ha finals week 2

integral part

collecting subjective data is an __ of interviewing the client to obtain a nursing health history

preintroductory

• the nurse reviews the medical records before meeting the client

• knowing some of the client’s already documented biographical info may assist the nurse during interview

• there may be medical records that are nots established, hence the nurse will rely on interviewing skills

introductory

• the nurse explains the purpose of the interview, discusses the type of questions, assures the client that confidential information will remain confidential

• conduct an interview at eye level

• develop trust and rapport

working

• nurse elicits client’s comments about major biographical data

• nurse listens, observes cure, and uses critical thinking skills

• nurse and client collaborate to identify the client’s problems and goals

summary and closing

• nurse summarizes information obtained and validates problems

• nurse identifies and discusses possible plans

• nurse also make sure to ask if anything else concerns the client

non verbal

appearance

demeanor
facial expression
attitude
silence
listening

verbal

open ended and close ended questions
laundry list
rephrasing

open ended questions

to elicit client’s feelings and perceptions
“how” “what”

close ended questions

to obtain facts and to focus on specific information
“when” “did”

laundry list

to obtain specific answers and reduces the likelihood of the client perceiving or providing and expected answer
“is the pain sever, dull, sharp, or mild?”

rephrasing

to clarify information the client has started, it also enables you and the client to reflect on what was said

gerontologic variations in communications

• assess hearing acuity

• do not yell at client

• show respect

• if the older client is confused, have a significant other present during the interview

cultural variations in communication

• reluctance to reveal personal info

• variation in ability to receive info

• seek help from an expert (culture broker) if difficulty in communication is evident

anxious client

provide simple, organized info

do not hurry and decrease external stimuli

angry client

approach the client in a calm manner

avoid arguing and facilitate personal space

depressed client

do not try to communicate in an upset, encouraging manner

express interest in and understanding of the client

manipulative client

provide structure and set limits

seductive client

report inappropriate behavior to a supervisor