Podcast
Questions and Answers
During which phase of the interview process would a nurse typically review a patient's medical history and current medication list?
During which phase of the interview process would a nurse typically review a patient's medical history and current medication list?
- Working Phase
- Closing Phase
- Beginning Phase
- Pre-interaction Phase (correct)
A nurse introduces themselves to a patient, states the purpose of the interview, and asks the patient for their preferred name. Which phase of the interview process is the nurse in?
A nurse introduces themselves to a patient, states the purpose of the interview, and asks the patient for their preferred name. Which phase of the interview process is the nurse in?
- Working Phase
- Pre-interaction Phase
- Closing Phase
- Beginning Phase (correct)
What is the primary goal of asking open-ended questions during the working phase of a patient interview?
What is the primary goal of asking open-ended questions during the working phase of a patient interview?
- To encourage the patient to provide detailed information in their own words. (correct)
- To quickly identify if the patient has a family history of heart disease.
- To obtain specific 'yes' or 'no' answers for quick data collection.
- To limit the patient's response and maintain control of the interview.
Which action exemplifies summarizing during the closing phase of a patient interview?
Which action exemplifies summarizing during the closing phase of a patient interview?
Which element is most important when establishing a 'suitable interview environment'?
Which element is most important when establishing a 'suitable interview environment'?
A nurse is conducting a health history interview. What is the primary reason for ensuring smooth transitions between questions?
A nurse is conducting a health history interview. What is the primary reason for ensuring smooth transitions between questions?
Why is 'therapeutic communication' crucial during health history taking?
Why is 'therapeutic communication' crucial during health history taking?
A patient is visibly upset while describing a recent diagnosis. Which response demonstrates empathy?
A patient is visibly upset while describing a recent diagnosis. Which response demonstrates empathy?
What is the purpose of 'summarizing' a patient's statements during a therapeutic conversation?
What is the purpose of 'summarizing' a patient's statements during a therapeutic conversation?
When asking questions during a patient interview, what should a nurse primarily aim to do?
When asking questions during a patient interview, what should a nurse primarily aim to do?
What is the most important consideration when using nonverbal communication during a patient interview?
What is the most important consideration when using nonverbal communication during a patient interview?
In the context of health history, what constitutes 'subjective data'?
In the context of health history, what constitutes 'subjective data'?
A patient is the primary source of data; who would be considered a secondary source?
A patient is the primary source of data; who would be considered a secondary source?
Which is the best question to ask regarding a 'reason for seeking care'?
Which is the best question to ask regarding a 'reason for seeking care'?
A nurse is preparing to interview a new patient. What is the primary reason for reviewing the patient's medical record before the interview?
A nurse is preparing to interview a new patient. What is the primary reason for reviewing the patient's medical record before the interview?
During the beginning phase of an interview, a patient seems anxious. Which initial action is most appropriate for the nurse?
During the beginning phase of an interview, a patient seems anxious. Which initial action is most appropriate for the nurse?
Which question demonstrates the best use of open-ended questioning to explore a patient's health practices?
Which question demonstrates the best use of open-ended questioning to explore a patient's health practices?
A nurse is summarizing the key points discussed during a health history interview. Why is this crucial to do?
A nurse is summarizing the key points discussed during a health history interview. Why is this crucial to do?
When ensuring a suitable interview environment, what is the importance of considering 'privacy'?
When ensuring a suitable interview environment, what is the importance of considering 'privacy'?
During a health history interview, a nurse makes a transition from asking about allergies to current medications. What is the primary goal of ensuring 'smooth transitions' between these topics?
During a health history interview, a nurse makes a transition from asking about allergies to current medications. What is the primary goal of ensuring 'smooth transitions' between these topics?
A patient states, 'I'm just feeling overwhelmed and stressed.' Which of the following responses best demonstrates empathy?
A patient states, 'I'm just feeling overwhelmed and stressed.' Which of the following responses best demonstrates empathy?
A nurse observes that a patient is wringing their hands and avoiding eye contact. What does this primarily highlight the importance of?
A nurse observes that a patient is wringing their hands and avoiding eye contact. What does this primarily highlight the importance of?
During a health history, a patient reports experiencing chronic pain. Which question would be most effective in gathering subjective data about the pain?
During a health history, a patient reports experiencing chronic pain. Which question would be most effective in gathering subjective data about the pain?
In assessing a patient's past health history, why is it important to ask about childhood illnesses, even if they seem inconsequential?
In assessing a patient's past health history, why is it important to ask about childhood illnesses, even if they seem inconsequential?
Flashcards
Pre-interaction phase
Pre-interaction phase
Gathering information about the patient before meeting them.
Beginning Phase
Beginning Phase
The nurse introduces themselves and states the purpose of the interview.
Privacy during interview
Privacy during interview
Ensuring the patient's privacy is maintained during the interview.
