INTERVIEW Flashcards
(53 cards)
Is an integral part of interviewing the client to obtain a nursing health history
Collecting subjective data
What are the 9 ways in collecting subjective data:
•Sensations or symptoms
•Feelings
•Perceptions
•Desires
•Preferences
•Beliefs
•Ideas
•Values
•Personal information
Provide clues to possible physiological, psychological, and sociologic problems
Subjective data
They also provide the nurse with information that may reveal a client’s risk for a problem as well as areas of strengths for the client
Subjective data
Subjective data is obtained through?
Interviewing
Vital for accurate and thorough collection of subjective data
Effective interviewing skills
Obtaining a valid nursing health history requires professional, interpersonal, and _______ skills.
Interviewing
The nursing interview is a communication process that has two focuses:
- Establishing rapport and trusting relationship with a client to elicit accurate meaningful information
- Gathering information on the client’s developmental, psychological, physiological, socio-cultural, and spiritual status to identify deviations that can be treated with nursing and collaborative interventions or strengths that can be enhanced through nurse-client collaboration
The nurse review the medical record before meeting with the client
Preintroductory Phase
After introducing herself to the client, the nurse explains the purpose of the interview, discusses the types of questions that will be asked, explains the reason for taking notes, and assures the client that confidential information will remain confidential
Introductory Phase
The nurse makes sure that the client is comfortable (physically and emotionally) and has privacy
Introductory Phase
Conducting the interview at eye level with a client demonstrates respect and places the nurse and the client at equal levels
Introductory phase
At this point in the interview, it is also essential for nurses to develop trust and rapport, which are essential to promote full disclosure of information
Introductory phase
The nurse can began this process by conveying a sense of priority and interest in the client
Introductory phase
Developing rapport depends heavily on verbal and nonverbal communication on the part of the nurse
Introductory phase
During the phase, the nurse ellicits the client’s comments about major biographical data, reason for seeking care, history of present health concern, past health history, family history, review of body systems for current health problems, lifestyle and health practices, and developmental level
WORKING PHASE
The nurse then listens, observes cues, and use critical thinking skills to interpret and validate information received from the client
WORKING PHASE
The nurse and client collaborate to identify the client’s problem and goals
WORKING PHASE
The facilitating approach may be free-flowing or more structured with specific questions, depending on the time available in the type of data needed
WORKING PHASE
The nurse summarizes information obtained during the working phase and validates problems and goals with the client
SUMMARY AND CLOSING PHASE
She also identifies and discusses possible plans to resolve the problem (client concerns and collaborative problems) with the client
SUMMARY AND CLOSING PHASE
The nurse makes sure to ask if anything else concerns the client and if there are any further questions
SUMMARY AND CLOSING PHASE
Your appearance, demeanor, posture, facial expressions, and attitude strongly influence how the client perceives the questions you ask
NON-VERBAL COMMUNICATION
Facilitate eye level contact
NON-VERBAL COMMUNICATION
