Ch. 11 & 12 Flashcards
Emotional Intelligence (EI)
Ability to evaluate, perceive, and control emotions.
The highest level of Maslow’s hierarchy of needs is:
Self-Actualization
The word ambulatory means that the patient:
Can walk
Would you discuss a medical chart with a patient?
no
Questions about the diagnosis of an examination from a patient or visitor are best answered by you saying:
explain; that only a radiologist can read radiographs
Which method is effective in communicating with a patient?
- professional appearance
- touch
- pantomime techniques
ALL
When is touching a patient valuable?
A) for emotional support
B) for emphasis
C) for palpitation
D) all the above
D) all the above !
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
D) all the above
What is considered to be the first stage of acceptance of dying for a terminally ill patient?
denial and isolation
What permits the patient to begin to work through the various stages that preceded dying?
Open Awareness
What may produce patient paranoia about potential falls with the potential for permanents loss of mobility?
Osteoporotic loss of bone mass
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
C) asking vague questions
What includes a description of the color, quantity and consistency of blood or other body substance
Quality
Localization
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.
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
D) all the above
What includes the tone of voice, the speed of speech, and the position of the speakers, extremities and torso
Nonverbal communication
What term best describes the primary medical problem as defined by the patient?
Chief complaint
What describes an undesirable method of questioning that provides information that may direct the answer towards a suspected symptom or complaint?
A leading question
Elements of the scared seven!!!!!
KNOW THIS
Localization
Chronology
Quality
Severity
Onset
Aggravating factors
Associated manifestations
Name two desirable methods of conducting a clinical history interview
- Positive nonverbal communication
- Defining and specifying terms
Term that describes gentle touching to determine the precise location of a symptom or complaint
Palpation
Maslow Hierarchy of needs; student often begin their education at approximately the ______ level, which relates to….
-Third
- Belonging or affection needs, and can be considered a level where communication, respect, and feedback are welcomed
_____ or ____ may have altered many physiologic functions, which in turn may cause the patient to behave out of character.
Illness or trauma
Inpatients….
- 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
Paralanguage is the ___ of language. It is often considered a form of nonverbal communication. Patients receive signals about your attitude towards them from ……
- Music
- The pitch, stress, tone, pauses, speech rate, volume, accent, and quality of your voice.
What are the three types of touch?
1) Touching for Emotional
2) Touching for Emphasis
3) Toughing for Palpation ( gentle use of finger tips )
A mentally impaired patient means any ___ or ____ disorder.
mental or psychological
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.
- Birth to 1 Year
- 8 Months
- 12 Months
Toddler age range
- 1- 3 years
Preschoolers age range
- 3-5
- They are not yet able to reason logically or understand cause and effect
School- Aged range?
At approximately, ____ years of age, children being to think ____ and to analyze situations.
- 5-10 years
- 7
- Logically
Adolescents age range
10-25
Young Adults age range
25-45
Middle aged adults
45-65
Mature adults
65 and older
The aging process is divided into two sections what are they?
Primary and Secondary Aging
Patients in closed awareness ______
are not told of their condition
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.
Suspicious Awareness
A state of _____ exists when patient, staff, and family all know but are pretending not to know in hopes of avoiding interpersonal conflicts.
Mutual Pretense
A condition of _____, is usually considered desirable because it helps everyone to work through the various stages that precede death.
Open Awareness
____ & ____ maybe the initial reaction and should be supported by silence and acceptance of the person without discussing death.
Denial and Isolation
_____ 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.
Anger
_____ stage focused on hope and may be based on religion.
Bargaining
In the stages defined by Elizabeth what stage it might be followed by depression?
Bargaining stage
What is considered the final stage?
Acceptance
___ _____ comes with the realization of the inevitability of death and is accompanied by a desire for death as a release from suffering.
Preparatory Depression; touch and silence are often construed as acceptance and are appropriate at this time.
Fourth Level of Maslows
- Esteem
- Addresses self esteem and respect needs; many students achieve this level during their second year of their education.
Level seven of Maslows
Self-actualization
Patients are often at which levels of Maslows?
Lower levels
What are the Levels of Maslows, & how many levels are there?
- 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)
Primary Aging is____
The gradual and inevitable process of deterioration that beings in childhood and extends through old age.
Secondary aging is _____
disease, abuse; and disuse, which are often within control of the Individual
What is objective data?
perceptible to the senses, such as signs that can be seen, heard, or felt and such things as laboratory reports
What is subjective data?
pertaining to or are perceived only by the individual affected
Chronology
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
Quality
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
Severity
describes the intensity, quantity, or extent of the problem
Onset
Patient explaining what they were doing when the illness or condition began
Chief Complaint
primary medical problem as defined by the patient, important because it focuses the clinical history towards the single most important issue
leading questions
undesirable method of questioning; provides information that may direct answers towards a suggestion symptom or complaint
What are some of the most important qualities of established open dialogue, as told by Carl Roger’s?
respect, genuineness, and empathy
aggravating or alleviating factors
the circumstances that produce the problem or intensify it
How can you participate in the “facilitation” part of questioning skills?
nod or say yes to encourage elaboration
all history’s should begin with?
Open-Ended questions
What is the cardinal rule communicating with mature adults/ elderly population?
respect and patience
What’s an Advance Directive?
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;
Communication
exchange of information, thoughts, or messages
Five stages of the grieving process
Denial and anger, bargaining, depression, and acceptance
A common emotion of those entering the hospital is:
Fear of the unknown and about their condition
When asking about a patients pain, it is effective to:
Ask the patient to touch or point to the specific area that hurts and record the information.
When questioning patients to obtain an accurate patient history you should:
Start with open-ended questions and then follow up with more direct questions
In determining a patients description of his or her pain, a good question(s) to ask would be:
“How would you describe the pain”
“When did the pain first began”
“ if the pain comes and goes, how often does it occur”
“My belly hurts”
What would be a logical question to ask next:
“can you touch the area that specially hurts”
You received a request to perform a radiographic study on a patient who is clearly intoxicated.
In preparing for this procedure, you should:
Ensure your safely, by checking to see if the hospital officer will stay with the patient during the procedure
When working with a child, an effective strategy to communicate would be to:
Kneel down to the child’s level, and lower voice
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:
“can you tell me about the nature of your pain“
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:
Explain to the patient that each person is trying to find additional important information about their condition
Objective data regarding a patient’s history:
vital signs
