NURS 6512 MIDTERM Current Version Question
and Answer | Ultimate Review Edition | Grade A+
• Communication techniques used to obtain a patient's health history . CORRECT
ANSWER: Courtesy, Comfort, Connection, Confirmation
• Courtesy Communication Technique . CORRECT ANSWER: • Knock before
entering a room.
• Address, first, the patient formally (e.g., Miss, Ms., Mrs., Mr.) It is all right to
shake hands.
• Meet and acknowledge others in the room and establish their roles and degree
of participation.
• Learn their names.
• Ensure confidentiality.
• Be in the room, sitting, with no effort to reach too soon for the doorknob.
• If taking notes, take notes sparingly; note key words as reminders but do not let
note-taking distract from your observing and listening.
• If typing in the electronic medical record, type briefly and maintain eye contact
with patient, if possible.
• Respect the need for modesty.
• Allow the patient time to be dressed and comfortably settled after the
examination. Follow-up discussion with the patient still "on the table" is often
discomfiting.
• Comfort Communication Technique . CORRECT ANSWER: • Ensure physical
comfort for all, including yourself.
• Try to have a minimum of furniture separating you and the patient.
• Maintain privacy, using available curtains and shades.
,• Ensure a comfortable room temperature or provide a blanket—a cold room will
make a patient want to cover up.
• Ensure good lighting.
• Ensure necessary quiet. Turn off the television set.
• Try not to overtire the patient. It is not always necessary to do it all at one visit.
• Confirmation Communication Technique . CORRECT ANSWER: • Ask the patient
to summarize the discussion. There should be clear understanding and
uncertainty should be eased.
• Allow the possibility of more discussion with another open-ended question:
"Anything else you want to bring up?"
• If there is a question that you cannot immediately answer, say so. Be sure to
follow up later if at all possible.
• If you seem to have made a mistake, make every effort to repair it. Candor is
important for development of a trusting partnership. Most patients respect it.
• Connection Communication Technique . CORRECT ANSWER: • Look at the
patient; maintain good eye contact if cultural practices allow.
• Watch your language. Avoid professional jargon. Do not patronize with what
you say.
• Do not dominate the discussion. Listen alertly. Let the patient order priorities if
several issues are raised.
• Do not accept a previous diagnosis as a chief concern. Do not too readily follow
a predetermined path.
• Find out whether the patient has turned from other healthcare providers to
come to you.
• Take the history and conduct the physical examination before you look at
previous studies or tests. Consider first what the patient has to say.
, • Avoid leading or direct questions at first. Open-ended questions are better for
starters. Let specifics evolve from these.
• Avoid being judgmental.
• Respect silence. Pauses can be productive.
• Be flexible. Rigidity limits the potential of an interview.
• Assess the patient's potential as a partner.
• Seek clues to problems from the patient's verbal behaviors and body language
(e.g., talking too fast or too little).
• Look for the hidden concerns underlying chief concerns.
• Never trivialize any finding or clue.
• Problems can have multiple causes. Do not leap to one cause too quickly.
• Define any concern completely: Where? How severe? How long? In what
context? What soothes or aggravates the problem?
• SOAP Notes . CORRECT ANSWER: S Subjective data—the information, including
the absence or presence of pertinent symptoms, that the patient tells you
O Objective data—your direct observations from what you see, hear, smell, and
touch and from diagnostic test results
A Assessment—your interpretations and conclusions, your rationale, the
diagnostic possibilities, and present and anticipated problems
P Plan—diagnostic testing, therapeutic modalities, need for consultants, and
rationale for these decisions
• Ethical Considerations . CORRECT ANSWER: • Autonomy: The patient's need for
self-determination. Autonomy suggests that choices exist, and a patient may
choose between alternatives. Uncertainty exists when the patient is a child or is
cognitively impaired. Parents, guardians, family, or other significant persons
should then be included, and the boundaries of that participation must be clearly
and Answer | Ultimate Review Edition | Grade A+
• Communication techniques used to obtain a patient's health history . CORRECT
ANSWER: Courtesy, Comfort, Connection, Confirmation
• Courtesy Communication Technique . CORRECT ANSWER: • Knock before
entering a room.
• Address, first, the patient formally (e.g., Miss, Ms., Mrs., Mr.) It is all right to
shake hands.
• Meet and acknowledge others in the room and establish their roles and degree
of participation.
• Learn their names.
• Ensure confidentiality.
• Be in the room, sitting, with no effort to reach too soon for the doorknob.
• If taking notes, take notes sparingly; note key words as reminders but do not let
note-taking distract from your observing and listening.
• If typing in the electronic medical record, type briefly and maintain eye contact
with patient, if possible.
• Respect the need for modesty.
• Allow the patient time to be dressed and comfortably settled after the
examination. Follow-up discussion with the patient still "on the table" is often
discomfiting.
• Comfort Communication Technique . CORRECT ANSWER: • Ensure physical
comfort for all, including yourself.
• Try to have a minimum of furniture separating you and the patient.
• Maintain privacy, using available curtains and shades.
,• Ensure a comfortable room temperature or provide a blanket—a cold room will
make a patient want to cover up.
• Ensure good lighting.
• Ensure necessary quiet. Turn off the television set.
• Try not to overtire the patient. It is not always necessary to do it all at one visit.
• Confirmation Communication Technique . CORRECT ANSWER: • Ask the patient
to summarize the discussion. There should be clear understanding and
uncertainty should be eased.
• Allow the possibility of more discussion with another open-ended question:
"Anything else you want to bring up?"
• If there is a question that you cannot immediately answer, say so. Be sure to
follow up later if at all possible.
• If you seem to have made a mistake, make every effort to repair it. Candor is
important for development of a trusting partnership. Most patients respect it.
• Connection Communication Technique . CORRECT ANSWER: • Look at the
patient; maintain good eye contact if cultural practices allow.
• Watch your language. Avoid professional jargon. Do not patronize with what
you say.
• Do not dominate the discussion. Listen alertly. Let the patient order priorities if
several issues are raised.
• Do not accept a previous diagnosis as a chief concern. Do not too readily follow
a predetermined path.
• Find out whether the patient has turned from other healthcare providers to
come to you.
• Take the history and conduct the physical examination before you look at
previous studies or tests. Consider first what the patient has to say.
, • Avoid leading or direct questions at first. Open-ended questions are better for
starters. Let specifics evolve from these.
• Avoid being judgmental.
• Respect silence. Pauses can be productive.
• Be flexible. Rigidity limits the potential of an interview.
• Assess the patient's potential as a partner.
• Seek clues to problems from the patient's verbal behaviors and body language
(e.g., talking too fast or too little).
• Look for the hidden concerns underlying chief concerns.
• Never trivialize any finding or clue.
• Problems can have multiple causes. Do not leap to one cause too quickly.
• Define any concern completely: Where? How severe? How long? In what
context? What soothes or aggravates the problem?
• SOAP Notes . CORRECT ANSWER: S Subjective data—the information, including
the absence or presence of pertinent symptoms, that the patient tells you
O Objective data—your direct observations from what you see, hear, smell, and
touch and from diagnostic test results
A Assessment—your interpretations and conclusions, your rationale, the
diagnostic possibilities, and present and anticipated problems
P Plan—diagnostic testing, therapeutic modalities, need for consultants, and
rationale for these decisions
• Ethical Considerations . CORRECT ANSWER: • Autonomy: The patient's need for
self-determination. Autonomy suggests that choices exist, and a patient may
choose between alternatives. Uncertainty exists when the patient is a child or is
cognitively impaired. Parents, guardians, family, or other significant persons
should then be included, and the boundaries of that participation must be clearly
