Week 2: Interviewing, The Health History, & Communication

Question 1

AIDET mnemonic

Answer 1

A: Acknowledge
I: Introduce
D: Duration
E: Explain
T: Thank you

Question 2

Preliminary actions

Answer 2

Actions done before the procedure or interaction

Question 3

4 phases of the health history

Answer 3

Phase 1: History
Phase 2: Psychosocial assessment
Phase 3: Specialty assessments
Phase 4: Review of systems (ROS)

Question 4

The collection of the following information is a part of what phase of health history?
- Chief complaint/reasons for seeking care
- Biographical data
- Medication reconciliation
- Vaccinations
- Past medical history
- Family history

Answer 4

Phase 1: History

Question 5

The collection of the following information is a part of what phase of health history?
- Education and occupation
- Housing and environment
- Self care
- Safety
- Substance use
- Sexual health

Answer 5

Phase 2: Psychosocial assessment

Question 6

The collection of the following information is a part of what phase of health history?
- Functional assessment
- Cultural assessment
- Spiritual assessment

Answer 6

Phase 3: Specialty assessments

Question 7

When performing medication reconciliation, don’t forget to ask about…

Answer 7

Supplements and vitamins

Question 8

When asking about past medical history, don’t forget to ask about…

Answer 8

Allergies

Question 9

BATHE method

Answer 9

B: Background
- What’s going on?
A: Affect
- How do you feel about that?
T: Trouble
- What troubles you most?
H: Handling
- How are you handling that?
E: Empathy
- That must be very difficult

Question 10

CAGE-AID questionnaire, purpose

Answer 10

Substance abuse screen

Question 11

HITS screening tool, purpose

Answer 11

Domestic violence screening tool

Question 12

Barthel index, purpose

Answer 12

Assesses functional independence by measuring a person’s ability to complete ADLs

Question 13

FICA assessment tool, purpose

Answer 13

Spirituality assessment tool

Question 14

When with patient, never allow the patient to…

Answer 14

Fall

Question 15

3 components of situational awareness

Answer 15

1. Perception
2. Comprehension
3. Projection

Question 16

ABC’s

Answer 16

Airway
Breathing
Circulation

Question 17

4 elements of LOC

Answer 17

Orientation, speech, behavior, affect

Question 18

4 elements of alert and oriented

Answer 18

Time, person, place, situation

Question 19

Your patient is an 88-year-old man. He states that he has been “hearing whistling” in both his ears. He states that it almost sounds like a song. You need to identify whether he is reliable. What question will you ask?

A. “What is the name of the song?”
B. “Can you tell me where you live and your date of birth?”
C. “What do you mean by whistling?”
D.“ Have you seen an ear, nose, and throat doctor?”

Answer 19

B) Asking questions for which you can verify information can help identify reliability. You can check the patient’s chart to see if the address and date of birth are correct

Question 20

To ensure a safe patient environment, the patient should be…

Answer 20

Always in the lowest position, side rails up, and call bell within reach

Question 21

Tell whether the following statement is true or false:
Touch is a personal behavior that means the same thing to all persons.
True
False

Answer 21

False. Touch is a personal behavior that means different things to different people.

Question 22

Personal communication

Answer 22

Self-talk

Question 23

Interpersonal communication

Answer 23

Between two or more people

Question 24

A nurse reassuring oneself of being prepared to speak in front of a peer group is using which of the following types of communication?
Sorry this doesn’t make any sense, I stole it from the slides. Don’t shoot the messenger!
A. Intrapersonal
B. Interpersonal
C. Group
D. Organizational

Answer 24

Told you it doesn’t make sense, like why is intrapersonal on there twice?
A. Intrapersonal communication is self-talk that happens within the individual. Interpersonal communication occurs between two or more people to exchange messages. Group communication includes small-group and organizational group communication.

Question 25

3 phases of a therapeutic relationship

Answer 25

Phase 1: Orientation Phase 2: Working Phase 3: Termination

Question 26

Which activity generally occurs during the orientation phase of the helping relationship? A. An agreement or contract about the relationship is established B. The nurse provides any assistance needed to achieve patient goals C. The nurse provides patient counseling and teaching D. The patient and nurse examine the goals of the helping relationship for indications of attainment

Answer 26

A. In the orientation phase, a contract defines the goals of the relationship, frequency, location, length of contact, and duration of the relationship. The nurse provides assistance to achieve patient goals, counseling, and teaching in the working phase. The patient and the nurse examine the goals of the helping relationship for indications of attainment in the terminations phase.

Question 27

When communicating with a patient with a language barrier, don't...

Answer 27

Use family members or lay interpreters to translate

Question 28

SOAP note

Answer 28

S: Subjective O: Objective A: Assessment P: Plan

Question 29

Progress note, DAR format

Answer 29

D: Data A: Action R: Response

Question 30

PIE note

Answer 30

P = Problem I = Interventions E = Evaluations Problems are identified by # and addressed in the documentation used flow sheets. No organized care plan

Question 31

Charting by exception

Answer 31

Only exceptions (abnormal or significant findings) are charted Normal findings are documented by a check mark or initials on a flow sheet

Question 32

SBAR

Answer 32

S: Situation B: Background A: Assessment R: Recommendation

Question 33

Which method of documentation is unique in that it does not develop a separate care plan but instead incorporates the care plan into the progress notes? A. Source-oriented records B. Problem-oriented records C. PIE (problem, intervention, evaluation) D. Focus charting

Answer 33

C. PIE charting incorporates the care plan into progress notes in which problems are identified by number. In source-oriented records, each health care group keeps data on its own separate form. Problem-oriented records are organized around patient problems rather than around sources of information. Focus charting brings the focus of care back to the patient and the patient’s concerns.