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 (D)</p> Signup and view all the answers

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

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

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

<p>Open-ended question (D)</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 (A)</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 (C)</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 (C)</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 (D)</p> Signup and view all the answers

What is a problem with leading questions?

<p>They can result in inaccurate data (D)</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 (B)</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 (B)</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 (A)</p> Signup and view all the answers

What is an example of an open-ended question?

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

Which conceptual model/framework focuses on self-care?

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

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

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

What is the primary goal of an interview?

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

What does the Elimination pattern describe?

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

What does the Activity Diary/Recall assess?

<p>The patient's activity level and exercise program (B)</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 (A)</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 (C)</p> Signup and view all the answers

What is assessed in the Abdominal assessment?

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

What does the Diet Recall assess?

<p>The patient's diet and nutrition (C)</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 (A)</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 (D)</p> Signup and view all the answers

What should the nurse avoid doing during an interview?

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

Flashcards

Directive Interview

Nurse controls the interview; client mainly answers questions.

Non-Directive Interview

Client controls the topic and pace, nurse focuses on rapport.

Closed Questions

Require short, factual answers (e.g., who, what, when).

Open-Ended Questions

Invite the client to elaborate and explore feelings (e.g., how or what).

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Neutral Questions

Permit the client to answer freely without pressure.

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Leading Questions

Direct the client's answer, potentially leading to inaccurate responses.

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Best Interview Time

When the client is comfortable, pain-free, and unlikely to be interrupted.

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Ideal Interview Setting

Well-lit, private, with minimal distractions.

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Optimal Seating Arrangement

Sitting at a 45-degree angle, avoid standing over the client.

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Effective Interview Communication

Full attention, clear speech, and adaptive language.

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Closing Interview Techniques

Summarize concerns and outline future plans.

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Organizing Assessment Data

Systematic arrangement of assessment information.

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Conceptual Models

Frameworks such as Gordon's, Orem's, or Roy's.

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Health Perception & Management

Focuses on the client's perceived health and adherence to medical advice.

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Nutritional-Metabolic Pattern

Describes food and fluid intake relative to metabolic need.

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Elimination Pattern

Describes bowel, bladder, and skin function.

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Activity-Exercise Pattern

Physical activity, exercise, leisure.

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Cognitive-Perceptual Pattern

Includes cognitive, sensory-perceptual, communication.

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Diet recall

Record of what was eaten.

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Activity Diaries

Record movement & routines.

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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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