Unit 4 Flashcards Preview

NURS 202 Premidterm > Unit 4 > Flashcards

Flashcards in Unit 4 Deck (33)
Loading flashcards...
1

What are the goals of the interview?

1. Gather complete & accurate info
2. Establish trust & rapport
3. Teach pt about health state
4. Build rapport for future therapeutic relationships
5. Look for chances to teach health promotion & disease prevention

2

Areas where enviro can affect communication

Privacy
Refuse interruptions
How often you take notes…break eye contact & connection

3

What are the 3 stages of the interview

1. Opening --> intro self & purpose of interview
2. Body/working --> gather info
3. Closing --> prepare to end

4

What kind of Q's are asked in an interview

Open vs closed
Neutral vs leading (don't use)

5

Types of responses during interview

Facilitation (shows Pt you are interested in listening further) Ex: "Go on."
Silence (shows attentiveness, give pt time to think)
Reflection (Repeating part of Pt's dialogue)
Empathy ("that must be hard" feeling with pt)
Clarification ("Tell me what you mean by...")


Confrontation ("You look sad" Say your feelings in non-judgmental way)
Interpretation (inference/conclusion "could it be because you are afraid?")
Explanation (factual & objective "You can't eat after 10 pm because...")
Summary (condense conversation , both you and pt involved)

6

Interview Traps (10)

1. Giving False assurance/reassurance
2. Giving unwanted advice
3. Using authority
4. Using avoidance language
5. Engaging in distancing
6. using jargon
7. using leading/biased Q's
8. Talking too much
9. Interrupting
10. Using Why Q's

7

Non-verbal skills in interview

Physical appearance
Posture
Gestures
Expression
Eye contact
Voice
Touch

8

When preparing the physical setting for an interview, the interviewer should:
A. set the room temperature to 15°C.
B. reduce noise by turning down the volume on the television or radio.
C. conduct the interview at eye level and at a distance of 1.5 m.
D. stand next to the patient to convey a professional demeanour.

C. conduct the interview at eye level and at a distance of 1.5 m.

9

Parents or caretakers accompany children to the health care setting. At what age does the interviewer start asking the child directly about his or her presenting symptoms?
A. 5 years
B. 7 years
C. 9 years
D. 11 years

B. 7 years

10

Which of the following statements, if made by the interviewer, would be an appropriate response?
A. “I know just how you feel.”
B. “If I were you, I would have the surgery.”
C. “Why did you wait so long to make an appointment?”
D. “Tell me what you mean by ‘bad blood’.”

D. “Tell me what you mean by ‘bad blood’.”

11

While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician’s reaction. In this situation, the nurse’s verbal interpretation:
A. affects the nurse–physician relationship.
B. impedes further discussion.
C. helps the patient understand personal feelings in relation to his or her verbal message.
D. helps the nurse understand his or her own feelings in relation to the patient’s verbal message.

c. helps the patient understand personal feelings in relation to his or her verbal message.

12

The use of euphemisms to avoid reality or to hide feelings is known as:
A. distancing language.
B. sympathetic language.
C. avoidance language.
D. ethnocentric language.

C. avoidance language.

13

When addressing a toddler during the interview, the health care provider should:
A. ask the child, before the caretaker, about symptoms.
B. use nonverbal communication.
C. use short, simple, concrete sentences.
D. use detailed explanations.

C. use short, simple, concrete sentences.

14

Nonverbal communication is the primary form of communication for which group of individuals?
A.Infants
B. Preschoolers
C. Adolescents
D. Older adults

A.Infants

15

Viewing the world from another person’s inner frame of reference is called:
A. reflection.
B. empathy.
C. clarification.
D. sympathy.

B. empathy.

16

An example of an open-ended question or statement is:
A. “Tell me about your pain.”
B. “On a scale of 1 to 10, how would you rate your pain?”
C. “I can see that you are quite uncomfortable.”
D. “You are upset about the level of pain, right?”

A. “Tell me about your pain.”

17

The most appropriate introduction to use to start an interview with an older adult patient is:
A. “Mr. Jones, I want to ask you some questions about your health so that we can plan your care.”
B. “David, I am here to ask you questions about your illness; we want to determine what is wrong.”
C. “Mr. Jones, is it okay if I ask you several questions this morning about your health?”
D. “Because so many people have already asked you questions, I will just get the information from the chart.”

A. “Mr. Jones, I want to ask you some questions about your health so that we can plan your care.”

18

What is in a complete health history?

1. Biographical data
2. Reason for seeking care
3. Current health or hx of current illness
4. Past health
5. Family hx
6. Review of systems
7. Functional assessment or ADLs

19

Current health or hx of current illness

P: Provocative or palliative
What brings it on & what makes it better?
Q: Quality or quantity
Describe problem & how it makes them feel
R: Region or radiation
Where? Does it spread to other places?
S: Severity scale
Usually 0-10
T: Timing
When did it start? How long? Morning?
U: Understand patient’s perception
What do you think is causing this?

20

ADL's stand for?

Activities of Daily Living

21

IADL's Stand for?

Instrumental Activities of Daily Living

22

What are ADL's

Interpersonal relationships
Activity & rest
Economic Status
Home enviro
Enviro hazards
Coping & stress management
Alcohol & substance use
Health promotion

23

Which of the following is included in documenting a history source?
A. Appearance, dress, and hygiene
B. Cognition and literacy level
C. Documented relationship of support systems
D. Reliability of informant

D. Reliability of informant

24

A patient seeks care for “debilitating headaches that cause excessive absences at work.” On further exploration, the nurse asks, “What makes the headaches worse?” With this question, the nurse is seeking information about:
A. the patient's perception of pain.
B. the nature or character of the headache.
C. aggravating factors.
D. relieving factors.

C. aggravating factors.

25

The health history collects subjective data, which is:
A.a physical examination.
B. laboratory values.
C. what the patient says about himself or herself.
D. diagnostic tests.

C. what the patient says about himself or herself.

26

The review of systems in the health history is:
A. an evaluation of past and present health state of each body system.
B. a documentation of the problem as perceived by the patient.
C. a record of objective findings.
D. a short statement of general health status.

A. an evaluation of past and present health state of each body system.

27

When recording information for the review of systems, the interviewer must document:
A. physical findings, such as skin appearance, to support historic data.
B. “negative” under the system heading.
C. the presence or absence of all symptoms under the system heading.
D. objective data that support the history of present illness.

C. the presence or absence of all symptoms under the system heading.

28

Assessment of self-esteem and self-concept is part of the functional assessment. Areas covered under self-esteem and self-concept include:
A. education, financial status, and value-belief system.
B. exercise and activity, leisure activities, and level of independence.
C. family role, interpersonal relations, social support, and time spent alone.
D. stressors, coping mechanisms, and change in past year.

A. education, financial status, and value-belief system.

29

PQRSTU is a mnemonic that helps the clinician to remember to address characteristics specific to:
A. intimate partner violence.
B. substance use.
C. symptoms.
D. the ability to perform activities of daily living (ADLs).

C. symptoms.

30

The nurse questions the reliability of the history provided by the patient. One method to verify information within the context of the interview is to:
A. review previous medical records.
B. rephrase the same questions later in the interview.
C. ask the patient if there is someone who could verify information.
D. call a family member to confirm information.

B. rephrase the same questions later in the interview.