Podcast
Questions and Answers
What is one purpose of the patient interview process?
What is one purpose of the patient interview process?
The working phase of the patient interview involves summarizing the information gathered.
The working phase of the patient interview involves summarizing the information gathered.
False (B)
Name one type of communication used in the patient interview.
Name one type of communication used in the patient interview.
Non-verbal communication
During the _____ phase, the purpose of the interview and confidentiality are explained.
During the _____ phase, the purpose of the interview and confidentiality are explained.
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Match the phases of the patient interview with their key activities:
Match the phases of the patient interview with their key activities:
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Which of the following is NOT a common cardiopulmonary symptom?
Which of the following is NOT a common cardiopulmonary symptom?
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Present health history includes details about past health issues.
Present health history includes details about past health issues.
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What are the two main types of health history considered in patient assessments?
What are the two main types of health history considered in patient assessments?
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The _______ history includes details about childhood diseases, immunizations, and past surgeries.
The _______ history includes details about childhood diseases, immunizations, and past surgeries.
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Match the following components of health history with their descriptions:
Match the following components of health history with their descriptions:
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What is a characteristic of open-ended questions?
What is a characteristic of open-ended questions?
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Proxemics refers to the study of personal space in communication.
Proxemics refers to the study of personal space in communication.
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What is the primary purpose of therapeutic communication?
What is the primary purpose of therapeutic communication?
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____ questions are useful for obtaining specific information.
____ questions are useful for obtaining specific information.
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Match the types of communication with their descriptions:
Match the types of communication with their descriptions:
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In therapeutic communication, what is the role of leading questions?
In therapeutic communication, what is the role of leading questions?
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Close-ended questions can be phrased to require long, elaborate responses.
Close-ended questions can be phrased to require long, elaborate responses.
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Which shape represents a male in a genogram?
Which shape represents a male in a genogram?
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What is one benefit of using broad opening statements in a client interview?
What is one benefit of using broad opening statements in a client interview?
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A genogram includes only direct relatives of the patient.
A genogram includes only direct relatives of the patient.
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What term is used to describe the patient in a genogram?
What term is used to describe the patient in a genogram?
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___ helps identify diseases with a genetic or familial pattern.
___ helps identify diseases with a genetic or familial pattern.
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What is one important aspect of non-verbal communication?
What is one important aspect of non-verbal communication?
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Match the following psychosocial data aspects with their corresponding questions:
Match the following psychosocial data aspects with their corresponding questions:
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Non-verbal communication does not include appearance.
Non-verbal communication does not include appearance.
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What does proxemics study?
What does proxemics study?
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A professional demeanor should avoid __________ or being overwhelmingly friendly.
A professional demeanor should avoid __________ or being overwhelmingly friendly.
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Which of these behaviors should be avoided in non-verbal communication?
Which of these behaviors should be avoided in non-verbal communication?
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Match the following non-verbal communication aspects with their descriptions:
Match the following non-verbal communication aspects with their descriptions:
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Excessive eye contact is encouraged in non-verbal communication.
Excessive eye contact is encouraged in non-verbal communication.
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What should you aim for when entering a room for a client interaction?
What should you aim for when entering a room for a client interaction?
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Elderly patients generally feel less vulnerable and scared compared to younger patients.
Elderly patients generally feel less vulnerable and scared compared to younger patients.
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What should a health worker do when a patient is feeling angry?
What should a health worker do when a patient is feeling angry?
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____ serves as the groundwork for identifying problems in patient care.
____ serves as the groundwork for identifying problems in patient care.
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Match the patient emotional state with the appropriate response:
Match the patient emotional state with the appropriate response:
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Which of the following is NOT a component of Health History?
Which of the following is NOT a component of Health History?
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Cultural considerations may affect a patient's willingness to express emotional distress.
Cultural considerations may affect a patient's willingness to express emotional distress.
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What type of information is included in Biographical Data?
What type of information is included in Biographical Data?
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Study Notes
RT 108: Physical Assessment and Electrocardiography
- The course covers physical assessment and electrocardiography.
- The content focuses on data collection, specifically the patient interview.
Data Collection
- The patient interview is a communication process focused on building rapport and trust.
- This process elicits accurate and meaningful information, vital for a holistic assessment.
- Information gathered during the interview should aim to identify deviations or issues addressable through independent or collaborative interventions.
- The interview seeks information about developmental, psychological, physiological, sociocultural, and spiritual aspects.
The Patient Interview
- The interview has three key phases: introductory, working, and summary/closure.
Introductory Phase
- Introducing oneself to the client is a key initial step.
- Clearly stating the purpose of the interview helps set expectations.
- Discussing potential questions that could arise in the interview is important for preparing both parties.
- Explaining the reason for note-taking is essential.
- Ensuring confidentiality and privacy must be established early on.
Working Phase
- Gathering comments and biographical data is crucial.
- Reasons for seeking care and presenting health concerns are essential aspects.
- Listening and observing for cues, as well as collaboration between both parties, are crucial during the working phase.
- The healthcare professional should actively listen and attempt to understand patient concerns.
Summary and Closure Phase
- Summarizing the information gathered helps ensure accurate understanding.
- Identifying possible plans for resolving the patient's issues and having these plans discussed.
- Encouraging clarification about the information shared facilitates proper understanding.
