Podcast
Questions and Answers
[Blank] questioning is a skilled interviewing technique that adjusts the style of questioning to suit the patient's needs and responses.
[Blank] questioning is a skilled interviewing technique that adjusts the style of questioning to suit the patient's needs and responses.
Adaptive
When a patient expresses distress, providing ______ involves acknowledging their feelings and showing understanding, which can help build trust.
When a patient expresses distress, providing ______ involves acknowledging their feelings and showing understanding, which can help build trust.
empathic responses
[Blank] in the context of healthcare, refers to the approach of caring for the patient's physical, psychological, emotional, and spiritual needs.
[Blank] in the context of healthcare, refers to the approach of caring for the patient's physical, psychological, emotional, and spiritual needs.
Holistic care
The concept of ______ acknowledges that cultural beliefs and practices are not static but evolve over time.
The concept of ______ acknowledges that cultural beliefs and practices are not static but evolve over time.
A(n) ______ is a group of people within a larger culture who share distinct values, beliefs, or behaviors that set them apart.
A(n) ______ is a group of people within a larger culture who share distinct values, beliefs, or behaviors that set them apart.
A clinician's goal for a patient interview might range from completing forms for insurance to testing a(n) ______ generated by reviewing the patients chart.
A clinician's goal for a patient interview might range from completing forms for insurance to testing a(n) ______ generated by reviewing the patients chart.
The phase of the interview concerned with laying the groundwork for an ongoing relationship with the patient is the ______ phase.
The phase of the interview concerned with laying the groundwork for an ongoing relationship with the patient is the ______ phase.
A student nurse's primary goal for conducting a health history interview might be to gather complete information to create a(n) ______.
A student nurse's primary goal for conducting a health history interview might be to gather complete information to create a(n) ______.
To improve the environment, one should consider moving to an empty room rather than a(n) ______.
To improve the environment, one should consider moving to an empty room rather than a(n) ______.
During the introductory phase, it is important to greet the patient by ______ to establish rapport.
During the introductory phase, it is important to greet the patient by ______ to establish rapport.
[Blank] is a continual part of professional development in clinical work and brings a deepening personal awareness to our work with patients.
[Blank] is a continual part of professional development in clinical work and brings a deepening personal awareness to our work with patients.
When first meeting, a healthcare professional should also ______ themselves and explain their role to the patient.
When first meeting, a healthcare professional should also ______ themselves and explain their role to the patient.
A healthcare provider's ______, gestures, and eye contact send messages to the patient, influencing the interaction.
A healthcare provider's ______, gestures, and eye contact send messages to the patient, influencing the interaction.
During the interview, after establishing rapport, you should pursue the patient's ______ for seeking healthcare.
During the interview, after establishing rapport, you should pursue the patient's ______ for seeking healthcare.
To encourage patients to express their concerns fully at the beginning, start with ______-ended questions.
To encourage patients to express their concerns fully at the beginning, start with ______-ended questions.
When establishing an agenda for the interview, it is important to identify all issues at the ______ to effectively use the time available.
When establishing an agenda for the interview, it is important to identify all issues at the ______ to effectively use the time available.
When facing a patient with multiple concerns, prioritizing can be achieved by asking, "Which problem is most ______?"
When facing a patient with multiple concerns, prioritizing can be achieved by asking, "Which problem is most ______?"
To fully understand a symptom, important characteristics include context, associations, and ______.
To fully understand a symptom, important characteristics include context, associations, and ______.
A key element in clarifying symptoms involves understanding the ______ in which they occur, like environmental factors or emotional reactions.
A key element in clarifying symptoms involves understanding the ______ in which they occur, like environmental factors or emotional reactions.
When assessing the severity of pain, it's useful to ask for a rating on a scale from 1 to ______.
When assessing the severity of pain, it's useful to ask for a rating on a scale from 1 to ______.
In the diagnostic process, clinicians begin to generate and test diagnostic ______ based on patient symptoms.
In the diagnostic process, clinicians begin to generate and test diagnostic ______ based on patient symptoms.
The exploration of a patient's perspective includes their thoughts, feelings, expectations, and the effect of the problem on their ______.
The exploration of a patient's perspective includes their thoughts, feelings, expectations, and the effect of the problem on their ______.
A complete picture of the patient's problem forms the basis for planning further evaluation and negotiating a ______ plan.
A complete picture of the patient's problem forms the basis for planning further evaluation and negotiating a ______ plan.
Before concluding an interview, provide the patient with notice that the end is approaching to allow for any final ______.
Before concluding an interview, provide the patient with notice that the end is approaching to allow for any final ______.
Maintaining ______ requires obtaining the patient’s permission before discussing their case or asking them about their history in front of family or visitors.
Maintaining ______ requires obtaining the patient’s permission before discussing their case or asking them about their history in front of family or visitors.
Using ______, clinicians begin to consider “what disease process might be the cause?”
Using ______, clinicians begin to consider “what disease process might be the cause?”
The Disease/Illness Distinction Model acknowledges the dual but very different perspectives of the clinician and the ______
The Disease/Illness Distinction Model acknowledges the dual but very different perspectives of the clinician and the ______
Before gathering papers/standing to leave the room, clinicians should say something like, "We need to stop now. Do you have any ______ about what we’ve covered?
Before gathering papers/standing to leave the room, clinicians should say something like, "We need to stop now. Do you have any ______ about what we’ve covered?
Flashcards
Self-Reflection
Self-Reflection
Reflecting on your performance as a health professional in clinical work.
Chart Review
Chart Review
Reviewing a client's medical history before meeting them.
Interview Goals
Interview Goals
Setting specific objectives/ clarifying goals for the patient interview ahead of time.
Clinician's Presentation
Clinician's Presentation
Signup and view all the flashcards
Ideal Interview Environment
Ideal Interview Environment
Signup and view all the flashcards
Note-Taking
Note-Taking
Signup and view all the flashcards
Pre-Introductory Phase
Pre-Introductory Phase
Signup and view all the flashcards
Introductory Phase
Introductory Phase
Signup and view all the flashcards
Active Listening
Active Listening
Signup and view all the flashcards
Adaptive Questioning
Adaptive Questioning
Signup and view all the flashcards
Nonverbal Communication
Nonverbal Communication
Signup and view all the flashcards
Facilitation
Facilitation
Signup and view all the flashcards
Subculture
Subculture
Signup and view all the flashcards
Visitor Introduction
Visitor Introduction
Signup and view all the flashcards
Inviting the Patient's Story
Inviting the Patient's Story
Signup and view all the flashcards
Establishing the Agenda
Establishing the Agenda
Signup and view all the flashcards
Clarifying Health History
Clarifying Health History
Signup and view all the flashcards
Seven Attributes of a Symptom
Seven Attributes of a Symptom
Signup and view all the flashcards
Patient's Perspective
Patient's Perspective
Signup and view all the flashcards
Negotiating a Plan
Negotiating a Plan
Signup and view all the flashcards
Planning for Follow-Up
Planning for Follow-Up
Signup and view all the flashcards
Chief Complaint (CC)
Chief Complaint (CC)
Signup and view all the flashcards
Open-Ended Questions
Open-Ended Questions
Signup and view all the flashcards
History of Present Illness (HPI)
History of Present Illness (HPI)
Signup and view all the flashcards
Diagnostic Hypotheses
Diagnostic Hypotheses
Signup and view all the flashcards
Disease/Illness Distinction Model
Disease/Illness Distinction Model
Signup and view all the flashcards
Setting (in Symptom Analysis)
Setting (in Symptom Analysis)
Signup and view all the flashcards
Remitting/Exacerbating Factors
Remitting/Exacerbating Factors
Signup and view all the flashcards
Study Notes
- Clinical work fosters continual professional development and enhances personal awareness in patient care.
Getting Ready for the Interview
- Chart review should occur before seeing the client to gather information and determine exploration areas.
- Goal setting is essential prior to the interview to clarify objectives.
- Student nurses aim to collect a complete health history for care plan submission.
- Clinicians may need to complete forms or test hypotheses based on chart review.
Clinician Behavior and Appearance
- Patient attentively watches; clinicians consciously manage verbal/nonverbal cues.
- Posture, gestures, eye contact, and tone of voice can convey interest and understanding.
Improving the Environment
- Private and comfortable settings enhance communication.
- Suggest moving to an empty room or ask permission to close privacy curtains.
Taking Notes
- Novices should take detailed notes.
- Experienced clinicians remember much without notes, but no one can recall all details of a comprehensive history.
