In using verbal responses to assist the patient's narrative, some ...

[Collmarie]

In using verbal responses to assist the patient's narrative, some responses focus on the patient's frame of reference and some focus on the health care provider's perspective.
 
  An example of a verbal response that focuses on the health care provider's perspective would be:
 
  a.
  Empathy.
  b.
  Reflection.
  c.
  Facilitation.
  d.
  Confrontation.

Question 2

A patient has finished giving the nurse information about the reason he is seeking care. When reviewing the data, the nurse finds that some information about past hospitalizations is missing. At this point,
 
  which statement by the nurse would be most appropriate to gather these data?
 
  a.
  Mr. Y., at your age, surely you have been hospitalized before
  b.
  Mr. Y., I just need permission to get your medical records from County Medical.
  c.
  Mr. Y., you mentioned that you have been hospitalized on several occasions. Would you tell me more about that?
  d.
  Mr. Y., I just need to get some additional information about your past hospitalizations. When was the last time you were admitted for chest pain?

[Animal_Goddess]

Answer to Question 1

ANS: D
When the health care provider uses the response of confrontation, the frame of reference shifts from the patient's perspective to the perspective of the health care provider, and the health care provider starts to express his or her own thoughts and feelings. Empathy, reflection, and facilitation responses focus on the patient's frame of reference.

Answer to Question 2

ANS: D
The nurse should use direct questions after the person's opening narrative to fill in any details he or she left out. The nurse also should use direct questions when specific facts are needed, such as when asking about past health problems or during the review of systems.