Quizlet chapter 16 - practice questions PDF

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Chapter 16 Nursing Assessment Study online at quizlet.com/_2mwy1a Asking a pt if the pain worsens if he or she does a certain task is an example of what interview technique

Problem seeking

2.

Asking a pt if there is any changes in their activities tolerance is example of what interview technique

Direct Question

3.

Back Channeling

active listening prompts uh huh, alright, go ahead

4.

Biographical Information

factual demographic data about the pt

5.

Closed Ended

Limit the pts answers to one or two words

6.

Concept Map

is a visual representation that allows you to graphically show the connections between a pt and many health issues

7.

Cue

information that you obtain through your senses

8.

Define the term data validation

is the comparison of the data with another source to determine data accuracy

9.

Diagnostic and Laboratory data provide

provide further explanation of altercations or problems identified during the history and physical assessment

10.

Documentation Should be What

timely, thorough, accurate. Record everything do not generalize or form judgements.

11.

During an interview what is used?

Observation, Open-Ended, Leading Questions, Back Channeling, Probing, Closed Ended

12.

Environmental History

pts home and work determining the pt saftey

13.

Family History

to determine if the pt is at risk for illness that is genetic or familial nature

14.

Health History

HEALTH CARE EXPERIENCES AND CURRENT HEALTH HABITS AND LIFESTYLE PATTERNS

1.

15.

Identify some types of nursing assessments

patient centered interview during the history and the physical exam and periodical assessments during rounding or administering care

16.

Identify the two steps of a nursing assessments

A: collection of information from primary and secondary sources. B: Interpretation and validation of data

17.

Identify the variety of sources where data can be obtained

Pt interviews, observation, physical exam, family member, significant others, other members of health care team, medical record information, scientific and medical literature

18.

Inference

judgment or interpretation of cues

19.

the information obtained in a review of systems ROS

Subjective

20.

Interview technique that strengthens nurse pt relationship by demonstrating nurses willingness to hear the pts thoughts

Open ended questions

21.

Leading questions

Risky, limits information

22.

List Gordons 11 function health patterns

health perception-health management pattern, nutritional-metabolic pattern, elimination pattern, activity-exercise pattern, sleep-rest pattern, cognitiveperceptual pattern, role-relationship pattern, sexuality-reproductive pattern, coping-stress tolerance pattern, valuebelief pattern

23.

List the communication skills that are needed to effectively communicate

Courtesy, Comfort, Connection, Confirmation,

24.

List the three phases of all ptcentered interviews

Orientation, setting agenda Working Phase: Collecting assessment Terminating and Interview

25.

Motivational Interviewing

is a process that addresses a pts ambivalence to medically indicated behavior change and supports pts in making health care decisions

26.

Objective Data

include observations or measurements of a pts health status

27.

Observation

nonverbal communication

28.

Open Ended

Prompts pts to describe a situation

29.

Present illness, health concerns

essential and relevant data about the nature and onset of symptoms

30.

Probing

encourages a full description without trying to control the direction of the story

31.

Psychosocial History

reveals the pts support system and the coping mechanisms

32.

Pt expectations

pts understanding of why he or she is seeking health care

33.

Reasons for Seeking health care

chief concerns or problems

34.

Review of Systems (ROS)

systematic approach for collecting the pts self reported data on all body systems

35.

Spiritual History

Represents the totality of one's being

36.

Subjective Data

include pts verbal descriptions of their health problems...