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HA- CH 4
Health Assessment
Question | Answer |
---|---|
what are 3 things the nurse needs to do in the introduction phase of an interview? | 1. introduce self to client 2. describe the purpose of the interview 3. describe the process of the interview so that the client knows how long the interview will take and what to expect |
what 3 things does the nurse need to do in the discussion phase of the interview? | 1. facilitates the discussion 2. make sure discussion is client centered 3. uses various communication techniques to collect data |
what 3 things does the nurse need to do in teh summary phase of the interview? | 1. summarize data 2. allow for clarification of data 3. provide vaildation to client that you understand the problem |
what are the 3 phases of an interview? | 1. intro 2. discussion 3. summary |
what is the most important part of the interview? | gaining trust and giving privacy |
what are the 8 things a nurse can do to enhance data collection? | active listening, facilitation, clarification, restatement, reflection, confrontation, interpretation, summary |
what are 5 things a nurse can do to hinder or diminsh data collection? | using med terminology, expressing value judgments, interrupting, being authoritarian/paternalistic, using "why" questoins |
broad stated questionf that encourage a free-flowing, open response--more than 2 words | open-ended question |
question asked to gain more precise details, specific and direct questions needing only 1 or 2 worded answer | closed-ended question |
question that lead clients to focus on one set of thoughts; most often used when reviewing systems or evaluating functional status | directive questions |
what is included under biographic data? | name, gender, address, phone #, birth date, birthplace, race/ethnicity, religion, martial status, occupation, contact person, source of data |
2 other terms for reason for seeking health care | cheif complaint and presenting problem |
what are the 8 parts of OLD CARTS (symptom analysis)? | O- onset L- location D- duration C- characteristics A- aggervating and allevating R- related symptoms T- tx S- severity |
when did the symptoms begin? oldcarts | onset |
where are the symptoms? oldcarts | location |
how long do the symptoms last? oldcarts | duration |
describe the characteristics of the symptom. oldcarts | characteristic |
what affects the symptoms? oldcarts | aggervating or allevating |
what other symptoms are present? oldcarts | related symptoms |
describe self-tx tried before seeking care. oldcarts | tx |
describe the severity of the symptom. oldcarts | severity |
what are the 6 topics questioned during adolescent psy hx? | HEADSS- home, education, activities, drugs, sexuality, suicide |
what are the 8 components of activites of daily living assessment? | self-care, mobility, communication, eating, housekeeping, meds, access to community, other |