The interview Flashcards

1
Q

What is the first and really the most important part of data collection?

A

The interview

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2
Q

What does a successful interview entail?

A
  1. Gather complete and accurate data about the persons health state.
  2. Establish rapport and trust so the person feels accepted and thus free to share all relevant data
  3. build rapport for a continuing therapeutic relationship
  4. Begin teaching for health promotion and disease prevention.
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3
Q

What are the three inner factors?

A

liking others, empathy, and the ability to listen
* Liking others- “goodness of fit” or generally optimistic view of people
Empathy-viewing world from the other persons frame of reference
Ability to listen- listen ACTIVELY ( difficulty with language? impaired memory? tone? what is the person leaving out?)

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4
Q

the suggested distance between you and your patient during the interview is how much?

A

4 to 5 feet (twice arms length)

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5
Q

what is equal-status seating?

A

When both you and the patient are seated comfortably at eye level.
* avoid standing because it communicates your hast and assumes superiority.

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6
Q

Consider the interview as being similar to forming a _______ between you and your patient.

A
Contract
* the contract consists of spoken or unspoken rules for behavior; in this case it is what the person needs and expects from health care and what you have to offer. 
Terms of the contract: 
1. Time and place
2.Introduction and explanation of role
3. Purpose of interview
4. How long will it take
5. Expectation of participation of each person
6. Presence of any other people
7. confidentiality and its limits
8. any costs.
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7
Q

____________ is exchanging information so that each person clearly understands the other. If you have not conveyed meaning, no______ has occurred

A

Communication; communication

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8
Q

_____ communication is more reflective of your true feelings

A

nonverbal

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9
Q

Your words and gestures must be interpreted in a __________ to have meaning

A

specific context

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10
Q

T or F

Note taking during the interview is vital.

A

False.
Some times it is necessary but it has its disadvantages ( breaking eye contact, interrupting flow, distracts from patients nonverbal behavior, and bothers patient when on sensitive topics).

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11
Q

_____ eliminates handwritten clinical data as well as provides access to patient education materials

A

Electronic health Recording (EHR)

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12
Q

____ is the data gathering phase.

A

The working phase

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13
Q

What are the two question types?

A

open ended and closed

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14
Q

___ _____ questions asks for narrative information. It states the topic to be discussed but only in general terms.

A

open ended

  • Use it to begin interview, introduce a new section of questions, and when the person introduces a new topic.
  • this elicit free rein in answers
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15
Q

_______ or direct questions ask for specific information.

A

Closed

* these elicit a short, one or two word answer, or a yes/no

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16
Q

What are the nine types of verbal responses?

A

The first five: facilitation, silence, reflection, empathy, clarification; these are your reactions to the patient
Last four: confrontation, interpretation, explanation, summary; you are expressing your own thoughts and feelings

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17
Q

________, also called general leads show the person you are interested and will listen further

A

Facilitation

( mhmm, go on, continue)

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18
Q

______ is golden after open ended questions and allows patient to think.

A

Silence

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19
Q

________ is repeating part of what the person has just said

A

Reflection

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20
Q

_______ is used to summarize the persons words, simplify the words to make them clearer, and then ask if you are on the right track.

A

Clarification

21
Q

” the reason you cannot eat or drink before your blood test is that the food will change the test results “

This is an example of what?

A

Explanation

22
Q

__________ is not based on the direct observation as with confrontation, but it is based on your inference or conclusion.

A

interpretation

23
Q

_________ modes of communication include physical appearance, posture, gestures, facial expression, eye contatct, voice and touch

A

Non verbal

24
Q

A ________________is a recapitulation of what you have learned during the interview

A

Summary

25
Q

How should you address an older adult?

A

By their last name
Note: Almost all hate diminutives ( honey, sweetie etc), Inappropriate plural pronouns ( “Are we ready”, tag questions ( you would rather sit in this nice soft chair wouldn’t you?), and shortened sentences, slow speech rate, and simple vocabulary that sounds like BABY talk.

