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17 Cards in this Set
- Front
- Back
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OPEN-ENDED QUESTION
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asks for narrative information, it leaves the person free to answer in any way ex-What brings you to the hospital? How have you been feeling since your last appointment?
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CLOSED OR DIRECT QUESTION
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asks for specific info. They elicit a short one or two word answer, such as yes or no, or a forced forced choice. ex- Have you had pain in your eyes? Do you exercise?
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FACILITATION
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encourage patient to say more, to continue with story ( go-on, continue, yes go on I'm with you)
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SILENCE
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usually after open ended questions. Usually used so that patient can collect their thoughts and answer questions. Also allows you to study patient's non-verbal cues.
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REFLECTION
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this response echoes the patient's words It helps further focus attention on a specific phrase and helps the patient continue talking. Also can help express feeling behind a person's words. ex-My eyes felt like wind was blowing on them. "Wind?" Yes-like they were dry-like when air is blown on your eyes.
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EMPATHY
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this response recognizes a feeling and puts it into words-it names a feeling and allows expression of it.
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CLARIFICATION
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Use this when a patient's word choice is confusing. ex-Tell me what you mean by "tired blood".
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CONFRONTATION
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Use this when you have observed a certain action, feeling, or statement and you feel that the patient's attention should be focused on it. ex-"You say it doesn't hurt, but when I touch your arm you grimace."
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INTERPRETATION
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this statement is based on your inference or conclusion. ex- It seems like every time you are stressed your stomach problems surge up."
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EXPLANATION
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With these statements you inform the patient. You share factual and objective information. Ex-You cannot eat or drink before the blood test because that would skew the results."
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SUMMARY
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This is the final review of what you understand the person has said. It condenses the facts and presents a survey of how you perceive the health problem or need.
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SUBJECTIVE DATA
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what the patient says about himself or herself
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OBJECTIVE DATA
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what you observe through measurement, inspection, palpation, percussion, and auscultation
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SYMPTOM
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is a subjective sensation that the patient feels from the disorder.
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SIGN
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an objective abnormality that you as the examiner could detect on a physical examination or in lab reports.
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ADLs
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Activities of daily living. ex-bathing, toileting, eating, walking.
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IADLs
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Instrumental activities of daily living. ex-shopping, cooking, doing laundry, managing finances.
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