Patient Interview Process Overview
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Questions and Answers

What is one purpose of the patient interview process?

  • To complete the medical history form
  • To administer medication
  • To establish rapport and trust (correct)
  • To perform a physical examination
  • The working phase of the patient interview involves summarizing the information gathered.

    False (B)

    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.

    <p>introductory</p> Signup and view all the answers

    Match the phases of the patient interview with their key activities:

    <p>Introductory = Summarizing and planning Working = Gathering information and cues Summary and Closure = Building rapport and explaining interview purpose</p> Signup and view all the answers

    Which of the following is NOT a common cardiopulmonary symptom?

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

    Present health history includes details about past health issues.

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

    What are the two main types of health history considered in patient assessments?

    <p>Present health history and past health history</p> Signup and view all the answers

    The _______ history includes details about childhood diseases, immunizations, and past surgeries.

    <p>past health</p> Signup and view all the answers

    Match the following components of health history with their descriptions:

    <p>Onset = When did the symptom begin? Severity = How bad is the symptom? Duration = How long does the symptom last? Associated factors = What other symptoms occur with it?</p> Signup and view all the answers

    What is a characteristic of open-ended questions?

    <p>They encourage clients to explore thoughts or feelings. (B)</p> Signup and view all the answers

    Proxemics refers to the study of personal space in communication.

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

    What is the primary purpose of therapeutic communication?

    <p>To enhance the patient's emotional and psychological well-being.</p> Signup and view all the answers

    ____ questions are useful for obtaining specific information.

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

    Match the types of communication with their descriptions:

    <p>Listening = Actively paying attention to what the client communicates Rephrasing = Restating the client's thoughts in similar words Clarity = Making broad messages more understandable Broad Opening Statements = Encouraging continued verbalization from the client</p> Signup and view all the answers

    In therapeutic communication, what is the role of leading questions?

    <p>To direct the client's answer towards a specific response. (B)</p> Signup and view all the answers

    Close-ended questions can be phrased to require long, elaborate responses.

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

    Which shape represents a male in a genogram?

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

    What is one benefit of using broad opening statements in a client interview?

    <p>They allow clients to direct the conversation and feel more in control.</p> Signup and view all the answers

    A genogram includes only direct relatives of the patient.

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

    What term is used to describe the patient in a genogram?

    <p>proband or index patient</p> Signup and view all the answers

    ___ helps identify diseases with a genetic or familial pattern.

    <p>Family health history</p> Signup and view all the answers

    What is one important aspect of non-verbal communication?

    <p>Maintaining professional distance when uncomfortable (B)</p> Signup and view all the answers

    Match the following psychosocial data aspects with their corresponding questions:

    <p>Nutritional habits = What do you eat on a regular basis? Sleep and rest = How many hours do you usually sleep at night? Substance use = How much alcohol do you consume weekly? Self-concept = What strengths do you believe you have?</p> Signup and view all the answers

    Non-verbal communication does not include appearance.

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

    What does proxemics study?

    <p>The distance between people in their interactions.</p> Signup and view all the answers

    A professional demeanor should avoid __________ or being overwhelmingly friendly.

    <p>being too touchy</p> Signup and view all the answers

    Which of these behaviors should be avoided in non-verbal communication?

    <p>Yelling with a coworker (C)</p> Signup and view all the answers

    Match the following non-verbal communication aspects with their descriptions:

    <p>Appearance = Professionally presenting oneself Demeanor = Maintaining composure and distance Facial Expression = Reflecting true thoughts Silence = Facilitating reflection and organization of thoughts</p> Signup and view all the answers

    Excessive eye contact is encouraged in non-verbal communication.

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

    What should you aim for when entering a room for a client interaction?

    <p>Composure.</p> Signup and view all the answers

    Elderly patients generally feel less vulnerable and scared compared to younger patients.

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

    What should a health worker do when a patient is feeling angry?

    <p>Be reassuring and adopt a calm manner while allowing the patient to ventilate feelings.</p> Signup and view all the answers

    ____ serves as the groundwork for identifying problems in patient care.

    <p>Health History</p> Signup and view all the answers

    Match the patient emotional state with the appropriate response:

    <p>Anxious = Facilitate personal space Angry = Allow patient to ventilate feelings Depressed = Simple and organized information Manipulative = Structure and set limits</p> Signup and view all the answers

    Which of the following is NOT a component of Health History?

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

    Cultural considerations may affect a patient's willingness to express emotional distress.

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

    What type of information is included in Biographical Data?

    <p>Name, address, phone number, gender, birthdate, and ethnicity.</p> Signup and view all the answers

    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.

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