SOLUTIONS|UPDATED VERSION !!!|A+
When setting the stage and then managing the interview, what is it imperative to do? -
ANSWER Briefly introduce yourself and your role, usually before the client undresses
What action would best promote accurate translations and confidentiality for the patient
when the caregiver does not speak the patient's language? - ANSWER A trained
medical interpreter, family members etc. can introduce biases in answers
Internal Factors of Communication - ANSWER factors that are specific to you; focus on
liking others, empathy, listening ability, and self-awareness
External Factors of Communication - ANSWER Preparing the physical setting (via
hospital, home, exam room, etc.) and ensure privacy, refuse interruptions, &
organized/comfortable environment
Equal Seating Status - ANSWER 4-5 ft from patient, comfortable, and eye level (do not
act as an authority figure)
Establishing Rapport - ANSWER Connection between the nurse and patient based on
empathy, acceptance, respect, and commitment to engagement. Let client express their
concerns early by actively listening
Excessive Note Taking Issues - ANSWER Breaks eye contact too often, shifts attention
from patient, may slow down the interview process, impedes examiners observations,
threatening/nerve-racking to patient
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,Interview Introductions - ANSWER Introduce oneself and your role in the agency
(Student Nurse), ask the persons name preferences (automatic first name for adults is too
familiar), give reason for the interview
The Working Stage (Interview) - ANSWER Data gathering. Verbal ability to form
appropriate questions with a combination of open and closed ended questions
Open-Ended Questions - ANSWER Ask for narrative information, unbiased and states
the topic in general terms. Use it to begin the interview, a new section of questions, or a
new topic
Examples of Open-Ended Questions - ANSWER "Tell me how I can help you." "What
brings you to the hospital?" "You mentioned shortness of breath. Tell me more about that."
The Nonverbal Question - ANSWER A clients pause looking for answers or
continuation of their story, lean forward & make eye contact to show interest.
Closed/Direct Questions - ANSWER Force the client to answer with "yes", "no" or a
forced choice
Examples of Closed/Direct Questions - ANSWER "Where are your headaches located?"
"What medication are your currently taking for your headaches?" "Do you use tobacco or
alcohol?"
Client Verbal Response Techniques - ANSWER facilitation, silence, reflection, empathy,
clarification. This involves your reactions to facts/feelings the client has expressed
Examiners Verbal Responses Techniques - ANSWER confrontation, interpretation,
explanation, summary. You start to express your own thoughts and feelings
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, Ten Verbal Traps - ANSWER False reassurance, unwanted advice, using authority, using
avoidance language, distancing, using professional jargon, leading/biased questions, talking
too much, interrupting, using "why" questions
Providing False Assurance/Reassurance - ANSWER Pregnant person worried about
miscarriage, don't say "I'm sure the baby will be alright" instead "It must be hard to wait for
the doctor, is there anything I can get you?"
Giving Unwanted Advice - ANSWER A patient may ask how to care for a child with an
ear infection or vaccine, that is fine. A patient with choices for treatment asking for your
opinion should be avoided. Ask "What are the pros and cons of ____ for you?"
Using Authority - ANSWER "Your doctor knows best" promotes dependency and
inferiority which diminishes the clients concerns and cuts communication
Using Avoidance Language - ANSWER Euphemisms such as "passed on" or "in a better
place" avoids the reality of dying. Not talking about uncomfortable topics only makes the
situation more frightening
Distancing - ANSWER Usage of impersonal speech such as "there's a lump in the left
breast" instead of "your" which may communicate you are afraid of the procedure or
disease
Using Professional Jargon - ANSWER Even if the client thinks they know professional
medical terms, using language that the patient understands is crucial to avoid confusion on
the topic (medication intake, diagnosis, etc.)
Using Leading/Biased Questioning - ANSWER questions like "you don't smoke, do
you?" and "you don't ever have unprotected sex, correct?" may be inclined to answer the
question in a way that corresponds to your values, or feelings of guilt are induced
Talking Too Much - ANSWER always listen more than you talk during an interview
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