Working Phase
Working Phase
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Closed-ended questions
Closed-ended questions
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Open-ended questions
Open-ended questions
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Closing Phase
Closing Phase
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Active listening
Active listening
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Encouraging elaboration
Encouraging elaboration
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Empathy
Empathy
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Review of Systems
Review of Systems
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Primary Data Source
Primary Data Source
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Secondary Data Sources
Secondary Data Sources
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Demographical Data
Demographical Data
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Reason for Seeking Care
Reason for Seeking Care
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History of Present Illness
History of Present Illness
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Past Health History
Past Health History
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Current Medications
Current Medications
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Family History
Family History
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Functional Health Assessment
Functional Health Assessment
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Review of Systems
Review of Systems
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Sample cardiovascular question
Sample cardiovascular question
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Therapeutic communication
Therapeutic communication
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Study Notes
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İstinye University was founded in 2015 by the 21st Century Anadolu Foundation
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It is supported by the 25-year knowledge and experience of the MLPCare Group, which includes "Liv Hospital," "Medical Park," and "VM Medical Park"
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Istinye aims to be among Turkey's and the world's distinguished universities
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Istinye provides a learning and advancement environment that encompasses technology and art
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Istinye focuses on science and research, aiming to expand the boundaries of science
Phases of the Interview Process
- There are 4 phases in this process
- Pre-interaction
- Beginning
- Working
- Closing
Pre-interaction Phase
- Collect data from the medical record and reviews the patient’s history before meeting them
- Review medical illnesses, any surgeries, current medication list, and problem list
Beginning Phase
- Introduce yourself name
- State the purpose of the interview
- Ask for the patient's preferred name
- Discussions of neutral topics may be used if the patient seems anxious
- Ensure privacy by pulling drapes or closing doors
- Considering confidentiality guidelines is essential before proceeding
Working Phase
- Ask specific questions, each having a purpose to elicit appropriate responses
- Closed-ended questions require "yes" or "no" answers
- For example, "Do you have a family history of heart disease?" is closed-ended
- Open-ended questions are broad and provide responses in the patient's own words
- Open-ended questions are key to understanding symptoms, health practices, and areas requiring intervention
- Examples of open-ended questions
- "What is the reason to continue using cigarette?"
- "What do you think about your … problems?"
Closing Phase
- Summarize what the interview was about to end it
- State the two to three most important patterns or problems
- Ask patients to mention anything else if necessary
- Thank patients and family members for their time and information
Interview Process Summary
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The amount of time you spend
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Suitable interview environment
- Privacy
- Seating arrangement
- Lighting
- Temperature of the room
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Introduce yourself
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Explain the purpose of the interview
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Good communication
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Obtain accurate and sufficient health story
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Keep Records after the interview, if possible
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Establishing trust with patients during history taking and interviewing is very important
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Both the patient and the nurse work together in a therapeutic communication, for collaborative solutions
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Conversation should become more comfortable as interviewing skills develop and refine, with smooth transitions between questions
Therapeutic Communication Techniques
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A technique that makes it easier for the individual to share their feelings and thoughts
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This keeps communication open
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Active listening focuses on patients and their perspectives
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Facilitating elaboration assists patients to more describe their problems completely
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Responses can encourage patients to say more, continue the conversation, and show patients that the nurse is interested
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Empathy shows the ability to perceive understanding of another person’s feelings without criticism
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See and feel the situation from the patient’s perspective, not the nurse’s
Therapeutic Communication Techniques
- Facilitation - support
- Silence
- Confirmation
- Clarification
- Explanation
Question Types
- Two Types
- Open-ended questions
- Closed-ended questions
- Questions must be understandable being asked
- Clarify the situation
- Include details
- Should not be intended to satisfy curiosity
- Ask one question at a time
- The answer to the a question should not be in it
General Principles of Story Taking
- Start with open ended questions
- Ask specific questions to help diagnosis
- Take your time
- Asking the patient 'What else you got for me?'
- Show your interest with body language
General Tips for Story Taking
- Show gestures to express yourself to them
- Give the patient chances to express themselves, don't interject
- If a break happens, briefly summarize what was said
- Extract, and document any and all complaints that might be of concern
- Clarify events, ask questions to remind the patient
General Principles of Story Telling
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"You look sad, I understand that, it's annoying..." Try using something empathetic, it will go a long way
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If there is anything else they have not mentioned, document it
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Communicate that all of their problems will be heard and addressed
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Not just addressed, but fully taken care of
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The tone of voice, facial expressions, body posture conveys the real underlying message
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During communication
- Facial expressions and tone of voice is %93
- The words themselves are %7
Health Story Data Collection
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Collect subjective data
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Health history for therapeutic communication
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Review the details of the collected health story for future reference
- The sources
- The components
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The Patient is the source for primary data
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Family charts count for secondary data
Components List
- Demographical Data
- Reason for Seeking Care
- Hstory of Present Illness
- Past Health history
- Current Medications and indications
- Family History
- Functional Assessment
- Review of systems
Demographical Data
- Name, age, gender
- Education Status
- Address, employment, and insurance details
The patients reason for seeking care
- Document the reason for seeking care
- Note it in the patients own words
History of Present Illness
- The nurse begins with open-ended questions to learn about symptoms
- Describe the present illness, its something that is essential in the process
- How would the patient describe all the illness and symptoms
- Patients have to be honest and open if its more precise
Past Health History
- Patients need to mention previous health history to give insight to a history or pattern that might be impacting their condition
- Look to their past for insight into conditions and potential solutions
- Some are chronic
Current Medical and Indication Status
- Be mindful of current medical and indication status
- Medication, dose, and purpose
- Be attentive to how the patient is doing and any allergies, to prevent an adverse reaction
- Note any swelling any allergic response
Family History
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The health of parents, siblings affects future conditions
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High blood pressure, cancer, diabetes, mental illness all have to be taken into consideration
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Focus on the effects of health or illness on the quality of life
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Assess the strengths of patients as well as areas needing improvement
Functional Health Patterns
- Health patterns, especially important to nursing, focus on effects of health and well-being. This is important to nursing
- Health perception/health management
- Nu8triotion/metabolic
- Elimination
- Activity/exercise
- Sleep/rest
- Self care
- Sexuality
- Coping
- Values
Additional Questions
How was your general health? What makes you healthy?
Bowel or bladder habits?
Questions List
- Cognition and perception
- Sleep and rest
- Focus on body image
- Relationship
- What's important to you
System Review list
- The review of systems is a set of questions about body systems;
- Helps reveal any problems
- Ask questions about each part of body, before physical
- Review any systems to determine function
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