NR 509 Midterm Exam Study Guide
● Chapter 1
Basic and Advanced Interviewing Techniques
Basic maximize patient's comfort, avoid unnecessary changes in ... [Show More] position, enhance clinical efficiency,
move head to toe, examine the patient from their right side
Active listening, empathic responses, guided questioning, nonverbal communication, validation,
reassurance, partnering, summarization, transitions, empowering the patient
Active Listening- closely attending to what the patient is communicating, connecting to the patient’s
emotional state and using verbal and nonverbal skills to encourage the patient to expand on his or her
feelings and concerns.
Empathic Responses-the capacity to identify with the patient and feel the patient’s pain as your own,
then respond in a supportive manner.
Guided Questioning- show your sustained interest in the patient’s feelings and deepest disclosures and
allows the interviewer to facilitate full communication, in the patient’s own words, without interruption.
Non-verbal- includes eye contact, facial expression, posture, head position and movement such as
shaking or nodding, interpersonal distance, and placement of the arms or legs-crossed, neutral, or open.
Validation- helps to affirm the legitimacy of the patient’s emotional experience. Reassurance- an
appropriate way to help the patient feel that problems have been fully understood and are being
addressed.
Partnering- building rapport with patients, express your commitment to an ongoing relationship.
Summarization- giving a capsule summary of the patient’s story during the course of the interview to
communicate that you have been listening carefully.
Transitions- inform your patient when you are changing directions during the interview. Empowering the
Patient- empower the patient to ask questions, express their concerns, and probe your recommendations
in order to encourage them to adopt your advice, make lifestyle changes, or take medications as
prescribed.
Advanced: Determine scope of assessment: Focused vs. Comprehensive: pg5 Comprehensive: Used
for patients you are seeing for the first time in the office or hospital. Includes all the elements of the
health history and complete physical examination. A source fundamental and personalized knowledge
about the patient, strengthens the clinician-patient relationship.
● Is appropriate for new patients in the office or hospital
● Provides fundamental and personalized knowledge about the
patient
● Strengthens the clinician–patient relationship
● Helps identify or rule out physical causes related to patient
concerns
● Provides a baseline for future assessments
● Creates a platform for health promotion through education
and counseling
● Develops proficiency in the essential skills of physical
examination
Flexible Focused or problem-oriented assessment: For patients you know well returning for
routine care, or those with specific “urgent care” concerns like sore throat or knee pain. You will
adjust the scope of your history and physical examination to the situation at hand, keeping
several factors in mind: the magnitude and severity of the patient’s problems; the need for
thoroughness; the clinical setting—inpatient or outpatient, primary or subspecialty care; and the
time available.
● Is appropriate for established patients, especially during
routine or urgent care visits
● Addresses focused concerns or symptoms
● Assesses symptoms restricted to a specific body system
● Applies examination methods relevant to assessing the
concern or problem as thoroughly and carefully as possible
Tangential lighting: JVD, thyroid gland, and apical impulse of heart.
Components of the Health History Jenna/Ashley [Show Less]
