Unit 4

Question 1

What are the goals of the interview?

Answer 1

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

Question 2

Areas where enviro can affect communication

Answer 2

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

Question 3

What are the 3 stages of the interview

Answer 3

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

Question 4

What kind of Q’s are asked in an interview

Answer 4

Open vs closed

Neutral vs leading (don’t use)

Question 5

Types of responses during interview

Answer 5

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)

Question 6

Interview Traps (10)

Answer 6

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

Question 7

Non-verbal skills in interview

Answer 7

Physical appearance
Posture
Gestures
Expression
Eye contact
Voice
Touch

Question 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.

Answer 8

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

Question 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

Answer 9

B. 7 years

Question 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’.”

Answer 10

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

Question 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.

Answer 11

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

Question 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.

Answer 12

C. avoidance language.

Question 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.

Answer 13

C. use short, simple, concrete sentences.

Question 14

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

Answer 14

A.Infants

Question 15

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

Answer 15

B. empathy.

Question 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?”

Answer 16

A. “Tell me about your pain.”

Question 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.”

Answer 17

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

Question 18

What is in a complete health history?

Answer 18

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

Question 19

Current health or hx of current illness

Answer 19

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?

Question 20

ADL’s stand for?

Answer 20

Activities of Daily Living

Question 21

IADL’s Stand for?

Answer 21

Instrumental Activities of Daily Living

Question 22

What are ADL’s

Answer 22

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

Question 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

Answer 23

D. Reliability of informant

Question 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.

Answer 24

C. aggravating factors.

Question 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.

Answer 25

C. what the patient says about himself or herself.

Question 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.

Answer 26

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

Question 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.

Answer 27

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

Question 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.

Answer 28

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

Question 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).

Answer 29

C. symptoms.

Question 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.

Answer 30

B. rephrase the same questions later in the interview.

Question 31

When taking a health history from an adolescent, the interviewer should: A. ask about violence and abuse before asking about alcohol and drug use. B. have at least one parent present during the interview. C. interview the youth alone with a parent in the waiting area. D. ask about the use of condoms.

Answer 31

C. interview the youth alone with a parent in the waiting area.

Question 32

``` What information is included in greater detail when taking a health history on an infant? A. Nutritional data B. History of present illness C. Family history D. Environmental hazards ```

Answer 32

A. Nutritional data

Question 33

The nurse is in an interview with a woman who has come to the clinic to begin prenatal care. The pt states that she and her husband are excited about the pregnancy but have a few questions. She looks nervously at her hands and sighs audibly. Which of the following statements does the nurse know is most accurate, considering the concept of communication? The woman: A. Is excited about her pregnancy but nervous about labour. B. Is exhibiting verbal and nonverbal behaviours that do not match. C. Is excited about her pregnancy but her husband is not, and this is upsetting to her. D. Is not excited about her pregnancy but believes the nurse will respond negatively to her if she states this.

Answer 33

B. Is exhibiting verbal and nonverbal behaviours that do not match.