exam 1 health assessment review

Process of communication

External factors: ensure privacy, refuse interruptions, physical environment, dress, avoid excessive note-taking may be unavoidable

Challenges of note-taking

Breaks eye-contact too often, shifts attention away from person, May be threatening to pts discussion of sensitive issues

Electronic health record (EHR)

Do not let computer become barrier, begin interview per usual in face-to-face manner, explain charting

Facilitation

Encourages client to say more, shows person your are interested

Silence

Communicates that client has time to think, silence can be uncomfortable for a novice examiner, but interruption can make clients lose their train of thought

Reflection

Echoes clients words by repeating part of what person has just said, can help express feelings behind words, mirroring clients words can help person elaborate on problem

Empathy

Names a feeling and allowed expression, allows person to feel and accepted and strengthens rapport

Clarification

Useful when persons word choice is ambiguous or confusing, summarizes persons words, simplifying the statement, and ensure you’re on the right track

Confrontation

Clarifying inconsistent information

Interpretation

Based on your inference or conclusion, links events, prompts further discussion of topic

Explanation

Inform the person, share factual and objective information

Ten traps of interviewing

Proving false assurance or reassurance

Giving unwanted advice

Using authority

Using avoidance language

Distancing

Using professional jargon

Leading or biased questions

Talking too much

Interrupting

Using “why” questions