NURS 307 Exam 1-Questions with complete solutions.
autonomy
pt self-determination
beneficence vs nonmaleficence
Beneficence
-guides the actions and behaviors of practitioners toward beneficial patient outcomes
-ex. provide emergency meds without regard to legal consequence
Nonmaleficence
-principle that urges practitioners to avoid actions and behaviors that might bring harm to their
patients
-ex. refusing to fill a prescription that pharmacist says may harm the patient
Utalitarianism
appropriately use resources for greater good
deontological imperatives
Care delivered according to traditions and in cultural contexts
Positive patient rapport depends on communication built on...
Courtesy, Comfort, Connection, Confirmation, Confidentiality
open-ended question
pt discretion about extent of an answer
,direct question
seeks out specific information
EX: OLDCART
leading question
a question that implies that one answer would be better than another
what should you do if a pt doesnt understand what you are asking?
Facilitate (encourage pt to say more)
Reflect (repeat what you heard)
Clarify (ask pt to reiterate)
Empathize (show understanding)
Confront (address disturbing pt behavior
Interpret (repeat what you have heard to confirm pt's meaning)
examples of communication tensions
curiosity, anxiety, silence, depression, crying, emotional or physical intimacy, seduction, anger,
avoidance, financial considerations
while taking pt history, you should remain in a constant state of _____ evaluation of the
pt's words and behaviors
A. objective
B. subjective
,subjective, you are asking pt for their own history
sensitive issues that come up during the history taking process include
alcohol/drug use, domestic violence, spirituality, sexuality
what tools are used to screen for alcohol abuse during the history taking process?
CAGE (cutting down, annoyance by criticism, guilty feeling, eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people ANNOYED you by
criticizing your drinking? have you felt you ought to CUT down on your drinking? have you ever
had an EYE-OPENER drink first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself who was intoxicated? do
you take drugs to RELAX or to fit in? do you ever use drugs when your ALONE? do you ever
FORGET things while using? has a FAMILy member or FRIEND told you to cut down? have
you ever gotten into TROUBLE from using drugs?)
screening vs assessment
Screening is the process for EVALUATING the possible presence of a problem VS Assessment
is the process for DEFINING the nature of the problem.
what tools are used to screen for domestic violence during the history taking process?
HITS
The wording of the question is "In the last year how often did your partner:
, 1. Hurt you physically?"
2. Insult or talk down to you?"
3. Threaten you with physical harm?"
4. Scream or curse at you?"
what tools can be used to approach spirituality during the history taking process?
FICA
1. Faith, belief, meaning (what is your spiritual heritage? what writings are important to you?)
2. Importance and Influenc (how have these beliefs influenced how you handle stress?)
3. Community (do you belong to a spiritual community?)
4. Address/Action in care (how do your religious beliefs affect your healthcare decisions?)
what is the basic outline/sequence of taking the history?
1. Chief Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)
4. Family History (FH)
5. Personal and Social History (PSH)
6. Review of Systems
chief complaint (CC)
the main reason for the patient's visit.
History of Present Illness (HPI)
autonomy
pt self-determination
beneficence vs nonmaleficence
Beneficence
-guides the actions and behaviors of practitioners toward beneficial patient outcomes
-ex. provide emergency meds without regard to legal consequence
Nonmaleficence
-principle that urges practitioners to avoid actions and behaviors that might bring harm to their
patients
-ex. refusing to fill a prescription that pharmacist says may harm the patient
Utalitarianism
appropriately use resources for greater good
deontological imperatives
Care delivered according to traditions and in cultural contexts
Positive patient rapport depends on communication built on...
Courtesy, Comfort, Connection, Confirmation, Confidentiality
open-ended question
pt discretion about extent of an answer
,direct question
seeks out specific information
EX: OLDCART
leading question
a question that implies that one answer would be better than another
what should you do if a pt doesnt understand what you are asking?
Facilitate (encourage pt to say more)
Reflect (repeat what you heard)
Clarify (ask pt to reiterate)
Empathize (show understanding)
Confront (address disturbing pt behavior
Interpret (repeat what you have heard to confirm pt's meaning)
examples of communication tensions
curiosity, anxiety, silence, depression, crying, emotional or physical intimacy, seduction, anger,
avoidance, financial considerations
while taking pt history, you should remain in a constant state of _____ evaluation of the
pt's words and behaviors
A. objective
B. subjective
,subjective, you are asking pt for their own history
sensitive issues that come up during the history taking process include
alcohol/drug use, domestic violence, spirituality, sexuality
what tools are used to screen for alcohol abuse during the history taking process?
CAGE (cutting down, annoyance by criticism, guilty feeling, eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people ANNOYED you by
criticizing your drinking? have you felt you ought to CUT down on your drinking? have you ever
had an EYE-OPENER drink first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself who was intoxicated? do
you take drugs to RELAX or to fit in? do you ever use drugs when your ALONE? do you ever
FORGET things while using? has a FAMILy member or FRIEND told you to cut down? have
you ever gotten into TROUBLE from using drugs?)
screening vs assessment
Screening is the process for EVALUATING the possible presence of a problem VS Assessment
is the process for DEFINING the nature of the problem.
what tools are used to screen for domestic violence during the history taking process?
HITS
The wording of the question is "In the last year how often did your partner:
, 1. Hurt you physically?"
2. Insult or talk down to you?"
3. Threaten you with physical harm?"
4. Scream or curse at you?"
what tools can be used to approach spirituality during the history taking process?
FICA
1. Faith, belief, meaning (what is your spiritual heritage? what writings are important to you?)
2. Importance and Influenc (how have these beliefs influenced how you handle stress?)
3. Community (do you belong to a spiritual community?)
4. Address/Action in care (how do your religious beliefs affect your healthcare decisions?)
what is the basic outline/sequence of taking the history?
1. Chief Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)
4. Family History (FH)
5. Personal and Social History (PSH)
6. Review of Systems
chief complaint (CC)
the main reason for the patient's visit.
History of Present Illness (HPI)
