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Patient Care > Ch. 11 & 12 > Flashcards

Ch. 11 & 12 Flashcards

1
Q

Emotional Intelligence (EI)

A

Ability to evaluate, perceive, and control emotions.

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2
Q

The highest level of Maslow’s hierarchy of needs is:

A

Self-Actualization

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3
Q

The word ambulatory means that the patient:

A

Can walk

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4
Q

Would you discuss a medical chart with a patient?

A

no

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5
Q

Questions about the diagnosis of an examination from a patient or visitor are best answered by you saying:

A

explain; that only a radiologist can read radiographs

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6
Q

Which method is effective in communicating with a patient?

  1. professional appearance
  2. touch
  3. pantomime techniques
A

ALL

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7
Q

When is touching a patient valuable?

A

A) for emotional support
B) for emphasis
C) for palpitation
D) all the above

D) all the above !

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8
Q

Which of the following characterize the development of a toddler (1-3) ?
A) understand simple abstractions
B) is unable to understand more than one word for something
C) is unable to take the viewpoint of another
D) all the above

A

D) all the above

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9
Q

What is considered to be the first stage of acceptance of dying for a terminally ill patient?

A

denial and isolation

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10
Q

What permits the patient to begin to work through the various stages that preceded dying?

A

Open Awareness

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11
Q

What may produce patient paranoia about potential falls with the potential for permanents loss of mobility?

A

Osteoporotic loss of bone mass

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12
Q

Which of the following is undesirable for conducting a clinical history interview?
A) clarifying terminology
B) asking open- ended questions
C) asking vague questions
D) repeating information

A

C) asking vague questions

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13
Q

What includes a description of the color, quantity and consistency of blood or other body substance

A

Quality

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14
Q

Localization

A

Defining as exact and precise an area possible for the patient’s compliant. It requires the use of carefully worded questions accompanied by proper touching of the patient.

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15
Q

Which of the following is (are) usually included as part of the chronology of a clinical history?
A) onset
B) duration
C) frequency
D) all the above

A

D) all the above

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16
Q

What includes the tone of voice, the speed of speech, and the position of the speakers, extremities and torso

A

Nonverbal communication

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17
Q

What term best describes the primary medical problem as defined by the patient?

A

Chief complaint

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18
Q

What describes an undesirable method of questioning that provides information that may direct the answer towards a suspected symptom or complaint?

A

A leading question

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19
Q

Elements of the scared seven!!!!!
KNOW THIS

A

Localization
Chronology
Quality
Severity
Onset
Aggravating factors
Associated manifestations

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20
Q

Name two desirable methods of conducting a clinical history interview

A
  • Positive nonverbal communication
  • Defining and specifying terms
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21
Q

Term that describes gentle touching to determine the precise location of a symptom or complaint

A

Palpation

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22
Q

Maslow Hierarchy of needs; student often begin their education at approximately the ______ level, which relates to….

A

-Third
- Belonging or affection needs, and can be considered a level where communication, respect, and feedback are welcomed

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23
Q

_____ or ____ may have altered many physiologic functions, which in turn may cause the patient to behave out of character.

A

Illness or trauma

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24
Q

Inpatients….

A
  • someone who has been admitted to the hospital for diagnostic studies or treatment
  • in general, these patients occupy a bed for longer than 24 hours
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25
Q

Paralanguage is the ___ of language. It is often considered a form of nonverbal communication. Patients receive signals about your attitude towards them from ……

A
  • Music
  • The pitch, stress, tone, pauses, speech rate, volume, accent, and quality of your voice.
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26
Q

What are the three types of touch?

A

1) Touching for Emotional
2) Touching for Emphasis
3) Toughing for Palpation ( gentle use of finger tips )

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27
Q

A mentally impaired patient means any ___ or ____ disorder.

A

mental or psychological

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28
Q

Infant Age Range?
At approximately ____ months of age, most infants express definite anxiety when removed from a familiar person.
At approximately ___ months of age, children are beginning to develop memories, ideas, and feelings.

A
  • Birth to 1 Year
  • 8 Months
  • 12 Months
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29
Q

Toddler age range

A
  • 1- 3 years
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30
Q

Preschoolers age range

A
  • 3-5
  • They are not yet able to reason logically or understand cause and effect
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31
Q

School- Aged range?
At approximately, ____ years of age, children being to think ____ and to analyze situations.

A
  • 5-10 years
  • 7
  • Logically
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32
Q

Adolescents age range

A

10-25

33
Q

Young Adults age range

A

25-45

34
Q

Middle aged adults

A

45-65

35
Q

Mature adults

A

65 and older

36
Q

The aging process is divided into two sections what are they?

A

Primary and Secondary Aging

37
Q

Patients in closed awareness ______

A

are not told of their condition

38
Q

Some patients develop _____ , in which they watch for clues to their condition but attempt to keep the health care team from knowing exactly how much they understand.

A

Suspicious Awareness

39
Q

A state of _____ exists when patient, staff, and family all know but are pretending not to know in hopes of avoiding interpersonal conflicts.

