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Details

Assessment ch 4
The interview
25
Nursing
Undergraduate 3
02/10/2011

Additional Nursing Flashcards

 


 

Cards

Term

Why is health history important?

 

 

Definition
Because in the beginning it is used to identify the person's health strengths and problems and as a bridge to the next step in data collection, the physical exam.
Term

 

Subjective data

Definition

 

What the person says about him or herself

Term

 

What is a successful interview?

Definition
Gather compete and accurate data about the person's health state, establish rapport and trust, teach the person about the health state, build rapport for future, begin teaching about health promotion and disease prevention.
Term

 

What should your interview contract with the patient include?

Definition
Time and place of interview, introduce yourself and explain role, purpose of interview, how long it will take, expectation of participation, presence of other people, confidentiality, any costs.
Term

 

Communication in the interview

Definition
It carries you and your patient through the interview, clear understanding is key, verbal and nonverbal
Term

 

What are the internal factors the examiner brings to the interview?

Definition
Liking others, empathy, and the ability to listen
Term

 

empathy

Definition
viewing the world from the other person's inner frame of reference while remaining yourself, recognizing and accepting the other person's feelings without criticism
Term

 

External factors of the interview

Definition
ensure privacy-geographic or psychological, refuse interruptions, physical environment, dress, note-taking, tape and video recording
Term

 

the working phase

Definition

 

the data-gathering phase

Term

 

open-ended questions

Definition

 

ask for narrative information, it states the topic to be discussed but only in general terms. To begin interview, to introduce a new section, and when a person introduces a new topic

Term

 

Assisting the narrative

Definition

your reactions-facilitation, silence, reflection, empathy, clarification,

Your own thoughts-confrontation, interpretation, explanation, summary

Term

 

10 traps of interviewing

Definition
providing false assurance or reassurance, giving unwanted advice, using authority, using avoidance language, engaging in distancing, using professional jargon, uising leading or biased questions, talking too much, interrupting, using "why" questions
Term

 

nonverbal skills

Definition
physical appearance, posture, gestures, facial expression, eye contact, voice, and touch
Term

 

Closing the interview

Definition
give the person a final opportunity for self-expression, give a summary-positive health aspects, any health problems identified, plans for action, or explanation of exam, no new topic should be introduced
Term

 

Interviewing the parent

Definition
child 1-6 great both and focus more on parent, observe child, developmental milestones
Term

 

The infant interview

Definition

 

nonverbal communication is the primary method

Term

 

The preschooler

Definition
2-6: egocentric, their communication is direct, concrete, literal, and set in the present, may have animistic thinking
Term

 

The school-age child

Definition
7-12: have the verbal ability to add important data to the history but interview parent and child together
Term

 

The adolescent

Definition
want to be adults, but do not have the cognitive ability yet to achieve their goal, must show them respect, be honest, stay in character, use icebreakers, do not assume they understand, keep questions short and simple, avoid silence and reflection, more sensitive to nonverbal communication, use positive reinforcement
Term

 

the older adult

Definition
interview usually takes longer, adjust the pace of the interview, may need to split into sessions, touch is a nonverbal skill very important to them
Term

 

Special considerations

Definition
you must use judgment to determine the appropriate interview for hearing impaired, acutely ill, under the influence, personal questions, sexually aggressive people, crying, anger, threat of violence, and anxiety
Term

 

Cross-cultural communication

Definition
when two people come from different cultural backgrounds, the probability of miscommunication increases. they both attempt to understand the other's point of view from a cultural perspective.
Term

 

etiquette

Definition
the conventional code of good manners that govern behavior and varies cross-culturally
Term

 

overcoming communication barriers

Definition
a bilingual interpreter is needed for full communication, should not be relative, must know medical terminolgy
Term

 

5 types of nonverbal behaviors that convey information about the person

Definition
vocal cues, action cues, object cues, use of personal and territorial space, and touch
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