Chapter 3 : The interview010 Flashcards
(27 cards)
To develop a positive nurse-patient relationship, there must be:
Courtesy
Comfort
Connection
Confirmation
Confidentiality
Why is it important that the nurse take special care to establish rapport during the initial interview of a newly admitted patient?
It sets the tone for partnership. This may be the first time the nurse and the patient meet, so the initial interview sets the tone for the relationship. The nurse should take this opportunity to establish a good rapport with the patient.
During the interview of a newly admitted patient, why is it important for the nurse to maintain eye contact when establishing a good rapport?
It puts the focus on patient
To prepare for a patient interview, the nurse determines if the patient has any immediate physical needs. Why is this an important step in establishing rapport?
It helps make the patient more physically comfortable
Open-ended
allows the patient discretion about the extent of an answer
Direct
seeks specific information
During communication with a new patient, the nurse interrupts the patient, asking, “What exactly do you mean by high blood pressure?” It was appropriate to interrupt the patient because the nurse is using which communication technique?
Asking for clarification
It is important to not interrupt a patient during the interview except to ask for clarification.
Which types of questions would the nurse use to effectively obtain basic information such as name or age?
Closed-ended
Closed-ended questions should be used to obtain basic information such as name or age.
Which question, asked by the nurse, is not an effective way of obtaining a sexual history?
“You are not sexually active, are you?”
Avoid asking judgmental questions, because they are ineffective for obtaining patient history.
Which question, asked by the nurse, is an example of effective communication?
- “How do your religious beliefs affect your health care decisions?”
- “Is your name John Brown?”
- “Do you live alone? Does someone live with you? Are you sexually active? Does your sexual partner live with you?”
What must the nurse consider when building a rapport?
The nurse must consider the patient’s physical and psychological comfort, focus on the patient, and facilitate effective communication
Establishing a good rapport with the patient facilitates the nurse’s ability to obtain which information?
Details about a patient’s complaint
- Establishing a good rapport with the patient can facilitate identification of the patient’s chief complaint.
The patient’s expectations
- Establishing a good rapport with the patient can allow the nurse to determine the patient’s expectations for care.
While preparing the patient room before beginning an interview, which steps should the nurse take to ensure patient comfort and establish good patient-nurse rapport?
Drawing the curtains
The nurse should ensure privacy and patient comfort by drawing the curtains.
Adjusting the room temperature
The nurse should adjust the room temperature so that the patient is physically comfortable.
Addressing immediate patient needs
The nurse should ensure patient comfort by addressing any immediate physical needs, such as the need to use the restroom.
Asking others to leave the room
The nurse should ensure patient privacy and comfort by asking others to leave the room during patient care.
Which appropriate actions taken by the nurse demonstrate that body language is important in establishing and maintaining a good rapport with the patient?
Sitting during an interview is important to avoid intimidating the patient and to indicate that the nurse has time to spend meeting the patient’s needs.
Keeping an appropriate distance
The nurse should maintain a distance of several feet from the patient to set a proper tone for the interview.
Asking several consecutive yes/no questions should be avoided for which reason?
They may confuse the patient.
Asking several consecutive yes/no questions can be confusing to the patient.
They discourage the patient from providing additional information.
Asking several consecutive yes/no questions can discourage the patient from providing additional information.
The nurse is gathering a health history. Which question, asked by the nurse, would be most effective for obtaining details about the chief complaint?
“Please describe the pain.”
An open-ended question such as this one should be used to gather more information about the chief complaint.
A necessary part of establishing a good rapport with a patient is to understand the patient’s perspective on the condition and treatment plan. How does this help the history-taking process?
Prevents miscommunication and misinterpretations
Understanding a patient’s perspective prevents miscommunication, thereby ensuring accurate history-taking.
Why is it important for the nurse to establish a good rapport by ensuring each patient-nurse interaction is unique?
To build trust
By ensuring that each interaction is unique, the nurse can reinforce the intimate nature of the interview and build the patient’s trust.
Which steps should the nurse take to establish and maintain a good rapport with the patient?
Ensure patient comfort
Ensuring patient comfort puts the patient at ease and helps develop and maintain a good rapport.
Use effective communication
Effective communication helps the patient understand what is being discussed, and helps develop and maintain a good rapport.
Use appropriate body language
Appropriate body language puts the patient at ease and helps develop and maintain a good rapport.
Focus on the patient
A focus on the patient helps develop and maintain a good rapport.
Effective communication relies on the nurse implementing which communication techniques?
Courtesy
Courtesy is an important step for effective communication.
Comfort
Comfort is an important step for effective communication. A patient who is physically and personally comfortable will be willing to provide more information.
Courtesy
Courtesy is an important step for effective communication.
Connection
Connection is an important step for effective communication. Patients who think they have a connection with their caregiver will be more likely to provide information.
Confidentiality
Confidentiality is an important step for effective communication. A patient who thinks his or her information is confidential will be likely to provide more information.
The nurse is communicating with a patient who recently received the diagnosis of a terminal illness. Which action by the nurse is an example of empathy?
Showing understanding and acceptance
Understanding and acceptance are examples of empathy
The nurse is gathering a health history. Which statement, made by the nurse, would be least effective for obtaining details about the patient’s smoking habits?
“You look like you smoke about a pack of cigarettes per day; is this accurate?”
A closed-ended question is not effective at eliciting patient information.
During the health history, the patient tells the nurse he drinks four beers daily. Which statement, made by the nurse, is an example of reflecting?
“To clarify, you said you drink four beers daily?”
Reflection, or repeating what the nurse has heard, is a way to enhance the patient response, making the interview more effective.
