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HA- CH 4

Health Assessment

QuestionAnswer
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
Created by: TayBay15
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