HEALTH ASSESSMENT (CHAPTER 2) COLLECTING SUBJECTIVE DATA: INTERVIEW AND HEALTH HISTORY
JERSEY COLLEGE EXAM QUESTIONS WITH ALL CORRECT ANSWERS.
Subjective data consist of: Answer >> -sensations or symptoms
-feelings
-perceptions
-desires
-preferences
-beliefs
-ideas
-values
-personal information
-these types of data can be elicited and verified only by the client
Phases of the interview Answer >> -4 basic phrases: preintroductory,
introductory, working, and summary/closing phases.
Preintroductory phase Answer >> -nurse reviews the medical record
before meeting with the client
Introductory phase Answer >> -after the introduction to the client, the
nurse explains the purpose of the interview, discuss the types of
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questions that will be asked, explains the reason for taking notes, and
assures the client that confidential information will remain confidential
-important to understand HIPAA guidelines enacted to ensure
confidentiality of client information.
-nurse makes sure the client is comfortable (physically and emotionally)
and has privacy
-conducting the interview at eye level with the client demonstration
respects and places the nurse and the client at equal levels
-essential for nurses to develop trust and rapport, which are essential
to promote full disclosure of information.
Working phase Answer >> -nurse elicits the client's comments about
major biographical data, reasons for seeking care, history of present
health concern, past health history, family history, review of body
systems (ROS) for current health problems, lifestyle and health
practices, and developmental level.
-nurse then listens, observes cues, and uses critical thinking skills to
interpret and validate information received from the client
-nurse and client collaborate to identify the client's problems and goals.
Summary and closing phase Answer >> -nurse summarizes information
obtained during the working phase and validates problems and goals
with the client.
-also identifies and discusses possible plans to resolve the problem
(nursing diagnosis and collaborative problems) with the client.
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-nurse makes sure to ask if anything else concerns the client and if
there are any further questions.
Communication during the interview Answer >> -verbal
-nonverbal
Nonverbal communication Answer >> -appearance
-demeanor
-facial expression
-attitude
-silence
-listening
Nonverbal communication to avoid Answer >> -excessive or
insufficient eye contact - others believe that you are hiding something
from them if you do not look them in the eye
-distraction and distance - this behavior makes the client believe that
the interview may be unimportant to you.
-standing - you may be perceived as the superior, making the client feel
inferior.
Verbal communication Answer >> -open-ended questions
-closed-ended questions