NR 511 Week 4 Midterm Study Guide - Syllabus Content

 Examples include: “that must have been a di昀케cult experience. It’s very common to feel the way you are feeling.” o Reassuring  Appropriate way to help the client feel that problems have been fully understood and are being addressed o Partnering  Expressing commitment to an ongoing rela琀椀onship with the clients to build rapport o Summarizing  A summary of the client’s story during the interview helps to communicate that they have been carefully listening to o Transi琀椀oning  Used to inform the client that the direc琀椀on of the interview is changing o Empowerment  Empowering clients to ask ques琀椀ons and express their concerns increases the chances that they will adopt your advice, make lifestyle changes, or take medica琀椀ons as prescribed  Se琀��ng the stage for the examina琀椀on o Make sure the pa琀椀ent is comfortable and the environment is conducive to the very personal informa琀椀on soon to be shared o Each interview has its own rhythm and sequence o Re昀氀ect on pa琀琀erns of emo琀椀on and behavior  Pay a琀琀en琀椀on to how you feel and how you behave around pa琀椀ents of di昀昀erent iden琀椀琀椀es  The pa琀琀erns you recognize may re昀氀ect biases that impact your interac琀椀ons with pa琀椀ents as well as your clinical reasoning  Being aware of these biases is the 昀椀rst step in reducing their impact on pa琀椀ent care o Pause before star琀椀ng an encounter and prepare for poten琀椀al triggers of bias o Generate alterna琀椀ve hypotheses for biases anchored in behavior  Many biases are anchored in clinician assump琀椀ons about observed pa琀椀ent behavior (nonadherence, substance use, etc.)  Make it a habit to consider what structural forces (socioeconomic status, race/racism, homophobia, etc.) impact pa琀椀ent behaviors, and how they can challenge assump琀椀ons you make about pa琀椀ents. o Prac琀椀ce universal communica琀椀on and interpersonal skills o Explore your pa琀椀ents’ iden琀椀琀椀es o Explore your pa琀椀ents’ experiences of bias  Establishing rapport o How you greet the pa琀椀ent and other visitors in the room, provide for the pa琀椀ent’s comfort, and arrange the physical se琀��ng, all shape the pa琀椀ent’s 昀椀rst impressions o Rela琀椀ng e昀昀ec琀椀vely with pa琀椀ents is among the most valued skills of clinical care o As you begin, welcome the pa琀椀ent by introducing yourself, giving your own 昀椀rst and last name.  If possible, shake hands with the pa琀椀ent  If this is the 昀椀rst 琀椀me you are seeing the pa琀椀ent, explain your role, your status as a student or trainee, and how you will be involved in their care.  Gender pronouns  Verbal and nonverbal communica琀椀on o Use simple, recognizable and clear words o Use short sentences and words and only communicate essen琀椀al informa琀椀on o Avoid saying, “Does the pain radiate?” instead- “does the pain move anywhere?” o What is my main problem? o What do I need to do? o Why is it important for me to do this? o Posture, gestures, eye contact, and tone of voice all convey the extent of your interest, a琀琀en琀椀on, acceptance, and understanding o Body orienta琀椀on toward and physical proximity to pa琀椀ent o Gaze orienta琀椀on