Chapter 4/5 Flashcards
List eight types of information that should be communicated to the patient concerning the terms or expectations of the interview
Time (when)
place (where)
Introduction- Nod
Purpose of interview (what for/why are we doing it)
Length of interview (how long will it take)
What will occur/explanation (what’s going to happen)
Others present (who will be there for it)
Confidentiality
When interviewing a patient what angle do you want to be on with the patient?
A 90* angle
The introduction of the interview technique should include your ____
NOD
Name
Occupation
Duty
When conducting an interview you should always ask _____-ended questions first, and follow up with ______-ended questions
When conducting an interview you should always ask open ended questions first, and follow up with closed ended questions
What is an example of a good closing interview question?
Is there anything else you would like to mention?
Are their any question you would like to ask?
Are they any areas I should have asked you about?
Did we accomplish what you had hoped
What are 8 types of examiner responses that can be used during an interview and give an example of each:
R-e-e-c-c-i-s-s
Reflection—> echoing, looking for more elaborating clarifaction
Empathy—> putting yourself in their shoes
Explanation—> sharing factual data (you’re dinner starts at 5:30)
Clarification—> summarize/simplify patients words to get a better understanding
Confrontation—> providing a viewpoint in an a accepting and non-judgmental way
Introduction—>nod
Silence—>allows for thinking, planning, don’t be scared of silence
Summary—>summarize at end of interview, last chance to grab any missed details
An accurate understanding of the other persons feelings within a communication context is an example of:
A) empathy
B) liking others
C) facilitation
D) a nonverbal listening technique
A) empathy
During a patient interview you recognize the need to use interpretation. This verbal response:
A) is the same as clarification
B) is a summary of a statement made by a patient
C) is used to focus on a particular aspect of what the patient as just said
D) is based on the interviewers inference from the data that have been presented
d)
A good rule for the interview is to:
A)stop the patient each time something is said that is not understand
B)spend more time listening to the patient then talking
C) consistently think of your next response so the patient will know you have understood what you have said
D) use “why” questions to seek clarification of unusual symptoms or behaviour
D) is based on the interviewers inference from the data that have been presented
B) spend more time listening to the patient then talking
During an interview a patient denies having any anxiety. The patient frequently changes position in the chair, holds his arms folded tightly against his chest, and has little eye contact with the interviewer, the interviewer should:
A) use clarification to bring discrepancy between verbal and non verbal behaviour to the patients attention
B) proceed with the interview. Patients usually are truthful with a health care professional
C) make a mental health note to discuss the behaviour after the physical examination is completed
D) proceed with the interview and examination as outlined on the agency assessment form. The patients behaviour is appropriate for the circumstances
A) use clarification to bring discrepancy between verbal and non verbal behaviour to the patients attention
Touch should be used in the interview:
A) only with individuals who speak English
B) as a way of establishing contact with the person and communicating empathy
C) only with patients of the same sex
D) only if the interviewer knows the person well
D) only if the interviewer knows the person well
Because of adolescents development level, not all interviewing techniques can be used with them, the two to be avoided are:
A) facilitation and clarification
B) clarification and explanation
C) empathy and interpretations
D) silence and reflection
D) silence and reflection
Knowledge of the use of personal space is helpful for the health care provider. Personal distance is generally considered to be:
A) 0- 0.5 m
B) 0.5-1.2 m
C) 1.2-3.65 m
D) 3.65 or more m
B) 0.5-1.2 meters
Mrs.b tells you, “ everyone here ignore me” you respond, “ignores you?” This technique is best described as:
A) clarification
B) selective listening
C) reflecting
D) validation
C) reflecting
What is the purpose of a complete health history?
To collect subjective data
What are the 8 critical characteristics used to explore a symptom a patient identifies?
L-q-q-t-h-h-r-f
Location
Character/quality
Quantity/severity
Timing- onset,duration, frequency
Past history
Family history
Review of systems
Functional assessment
You have reason to question the reliability of the information being provided by a patient. On way to verify the reliability within the context of the interview is to:
A) rephrase the same question later in the interview
B) review the patients previous medical record
C) call the person identified as an emergency contact to verify the data provided
D) provide the patient with a printed history to complete and then compare the data provided
A) rephrase the same question later in the interview
What is a genogram used for?
Family history (genetics)
What is a “review of systems”
An evaluation of past and present health state of each body system
When taking a health history for a child what information, in addition to that for an adult is usually obtained?
A) coping and stress management
B) a review of immunizations received
C) environmental hazards
D) hospitalization history
B) a review of immunizations received
Functional assessment measures how a person manages day-to-day activities. The impact of a disease on the daily activities of older adults is referred to as
A) interpersonal relationship assessment
B) instrumental activities of daily living
C) disease burden
D) reason for seeking care
C) disease burden
