NE 104 TEST 2, NURSING INTERVIEW, HEALTH
GUIDANCE, DEVELOPMENTAL STAGES EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS
What is a nursing interview
an organized conversation with the pt, done early in admissions, to obtain the data that
are needed to foster a caring nurse-pt relationship, adherence to interventions, and
treatment effectiveness. Reason is to introduce yourself, explain roles, establish
therapeutic relationship, gain info/insight, establish goals, learn pt expectations, obtain
cues on where to go in-depth, get a health history and fine out why the pt is there.
how does the nursing interview assist the nurse
ESTABLISHES THE THERAPEUTIC RELATIONSHIP! IT LAYS THE GROUND WORK
AND ESTABLISHES TRUST AND CONFIDENCE. gives the nurse a complete story
that contains enough details for understanding a pt's perceptions of their health status
and the info needed to identify nurising diagnosis and/or collaborative health problems
what are the phases of the nursing interview
ORIENTATION
--setting the stage, greeting, identify yourself and role, ensure privacy, purpose of the
interview,
WORKING
--setting an agenda-gathering info about chief concerns and problems (this sometimes
,trickles into the orientation stage)
--utilizing interview techniques
--collecting assessment or nursing health history
TERMINATION
--let them know you are approaching the end, "I only have 2 more questions for you."
--verify accuracy of info
--summary of the pt's key points, telling them when you will return.
setting the stage
greet pt, use their name, identify yourself and your role, ensure privacy and HIPPA.
set and agenda
you begin the interview by gathering information about the pt's current chief concerns or
problems and setting an agenda
Discharge planning begins
at admission!!!!
collect the assessment or nursing health history
start an assessment or health history with open ended questions that allow pts to
describe more clearly their concers and problems
terminanting the interview
summarize your discussions with the pt, and check for accuracy of info collected
types of interview techniques
open ended question- try to get patient to describe health problem and probable cause
in their own words.
,back channeling-active listening prompts such as "go on", "all right", to show your
interest in what the pt is saying
probing/problem-seeking-asking open ended questions to encourage a full description
by pt. "WHEN YOU SAY YOU SIDE HURTS, EXPLAIN THAT PAIN AND LOCATION
TO ME."
close-ended ?'s-limits answers to "yes/no" or to a frequency, helps claify previous info
or provides new info. "ARE YOU HAVING ANY MORE PAIN?"
what implications does the nursing interview have for the nurse-pt relationship
fosters a caring, therapeutic relationship and establishes trust!! The relationship is
enhanced by the professionalism and competence conveyed by the nurse: the pt will
answer more questions. It establishes roles. it identifies the purpose of the interaction
Confidentiality
--HIPPA requires that disclosure or request regarding health info are limited to the
minimum necessary.
--Nurses are legally and ethically obligated to keep all pt info confidential
--nurses are responsible for protecting records from all unauthorized readers
--Watch confidentiality in elevators, halls, and restaurants.
components of a nursing health history
GIVES INFO ABOUT PT'S CURRENT LEVEL OF HEALTH:
biographical info- age, address, occupation, marital status
, reason for seeking health care- chief concerns/problems
patient expectations- what pt hopes to gain from encounter
present illness or health concerns- relevant database about the symptoms and their
effects on the pt.
health history-provides info on pt's health care experiences and health habits
family history-info about immediate blood relatives, risk for illnesses
environmental history- home and working environments
psychosocial history-pt's support system (spouse, children)
review of systems- self reported data on all body systems
THEN DOCUMENT ALL YOUR FINDINGS-recording your data clearly and concisely
documenting the nurisng history
record your assessment in a clear, concise manner using proper terminology
GUIDELINES:
-Factual/objective--never opinions
-Accurate (CORRECT TERMINOLOGY)
GUIDANCE, DEVELOPMENTAL STAGES EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS
What is a nursing interview
an organized conversation with the pt, done early in admissions, to obtain the data that
are needed to foster a caring nurse-pt relationship, adherence to interventions, and
treatment effectiveness. Reason is to introduce yourself, explain roles, establish
therapeutic relationship, gain info/insight, establish goals, learn pt expectations, obtain
cues on where to go in-depth, get a health history and fine out why the pt is there.
how does the nursing interview assist the nurse
ESTABLISHES THE THERAPEUTIC RELATIONSHIP! IT LAYS THE GROUND WORK
AND ESTABLISHES TRUST AND CONFIDENCE. gives the nurse a complete story
that contains enough details for understanding a pt's perceptions of their health status
and the info needed to identify nurising diagnosis and/or collaborative health problems
what are the phases of the nursing interview
ORIENTATION
--setting the stage, greeting, identify yourself and role, ensure privacy, purpose of the
interview,
WORKING
--setting an agenda-gathering info about chief concerns and problems (this sometimes
,trickles into the orientation stage)
--utilizing interview techniques
--collecting assessment or nursing health history
TERMINATION
--let them know you are approaching the end, "I only have 2 more questions for you."
--verify accuracy of info
--summary of the pt's key points, telling them when you will return.
setting the stage
greet pt, use their name, identify yourself and your role, ensure privacy and HIPPA.
set and agenda
you begin the interview by gathering information about the pt's current chief concerns or
problems and setting an agenda
Discharge planning begins
at admission!!!!
collect the assessment or nursing health history
start an assessment or health history with open ended questions that allow pts to
describe more clearly their concers and problems
terminanting the interview
summarize your discussions with the pt, and check for accuracy of info collected
types of interview techniques
open ended question- try to get patient to describe health problem and probable cause
in their own words.
,back channeling-active listening prompts such as "go on", "all right", to show your
interest in what the pt is saying
probing/problem-seeking-asking open ended questions to encourage a full description
by pt. "WHEN YOU SAY YOU SIDE HURTS, EXPLAIN THAT PAIN AND LOCATION
TO ME."
close-ended ?'s-limits answers to "yes/no" or to a frequency, helps claify previous info
or provides new info. "ARE YOU HAVING ANY MORE PAIN?"
what implications does the nursing interview have for the nurse-pt relationship
fosters a caring, therapeutic relationship and establishes trust!! The relationship is
enhanced by the professionalism and competence conveyed by the nurse: the pt will
answer more questions. It establishes roles. it identifies the purpose of the interaction
Confidentiality
--HIPPA requires that disclosure or request regarding health info are limited to the
minimum necessary.
--Nurses are legally and ethically obligated to keep all pt info confidential
--nurses are responsible for protecting records from all unauthorized readers
--Watch confidentiality in elevators, halls, and restaurants.
components of a nursing health history
GIVES INFO ABOUT PT'S CURRENT LEVEL OF HEALTH:
biographical info- age, address, occupation, marital status
, reason for seeking health care- chief concerns/problems
patient expectations- what pt hopes to gain from encounter
present illness or health concerns- relevant database about the symptoms and their
effects on the pt.
health history-provides info on pt's health care experiences and health habits
family history-info about immediate blood relatives, risk for illnesses
environmental history- home and working environments
psychosocial history-pt's support system (spouse, children)
review of systems- self reported data on all body systems
THEN DOCUMENT ALL YOUR FINDINGS-recording your data clearly and concisely
documenting the nurisng history
record your assessment in a clear, concise manner using proper terminology
GUIDELINES:
-Factual/objective--never opinions
-Accurate (CORRECT TERMINOLOGY)
