Nursing 1140 Week 4 - The Interview and Therapeutic Dialogue

12 cards   |   Total Attempts: 188
  

Cards In This Set

Front Back
What is caring?
- encompasses the nurse's empathy for and connection with the patient
- the ability to demonstrate emotional characteristics like compassion, sensitivity, patient-centered care
What is empathy?
- the ability to percieve, reason and communicate understanding of another person's feelings without criticism

What does understanding your own self-concept mean?
- being aware of your own biases, values, personality, cultural background(s) and communication styles
- be able to self-reflect
What does non-verbal communication include?
- physical appearance
- facial expression
- posture
- gestures
- eye contact
- voice
- use of touch
What are the 8 verbal communication skills?
- active listening (decode messages including thoughts, words, opinions, emitions)
- restatement (use words of patient so that patient elaborates)
- reflection (identify main themes, which lets patient better understand own thoughts)
- encouraging elaboration (facilitation - assists patients to continue conversation)
- silence (gather thoughts, provide accurate answers)
- focusing (use it when patient strays from topic and needs redirection)
- clarification (when patient's word choice or idea is unclear)
- summarizing (end of interview, two or three of most important findings)
What are some nontherapeutic responses?
- false reassurance
- sympathy (from viewpoint of nurse)
- unwanted advice (from nurse perspective, not patient)
- biased questions (causes patient to feel guilty)
- changes of subject
- distractions (hectic, cold, loud)
- technical or overwhelmic language)
- interrupting
What are the four phases of an interview?
- preinteration phase
- beginning phase
- working phase
- closing phase
What do you consider during the preinteration phase?
- background history, any relevant information
- personalize questions to prepare yourself
- research anything you don't understand
What makes up the beginning phase?
- introduce yourself by name, tell them why you're here
- ask them what they prefer to be called
- beginning of establishing therapeutic relationship
What makes up the working phase?
- collect data by asking specific questions (open-ended)
- use communication strategies to drill deeper
- reflective content (paraphrasing)
- chart pt's hstory and health issues
- use a balane between listing and documenting
What makes up the closing phase?
- summarize important points
- let patient know next steps
- thanks patient and family members for providing information
What are some lifespan issues that may arise in an interview?
- with children - begin with parents and children together, observe interactions, fine and gross motor skills, attention span, language and development... then observe child alone

- new borns and infants - acknowledge issues like fatigue during interview, observa parents as they communicate with baby

- children and adolescents - become mroe directly involved, see if child or parent does more talking
- adolescents need privacy, treat tme maturely

- older adults - avoid rushing interview; several visits... respect, temperature of room