Nur 1060 Exam 1 Ch. 1, 2, 3, 4 , 8, 9, 10, 11 ,13, 14, 44
Questions With Complete Solutions
What is EHR?
electronic health record containing a patient's lifelong
medical records.
accessible to the patient via the internet and is transferable to
other providers
the records are stored must be secure from intrusion and reliable
What is an open ended question?
a question that requires more than a "yes" or "no" answer
What is a close-ended question?
yes or no questions
Nine types of verbal responses that fall under patient perspective
and interviewer perspective
1. Facilitation—encourages the patient to say more
For example, maintaining eye contact, shifting forward, nodding
yes, or saying "mmhmm go on".
2 Silence communicates that the client has time to think and
provides you with a chance to observe the client and note
nonverbal cues. This includes waiting for a response without
interruption, and not fidgeting whilst sitting quietly.
3. Reflection involves echoing the client's words by repeating
part of what the person has just said. It helps to express feelings
behind words and mirrors the client's words, therefore helping
,the person further elaborate on the problem.
4. Empathy names a feeling and allows its expression and also
allows the patient to feel accepted.
5. Clarification—asking for confirmation; useful when a
person's word choice is confusing or unclear. Summarize the
person's words, simplify the statement, and ensure that you are
on the right track (chest pain walking up stairs and stops at rest).
6. Confrontation involves clarifying inconsistent information
and focusing the client's attention on an observed behavior,
action, or feeling. You can say things like " Earlier you said you
didn't drink, but just now you said you go out every night after
work for 1-2 beers".
7. Interpretation links events, makes associations, and implies
cause. This is not based on direct observations, but instead on
inference or conclusion. Your interpretation may be incorrect
but it can help prompt further discussion. (I don't want any more
treatment, but I can't tell my doctor. "Could it be that you're
afraid of her reaction?")
8. Explanation involves informing the person and sharing factual
and objective information. For example, you tell the patient that
they may not eat or drink for 12 hours before their blood test
because it can alter results.
9.
Ten Traps of Interviewing
1. Providing false assurance or reassurance
Do not provide false assurance or reassurance. Instead,
acknowledge the patient's feelings and open the door for more
communication. You CAN reassure patients that you are
, listening & that you understand them, and that you will take
good care of them.
2. Giving unwanted advice
You should learn how to recognize when giving advice is
warranted and when it should be avoided. Avoid giving your
personal opinion as it is most likely inappropriate. (example of
infertility surgery - "What are your concerns? What are the pros
and cons of...?"
3. Using authority
Using authority should be avoided. Never tell the patient that the
doctor or nurse knows best as it will promote dependency and
inferiority.
4. Using avoidance language
Avoid using terms like "passed on" or "has gone to a better
place". This promotes avoiding the reality of the situation. Use
direct language.
5. Engaging in distancing
Distancing is the use of impersonal speech to put space between
a threat and the self. For example, "there is a lump in the left
breast" instead of using the word "your". This allows the patient
to deny any association with her diseased breast. Using direct
language can help reduce anxiety and fear, and help the client
cope with the situation.
6. Using professional jargon
7. Using leading or biased questions
Never ask questions in a way that makes it seem that one answer
is "better" than another. "You don't smoke, do you", "You don't
ever have unprotected sex, do you". This will lead the patient to
Questions With Complete Solutions
What is EHR?
electronic health record containing a patient's lifelong
medical records.
accessible to the patient via the internet and is transferable to
other providers
the records are stored must be secure from intrusion and reliable
What is an open ended question?
a question that requires more than a "yes" or "no" answer
What is a close-ended question?
yes or no questions
Nine types of verbal responses that fall under patient perspective
and interviewer perspective
1. Facilitation—encourages the patient to say more
For example, maintaining eye contact, shifting forward, nodding
yes, or saying "mmhmm go on".
2 Silence communicates that the client has time to think and
provides you with a chance to observe the client and note
nonverbal cues. This includes waiting for a response without
interruption, and not fidgeting whilst sitting quietly.
3. Reflection involves echoing the client's words by repeating
part of what the person has just said. It helps to express feelings
behind words and mirrors the client's words, therefore helping
,the person further elaborate on the problem.
4. Empathy names a feeling and allows its expression and also
allows the patient to feel accepted.
5. Clarification—asking for confirmation; useful when a
person's word choice is confusing or unclear. Summarize the
person's words, simplify the statement, and ensure that you are
on the right track (chest pain walking up stairs and stops at rest).
6. Confrontation involves clarifying inconsistent information
and focusing the client's attention on an observed behavior,
action, or feeling. You can say things like " Earlier you said you
didn't drink, but just now you said you go out every night after
work for 1-2 beers".
7. Interpretation links events, makes associations, and implies
cause. This is not based on direct observations, but instead on
inference or conclusion. Your interpretation may be incorrect
but it can help prompt further discussion. (I don't want any more
treatment, but I can't tell my doctor. "Could it be that you're
afraid of her reaction?")
8. Explanation involves informing the person and sharing factual
and objective information. For example, you tell the patient that
they may not eat or drink for 12 hours before their blood test
because it can alter results.
9.
Ten Traps of Interviewing
1. Providing false assurance or reassurance
Do not provide false assurance or reassurance. Instead,
acknowledge the patient's feelings and open the door for more
communication. You CAN reassure patients that you are
, listening & that you understand them, and that you will take
good care of them.
2. Giving unwanted advice
You should learn how to recognize when giving advice is
warranted and when it should be avoided. Avoid giving your
personal opinion as it is most likely inappropriate. (example of
infertility surgery - "What are your concerns? What are the pros
and cons of...?"
3. Using authority
Using authority should be avoided. Never tell the patient that the
doctor or nurse knows best as it will promote dependency and
inferiority.
4. Using avoidance language
Avoid using terms like "passed on" or "has gone to a better
place". This promotes avoiding the reality of the situation. Use
direct language.
5. Engaging in distancing
Distancing is the use of impersonal speech to put space between
a threat and the self. For example, "there is a lump in the left
breast" instead of using the word "your". This allows the patient
to deny any association with her diseased breast. Using direct
language can help reduce anxiety and fear, and help the client
cope with the situation.
6. Using professional jargon
7. Using leading or biased questions
Never ask questions in a way that makes it seem that one answer
is "better" than another. "You don't smoke, do you", "You don't
ever have unprotected sex, do you". This will lead the patient to
