ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
What is your role as a nurse? - ANSWERS-- you must ensure that the client
interview is informed by the CNO standard on therapeutic nurse-client
relationship, because therapeutic communication and relationships are the
foundation of an effective client interview
- to meet this standard, you must think carefully about how to communicate while
conducting the client interview
QUESTION 2
Importance of good communication - ANSWERS-- foundational pilar of a good
interview
-the interview often serves as the impetus for therapeutic action
- ex: without a client disclosing chest pain, it would be difficult for you to interpret
what is wrong or ailing the client
- the care provided by nurses is contingent on the accuracy of the data they collect,
so nurses must develop their relational skills to accurately and holistically gather
useful data from clients
- if data are lacking, nurses are limited in providing effective care
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- for example: clients may not share certain problems if they are unsure whether
you care or are interested; often times clients may be afraid to reveal relevant
health info bcuz they fear judgement or ridicule, which could impede your ability
to address their health issue
QUESTION 3
Interview purpose - ANSWERS-- the nature of the interview is influenced by the
interview purpose
ex: an interview may be short and focused or it may be more detailed and
comprehensive, depending on the client's health needs/reason for seeking care; is is
influenced by where you work; example: an acute or primary care setting
- no matter what the purpose, there are common principles and strategies to
incorporate when conducting the interview, as detailed in the upcoming sections
QUESTION 4
Preparing for the Interview - ANSWERS-1. review the client's existing health
record/chart so you have a general overview of the client's main health
needs/reason for seeking care and health history; if the client is already admitted,
this review will not only give you an overview of the health history, but also their
last 24 hours
- this is important because:
- it conveys your interest and competence as a provider
- allows you to follow up on missing data
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- saves the client from repetition
- allows you to identify any changes in the client's health status
2. Leverage the environment of the interview location and your position within the
space; the interview is often conducted in locations such as clinic rooms, hospital
rooms, emergency rooms, and community spaces such as the clients home
You should follow these principles:
- create a quiet location; so both you and the client have a place you can hear and
communicate (close the room doors, curtains and turning off the radio or
television)
- Establish a welcoming environment; may include offering the client a place to sit
and avoiding physical barriers between you and the client such as a desk
- attend to the client's physical comfort; which may include offering them a drink
of water and inviting them to take their coat off or have a place to put their
bag/purse; if their in bed, you can ask them to sit up if they are permitted or
comfortable to
- create an inclusive space; in which care partners are invited to be apart of the
interview based on the client's wishes
- ensure a private space; the client feels comfortable to share personal info and its
kept confidential; it may not be possible to keep a private space, such as when a
curtain is the only barrier; in this case avoid using the client's name and other info
loudly so that others can't overhear
- maintain professional boundaries; create
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QUESTION 5
Privacy and Confidentiality - ANSWERS-- in prep for the client interview, you
must be aware of the legislation and nursing standards concerning privacy and
confidentiality
- the personal health information protection act states that clients have the right to
have their personal health information kept private, and health care professionals
are legally required to keep this info confidential
- client data is kept confidential and only shared with relevant members of the
healthcare team directly involved in the client's care
- you may want to re-emphasize confidentiality when addressing sensitive
interview topics such as trauma and violence, sexual health and substance use
- client owns their personal health information; as a custodian of this information,
you much request permission before disclosure
- however, there are certain situations where consent for disclosure is not required
(Ex; to eliminate or reduce a significant risk of harm to a person)
QUESTION 6
Abuse and neglect - ANSWERS-- in certain conditions, a nurse must disclose
personal health information
- you are legally required to report suspected child abuse or neglect, and elder
abuse when the person lives in a retirement or long-term care home in Ontario
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