answer 12

CORRECT ANSWER:

The Nursing Process

Question 13

QUESTION:
Interviewing includes which of the following steps of the Health Assessment? (Select all that apply).
A. Preparing for assessment
B. Collecting subjective data
C. Collecting objective data
D. Validating data
E. Documenting

Answer 13

CORRECT ANSWERS:

A, B, D, and E

Question 14

QUESTION:
Is the following statement true or false? - “Subjective data are sensations or symptoms, perceptions, desires, preferences, beliefs, ideas, values, and personal information that can be elicited and verified only by the client.”

Answer 14

CORRECT ANSWER:

True

Question 15

QUESTION:
Is the following statement reflective of subjective data or objective data? - “The patient stated that they are one half of their meal and the nurse validated this when they removed the patient’s tray.”

Answer 15

CORRECT ANSWER:

Objective data

Question 16

QUESTION:
Sharing empathy, hope, humor, and feelings are all examples of which type of communication - therapeutic or non-therapeutic?

Answer 16

CORRECT ANSWER:

Therapeutic

Question 17

QUESTION:
Asking personal questions, giving personal opinions, giving false reassurance, and asking for explanations are all examples of which type of communication - therapeutic or non-therapeutic?

Answer 17

CORRECT ANSWER:

Non-therapeutic

Question 18

QUESTION:
Active listening, silence, clarifying, focusing, and paraphrasing are all examples of which type of communication - therapeutic or non-therapeutic?

Answer 18

CORRECT ANSWER:

Therapeutic

Question 19

QUESTION:
Changing the subject, giving automatic responses, arguing, giving defensive responses, and giving passive or aggressive responses are all examples of which type of communication - therapeutic or non-therapeutic?

Answer 19

CORRECT ANSWER:

Non-therapeutic

Question 20

Non-verbal communication

Answer 20

Exchange of information without the use of words

Question 21

Verbal communication

Answer 21

Exchange of information using words