Chapter 2 (interview and health hx)

Interview phases

preintroductory, introductory, wokring phase, summary/closing phase

Preintroductory phase

review of client medical record before meeting, nurse introduces themselves, and be eye level with client

Working phase

collection of information - biographical data, reason for seeking car, hx of present health concern, past health hx, fm hx, lifestyle and health practices, and developmental level

Introductory

nurse explains reason for interview, explains reasons of notes and HIPAA, makes sure client is comfortable

Summary/closing phase

nurse summarize information, validates problem and goals, discuss next plans and any further questions

Types of communication

Nonverbal and verbal

Nonverbal communication

Appearance: nurse must be professional

Demeanor: professional

Facial expression: neutral and friendly. Uses at the right time

Attidue: nonjudgmental attitude

Nonverbal communication to avoid

Excessive/insufficient eye contact

Distraction

Standing over client

Verbal communication

Opened ended questions

Close ended questions

Use of laundry list

Rephrasing

Well placed phrases

Inferring

Verbal communication to avoid

Bias

Rushing interview

Reading questions on list

COLDSPA

character, onset, location, duration, serverity, pattern, associated factors

PQRST

provocative, quality, radiates, severity, timing

ADPIE

asses

diagnosis

plan

implement

evaluate

ADLs

activites of daily living

Therapeutic communication

connecting with pt and creating a safe atmosphere for them. Pt should not feel intimidated