ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING 3RD EDITION TEST BANK FINAL EXAM 2023=2024 ALREADY GRADED A+

ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING 3RD EDITION TEST BANK FINAL EXAM 2023=2024 ALREADY GRADED A+ Chapter 1 (p 65-86) - ANSWER-INTERVIEWING AND THE HEALTH HISTORY 1. Review the techniques for guided questioning to expand and clarify the patient story - ANSWER-● Moving from open-ended to focused questions. ● Using questioning that elicits a graded response: rather than a yes-no answer. ● Asking a series of questions, one at a time ● Offering multiple choices for answers ● Clarifying what the patient means ● Encouraging with continuers: Without even speaking, you can use posture, gestures, or words to encourage the patient to say more. ● Using echoing: repeating the pt's last word. 2. Identify 2-3 examples for each type of questioning: a. Open-ended questions - ANSWER-" Tell me about your chest discomfort" "What brings you here today?" "Tell me more about that" b. Closed-ended questions - ANSWER-" Has your pain been improving? "Is your pain like a pressure?" c. A question eliciting a graded response - ANSWER-"How many steps can you climb before you get short of breath? d. A question asking for clarification - ANSWER-"Tell me exactly what you mean by 'the flu'" " You said you were behaving just like your mother. What did you mean?" 3. Identify the sequence and context of the interview process a. What do you do to prepare for the interview? - ANSWER-- Reviewing the clinical record. - Set goals for the interview ( balance these provider centered goals with patient-centered goals, weighing multiple agendas arising from the needs of the patient, the patient's family, and health care agencies and facilities) - Reviewing your clinical behavior and appearance. - Adjusting the environment. b. What is the correct sequence of the interview process? - ANSWER-Greeting the patient and establishing rapport. Establishing the agenda for the interview. Inviting the patient's story. Exploring the patient's perspective. Identifying and responding to emotional cues. Expanding and clarifying the patient's story. Generating and testing diagnostic hypotheses. Sharing the treatment plan. Closing the interview and the visit. Taking time for self-reflection. c. How does culture play into this process? - ANSWER Cultural competency and cultural humility is needed.