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HA - MODULE 2
| Question | Answer |
|---|---|
| What is interviewing in nursing? | Planned communication with a purpose to obtain or provide information, identify problems, evaluate change, teach, and provide support or counseling. |
| What are the two approaches to interviewing? | Directive interview Nondirective interview |
| It is a highly structured interview where the nurse controls the interaction to obtain specific information, often used in emergencies or when time is limited. data acquired directly from the patient are considered primary source data | Directive interview |
| It is a rapport-building interview where the client controls the subject matter, purpose, and pacing of the interaction. If data are acquired from another individual (such as a family member), they are referred to as secondary source data | Nondirective interview |
| Is it recommended to use only one interview approach? | No. A combination of directive and nondirective approaches is usually appropriate. |
| It is an understanding between two or more people. | Rapport |
| It is used in emergencies, highly stressful situations, or when the client has difficulty communicating. Used in the directive interview, are restrictive and generally require only “yes” or “no” or short factual answers | Closed questions |
| Questions that allow clients to explore and elaborate on thoughts and feelings and require more than one-word answers. | Open-ended questions |
| An open-ended question that allows the client to answer without pressure or direction from the nurse. | Neutral question |
| What is a leading question and why should it be avoided? | A question that directs the client’s response; it should be avoided because it may lead to inaccurate data. The leading question gives the client less opportunity to decide whether the answer is true or not. |
| What are examples of subjective data? | Sensations, symptoms, feelings, perceptions, desires, preferences, beliefs, ideas, values, and personal information. |
| What information does subjective data provide to nurses? | It provides clues to physiologic, psychological, sociologic problems, client risks, and areas of strength. |
| Data that can be elicited and verified only by the client and obtained through interviewing. | Subjective data |
| What is the difference between primary and secondary source data? | • Primary data: Obtained directly from the patient • Secondary data: Obtained from another person (e.g., family member) |
| What type of data are symptoms classified as? | Symptoms are subjective data because they are reported by the patient based on personal experiences or feelings. |
| It consists of subjective data collected during an interview, including current health status, medications, past illnesses, surgeries, family history, and review of systems. | Health history |
| Is assessment limited only to the first step of the nursing process? | No. Although it is the first step, assessment is ongoing and continuous throughout all phases of the nursing process. |
| Why is assessment considered the most critical step of the nursing process? | Because inaccurate or incomplete assessment leads to incorrect nursing diagnoses, planning, implementation, and evaluation. |
| Why must nursing data collection be systematic and ongoing? | To ensure accurate, holistic, prioritized, evidence-based assessment and to avoid incorrect nursing judgments that may affect care outcomes. |
| According to the Scope and Standards of Nursing Practice, what is the nurse’s responsibility during assessment? | The registered nurse collects comprehensive data pertinent to the patient’s health or situation. |
| What is the main emphasis of nursing practice in health assessment? | The emphasis is on the diagnosis and treatment of human responses based on accurate client assessments to promote health and prevent illness and injury. |
| What are the four phases of a nursing interview? | Pre-introductory phase Introductory phase Working (Development) phase Summary and Closing phase |
| This phase reviews the client’s records and identify health needs, concerns, and possible communication barriers. To determine health needs, concerns, past health histor | Pre-introductory phase |
| This phase includes ntroducing self, explaining purpose, assuring confidentiality, ensuring privacy, and establishing rapport. | Introductory phase |
| This is the phase where the nurse collects biographic data, current symptoms, past health history, family history, and patterns of functioning. | Working phase |
| This phase summarize data, validate information, discuss care plans, encourage questions, and plan next interactions. | Closing phase |
| How many sections are included in a complete health history? | Eight (8) sections. |
| What are the 8 sections of a complete health history? | Biographic data Chief complaint History of present illness Past health history Family health history Lifestyle and practices profile Developmental level Review of systems |
| Who developed the Functional Health Patterns? | Marjory Gordon (1931–2015). |
| How many functional health patterns are included in Gordon’s model? | Eleven (11) functional health patterns. |
| What is the purpose of Gordon’s Functional Health Patterns? | To provide a systematic and standardized approach to comprehensive nursing data collection. |
| This pattern describes food and fluid consumption relative to metabolic need & pattern indicators of local nutrient supply. | Nutritional / Metabolic |
| Describes the client’s perceived health & well being and how health is managed. | Health Perception & Management |
| Describes the pattern of excretory function Through this pattern the nurse is able to determine regularity, quality, and quantity of stool and urine | Elimination |
| This pattern describes activity level, exercise program, and leisure activities. | Activity / Exercise |
| Describes patterns of sleep, rest, and relaxation. | Sleep/Rest |
| Describes the ability of the individual to understand and follow directions, retain information, make decisions, and solve problems. Also assesses the five senses. | Cognitive / Perceptual |
| Describes client’s self-worth, comfort, body image, feeling state. | Self-Perception / Self-Concept |
| Describes the patterns of values, beliefs (including spiritual), and goals that guides the client’s choices or decisions. | Value / Belief Pattern |
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