Types of Communication
- Verbal and nonverbal communication are part of the patient encounter.
- Nonverbal communication factors include appearance, demeanor, facial expressions, attitude, and more.
- Professional appearance and composure upon entering the room are important.
- Maintaining professional distance when necessary rather than being overly friendly is crucial.
- Communication strategies should be utilized during the interview.
- Body language and tone should be observed for proper cues.
Non-verbal Communication
- Facial expression, attitude, and demeanor are all significant aspects of nonverbal communication.
- A non-judgmental (attuned) attitude is important for building trust.
- Avoiding imposing personal ethics/morality is vital.
- Proper use of communication strategies is essential to accurately and empathetically collect information.
Non-verbal Hindrances to Communication
- Excessive or insufficient eye contact, distractions, and physical distancing can hinder effective communication.
- Physical distance further than 2-3 feet may affect rapport and trust.
- Excessive or insufficient eye contact must be avoided.
- Distractions can impede the interview process.
Proxemics
- Proxemics is the study of the distance between people during interactions.
- Intimate, personal, social, and public distances are part of this concept.
- The distance between the healthcare worker and patient is important for fostering a trusting therapeutic environment.
Non-Verbal Hindrances to Communication: Standing
- Maintaining differing levels or positions may create a perception of hierarchy that negatively impacts patient trust.
- It's essential for the healthcare provider to adopt a partner-like role to avoid such perceptions.
Verbal Communication
- Open-ended questions are critical for eliciting feelings and perceptions.
- These questions require responses beyond a single word, encouraging deeper responses and expressions of emotions.
- Closed-ended questions, however, are useful for gaining specific details or facts.
- Using both closed-ended and open-ended questions as needed helps healthcare workers collect all necessary information.
Interview Questions
- Closed or close-ended questions limit responses while open-ended encourage patient expression and exploration.
- There are different styles of questions with varying levels of direction, neutral questions provide no preconceived notions or pressures, while leading questions bias the client's answers.
Therapeutic Communication
- This section details different communication techniques.
- Techniques help build rapport and trust.
- Techniques center on active listening, which involves using all senses to gather information and responses from a patient.
Gerontologic Considerations
- Aging affects body systems, often slowing hearing and visual acuity.
- Physically slower patients may respond better to slower speech and a more patient approach.
- Elderly patients might need a more patient method of gathering history and have more issues than younger patients.
- Healthcare providers need to factor in possible emotional distress and concerns or fear about being seen as vulnerable.
Cultural Considerations
- Cultural variations influence emotional expressiveness and willingness to share personal information.
- Healthcare workers need to respect cultural background to create the best healing environment and understand a patient's needs.
- Ability to obtain a health history may be impacted by culture.
- Individual communication variations need careful consideration.
Emotional Variations and Responses
- Patients may exhibit varying emotional responses, requiring appropriate responses from healthcare providers.
- Techniques for handling emotional responses, such as anxiety, anger, depression, and manipulation, should also be applied.
- Healthcare professionals should be sensitive to possible concerns.
Collection of Data
- Gathering of data involves information-gathering methods that encompass the collection of various forms of data. This information is vital to properly assess the patient.
Health History
- A health history serves as the foundation for identifying and addressing patient concerns.
- It provides important background information needed for the physical examination stage.
Health History Components
- The health record must include biographical data, chief complaints, present health history, past health history, family history, and more.
- Psychosocial history includes data on activities, relationships, values, and strengths.
Biographical Data
- Essential components include personal information from the patient such as identification data, birthdate, address, gender, marital status, ethnicity, occupation, etc.
Chief Complaint
- What is the patient's concern or health issue, and the patient's feelings toward healthcare?
Common Cardiopulmonary Symptoms
- Symptoms such as chest pain, shortness of breath, cough, epigastric pain, and wheezing need identification and observation.
Present Health History
- Detailed history of recent, current, or ongoing health concerns, symptoms, treatments, precipitating factors, expectations, and how the issue developed
Past Health History
- Information is collected related to the client's past, noting significant events from birth, growth, and development through present illness, focusing on potential strengths and weaknesses.
- The intent is to establish any relevant trends or risk factors, potentially including illnesses, immunizations, surgeries, pregnancies, or related occurrences.
Family Health History
- Include as many blood relatives as possible to identify any genetic or familial patterns of diseases.
- Using a genogram tool can visualize family relationships and health history
- Standard formats for males (squares) and females (circles) as part of the genogram.
Psychosocial Data
- Information on human responses to different stressors of situations, and daily activities like sleep and food.
- Identifying habits like eating and exercise patterns, which are vital for overall health.
- Important questions cover social and community activities, relationships, values, belief systems, and things that give hope and strength.
- Understanding their coping style/methods, stress level, and environment is essential to understand the patient fully.
Review of Systems
- Review of systems involves a series of focused questions addressing various bodily systems for identifying current issues that may affect the present condition or might be recurring.
- The intent is to get a detailed description of the patient's current health status.
Review of Systems (continued)
- This page provides detail regarding a comprehensive review of systems, including specific examples regarding various body systems (General, skin, HEENT, etc).
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Description
This quiz explores the important aspects of the patient interview process, including its phases, types of communication, and components of health history. Participants will be challenged to match key activities with their respective interview phases and identify characteristics of effective questions.