NCM 101 Health Assessment
Chapter 2: Collecting Subjective Data
4.1 Define related terms
Subjective data - data that are collected and can be elicited and verified only by the clients
Interviewing - is vital to accurate and thorough collection of subjective data
4.2 Discuss interviewing as a communication process
Interviewing is a communication process that focuses on establishing rapport and a trusting
relationship with the client to elicit accurate and meaningful information, as well as gathering
information on the client’s developmental, psychological, physiologic, sociocultural, and spiritual
statuses to identify deviations that can be treated with nursing and collaborative interventions
or strengths that can be enhanced through nurse-client collaboration
4.3 Enumerate the phases of interview
Pre-introductory phase
- Nurse reviews the medical record before meeting with the client
- Knowing some of the client’s already documented biographical information may assist the
nurse with conducting the interview
Introductory phase
- Explaining the purpose of the interview
- Discussing the types of questions that will be asked
- Explaining the reason for taking notes
- Assuring the client that confidential information will remain confidential
- Making sure that the client is comfortable and has privacy
- Developing trust and rapport using verbal and nonverbal skills
Working phase
- Listening, observing cues, and using critical thinking skills to interpret and validate information
received from the client
- Collaborating with the client to identify the client’s problems and goals
Summary and closing phase
- Summarizing information obtained during the working phase
- Validating problems and goals with the client
- Identifying and discussing possible plans to resolve the problem with the client
- Making sure to ask if anything else concerns the client and if there are any further questions
4.4 Explain the types of therapeutic communication during client interview
Non-verbal communication
Appearance - ensure that your appearance is professional
Demeanor - maintain that your distance is professional
Facial expression - keep your expression neutral and friendly
Attitude - develop a non-judgemental attitude
Silence - allow to reflect and organize thoughts
Listening - allow to collect complete and valid data
Verbal communication
Open-ended questions - how? and what?
Chapter 2: Collecting Subjective Data
4.1 Define related terms
Subjective data - data that are collected and can be elicited and verified only by the clients
Interviewing - is vital to accurate and thorough collection of subjective data
4.2 Discuss interviewing as a communication process
Interviewing is a communication process that focuses on establishing rapport and a trusting
relationship with the client to elicit accurate and meaningful information, as well as gathering
information on the client’s developmental, psychological, physiologic, sociocultural, and spiritual
statuses to identify deviations that can be treated with nursing and collaborative interventions
or strengths that can be enhanced through nurse-client collaboration
4.3 Enumerate the phases of interview
Pre-introductory phase
- Nurse reviews the medical record before meeting with the client
- Knowing some of the client’s already documented biographical information may assist the
nurse with conducting the interview
Introductory phase
- Explaining the purpose of the interview
- Discussing the types of questions that will be asked
- Explaining the reason for taking notes
- Assuring the client that confidential information will remain confidential
- Making sure that the client is comfortable and has privacy
- Developing trust and rapport using verbal and nonverbal skills
Working phase
- Listening, observing cues, and using critical thinking skills to interpret and validate information
received from the client
- Collaborating with the client to identify the client’s problems and goals
Summary and closing phase
- Summarizing information obtained during the working phase
- Validating problems and goals with the client
- Identifying and discussing possible plans to resolve the problem with the client
- Making sure to ask if anything else concerns the client and if there are any further questions
4.4 Explain the types of therapeutic communication during client interview
Non-verbal communication
Appearance - ensure that your appearance is professional
Demeanor - maintain that your distance is professional
Facial expression - keep your expression neutral and friendly
Attitude - develop a non-judgemental attitude
Silence - allow to reflect and organize thoughts
Listening - allow to collect complete and valid data
Verbal communication
Open-ended questions - how? and what?
