HEALTH ASSESSMENT PRACTICUM
Methodological Instructions to Lesson № 2 for Students 1 course BACHELOR DEGREE NURSING PROGRAM
(practical lesson-7 hours)
Themes: The Interview
Aim: The nursing health history is obtained during an interview with the patient. In order to elicit valid information from the patient, it is essential that the nurse behave professionally and be knowledgeable about interpersonal communication and interviewing techniques. The interview is a communication process that requires the nurse to establish rapport and a trusting relationship with the patient. Without rapport and trust, accurate and meaningful information cannot be gathered.
Professional orientation of students:
The interview allows the nurse to acquire specific information about the patient that is needed for accurate nursing diagnosis and planning. It helps the nurse establish a relationship with the patient by creating an opportunity for dialog. The interview enables the patient to receive information, participate in the identification of problems and contribute to the nursing plan of action. The nurse is able to identify areas that will need more thorough assessment.
STUDENT’S INDEPENDENT STUDY PROGRAM
Themes: The Interview
Control questions:
1. The process of Communication
2. Factors of Communication
3. The process of communication and techniques of interviewing
4. The traps of interviewing
5. The variations in techniques necessary for individuals of various needs.
6. The variations in techniques necessary for individuals of various ages.
7. The variations in techniques necessary for individuals of various cultural diversity.
8. Transcultural consideration.
TEST QUESTIONS:
1. The first stage of the interview is
a. closure.
b. introductory.
c. summary.
d. working.
2. What type of question, used during the interview, provides a list of answers?
a. biased
b. closed ended
c. laundry list
d. open ended
3. What type of question should be avoided during the interview?
a. closed ended
b. loaded
c. reflective
d. supplementary
4. If the nurse wants the patient to describe symptoms, what kind of a question should be asked?
a. biased
b. closed ended
c. laundry list
d. open ended
5. If a patient frowns during the interview, it may mean that the patient is
a. angry.
b. embarrassed.
c. intimidated.
d. shy.
Answers:
1. The first stage of the interview is
e. closure.
f. introductory.
g. summary.
h. working.
· This is a knowledge level question. You simply need to have memorized the stages of the interview.
2. What type of question used during the interview, provides a list of answers?
a. biased.
b. closed-ended.
c. laundry list.
d. open-ended.
· This a knowledge level question. You need to know the different types of interview questions.
3. What type of question should be avoided during the interview?
a. closed-ended.
b. Loaded.
c. reflective.
d. supplementary.
· This is a knowledge level question. You need to know what kind of question to avoid.
4. If the nurse wants the patient to describe symptoms, what kind of a question should be asked?
a. Biased.
b. closed-ended.
c. laundry list.
d. Open-ended.
· This is a comprehension level question. You need to know what information various types of questions elicit.
5. If a patient frowns during the interview, it may mean that the patient is
a. angry.
b. embarrassed.
c. intimidated.
d. shy.
· This is a comprehension level question. You need to know what various nonverbal responses may indicate.
4. LITERATURE
A lecturer notes (handouts).
Essential books:
1. Jarvis, Ch 4, pp. 52-71
2. Weber, J. & Kelley, J. (2003). Health assessment iursing (2nd ed.).
3.Study Guide: Chapter 4
5. Practical work – 900-1200 (4 hours)
Visual Aids and Material Tools: Tables, slides, compact-disk
Task 1. Discuss the process of communication and techniques of interviewing
Task 2. Discuss the traps of interviewing
Task 3. Discuss the variations in techniques necessary for individuals of various needs, ages, and cultural diversity
6. Seminar Discussion of pracrical work – 12.30-14.45 (2 hours)
7. Test control of students’ knowledges – 1415-1500 (1 hour).
Basic level:
Student must know:
Techniques of Communication
Stages of the Interview
Student must have the skills:
1. Interviewing
2. Verbal Communication Skills
3. Nonverbal Communication Skills
Prepared by Dr. Inna Korda, MD, PhD.
Adopted at the Chair Sitting N 2008
