NURS 5220: Module 1 Exam Questions & Answers 100% Correct
Beneficence - ANSWER-Do good for the patient
Nonmaleficence - ANSWER-Do no harm to the patient
Utilitarianism - ANSWER-Appropriate use of resources for the greater good
Fairness and Justice - ANSWER-Equitable treatment of all
Deontological imperatives - ANSWER-Care delivered according to traditions and in cultural
contexts
Factors that Enhance Communication - ANSWER-Establishing a positive patient relationship
depends on communication built on: Courtesy Comfort Connection Confirmation Confidentiality
Be Professional:
Attire & Response
Enhancing Patient Responses - ANSWER-Establish rapport and trust-Seek connection
Open‐Ended Question-Allows patient discretion about the extent of an answer
Direct Question-Seeks specific information
Leading Question
,-May limit the information provided to what the patient thinks you want to know
If the patient does not understand what you are asking, remember to: - ANSWER-Facilitate:
Encourage your patient to say more
Reflect: Repeat what you have heard.
Clarify: Ask "What do you mean?"
Empathize: Show understanding and acceptance.
Confront: Address disturbing patient behavior.
Interpret: Repeat what you have heard to confirm the patient's meaning.
Communication TensionsLimit barriers - ANSWER-curiosity about you
anxiety
silence
depression
crying
physical intimacy
emotional intimacy
anger
avoidance
financial considerations
,Setting for the Interview - ANSWER-comfort
removal of physical barriers
good lighting
privacy
quiet
unobtrusive access to clock
Taking the history usually begins... - ANSWER-your relationship with the patient
Structure of the History - ANSWER-Identifiers: name, date, time, age, gender, race, occupation,
and referral source
• Chief concern/complaint (CC)
• History of present illness (HPI)
• Past medical history (PMH)
• Family history (FH)
• Personal and social history (PH/ SH)
• Review of systems (ROS)
Basic Rules for Building the History - ANSWER-• Introduce yourself
• Address patient properly
• Be courteous
• Make eye contact
• Do not overtire patient
• Do not be judgmental
• Be flexible
Avoid medical jargon
, • Take notes sparingly
• Avoid leading questions
• Start with general concerns, then move to specific descriptions.
• Clarify responses with where, when, what, how, and why questions.
• Verify and summarize what you have heard
Building the History - ANSWER-• Identify what the patient defines as problems.
• Establish patient's reliability.
• Consider intentional or unintentional suppression or underreporting of information.
• Evaluate patient's words and behaviors.
• Adapt to the modifications that age, pregnancy, and physical and emotional handicaps
mandate
Approaching Sensitive Issues - ANSWER-• Ensure privacy.
• Be direct and firm.
• Do not apologize for broaching the issue.
• Do not preach.
• Use language that is understandable.
• Do not push too hard.
Sensitive Issues - ANSWER-• Alcohol and drug use
• Domestic violence
• Spirituality
• Sexuality
CAGE Questionnaire - ANSWER-- Cutting down
Beneficence - ANSWER-Do good for the patient
Nonmaleficence - ANSWER-Do no harm to the patient
Utilitarianism - ANSWER-Appropriate use of resources for the greater good
Fairness and Justice - ANSWER-Equitable treatment of all
Deontological imperatives - ANSWER-Care delivered according to traditions and in cultural
contexts
Factors that Enhance Communication - ANSWER-Establishing a positive patient relationship
depends on communication built on: Courtesy Comfort Connection Confirmation Confidentiality
Be Professional:
Attire & Response
Enhancing Patient Responses - ANSWER-Establish rapport and trust-Seek connection
Open‐Ended Question-Allows patient discretion about the extent of an answer
Direct Question-Seeks specific information
Leading Question
,-May limit the information provided to what the patient thinks you want to know
If the patient does not understand what you are asking, remember to: - ANSWER-Facilitate:
Encourage your patient to say more
Reflect: Repeat what you have heard.
Clarify: Ask "What do you mean?"
Empathize: Show understanding and acceptance.
Confront: Address disturbing patient behavior.
Interpret: Repeat what you have heard to confirm the patient's meaning.
Communication TensionsLimit barriers - ANSWER-curiosity about you
anxiety
silence
depression
crying
physical intimacy
emotional intimacy
anger
avoidance
financial considerations
,Setting for the Interview - ANSWER-comfort
removal of physical barriers
good lighting
privacy
quiet
unobtrusive access to clock
Taking the history usually begins... - ANSWER-your relationship with the patient
Structure of the History - ANSWER-Identifiers: name, date, time, age, gender, race, occupation,
and referral source
• Chief concern/complaint (CC)
• History of present illness (HPI)
• Past medical history (PMH)
• Family history (FH)
• Personal and social history (PH/ SH)
• Review of systems (ROS)
Basic Rules for Building the History - ANSWER-• Introduce yourself
• Address patient properly
• Be courteous
• Make eye contact
• Do not overtire patient
• Do not be judgmental
• Be flexible
Avoid medical jargon
, • Take notes sparingly
• Avoid leading questions
• Start with general concerns, then move to specific descriptions.
• Clarify responses with where, when, what, how, and why questions.
• Verify and summarize what you have heard
Building the History - ANSWER-• Identify what the patient defines as problems.
• Establish patient's reliability.
• Consider intentional or unintentional suppression or underreporting of information.
• Evaluate patient's words and behaviors.
• Adapt to the modifications that age, pregnancy, and physical and emotional handicaps
mandate
Approaching Sensitive Issues - ANSWER-• Ensure privacy.
• Be direct and firm.
• Do not apologize for broaching the issue.
• Do not preach.
• Use language that is understandable.
• Do not push too hard.
Sensitive Issues - ANSWER-• Alcohol and drug use
• Domestic violence
• Spirituality
• Sexuality
CAGE Questionnaire - ANSWER-- Cutting down