26
Q

It is important to slow the pace of the interview for the ___________person.

A

aging

* an aging person may fatigue earlier and may require that the interview be broken up into shorter segments.

27
Q

Alcohol, benzodiazepines, and the opioids ( heroin, meperidine, morphine, oxcycodone, Vicodin) are central nervous system __________

A

depressants

28
Q

Stimulants of the central nervous system ( cocaine, amphetamine) can cause what type of behavior?

A

intense high agitation, and paranoid behavior

29
Q

Hallucinogens cause what type of behavior?

A

bizarre, inappropriate, sometimes even violent behavior accompanied by superhuman strength and insensitivity to pain

30
Q

What type of questions do you ask while interviewing a person under the influence of alcohol or illicit drugs?

A

simple or direct
* priority is time of last drink or drug, and how much he or she drank at this episode as well as the name and amount of other drugs taken.

31
Q

A 30 year old man is expressing intense anger during the interviewing process. Should you ask whats wrong, or ignore it and move one to other questions?

A

Ask about the anger and hear the person out

* if it is threatening behavior leave the door open and position yourself between the door and the person

32
Q

T or F

Nearly all sick people have some anxiety

A

True

33
Q

_____ refers to the process occurring between a health care professional and a patient, each with different cultural backgrounds, in which both attempt to understand the others point of view

A

cross-cultural communication

34
Q

which cultural group expects health care providers to be authoritarian, directive, and detached

A

Southeast Asians

*

35
Q

_______ (group of people) believe that health care provider will intuitively know what is wrong with them, and it will cause you to lose credibility when you ask simple questions

A

Asian Americans

36
Q

social harmony among ________ and ___________ may prevent the full expression of concerns or feelings during the interview
(group of people)

A

Asians; American Indians

37
Q

Nodding or smiling by _____ ( group of people) may only reflect their cultural value for interpersonal harmony, not agreement with you.

A

Asians

* give the patient permission to disagree

38
Q

_______( group of people) traditionally have close family interaction patterns, which often lead them to expect close personal relationships with health care providers

A

the appalachians
* Appalachians may evaluate your effectiveness by your interpersonal skills rather than professional competencies ; they may dislike impersonal bureaucratic orientation of most health care institutions

39
Q

People of ___________ or _________ origin often expect an higher degree of intimacy and may attempt to involve you in their family system by expecting you to participate in personal activities and social functions

A

Latin American or Mediterranean origin

40
Q

_______ refers to the conventional code of good manners that governs behavior and varies cross culturally

A

Etiquette

41
Q

People form ______, __________, __________,__________, expect personal or social conversation before they feel comfortable entering into the more intimate aspects of the health history and physical information

A

American Indian, hispanic, middle eastern, and african

42
Q

When you first meet a patient it is best to be __________, respectful, and polite. You should be _______ (position) when you greet them.

A

formal; standing

* Introduce self with how you want to be addressed, and inquire on what they want you to call them as well.

43
Q

Among ___, _________ and other _________ groups the family or surname is written and spoken first, followed by the first or given name.

A

Chinese, Vietnamese, and other Asian

44
Q

IN traditional Chinease, Japanese, and aother Asian cultures, when people are introduced, they show respect by _________

A

Bowing;
the more profound the bow, the deeper the respect
( lower for an older adult, and less so for an adolescent)
* shaking their hand to harshly is rude!

45
Q

How does naming work in mose Arab cultures and subcultures?

A

The fathers first name is used as the middle name and the last name is the family name
* Address with title when they are your patients ( Mr, Mrs etc)

46
Q

IN most ________ cultures, etiquette requires either a gentle kiss on the cheeks or a handshake on arrival and departure for people of the same gender. If a man is introduced to a women he will prefer to not be touched by her - no handshaking.This is good modest behavior

A

Arab

47
Q

You should extend a gentle, non aggressive handshake when introduced to an _____- patient

A

American indian

48
Q

_________ refers to the institutionalized belief that heterosexuality is the only natural choice and assumes it is the norm.

A

Heterosexism