Module 1 Patient Interview Flashcards
What is the distance for the intimate space?
How much eye contact should be used?
0-18 inches
minimal eye contact
What actions should be taken before going into a patient’s room?
Read the chart and identify key information
You suspect that the patient has been exposed to TB. But the patient says no to travel and no to exposure to dirt. These “no” are a ____ negative.
A pertinent negative
“when did your cough start” or “how long did the pain last” are examples of ____ questions
Closed
Your patient’s rectal temperature varies from early morning and late afternoon, which temp would be higher, and is it afebrile?
The later afternoon temperature
Afebrile- temperature is in the normal range of 37 ish
A world champion marathoner has an HR of 50. What follow up questions should you ask to determine if the patient’s normal average
Extreme fitness athletes have slow heart rate because of the efficiency.
Questions to ascertain if it is not “normal” are are they cold? what medications are they on?
increased capillary refill time is caused by __________.
Compartment syndrome is ______
low cardiac output
Compartment syndrome is caused by abdominal pressure greater than 20 mmHg
Where is the point of maximal impulse?
5th intercostal space, midclavicular line
Difference between pneumothorax and Atelectasis?
Complete lumb collapse
vs.
partial collapse of the lung/ lobe of the lung.
-it happens when the alveoli within the lungs deflate or fill with fluid.
The sternum is made up of 3 parts. what are they? hint think tie.
Manubrium (knot)
Gladiolus (length)
Xiphoid (bottom)
What are the main components of SBAR reporting?
What is not an advantage?
- Improved Patient Safety
-Enabled a Shared Mental Model
-Deepens Interprofessional Hierarchies
-Format is clear and to the point
Situation, Background, Assessment. Recommendation ( extra- what are the parts in each)
Hierarchy
Is “patient is sitting in a chair, dazed with a normal heartbeat and normal breath” a good example of charting? What would be a better way to describe this
Nope too general
the patient is sitting in semi-fowler, appears confused when asked questions, HR 80, RR 14.
What do you do after setting patient on oxygen
Determine duration of flow.
_____psi x (conversion factor) = _______L / (flow rate) = minutes until empty
What are the 4 most common respiratory sounds?
Wheezing - High-pitched sounds produced by narrowed airways. They are most often heard when a person breathes out (exhales). Wheezing and other abnormal sounds can sometimes be heard without a stethoscope.
Stridor - Sounds that resemble snoring. They occur when air is blocked or air flow becomes rough through the large airways.
Rales - Small clicking, bubbling, or rattling sounds in the lungs. They are heard when a person breathes in (inhales).
Rhonchi - Sounds that resemble snoring. They occur when air is blocked or air flow becomes rough through the large airways.
What are the 5 phases of the patient clinician interaction?
- Pre-interaction
- Introduction
- Initial Assessment
- Treatment and Monitoring
- Follow-up
What is the Pre-interaction phase?
What you do before seeing the patient:
-Get background info on the patient.
-Check the chief complaint
Don’t forget, this is where you also check physician orders/progress notes.
What is does during the introduction phase?
Establish rapport and observe the patients condition (via question and response)
note identification of the patient via armband is also done here.
What is does during the initial assessment?
Overlaps with intro phase.
Allows you to decide whether the prescribed treatment is appropriate at the current time.
Things to check: visual signs/appearance as well as perform a physical examination.
What is the treatment and follow up phase?
Administer intervention and monitor effectiveness of said treatment.
Make changes if needed and make sure patient is informed/kept in the loop.
What is the follow up phase?
Inform patient the therapy is done.
Access the effectiveness and any changes in patient symptomology.
Make sure they’re comfortable and answer any questions within your scope of practice.
Tell patient if and when you will be returning + why.
What are the 3 spaces?
Intimate space
Personal space
Social space
Patient history is objective, detailed, and chronological. It helps provides info for a accurate diagnosis. What is a complete record of health history?
A complete health history contains:
-demographic data
-date and source of history
-patient condition at time of history
-Chief complaint/concern
What should you ask when understanding illness?
Chronological history:
-The onset
-frequency and duration
-location and radiation
-severity and quantity
-aggravating/alleviating factors
-associated manifestations
What should you ask when understanding medical history?
Childhood diseases + development
Hospitalizations
Medications/therapies
Immunizations
Habits
General health
Why might a patient give a inaccurate patient history?
Level of Consciousness (LOC)
Age
Language barrier
Emotional state
SOB
Too sick
Who might be alternate historians for a patient?
Family
Friends
Interpreters
old charts
family physicians
https://quizlet.com/ca/628712608/module-1-patient-interview-flash-cards/
Refer and add later.
https://quizlet.com/179274988/interviewing-basics-flash-cards/
This is secondary info^^