Learning About the Patient
- Interviewing process involves a sequence.
Pre-Introductory Phase
- Initial patient interactions create foundation for ongoing relationship.
- Patients form first impressions based on how they are greeted.
Introductory Phase
- Greet patient by name.
- Introduce yourself with name, role, and student status.
- Shake hands if possible.
- Repeat introductions until the patient confidently recognizes you.
- Acknowledge visitors and inquire about their relationship to the patient.
- Maintain confidentiality by obtaining patient consent before discussing in front of visitors.
- Example: Ask if the patient prefers to speak alone or with a family member present.
Working Phase
- After establishing rapport, explore the reason for seeking healthcare.
- Start with open-ended questions to encourage detailed responses, such as "What concerns bring you here today?" or "How can I help you?".
- Listen without interruption.
- After a full response, ask "Anything else?" multiple times to uncover additional concerns.
- Some patients seek routine check-ups without specific complaints.
- Others feel uneasy raising underlying concerns during physical exams.
- Ask: "Was there a specific health concern that made you schedule this appointment?" or "What made you decide to come in for health care now?".
Establishing the Agenda for the Interview
- Address both clinician goals and patient concerns.
- Identify all issues initially to use time effectively.
- Clinicians must focus the interview due to time constraints, asking "Which problem is most pressing?".
- Example: Identify the most concerning problem for the patient to address during the visit.
- Agree on a manageable list, noting other problems will be addressed later.
Expanding and Clarifying the Health History
- Clinicians need to clarify each symptom, including context, associations, and chronology, especially for pain.
- Fully understand essential symptom characteristics.
- Use COLDSPA (7 attributes of a symptom) and History of Present Illness (HPI).
Seven Attributes of a Symptom: COLDSPA
- Location: Where is it? Does it radiate?
- Quality: What is it like?
- Quantity or Severity: How bad is it? (Rate pain on a scale of 1 to 10.)
- Timing: When did it start? How long does it last? How often does it occur?
- Setting: Include environmental factors, activities, emotional reactions.
- Remitting or Exacerbating Factors: Does anything make it better?
- Associated Manifestations: Anything else that accompanies it?
Generating and Testing Diagnostic Hypotheses
- Listen to patient concerns.
- Generate and test diagnostic hypotheses to find possible causes.
- Identify symptom attributes to recognize disease patterns and differentiate diseases.
Creating a Shared Understanding of the Problem
- The "seven attributes of a symptom" adds details to the patient's history.
- Acknowledge clinician and patient perspectives, using the Disease/Illness Distinction Model.
Exploring the Patient’s Perspective
- The patient’s thoughts about nature and the cause of the problem.
- The patient’s feelings, especially fears, about the problem.
- The patient’s expectations of the clinician and healthcare.
- The effect of the problem on the patient’s life.
- Prior personal or family experiences that are similar.
- Therapeutic responses the patient has already tried.
Termination (Summary and Closing)
- Create a complete picture of the problem.
- This basis is for future evaluation (PE, Lab tests, Consultations, etc.) and negotiating a treatment plan.
Planning for Follow-Up and Closing
- Give notice that the end is approaching and allow for final questions.
- Ensure patient understands plans.
- Before leaving, ask "Do you have any questions about what we’ve covered?".
- Review future evaluations, treatments, and follow-ups.
- Address related concerns.
Facilitating Techniques
- Active Listening
- Adaptive Questioning
- Nonverbal Communication
- Facilitation
- Echoing
- Empathic Responses
- Validation
- Reassurance
- Summarization
- Highlighting Transitions
Cultural and Spiritual Assessment
- Holistic care means diversity and equality in healthcare.
- Based on understanding physical, psychological, emotional, and spiritual dimensions.
- Psychological: The way we think and interpret things.
- Emotional: The way we feel.
- Culture guides worldview and decision-making.
- Importance: Each person is born into a culture influenced by birthplace and family.
- It is Dynamic and shifts throughout a lifetime.
- Includes thoughts, communications, actions, customs, beliefs, values, and intuitions of groups.
Definition of Concepts
- Subculture is composed of people who have a distinct identity.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Explore effective patient interview techniques, including skilled questioning and holistic care. Understand the importance of empathy, cultural humility, and relationship-building in healthcare settings. Learn about subcultures and the dynamic nature of cultural beliefs.
