Week 1: Chapters 3 & 4 - NRSE 2122 Baker/Cox

What is the primary goal of a health interview?

To identify health strengths and problems as a bridge to health perception.

What are the key elements of an interview contract?

Location, explanation, purpose, time frame, participation, confidentiality, and cost.

What nonverbal skills are important in the interview process?

Physical appearance, posture, gestures, facial expression, eye contact, voice, and touch.

What is the purpose of facilitation in patient interviews?

To encourage patients to share more information.

What are some common traps to avoid during an interview?

Providing false reassurance, giving unwanted advice, using authority, avoidance language, distancing, professional jargon, leading questions, talking too much, interrupting, and using 'why' questions.

What is therapeutic communication?

An exchange of information that includes verbal and non-verbal communication, with feedback to confirm understanding.

What factors affect verbal communication during an interview?

Attention, verbal skills, hearing, and distraction.

How should an interview with an older adult be adapted?

Address them respectfully, consider pacing, allow for increased response time, and use therapeutic touch.

What techniques can improve health literacy in patients?

Oral teaching with simple instructions, written materials at standard educational levels, and the teach-back method.

What should be included in a complete health history?

Biographical data, source of history, reason for seeking care, present health, past health, family history, review of systems, and functional assessment.

What does HPI stand for in health history?

History of Present Illness.

What are the eight critical characteristics included in the summary of each patient symptom?

Onset, location, duration, characteristics, aggravating factors, relieving factors, treatment, and severity.

What is the significance of the Review of Systems (ROS)?

It assesses the general overall health state and various body systems to identify potential health issues.

What additional questions should be asked when interviewing new immigrants?

Biographical data, spiritual resources, past health immunizations, health perception, and nutrition.

How should health history be adapted for children?

Include age-specific information, assess pain severity, and consider parental insights and coping abilities.

What is the importance of summarizing at the end of an interview?

It provides closure and allows for final expressions without introducing new topics.

What is the purpose of using the teach-back method?

To verify patient understanding and open the door for clarification if needed.

What is the role of nonverbal behaviors in communication?

To look for congruence with verbal messages and assess the patient's true feelings.

What should be considered when interviewing patients with special needs?

Adjust communication techniques based on their specific conditions, such as hearing impairment or emotional state.

What are the components of functional assessment in health history?

Self-esteem, activity and exercise, sleep and rest, nutrition, interpersonal relationships, spiritual resources, coping, and personal habits.

What is the significance of addressing positive health measures in older adults?

To recognize what they are doing to maintain their health and well-being.

What is the role of active listening in therapeutic communication?

To ensure understanding and validate the patient's feelings and concerns.

What should be avoided when using professional jargon during an interview?

It can confuse patients and hinder effective communication.

How can communication barriers be overcome when working with interpreters?

By modifying communication techniques to ensure clarity and understanding.

What is the developmental task of older adults during interviews?

Finding purpose and evaluating existence.

What is the purpose of the SBAR communication model?

To standardize communication in healthcare settings.