A

Mutual Pretense

40
Q

A condition of _____, is usually considered desirable because it helps everyone to work through the various stages that precede death.

A

Open Awareness

41
Q

____ & ____ maybe the initial reaction and should be supported by silence and acceptance of the person without discussing death.

A

Denial and Isolation

42
Q

_____ may occur as a result of realization that life will be interrupted before everything. The person planned has been accomplished and fillings that the person will soon be forgotten.

A

Anger

43
Q

_____ stage focused on hope and may be based on religion.

A

Bargaining

44
Q

In the stages defined by Elizabeth what stage it might be followed by depression?

A

Bargaining stage

45
Q

What is considered the final stage?

A

Acceptance

46
Q

___ _____ comes with the realization of the inevitability of death and is accompanied by a desire for death as a release from suffering.

A

Preparatory Depression; touch and silence are often construed as acceptance and are appropriate at this time.

47
Q

Fourth Level of Maslows

A
  • Esteem
  • Addresses self esteem and respect needs; many students achieve this level during their second year of their education.
48
Q

Level seven of Maslows

A

Self-actualization

49
Q

Patients are often at which levels of Maslows?

A

Lower levels

50
Q

What are the Levels of Maslows, & how many levels are there?

A
  • 7 Levels
    1) Physiological Needs; requirements for human survival
    2) safety needs
    3) love and belongingness needs ( students begin education here)
    4) esteem needs
    5) Need to know and understand
    6) Aesthetics
    7) Self- actualization needs ( highest level; confidence in who the person is and what the persons goals are)
51
Q

Primary Aging is____

A

The gradual and inevitable process of deterioration that beings in childhood and extends through old age.

52
Q

Secondary aging is _____

A

disease, abuse; and disuse, which are often within control of the Individual

53
Q

What is objective data?

A

perceptible to the senses, such as signs that can be seen, heard, or felt and such things as laboratory reports

54
Q

What is subjective data?

A

pertaining to or are perceived only by the individual affected

55
Q

Chronology

A

When, is the time element of the history.
The duration since onset, frequently, and course of the symptoms.
- information should be described in seconds, mins, hours, days, weeks, or months

56
Q

Quality

A

Describes the character of the symptoms

  • This description should include either the word Acute or Chronic
  • It should also include specific descriptions such as burning, throbbing, dull, sharp, cutting, etc
57
Q

Severity

A

describes the intensity, quantity, or extent of the problem

58
Q

Onset

A

Patient explaining what they were doing when the illness or condition began

59
Q

Chief Complaint

A

primary medical problem as defined by the patient, important because it focuses the clinical history towards the single most important issue

60
Q

leading questions

A

undesirable method of questioning; provides information that may direct answers towards a suggestion symptom or complaint

61
Q

What are some of the most important qualities of established open dialogue, as told by Carl Roger’s?

A

respect, genuineness, and empathy

62
Q

aggravating or alleviating factors

A

the circumstances that produce the problem or intensify it

63
Q

How can you participate in the “facilitation” part of questioning skills?

A

nod or say yes to encourage elaboration

64
Q

all history’s should begin with?

A

Open-Ended questions

65
Q

What is the cardinal rule communicating with mature adults/ elderly population?

A

respect and patience

66
Q

What’s an Advance Directive?

A

a legal document prepared by a living, competent adult to provide guidance to the health care team, if the individual should become unable to make decisions regarding their medical care;

67
Q

Communication

A

exchange of information, thoughts, or messages

68
Q

Five stages of the grieving process

A

Denial and anger, bargaining, depression, and acceptance

69
Q

A common emotion of those entering the hospital is:

A

Fear of the unknown and about their condition

70
Q

When asking about a patients pain, it is effective to:

A

Ask the patient to touch or point to the specific area that hurts and record the information.

71
Q

When questioning patients to obtain an accurate patient history you should:

A

Start with open-ended questions and then follow up with more direct questions

72
Q

In determining a patients description of his or her pain, a good question(s) to ask would be:

A

“How would you describe the pain”

“When did the pain first began”

“ if the pain comes and goes, how often does it occur”

73
Q

“My belly hurts”
What would be a logical question to ask next:

A

“can you touch the area that specially hurts”

74
Q

You received a request to perform a radiographic study on a patient who is clearly intoxicated.
In preparing for this procedure, you should:

A

Ensure your safely, by checking to see if the hospital officer will stay with the patient during the procedure

75
Q

When working with a child, an effective strategy to communicate would be to:

A

Kneel down to the child’s level, and lower voice

76
Q

In preparing a patient for a radiograph exam that has came in with the complaint of abdominal pain, a good initial question to ask the patient would be:

A

“can you tell me about the nature of your pain“

77
Q

In the process of asking a patient the reasoning for having the examination, the patient becomes irritated and states that “ she is getting tired of repeating herself” infected way to handle this situation would be to:

A

Explain to the patient that each person is trying to find additional important information about their condition

78
Q

Objective data regarding a patient’s history:

A

vital signs

Patient Care (4 decks)

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