Chapter 2 The Patient Interview Copyright 2002 Delmar

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Chapter 2 The Patient Interview Copyright 2002, Delmar, A division of Thomson Learning

Chapter 2 The Patient Interview Copyright 2002, Delmar, A division of Thomson Learning

Competencies l l l Prepare an appropriate setting for the nurse-patient interview. Recognize the

Competencies l l l Prepare an appropriate setting for the nurse-patient interview. Recognize the personal perceptions that facilitate or hinder the interview process. Define effective interviewing techniques. (continues) Copyright 2002, Delmar, A division of Thomson Learning

Competencies l l Describe problematic interviewing behaviors. Demonstrate how to transform problematic interviewing behaviors

Competencies l l Describe problematic interviewing behaviors. Demonstrate how to transform problematic interviewing behaviors into more effective ones. Adapt the interview process for the patient with special needs. Adapt the interview process for elderly patients. Copyright 2002, Delmar, A division of Thomson Learning

Patient Interview l Role of the nurse £ l Accepting, respectful, nonjudgmental attitude Role

Patient Interview l Role of the nurse £ l Accepting, respectful, nonjudgmental attitude Role of the patient £ Active participant Copyright 2002, Delmar, A division of Thomson Learning

Factors Influencing the Interview l l l Approach Environment Confidentiality Time, length, duration Biases

Factors Influencing the Interview l l l Approach Environment Confidentiality Time, length, duration Biases and preconceptions Copyright 2002, Delmar, A division of Thomson Learning

Stages of the Interview Process l l l Stage I — joining Stage II

Stages of the Interview Process l l l Stage I — joining Stage II — working Stage III — termination Copyright 2002, Delmar, A division of Thomson Learning

Factors Affecting Communication l l Active listening Nonverbal communication Distance Personal space Copyright 2002,

Factors Affecting Communication l l Active listening Nonverbal communication Distance Personal space Copyright 2002, Delmar, A division of Thomson Learning

Effective Interviewing Techniques l Verbal techniques Open-ended questions £ Closed questions £ Facilitation £

Effective Interviewing Techniques l Verbal techniques Open-ended questions £ Closed questions £ Facilitation £ Silence £ l Nonverbal techniques Touch £ Attentiveness £ (continues) Copyright 2002, Delmar, A division of Thomson Learning

Effective Interviewing Techniques l l Listening responses Action responses Copyright 2002, Delmar, A division

Effective Interviewing Techniques l l Listening responses Action responses Copyright 2002, Delmar, A division of Thomson Learning

Listening Responses l l l l Making observations Restating Reflecting Clarifying Sequencing Encouraging comparisons

Listening Responses l l l l Making observations Restating Reflecting Clarifying Sequencing Encouraging comparisons Summarizing Interpreting Copyright 2002, Delmar, A division of Thomson Learning

Action Responses l l l l Focusing Presenting reality Confronting Informing Collaborating Limit setting

Action Responses l l l l Focusing Presenting reality Confronting Informing Collaborating Limit setting Normalizing Copyright 2002, Delmar, A division of Thomson Learning

Nontherapuetic Interviewing Techniques l l l Requesting an explanation Probing Offering false reassurance Giving

Nontherapuetic Interviewing Techniques l l l Requesting an explanation Probing Offering false reassurance Giving approval or disapproval Defending Advising Copyright 2002, Delmar, A division of Thomson Learning

Problematic Questioning Techniques l l l l Posing leading questions Interrupting the patient Engaging

Problematic Questioning Techniques l l l l Posing leading questions Interrupting the patient Engaging in talkativeness Using multiple questions Using medical jargon Being authoritative Having hidden agendas Copyright 2002, Delmar, A division of Thomson Learning

Interviewing the Patient with Special Needs l l l l Hearing impaired Visually impaired

Interviewing the Patient with Special Needs l l l l Hearing impaired Visually impaired Speech impaired Aphasic Non-English speaking Illiterate Low level of understanding Copyright 2002, Delmar, A division of Thomson Learning

Tips for Using an Interpreter l l Use a trained medical interpreter. Allow time

Tips for Using an Interpreter l l Use a trained medical interpreter. Allow time for patient and interpreter to converse prior to interview. Request interpreter translate patient replies, sentence by sentence. Allow extra time for completion of interview. (continues) Copyright 2002, Delmar, A division of Thomson Learning

Tips for Using an Interpreter l l Use brief questions. Maintain eye contact with

Tips for Using an Interpreter l l Use brief questions. Maintain eye contact with the patient. Observe the patient’s nonverbal communication. Use preprinted questions when available. Copyright 2002, Delmar, A division of Thomson Learning

Tips for Interviewing— Special Circumstances l The patient who is Anxious and angry £

Tips for Interviewing— Special Circumstances l The patient who is Anxious and angry £ Very ill £ Sexually aggressive £ Crying £ Hostile £ Under the influence of alcohol or drugs £ Copyright 2002, Delmar, A division of Thomson Learning

Tips for Interviewing the Elderly Patient l l l Allow additional time Schedule more

Tips for Interviewing the Elderly Patient l l l Allow additional time Schedule more than one interview session Interview family or caregiver Copyright 2002, Delmar, A division of Thomson Learning

INTERVIEW 1 INTERVIEW INTERVIEW 2 Interview adalah suatuINTERVIEW 1 INTERVIEW INTERVIEW 2 Interview adalah suatu
Chapter 24 Pediatric Patient Copyright 2002 Delmar AChapter 24 Pediatric Patient Copyright 2002 Delmar A
Chapter 23 Pregnant Patient Copyright 2002 Delmar AChapter 23 Pregnant Patient Copyright 2002 Delmar A
Chapter 32 Poverty Delmar Learning Copyright 2003 DelmarChapter 32 Poverty Delmar Learning Copyright 2003 Delmar
Chapter 14 Epidemiology Delmar Learning Copyright 2003 DelmarChapter 14 Epidemiology Delmar Learning Copyright 2003 Delmar
Patient 1 Patient 3 Patient 5 Patient 6Patient 1 Patient 3 Patient 5 Patient 6
Interview Tips Chaz Palisoc Agenda Interview Tips InterviewInterview Tips Chaz Palisoc Agenda Interview Tips Interview
Interview Techniques INTERVIEW l Definition for interview lInterview Techniques INTERVIEW l Definition for interview l
THERAPEUTIC INTERVIEW V INVESTIGATIVE INTERVIEW 1 THERAPEUTIC INTERVIEWTHERAPEUTIC INTERVIEW V INVESTIGATIVE INTERVIEW 1 THERAPEUTIC INTERVIEW
Interview Aseem M Rizvi Interview Definition An interviewInterview Aseem M Rizvi Interview Definition An interview
How to Interview Dan Whitenack Interview Interview PhoneHow to Interview Dan Whitenack Interview Interview Phone
INTERVIEW SKILLS What is an Interview An interviewINTERVIEW SKILLS What is an Interview An interview
Essential Interview Skills Overview Interview Definition Interview ExperiencesEssential Interview Skills Overview Interview Definition Interview Experiences
Essential Interview Skills Interview Definition A job interviewEssential Interview Skills Interview Definition A job interview
Chapter 17 Abdomen Copyright 2002 Delmar A divisionChapter 17 Abdomen Copyright 2002 Delmar A division
Chapter 20 Female Genitalia Copyright 2002 Delmar AChapter 20 Female Genitalia Copyright 2002 Delmar A
Chapter 4 Developmental Assessment Copyright 2002 Delmar AChapter 4 Developmental Assessment Copyright 2002 Delmar A