Interviewing Chapter 2 - (Lifestyle and Health Practices) Flashcards
Description of typical Day
Encourage the client to discuss a usual day, which, for most people, includes work or school.
Nutrition and weight management
recall what consists of an average 24-hour intake with emphasis on what foods are eaten and in what amounts.
Consider reviewing the food pyramid with the client and explaining what a serving size is
(choose my plate)
activity level and exercise
exercise regimen recommended for adults of 150 minutes per week, with muscle strengthening activities on 2 or more days a week
Sleep and rest
normal sleep requirement for adults, which is usually between 5 and 8 hours a night.
questions should focus on specific sleep patterns, such as how many hours a night the person sleeps
substance use
Substance use can affect the client’s health and cause loss of function or impaired senses.
vitamins or a variety of herbal supplements, it is important to ask which ones and how often.
Sleepiness scale
Feeling active, vital, alert, or wide awake
1
Functioning at high levels, but not at peak; able to concentrate
2
Awake, but relaxed; responsive but not fully alert
3
Somewhat foggy, let down
4
Foggy; losing interest in remaining awake; slowed down
5
Sleepy, woozy, fighting sleep; prefer to lie down
6
No longer fighting sleep, sleep onset soon; having dream-like thoughts
7
Asleep
X
self-concept and responsibilities
assessment of how the client views herself and investigation of all behaviors that a person does to promote her health
Social activites
social activities help the nurse to discover what outlets the client has for support and relaxation
Relationships
Discussing family relationships is a key way to assess support systems
Sample questions include:
“Who is (are) the most important person(s) in your life? Describe your relationship with that person.”
Values and belief system
can help to identify important problems or strengths.
Education and work
help to identify areas of stress and satisfaction in the client’s life.
Stress levels and coping styles
investigate the amount of stress clients perceive they are under and how they cope with it.
what the client does to relieve stress and whether these behaviors or activities can be construed as adaptive or maladaptive
Enviroment
assess health hazards unique to the client’s living situation and lifestyle.
physical, chemical, or psychological situations that may put the client at risk