Wk 1 health history/interviewing

Question 1

Components of a nursing health history (5)

Answer 1

Physical and developmental
Intellectual
Spiritual
Emotional
Social

Question 2

Sources of data

Answer 2

Patient
Family and significant others
Health care team
Medical records
Other records and the scientific literature
Nurse’s experience

Question 3

Sources of data (2 types)

Answer 3

Objective

Subjective

Question 4

An important aspect of observation includes a patient’s?

Answer 4

An important aspect of observation includes a patient’s level of function: the physical, developmental, psychological, and social aspects of everyday living

Question 5

Phases of an interview (3)

Answer 5

Orientation

Working Phase

Terminating phase

Question 6

Interview Techniques

Answer 6

Observation

Open ended Questions

Back Channeling

Probing

Closed Ended questions

Question 7

Types of Interviews (2)

Answer 7

Directive interviewing

Nondirective interviewing

Question 8

Directive Interview

Answer 8

Closed ended question that can be answered with a yes or no or other short factual answer, begin with who, when, where, do (did, does) and is (are, were). Used for easily categorized information, an emergency situation, patient with communication difficulties.

Question 9

Nondirective interviewing

Answer 9

Open ended questions, used to build a rapport with the patient, or help the patient to express feeling. The patient is allowed to control the subject matter. Questions are specific but phrased to encourage the patient to elaborate. Allows you to find out what is important to the patient

Question 10

Prepare the patient

Answer 10

Introduce yourself
Ask the patient what is there preferred name
Do not use pejorative names ( e.g. dear, sweetie, honey, darling)
Tell the patient what you will be doing
How long it will take
Assess for and provide comfort
Assess readiness to discuss health issues
Assess for anxiety