Chapter 6: The Art of Interviewing (Lessons 9, 10 & 11) Flashcards

(56 cards)

1
Q

Trauma and Violence-informed Approach

A

-emphasizing confidentiality
-identifying interview purpose
-shaping questions based on needs
-letting the client have control
-empowerment
-promoting safety

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2
Q

Why is always applying a trauma-informed approach beneficial?

A

-you never know who has experienced trauma or what kind
-doesn’t require them to disclose their experience and re-traumatize themselves

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3
Q

What is trauma?

A

the emotional consequences of a distressing event

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4
Q

Introducing Yourself

A

-NOD
-ask them what they want to be called and their pronouns

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5
Q

Assure Confidentiality

A

-who will be involved with the information
-this honesty builds trust

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6
Q

What to say to inform about confidentiality:

A

“Everything we discuss will remain confidential and only be discussed among healthcare team members involved in your care.”

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7
Q

Provide a Purpose

A

-tell them what you are doing, when you are doing it, and why
-ask if it works with them (involve them in care)

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8
Q

Open Ended Question

A

-don’t make assumptions
-allows them to share their story in their own words

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9
Q

Empathy

A

-respond to their words not the appearance of their illness
-tell them what you are assessing for to reassure them
-don’t dismiss concerns

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10
Q

Relational Inquiry

A

the complex interplay of human life, the world, and nursing practice (means avoid viewing clients on a strictly individual level)

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11
Q

Intrapersonal Communication

A

-an aspect of relational inquiry
-assess what is occurring within all people involved

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12
Q

Interpersonal Communication

A

-an aspect of relational inquiry
-allows you to assess what is occurring between people involved
-behaviours and priorities

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13
Q

Contextual Communication

A

-an aspect of relational inquiry
-allows you to assess what is occurring around the people involved

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14
Q

What is the opposite of relational inquiry?

A

individualist approach

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15
Q

“Who is with you today?”

A

-doesn’t allow for assumptions
-allows them to identify the relationship in own words

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16
Q

Preferred Names of Guests

A

-ask others in the room what they prefer to be called
-acknowledges others and their role
-builds trust, rapport, involves them in the care process

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17
Q

Asking Questions

A

-some people may not know they are supposed to ask questions
-give them the opportunity to ask questions
-remind them to ask if they are unsure and provide a safe way to do so

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18
Q

Example of Intrapersonal question:

A

“How are you feeling today?”

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19
Q

Example of an interpersonal question:

A

“Tell me about your support system”

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20
Q

An example of a contextual question:

A

“Are there any other resources that would be helpful to you?”

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21
Q

Anti-racism

A

-an active process of changing attitudes, beliefs, practices, and policies to dismantle systemic hierarchy and oppressive power

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22
Q

What is involved in an anti-racism approach?

A

-identifying and challenging institutional racism
-specific and directed action
-recognizing self and an agent for change

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23
Q

What do health professionals need to do?

A

-use an anti-racist approach
-advocate for clients and colleagues experiencing racism

24
Q

Opening the Conversation

A

-use cues to open conversations and give opportunity for an educational experience

25
Identify Actions of Others
-tell them what is wrong with their actions and why they are wrong
26
Be Respectful
-don't attack others -educate and provide opportunity for further education -don't label people as "racist," it is systemic and everyone contributes
27
Subjective Data
-information shared with you via client, family, friends -statements, feelings, experiences
28
Primary Source
client
29
Secondary Data
-from family, friends, care partners, other providers
30
Objective Data
-factual information -observation, measurement, diagnostic procedures
31
General Overview
-review clients chart, health record -general history
32
Purpose of Reviewing Records
-conveys interest and competence -follow up on missing data -saves client from repetition -identify changes in status
33
Interview Environment
-quiet location -welcoming environment -physical comfort -inclusive space -privacy -professional boundaries -understand your role
34
Confidentiality
-you are legally required to keep confidentiality -must request permission before disclosure, except when harm is a factor
35
Self-reflection
-recognize your own emotional state -minimizes unintentional miscommunication
36
Self Considerations
-your thoughts -your biases -are you physically expressing emotions? -how is your health? -is your environment a distraction?
37
Mindfulness
-valuable strategy for connecting with clients and being authentic
38
Mindful Awareness
-being consciously aware of your physical presence, cognitive processes, emotional state
39
Mindful Practice
-conscious development of skills needed to show attention, compassion, and be less reactive
40
Attention
-attending fully to the present moment -involved awareness
41
Intention
-knowing why we are doing what we do -goals
42
Attitude
-how we pay attention -open, kind, curious
43
COAL
curiosity, openness, acceptance, love
44
Five Facets of Mindfulness
-observing phenomena -describing what is occurring -acting with awareness -non-judging attitude -non-reactivity to distressing events
45
Note Taking
-let them know if you are taking notes and how they will be used
46
Closed-ended Questions
-direct questions you ask when seeking precise information -generate a yes or no response -ie. do you smoke?
47
Open-ended Questions
-invite descriptive answers -ie. how have you been feeling this past week?
48
Probing Questions
-questions that allow you to gather more subjective data based on the clients response -ie. tell me more
49
Therapeutic Communication
-foundation of the professional relationship -ensures well-being, holistic, client centred, quality care
50
Competitive Listening
-when we are too focused on sharing our own POV rather than listening to others
51
Passive Listening
-not interested in listening to the other person and assume we understand without verification
52
Active Listening
-communicate verbally and nonverbally -interested in what the other person says -verify understanding
53
Aspects of Therapeutic Communication
-clear and simple language -open-ended questions -clarification -paraphrasing -shared observation -summarizing -silence -honesty -one question at a time
54
Permission Statements
a combination of statements and questions that suggest to the client that an experience is normal
55
Non-therapeutic Responses
-closed questions -why questions -passing judgement -giving advice -defensiveness -changing subject -sympathy -false reassurance
56
Concluding the Interview
-ensure you understand everything -make sure client shared everything they wanted to and doesn't have anything to add -ensure client knows next steps in care