Quiz 1, Chapters 1,3,4

Question 1

Assessment

Answer 1

The collection of data about the individual’s health state.

Question 2

data collection types

Answer 2

subjective and objective data

Question 3

subjective data

Answer 3

what the patient says about him/herself during the interview (i feel nausea)

Question 4

objective data

Answer 4

what you as the nurse observe when inspecting, percussing, palpating, and auscultating patient during the physical examination

Question 5

first level priority problem

Answer 5

emergent, life threatening, and immediate (stroke/heart attack)

Question 6

second level priority problem

Answer 6

next in urgency, requiring attention to avoid further deterioration ( acute pain)

Question 7

third level priority problem

Answer 7

important to patient’s health but can be addressed after more urgent problem are addressed

Question 8

evidence based assessment

Answer 8

integration of research evidence

clinical decision making = best evidence from literature review

Question 9

holistic model assessment

Answer 9

incorporation of impact of external and interpersonal enviro on one’s mind and body

Question 10

health promotion and disease prevention

Answer 10

prevention achieved through counseling from providers, link btw health and personal behavior

Question 11

culture and genetics

Answer 11

awareness of the emerging minority

Question 12

2 processes of communication (sending)

Answer 12

verbal communication (words/tone)
nonverbal communication (body language, unconscious messages)

Question 13

process of communication: internal factors as a nurse

Answer 13

liking others (genuine approach)
empathy ( understanding others feelings)
ability to listen (active process)
self-awareness (aware of implicit bias)

Question 14

communication: external factors

Answer 14

ensure privacy (geographically/psychologically)
avoid interruptions
physical environment (equal status)
dress (comfort)
note taking (focused attention)

Question 15

techniques of communication (II, WP, OEQ, CEQ)

Answer 15

introduce the interview
working phase (questions to patient and your response)
open ended ( patient can go more in depth)
closed questions ( yes or no response)

Answer 16

patient leads and reaction obtained from interviewer

Question 17

verbal responses: patient leads and reactions obtained from interview (F,S,R,E, C)

Answer 17

facilitation (encourage patient to say more)
silence (response, no interruption)
reflection (repeat to express meaning)
empathy (name feelings to match expression)
clarification ( confirmation)

Question 18

verbal responses: interviewer leads and expression of own thoughts based on obtain information

Answer 18

confrontation (clarify inconsistent information)
interpretation ( identify cause)
explanation (inform with facts/info)
summary (conclusion based on verified info)

Question 19

ten traps of interviewing

Answer 19

provide false assurance or reassurance, unwanted advice, authority, avoidance language, distancing, professional jargon, leading or biased questions, talking too much, interrupting, using why question

Question 20

non verbal modes of communication

Answer 20

physical appearance, posture, gestures, facial expressions, eye contact, voice, touch

Question 21

closing the interview

Answer 21

no new topics, summary provided as final statement

Question 22

developmental competence: interviewing the patient or caregiver of a child

Answer 22

focus on both individuals to encourage participation, address by name/aware of nonverbal behaviors to maintain engagement

Question 23

developmental task (older adult)

Answer 23

finding purpose and evaluating existence usually longer interview process. (appropriate pacing, physical limitations, increased response time to process)

Question 24

interviewing people with special needs

Answer 24

consider hearing impaired and acutely ill people and key elements in vulnerable populations, use appropriate resources related to the situation

Question 25

working with interpreter

Answer 25

language barrier due to cross cultural communication, bilingual team member or trained medical interpreter

Question 26

communicating with other professionals

Answer 26

effective interpersonal communication, open lines of communication, standardized communication (SBAR)

Question 27

health history sequence

Answer 27

biographic data, source of history, reason for seeking care, present health or history of present illness, past health, medication reconciliation, family history, review of systems, functional assessment (ADL’s)

Question 28

biographic data

Answer 28

name, address, phone #, age, birthdate, birthplace, gender, relationship status, race, ethnic origin, occupation, primary language

Question 29

source of history (info from patient/caregiver)

Answer 29

record who furnishes info

judge reliability of informant and how willing he or she is to communicate

Question 30

reason for seeking care

Answer 30

person’s own words describing reason for visit (ive had chest pains for the past 2 hours)

Question 31

present health or history of present illness (HPI)

Answer 31

collect all provided data and identify 8 critical characteristics (precise and accurate data)

Question 32

8 critical characteristics

Answer 32

location, character or quality, quantity or severity (pain scale), timing (onset, duration, frequency), setting (when/where), aggravating/relieving factors, associated factors (other symptoms?), patient’s perception

Question 33

PQRSTU Mnemonic

Answer 33

P (Provocative or Palliative)
Q (Quality or Quantity)
R (Region or Radiation)
S (Severity Scale 1-10)
T (Timing or onset)
U ( understand patient's perception of problem)

Question 34

past health/past medical history (PMH)

Answer 34

childhood illnesses, accidents or injuries, serious or chronic illnesses, hospitalizations, operations, immunizations, last examination date, allergies, current meds

Question 35

family history

Answer 35

genogram or family tree, needs a key, and at least 3 generations, p.49

Question 36

review of systems (ROS)

Answer 36

cephalocaudal approach, avoiding writing (negative/none/N/A), health promotion

Question 37

systems approach

Answer 37

overall health stare, skin/hair, head, eyes/ears, nose/sinuses, mouth/throat, neck, cardiovascular, breast/axilla, sexual health p.50-52

Question 38

functional assessment (ADL’s)

Answer 38

activity/exercise, sleep/rest, nutrition and elimination, personal habits, alcohol, street drugs, work hazards/envrio., occupational health, partner violence

Question 39

perception of health

Answer 39

How do you define health? Concerns? Health Goals?

Question 40

Developmental Competence: Child

Answer 40

health history (age, nutritional data, family relationships), cognitive and developmental age appropriations

Question 41

Developmental Competence: Adolescent

Answer 41

HEEADSSS

Home envrio, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicide/Depression, safety from injury/violence