Process Questions with Complete Solutions
Help Correct Answ_-observe first signs the client may need help (S/S of distress: pain, pallor, labored breathing)
Environment and equipment Correct Answ_-look for safety hazards (spills, equipment cords, sharps)
-make sure all equipment is working properly (O2, IV, catheter)
Look more closely Correct Answ_-client appearance, breathing, dressings, correct positioning, skin color and conditions, odors, linens, or any
other need for care
People Correct Answ_-who are the people in the room?
-family?
-other caregivers?
-what are they doing?
Mneumonic for systematic observation Correct Answ_HELP
,Directive interviewing Correct Answ_-to obtain factual, easily categorized information (age, religion, BM)
-nurse controls the topics, asks mostly closed questions to obtain specific information
-age, sex
Nondirective interviewing Correct Answ_-allows the client to control the subject matter; nurse's role is to clarify and summarize
-promotes communication, build rapport. or help the client to express their feelings
-use open-ended questioning
Preparing for the interview Correct Answ_-Know the purpose of the interview and how the data will be used
-Read the client's chart
-Form some goals and opening questions
-Schedule uninterrupted time
-Have your forms and equipment ready
-Compose yourself before entering the room
-Provide privacy
-Remove distractions (sound, TV)
-Position yourself at the same level as your client; sit down; do not hover over the bed
, Preparing the client Correct Answ_-Introduce yourself (build trust)
-Call the client by name (Mr/Mrs/Miss)
-Tell the client what you will be doing and why
-Assess readiness to discuss health issues
-Assess and provide for comfort
-Assess for anxiety
Conducting the interview Correct Answ_-individualize your approach
-use active listening (what pt is saying)
-pay attention to nonverbal communication (eye contact, engaged in conversation)
-use mostly open-ended questions
-avoid healthcare jargon
-do not give advice or voice approval/disapproval (IMPORTANT; pt has to MAKE THEIR OWN DECISIONS)
Biographical data Correct Answ_-age
-gender
-race
-religion