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87 Cards in this Set

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  • Back
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What is the first point of contact with a client in the most important part of data collection?

The interview

What are the two types of data when conducting an interview?

Subjective and objective data what are some techniques for a successful interview

What are successful techniques in an interview

Gather complete and accurate data about the persons health state


Establish trust


Teach the person about his her health state


Build rapport for continuing therapeutic relationship


Discuss health promotion and disease prevention

What does communication?

Exchanging information so that each person clearly understands the other

What is communication based on?

Behavior, conscious and unconscious. All behavior has meeting

What are the two types of communication?

Verbal and nonverbal

Who will notice nonverbal behaviors?

A skilled interviewer

What are some non-verbal cues?

Posture, foot taping, gestures, etc.

Although you have a specific meaning in mind, the receiver may not understand what?

How the message was met

What plays a role in a persons interpretation?

Physical and emotional states

What happens more in a healthcare setting then in a social setting?

Misunderstandings

What influences communication?

Internal and External factors

Factors

What are the four internal factors?

Liking others


Empathy


The ability to listen


Self awareness

The physical settings should consist of

Ensure privacy, refuse interruptions , the physical environment

What do you do when you first start the interview

Introduce yourself, state your role, and the reason for the interview

How many questions do you ask at a time?

You should only asked one direct question at a time

How do you close the interview?

It should be graceful and not abrupt

What is the summary in an interview?

Is a final statement of what you and the client agree with the health state to be

Techniques of communication

Introducing the interview


Introducing yourself


The working phase


Data collection


Ability to form questions appropriately


Open ended questions versus close/direct questions


Ask one direct question at a time


End the interview gracefully


Final statement or summary

How many types of verbal responses are there?

9

What are the nine types of verbal responses

Facilitation


Silence


Reflection


Empathy


Clarification


Confrontation


Interpretation


Explanation


Summary

What do the first five verbal responses involve?

Your reactions to the fact/feelings the patient has communicated

What are the last four verbal responses about

You express your own thoughts/feelings

What are interview traps

Providing false reassurance


Giving unwanted advice


Using authority


Using avoidance language


Distancing


Using professional jargon


Using leading or biased questions


Talking too much


Interrupting


Using why questions

What is a non-verbal skills?

Physical appearance


Posture


Gestures


Facial expressions


Eye contact


Voice


Touch

Most of your communication is with the caregiver of the younger child, but what shouldn’t you do?

Ignore the child completely

You should give the child time to do what?

Time does size you up

What shouldn’t you do with a small child? Why?

Maintain eye contact because this may make them feel threatened

For children one through six focus on who?

The caregiver

When communicating from birth to 12 months, communication is mostly what?

Non-verbal

What should you do when assessing someone at the age of birth to 12 months?

Use gentle handling in a quiet calm voice

As infants get older they may exhibit what?

Stranger anxiety

What should you allow during an examination of a child from birth to 12 months?

I’ll have them to sit on the caregivers lap during the examination

At what age are children egocentric?

3 to 6 years old

How was a preschoolers communication?(3-6 yrs)

Direct, concrete, literal, inset in the present

What else about a preschooler 3 to 6 years old?

They may imagine the unfamiliar your name and objects can come alive and have human characteristics

How old is a school age child?

7 to 12 years old

What might a school aged child want to know?

They want to know how things work and why things are done

What Else about a school aged child?

They are able to reason but is limited, they cannot deal with abstract ideas

How should you interview a school aged child?

Interview the caregiver and child together

What might you ask a school age child?

Ask about school, friends, and activities directly to the child

Adolescence want to be adults but they do not have what?

The cognitive ability yet to achieve their goal

Who do adolescence value?

Their peers

What should you not do when interviewing an adolescent?

Use their lingo

After a report has been developed what should you address now?

Emotionally charged topics as in sex, drinking, smoking, depression/suicidal thoughts

How should you address an older adult?

By his or her proper surname

What do you older adults have?

A story to tell

What should you consider when interviewing an older adult?

Physical limitations

What do some aging people need?

Do you longer response time

What made people who are hearing in paired feel or may feel?

Their intelligence is question since they cannot always understand what is being asked

Ask a hearing impaired person what?

Which way they prefer to communicate as in lipreading, signing, or writing

What may be necessary?

An interpreter for signing

What should you do during an interview with someone who is hearing impaired to make them better understand?

Speak slowly and supplement your voice with appropriate hand gestures

Mini hearing impaired people may do what?

Naughty yes just to be friendly but really do not understand

And acutely ill people, emergent situations require what?

Combining the interview with the physical exam

Focus on pertinent information only during emergency tuition or someone who is acutely ill. This will consist of what?

History of present illness, medications, allergies, last meal, and basic health state

What is crucial during acutely ill or emergent situation?

Subjective information so interview as much as possible while performing life-saving actions

Hospitalized patients and acutely ill are usually what?

Too weak, too short of breath, or in too much pain to talk

What should you focus on in acutely ill patient?

Making the patient comfortable Dennis priority questions about the history

When interviewing a person currently under the influence of alcohol or illicit drugs ask what?

Simple and direct questions

What should you avoid in people under the influence?

Confrontation

What is the top priority when assessing someone under the influence?

To find out what time the person’s last drink or drug was and how much was taken and what was taken

Once a patient is detoxed what should happen next?

Assessed for the extent of the problem

What are two qualities of someone under the influence?

Denial and defensiveness

What should you do with a crying person?

Allow the person to cry and expressed feelings before moving on

A person is showing aggression as a response to what?

Their own helplessness or anxiety

Appearing on hurried and taking the time to listen to all the clients concerns can do what?

Help to alleviate some anxiety

How many percentage of nurses report physical or verbal abuse in the workplace? And who is the primary source?

70%. Patient are the primary source

If you sense any suspicious or threatening behavior what should you do?

Act immediately to defuse the situation or obtain additional support from others

Refers to the believe that heterosexuality is the only natural choice and so assumes that everyone is or should be heterosexual

Hetero sexism

What should you ask a homosexual couple?

The same questions as you What a heterosexual couple, as long as the questions are applicable

What should you do not do in the LGBTQ community when speaking to them?

Assume about a person sex based upon appearance

How should you present yourself on interviewing in LGBTQ person?

Show a caring demeanor and be non-judge mental

Who can improve overall health outcomes, improve use of primary care, and increase client satisfaction?

Trained interpreters

What else may the use of a trained interpreter result in?

Cost savings and reduced rates of complications

Who should not be used when interpreting?

Family members and friends

Who should you never use it as an interpreter?

A Minor

What should the interpreter do?

Meet with the client before hand to establish rapport and determine clients age, education level, occupation, and attitude toward healthcare

Refers to the ability to understand instructions, navigate the healthcare system, and communicate concerns with the healthcare provider

Health literacy

How many people do not have adequate health literacy?

Nine out of 10

What has low health literacy been associated with?

Low medication compliance, more ER visits, increased readmission rates, inability to recall information after a clinic visit, and an inability to effectively manage chronic illness

What does low health literacy lead to?

Increase cost of care and poor outcomes for this population

What can you do to help health literacy?

Oral teaching


Written materials


Teach back

Communication that occurs between two or more individuals from different health professions

Interprofessional communication

What does effective interprofessional communication require?

Mutual respect and collaboration

Healthcare professionals need to do what?

Work together to provide the best possible patient experiences

what does SBAR stand for?

Situation


Background


Assessment


Recommendation