Nursing Directive Interview Method
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Questions and Answers

In a directive interview, who controls the purpose of the interview?

  • Neither the client nor the nurse
  • The nurse (correct)
  • Both the client and the nurse
  • The client

    • What type of interview is used in emergency situations when time is limited?

  • Open-ended interview
  • Nondirective interview
  • Directive interview (correct)
  • Rapport-building interview

    • What is the primary goal of a nondirective interview?

  • To build rapport with the client (correct)
  • To provide education to the client
  • To control the direction of the interview
  • To gather specific information

    • What type of question requires only a 'yes' or 'no' answer?

    <p>Closed question</p> Signup and view all the answers

    What is the purpose of a closed question in an interview?

    <p>To gather specific information quickly</p> Signup and view all the answers

    What type of question invites clients to explore their thoughts or feelings?

    <p>Open-ended question</p> Signup and view all the answers

    In what type of interview is the nurse likely to use both open-ended and closed questions?

    <p>Combination of directive and nondirective approaches</p> Signup and view all the answers

    Why are closed questions often used with highly stressed individuals?

    <p>Because they are easier for the individual to answer</p> Signup and view all the answers

    What is the main purpose of open-ended questions in an interview?

    <p>To elicit attitudes and feelings</p> Signup and view all the answers

    What is a characteristic of a neutral question?

    <p>It is open-ended and used in nondirective interviews</p> Signup and view all the answers

    What is a problem with leading questions?

    <p>They can result in inaccurate data</p> Signup and view all the answers

    When should nurses plan interviews with clients?

    <p>When the client is physically comfortable and free of pain</p> Signup and view all the answers

    What is important to consider when selecting a place for an interview?

    <p>The room should be well-ventilated and free of noise</p> Signup and view all the answers

    Why is it important for nurses to be mindful of their seating arrangement during an interview?

    <p>To avoid intimidating the client</p> Signup and view all the answers

    What is an example of an open-ended question?

    <p>How do you feel about that?</p> Signup and view all the answers

    Why is it important for nurses to schedule interviews with clients in their homes?

    <p>At a time selected by the client</p> Signup and view all the answers

    What is the primary concern of the client in the given scenario?

    <p>Fear of heart attack due to family history</p> Signup and view all the answers

    Which of the following is NOT a guideline for effective communication during an interview?

    <p>Ask multiple questions at once</p> Signup and view all the answers

    What is the purpose of using a nursing health history or nursing assessment form?

    <p>To organize assessment data systematically</p> Signup and view all the answers

    Which conceptual model/framework focuses on self-care?

    <p>Orem's self-care model</p> Signup and view all the answers

    What is the purpose of using eye contact during an interview?

    <p>To convey respect and concern</p> Signup and view all the answers

    What is the benefit of using silence during an interview?

    <p>To help the client search for more thoughts or organize them</p> Signup and view all the answers

    What is the primary goal of an interview?

    <p>To understand the client's perspective</p> Signup and view all the answers

    Which functional health pattern is focused on the client's ability to perceive and manage their health?

    <p>Health perception and management</p> Signup and view all the answers

    What does the Elimination pattern describe?

    <p>The pattern of excretory function</p> Signup and view all the answers

    What is the purpose of examining excretions or drainage?

    <p>To describe the characteristics, color, and consistency of excretions or drainage</p> Signup and view all the answers

    Which of the following is an example of objective data in the Activity/Exercise pattern?

    <p>Demonstrating ability to walk</p> Signup and view all the answers

    What does the Activity Diary/Recall assess?

    <p>The patient's activity level and exercise program</p> Signup and view all the answers

    What is assessed in the Sleep/Rest pattern?

    <p>The patient's patterns of sleep, rest, and relaxation</p> Signup and view all the answers

    What is the purpose of determining the patient's exercise pattern?

    <p>To determine the patient's ability to perform daily activities</p> Signup and view all the answers

    What is assessed in the Abdominal assessment?

    <p>The patient's abdominal characteristics</p> Signup and view all the answers

    What does the Diet Recall assess?

    <p>The patient's diet and nutrition</p> Signup and view all the answers

    What is the primary goal of the communication techniques used by the nurse during an interview?

    <p>To make the client feel comfortable and facilitate the purpose of the interview</p> Signup and view all the answers

    Why is it important to ask only one question at a time during an interview?

    <p>To allow the client to provide a more detailed and thoughtful response</p> Signup and view all the answers

    What should the nurse avoid doing during an interview?

    <p>Imposing their own values on the client</p> Signup and view all the answers

    Why is it important to acknowledge the client's right to their own perspective during an interview?

    <p>To show respect and understanding for the client's point of view</p> Signup and view all the answers

    What is the primary purpose of the closing phase of an interview?

    <p>To maintain rapport and trust, and facilitate future interactions</p> Signup and view all the answers

    What should the nurse do if the client decides to terminate the interview?

    <p>Respect the client's decision and end the interview</p> Signup and view all the answers

    What is the benefit of using silence during an interview?

    <p>It gives the client time to search for more thoughts or organize their ideas</p> Signup and view all the answers

    Why is it important for the nurse to be aware of their own body language during an interview?

    <p>To convey respect, concern, and interest to the client</p> Signup and view all the answers

    Study Notes

    Types of Interviews

    • Directive interview: nurse controls the interview, client responds to questions, and may have limited opportunity to ask questions or discuss concerns.
    • Non-directive interview: nurse allows the client to control the purpose, subject matter, and pacing, and focuses on building rapport.

    Types of Interview Questions

    • Closed questions: used in directive interviews, restrictive, and require short factual answers, often beginning with "when", "where", "who", "what", "do", or "is".
    • Open-ended questions: used in non-directive interviews, invite clients to explore, elaborate, or clarify their thoughts or feelings, and may begin with "what" or "how".
    • Neutral questions: open-ended, used in non-directive interviews, and allow clients to answer without direction or pressure.
    • Leading questions: usually closed, used in directive interviews, and direct the client's answer, potentially leading to inaccurate responses.

    Planning the Interview and Setting

    • Time: plan interviews when the client is physically comfortable, free of pain, and minimally interrupted.
    • Place: choose a well-lighted, well-ventilated room with minimal distractions, and ensure privacy.
    • Seating arrangement: sit at a 45-degree angle to the client's bed, and avoid standing or looking down at the client.

    Communication During an Interview

    • Listen attentively, using all senses, and speak slowly and clearly.
    • Use language the client understands, and clarify points that are not understood.
    • Plan questions to follow a logical sequence, and ask only one question at a time.
    • Acknowledge the client's perspective, and avoid imposing personal values.
    • Nonverbally convey respect, concern, interest, and acceptance.
    • Be aware of body language and voice inflection, tone, and affect.
    • Use and accept silence to help the client gather thoughts.

    The Closing

    • Terminate the interview when necessary information is obtained.
    • Use techniques to close the interview, such as summarizing the client's concerns and plans for future discussions.

    Organizing Data

    • Use a written or electronic format to organize assessment data systematically.
    • Modify the format according to the client's physical status, such as using a musculoskeletal-focused format for orthopedic clients.

    Conceptual Models/Frameworks

    • Examples include Gordon's functional health pattern framework, Orem's self-care model, and Roy's adaptation model.

    Gordon's 11 Functional Health Patterns

    • Health perception and management
    • Nutritional and metabolic
    • Elimination
    • Activity and exercise
    • Cognition and perception
    • Examples of assessment tools include diet recall and activity diaries.

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    Description

    This quiz covers the directive interview method used by nurses to gather and provide information, especially in time-sensitive situations.

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