Ch.3: The Interview

Question 1

the first point of contract with a client, and the most important part of data collection

Answer 1

interview

Question 2

Who is in charge during the interview?

Answer 2

the client because the individual knows everything about his or her own health state, and you know nothing

Question 3

succesful interviews allow you to

Answer 3

gather complete and accurate data
establish trust
teach the person about his or her health state
build rapport
discuss health promotion and disease prevention

Question 4

The contract concerns what the client needs and expects from health care and what you as a clinician have to offer. CONTRACT INCLUDES

Answer 4

time and place of interview
introduction and role
purpose of the interview
how long it will take
expectation of participation for each person
presence of any other people
confidentiality 
any costs to the client

Question 5

Process of Communication:

Answer 5

all behavior has meaning
SENDING: be aware of the words you speak, vocalizations, the tone of voice .
NONVERBAL IS IMPORTANT TOO ( posture, gestures, facial expression, eye contact, foot tapping, touch) - true feelings
RECEIVING: Intensifies, patient relies on you to get better

Question 6

INTERNAL FACTOR TO CULTIVATE YOUR COMMUNICATION SKILLS

Answer 6

liking others (help them be responsible for themselves)
empathy ( feeling WITH the person rather than feeling like the person)
ability to listen ( needs of the person should be your main concern)
self-awareness (understanding your personal biases)

Question 7

EXTERNAL FACTORS of the INTERVIEW

Answer 7

ensure privacy
refuse interruptions (inform staff not to interrupt you, if anticipating interruption let the person know)
physical environment ( quiet, clutter free, personal space 4-5ft, equal eye seating)
Dress (neat)

Question 8

Note-taking

Answer 8

breaks eye contact
natural mode of expression is lsot
no observation of nonverbal behavior
threatening to the client about sensitive issues
KEEP NOTE TAKING TO A MINIMUM

Question 9

Introducing the interview

Answer 9

introduce yourself and your role

use his/her surname , after brief intro ask open-ended question

Question 10

the Working phase:

Answer 10

include your ability to form questions appropriately and your responses to the answers given by the client

Question 11

open-ended questions

Answer 11

narrative info
use for beginning of interview, new topic, introduce new topic of questions
unbiased, free to answer in anyway

Question 12

closed-direct questions

Answer 12

ask for specific questions,
short one-two answer
speed up interview

Question 13

Nine Types of verbal responses:

Answer 13

CLIENT's PERSPECTIVE
facilitation (say more0
silene (waits for response)
reflection (repeats words)
empathy ( names a feeling)
clarification( summarize person's word)
EXAMINER's PERSPECTIVE:
confrontation (clarify inconsistent info)
interpretation ( link events)
explanation ( informing person)
summary ( termination of interview

Question 14

Closing the Interview:

Answer 14

ease into the closing, ask the person “is there anything else you would like to mention?”
give your summary, thank them for their cooperation

Question 15

10 Traps of interviewing

Answer 15

1. providing false assurance
2. giving unwanted advice
   3.Using authority
3. Using Avoidance language
4. Distancing
5. Using professional jargon
6. Using leading or biased questions
7. Talking too much
8. Interrupting
   10, Using “why” questions

Question 16

Nonverbal behaviors include:

Answer 16

physical appearance, posture, gestures, facial expressions, eye contact, voice, and touch

Question 17

THE OLDER ADULT:

Answer 17

always address his or her proper surname and avoid using first name
break the interview
adjust the pace of the interview, avoid hurrying
TOUCH is nonverbal skill that is important to them.

Question 18

CULTURE:

Answer 18

gender difference are important to the patient (arab Americans)
Sexual orientation keep it neutral (use partner)
interpreter knowledgeable about cultural beliefs and health practices

Question 19

refers to the ability to understand instructions, navigate the health care system, and communicate concerns with the health care provider

Answer 19

health literacy

Question 20

Three commonly used screening tools

Answer 20

TOFHLA
REALM
NVS
pg. 47

Question 21

ORAL TEACHING

Answer 21

keep it simple, short sentences, limit number of messages. present only needed info

Question 22

WRITTEN MATERIALS

Answer 22

5th grade reading level, use bullet points

Question 23

allows you to asses whether the person understands and to immediately correct misconceptions . encourages the client to repeat in his/her own words what you have just said

Answer 23

teach back method