Assessment Flashcards

1
Q

Settings

A
  • Hospital

- Clinic

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2
Q

Different types of notes

A

-Complete/Comprehensive/Expanded
-Inventory
-Interim
Problem-oriented

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3
Q

Complete note

A
  • new patients
  • strengthens pt-clinicain relationship
  • baseline for future assessment
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4
Q

Inventory note

A

-related to complete, BUT not as detailed

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5
Q

Interim note

A

events between visits

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6
Q

Problem-oriented

A
  • focused, basic
  • established patientss
  • focused concerns or symptoms
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7
Q

Parts of Compete note: hint 10 of them

A
  • Identifying data
  • CC
  • HPI
  • Meds
  • Allergies
  • PMH
  • PSH
  • Family history
  • Personal & Social History
  • Review of Systems (ROS)
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8
Q

Different types of questions

A
  • open-ended
  • closed/direct
  • graded response
  • leading
  • mulitiple
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9
Q

Open-ended question

A
  • beginner interviewer

- best for general information

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10
Q

Closed/direct

A
  • when seeking specific information

- outlined CC

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11
Q

Graded response question

A

-1-10 scale

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12
Q

Leading question

A
  • Limits information

- Risky

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13
Q

Mulitiple

A

-Novice

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14
Q

10 Interview techniques

A
  • Facilitation
  • Reflection
  • Clarification
  • Reassurance
  • Empathy
  • Confrontation
  • Interpretation
  • Validation
  • Summarization
  • Transition
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15
Q

Facilitation

A
  • verbal/nonverbal

- Encourage pt to say more

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16
Q

Reflection

A

-Repeat what pt said

17
Q

Clarification

A

-terms with multiple meanings

18
Q

Reassurance

A

-DO NOT give false hope

19
Q

Empathy

A
  • verbal/nonverbal

- put in pt shoes

20
Q

Confrontation

A

-disturbing behavior

21
Q

Interpretation

A

-Restate and confirm

22
Q

Validation

A

Acknowledge/legitimacy

23
Q

Summarization

A

-To pt what you got out of their information