NURS 307 Exam 1: Questions & Answers
when taking the history of an adolescent, what tools would be useful to explore
the PSH of the teen?
(Ans- HEEADSSS (Home environment, Education, Eating, Activities, Drugs,
Sexuality, Suicide/depression, safety) or PACES (Parents/peers, Accidents/Alcohol,
Cigarettes, Emotional issues, School/Sexuality)
complete history
(Ans- Most often recorded the first time you see the patient
inventory history
(Ans-
- Related to but does not replace the complete history
- Touches on major points without complete detail
- Entire history will be completed in more than one session
problem/episodic/focused history
(Ans- taken when a problem is acute, only the need of the moment is given full
attention
interim history
(Ans-
- Designed to chronicle events that have occurred since your last meeting with
the patient
,- Substance determined by nature of problem and need of the moment
- Should always be complemented by the patient's previous medical record
cultural awareness
(Ans- to understand aspects of the human condition that differentiate individuals
and groups
how can you approach pts in a way that shows you have cultural competence?
(Ans- recognize cultural diversity, respect other's culture, reflect on your own
beliefs, do not expect all members of the same culture to act the same, appreciate
other's cultural values and note they are hard to change
culture
(Ans- Beliefs, customs, and traditions of a specific group of people. may share
ideas, attitudes, ways of relating to each other, manners of speaking, material
products
acculturation
(Ans- process of accommodating to another culture
Custom
(Ans- habitual activity of a group/subgroup
enculturation
(Ans- process of assuming the traits and behaviors of a given culture
,Ethnocentrism
(Ans- Belief in the superiority of one's nation or ethnic group with a disdain of
others
Ethnos
(Ans- Group of same race/nationality with common culture and traits
minority
(Ans- Group differentiated from the majority population with regard to religion,
race, or ethnic origin
norm
(Ans- Prescribed standard of allowable behavior within a group
race
(Ans- Physical differentiator based on a common heredity
Rite
(Ans- Prescribed, formal, customary observance
, Rituals
(Ans- Stereotypical behavior regulating religious, social, and professional
behaviors
Stereotype
(Ans- Simplified, inflexible conception of the members of a group
subculture
(Ans- Subgroup having distinctive traits the differentiate it from the larger culture
values
(Ans- Ideals, customs, institutions, and behaviors within a group for which the
members have a respectful regard
pain is entirely (subjective or objective) and is (the same or unique) for all
individuals
(Ans- subjective, unique
Is pain considered a vital sign?
(Ans- yes, it is considered the "5th vital sign". it must be assessed and
documented in all health care facilities
regarding pain, what does The Joint Commission (JCAHO) require clinicians to do?
(Ans-
1. assess and record pain for all pts
when taking the history of an adolescent, what tools would be useful to explore
the PSH of the teen?
(Ans- HEEADSSS (Home environment, Education, Eating, Activities, Drugs,
Sexuality, Suicide/depression, safety) or PACES (Parents/peers, Accidents/Alcohol,
Cigarettes, Emotional issues, School/Sexuality)
complete history
(Ans- Most often recorded the first time you see the patient
inventory history
(Ans-
- Related to but does not replace the complete history
- Touches on major points without complete detail
- Entire history will be completed in more than one session
problem/episodic/focused history
(Ans- taken when a problem is acute, only the need of the moment is given full
attention
interim history
(Ans-
- Designed to chronicle events that have occurred since your last meeting with
the patient
,- Substance determined by nature of problem and need of the moment
- Should always be complemented by the patient's previous medical record
cultural awareness
(Ans- to understand aspects of the human condition that differentiate individuals
and groups
how can you approach pts in a way that shows you have cultural competence?
(Ans- recognize cultural diversity, respect other's culture, reflect on your own
beliefs, do not expect all members of the same culture to act the same, appreciate
other's cultural values and note they are hard to change
culture
(Ans- Beliefs, customs, and traditions of a specific group of people. may share
ideas, attitudes, ways of relating to each other, manners of speaking, material
products
acculturation
(Ans- process of accommodating to another culture
Custom
(Ans- habitual activity of a group/subgroup
enculturation
(Ans- process of assuming the traits and behaviors of a given culture
,Ethnocentrism
(Ans- Belief in the superiority of one's nation or ethnic group with a disdain of
others
Ethnos
(Ans- Group of same race/nationality with common culture and traits
minority
(Ans- Group differentiated from the majority population with regard to religion,
race, or ethnic origin
norm
(Ans- Prescribed standard of allowable behavior within a group
race
(Ans- Physical differentiator based on a common heredity
Rite
(Ans- Prescribed, formal, customary observance
, Rituals
(Ans- Stereotypical behavior regulating religious, social, and professional
behaviors
Stereotype
(Ans- Simplified, inflexible conception of the members of a group
subculture
(Ans- Subgroup having distinctive traits the differentiate it from the larger culture
values
(Ans- Ideals, customs, institutions, and behaviors within a group for which the
members have a respectful regard
pain is entirely (subjective or objective) and is (the same or unique) for all
individuals
(Ans- subjective, unique
Is pain considered a vital sign?
(Ans- yes, it is considered the "5th vital sign". it must be assessed and
documented in all health care facilities
regarding pain, what does The Joint Commission (JCAHO) require clinicians to do?
(Ans-
1. assess and record pain for all pts
