Lesson 2 Flashcards
A conversation with a purpose
Health history interview
The primary goal of the nurse patient interview is to improve the ________
Well being of the patients
It is a structured framework for organizing patient information in written or verbal form for other healthcare providers
Health History Format
It generates the pieces of health information is much more fluid and demands effective communication and relational skills
Interviewing process
This skills that allow you to respond to the patient’s feeling and concerns
Interpersonal skills
Setting the stage for a smooth interview
Pre-interview
What phase: putting the patient at ease and appearance
Introduction
What phase: Summarize important points
Termination
What phase: setting the stage for a smooth interview
Pre-interview
What phase: greet the patient and establish rapport
Introduction
Conveying empathy strengthens patient rapport
Defines what is right and wrong
Ethics
The nurse is obligated to protect patient information is called
Confidentiality
In assessing pain, what (mnemonic) will we use?
PQRSTU
Meaning of PQRSTU
Provoking factors
Quality
Radiation
Severity
Time
Understanding
Identify PQRSTU: What brings it on? What were you doing when you notice it?
Provoking factors
Identify PQRSTU: Onset, frequentcy, duration?
Time
Identify PQRSTU:Where is it? Does it spread anywhere?
Radiation
Identify PQRSTU: what do you think it means?
Understanding
Identify PQRSTU: How does it feel, look, and sound? How intense or severe is it
Quality
How bad is it? On the scale 0-10
Severity
Head to toe examination
Cephalocaudal Assessment
Reason for seeking care
Chief complaint