Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Health Assessment > Subjective Data > Flashcards

Subjective Data Flashcards

1
Q

3 stages of nursing interview

A

Introductory Stage, Working Stage, Termination Stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Non-Verbal Communication

A

Appearance, Demeanor, Facial Expression, Attitude, Silence, Listening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Verbal Communication

A

Open-ended questions, Closed-ended questions, Laundry List, Rephrasing, Well placed phrases, Providing Information, Inferring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Communication To Avoid

A

Excessive or Insufficient Eye Contact, Distraction and Distance, Standing, Biased or Leading Questions, Rushing through the interview, Reading the Questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Variations of Communication

A

Gerontologic, Cultural, Emotional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

8 Sections of Health History

A

Biographical Data, Reasons for seeking health care, History of present illness/health concern, Past Health History, Family Health History, ROS (Review of systems), Lifestyle & Health Practices Profile, Developmental level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Role of The Nurse in Introductory Stage

A

Introduction of the nurse to the client , Explain the reason for taking notes, Ensure that the client is comfortable and has privacy, Develop trust and rapport

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Role of the Nurse in Working Stage

A

Elicit the client’s comments about major biographic data, reasons for seeking care, history of present health concern, past health history, ROS, lifestyle and health practices and developmental level

Listens observes cues and uses critical nursing skills to interpret and validate information received

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Role of the Nurse in Termination Stage

A

Summarizes and validates the information
Identifies and discussed possible plans to resolve the problem of the client
Makes sure to ask if anything else concerns the client and if there are further questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Appearance

A

Professional in appearance
Wear comfortable, neat clothes
Wear your name tag
Neat hair and not in extreme style
Fingernails are short and neat
Jewelry minimal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Demeanor

A

No laughing out loud
Do not yell at your co-worker
Greet the client calmly and focus your full attention on her
Do not be overwhelmingly friendly or touchy
Maintain a professional distance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Facial Expression

A

Expression should be neutral and friendly
Appear understanding and concern

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Attitude

A

Develop a non judgemental attitude
Do not act superior to the client or appear shocked, disgusted or surprised at what you are told
Do not try preaching to the client or imposing your own sense of ethics or morality
Avoid telling the patient that he or she is foolish or force guilt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Silence

A

Periods of silence allow the nurse and the client to reflect and organize thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Listening

A

Most important skill learn and develop
Maintain good eye contact
Smile or display an open appropriate facial expression
Maintain an open arms and hands and lean forward
Avoid preconceived ideas or biases
Avoid crossing your arms, sitting back, tilting your head away from the client, thinking about other things or looking blank and inattentive
Keep an open mind

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Use to elicit the client’s feelings and perceptions
Questions begin with HOW and WHAT

A

Open ended questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Closed ended questions

A

Used to obtain facts and to focus on specific information
Questions begin with a WHEN and DID
Used to clarify or obtain more accurate information about issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Rephrasing

A

An effective way to communicate during the interview
Helps to clarify information the client has stated
Enables the client reflect on what was said

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Well-placed phrases

A

Properly used phrase will encourage the client to continue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Inferring

A

Will elicit more data or verify existing data
Be careful not to lead the client to answers that are not true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Assess hearing acuity

A

Gerontologic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Reluctance to reveal personal information

A

Cultural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Show respect to the client

A

Gerontologic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Seek help from experts if there is misunderstanding or difficulty in communicating with the client

A

Cultural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Variations in willingness to openly express emotional distress or pain

A

Cultural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Variation in ability to receive information

A

Cultural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Variation in meaning conveyed by language

A

Cultural

28
Q

Variation in use and meaning of non verbal communication: eye contact, gestures

A

Cultural

29
Q

Variation in disease/illness perception

A

Cultural

30
Q

Variation in past,present and future orientation

A

Cultural

31
Q

Variation in the family’s role in the decision making process

A

Cultural

32
Q

Assure your elderly client that you are concern

A

Gerontologic

33
Q

Speak clearly and use straightforward language during the interview

A

Gerontologic

34
Q

Ask questions in simple terms

A

Gerontologic

35
Q

Avoid medical jargon and modern slang

A

Gerontologic

36
Q

Do not talk down to the client

A

Gerontologic

37
Q

Emotions vary for several reasons

A

Emotional

38
Q

Include information that identifies the client

A

Biographical Data

39
Q

This takes into account several aspects of the health problem: CHARACTER, ONSET, LOCATION, DURATION, SEVERITY,PATTERN, ASSOCIATED FACTORS

A

History of Present Illness/ Health Concern

40
Q

Questions related to the client’s past, from the earliest beginnings to the present

A

Past Health History

41
Q

This elicit data to the client’s strengths and weaknesses

A

Past Health History

42
Q

Discover genetically based problems

A

Family Health History

43
Q

Provide client with a choice of words to choose from in describing symptoms

A

Laundry List

44
Q

Providing Information

A

Answer every question well
Explain well to the client what is being observed

45
Q

Encourage the client to discuss fears or other feelings about having to see a health care provider

A

Reasons for seeking health care (chief complaints)

46
Q

Helps the nurse to obtain specific answers and reduces the likelihood of the client’s perceiving or providing an expected answer

A

Laundry List

47
Q

This will cause the patient to provide answers that may or may not be true

A

Biased or leading questions

48
Q

Take time with the client to show that you are concern about their health and helps them to open up

A

Rushing through the interview

49
Q

A____ will help to organize and illustrate the client’s family history

A

Genogram

50
Q

The body systems is addressed and the client is asked specific questions to draw out current health problems or problems from recent past that may still affect the client or that are recurring

A

ROS (REVIEW OF SYSTEMS)

51
Q

Documents the client’s description of her health status for each body system and note the client’s denial of signs, symptoms, diseases or problems the nurse asked but not experienced by the client

A

Review of Systems (ROS)

52
Q

Deals with the client’s human responses that include: nutritional habits, activity & exercise patterns, sleep and rest, self-concept & self- care activities, social community activity, relationship values and beliefs system, education and work, stress level and coping style, environment, developmental level

A

Lifestyle and Health Practices Profile

53
Q

Is designed to teach people what types and amount of food to eat to ensure a balanced diet, to promote health and prevent disease

A

Food pyramid

54
Q

Assess how active is the patient either at work or at home

A

Activity & Exercise patterns

55
Q

Distinguish between activity done at work which is stressful, and exercise which is designed to reduce stress and strengthen the individual

A

Activity & Exercise Patterns

56
Q

Explain to the client that regular exercise reduces the risk of heart disease, strengthens heart and lungs, reduces stress and manages weight

A

Activity & Exercise Patterns

57
Q

Ask patient on the specific sleep pattern; problem in sleeping, rituals the patient use to promote sleep

A

Sleep & Rest

58
Q

Remember that sleep requirements vary depending on age, health and stress levels

A

Sleep & Rest

59
Q

Includes assessment of how the client view herself and investigation of all behaviors that a person does to promote her health

A

Self concept & Self care Activities

60
Q

Questions on this area helps the nurse to discover what outlets the client has for support and relaxation

A

Social and Community Activity

61
Q

Ask client to describe the composition of the family into which they were born and the current and past relationship with these family members

A

Relationship Values and Beliefs System

62
Q

This will help to identify areas of stress and satisfaction in the client’s life

A

EDUCATION AND WORK

63
Q

Ask what events caused stress and how the patient respond

A

Stress level and Coping style

64
Q

To assess health hazards unique to the client’s living situation and lifestyle

A

ENVIRONMENT

65
Q

Helps in determining developmental impairments

A

Developmental level

Health Assessment (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions