NUR 505 Exam 1
1. Subjective Data Information gathered from patient statements; the pa-
tient's feelings and perceptions. This includes their chief
complaint, HPI, review of systems, social, family, and med-
ical history.
2. Objective data observable and measurable data that can be seen, heard,
or felt by someone other than the person experienc-
ing them. found through physical examination, diagnostic
tests, and clinical observations
3. review of systems physical examination of all body systems in a systematic
manner as part of the nursing assessment.
document relevant positive and negative findings in each
body system.
it helps screen for any potential health problems beyond
the patients primary complaint.
4. Speciality populations: Pediatric communication should be age appropriate, trust-building,
exams and consider developlment stages.
5. Speciality populations: Pregnan- attention to maternal and fetal health, as well as agressing
cy unique concerns
6. Speciality populations: Geriatric consider age related changes, comorbidities, and poten-
tial cognitive impairments.
7. purpose of CAGE questionnaire is a brief screening tool used to assess alcohol disorders
and identify individuals? who may need further evaluation
Scoring: "A yes" to two or more questions may indicate
possible alcohol problem.
8. CAGE Questions: C
, NUR 505 Exam 1
Cut Down: "have you ever felt the need to cut down on your
drinking?
9. CAGE Questions: A Annoyed: "Have you ever been annoyed by your critism of
your drinking?"
10. CAGE Questions: G Guilty: "Have you ever felt guilty about your drinking?"
11. CAGE Questions: E Eye-opener: Have you ever had a drink first thing in the
morning to steady your nerves or get rid of a hangover?"
12. HITS Purpose A screening tool used to assess domestic violence or inti-
mate partner violence.
Screening: a "yes" to one or more questions may indicate
potential partner violence.
13. HITS Questions: H Hurt: "Have you ever been physically hurt by someone you
are close to?"
14. HITS Questions: I Insult: Have you ever been insulted or made to feel bad
about yourself by someone you are close to?"
15. HITS Questions: T Threaten: Have you ever been threatened with physical
harm by someone you are close to?
16. HITS Questions: S Scream: Have you ever been screamed or curses at by
someone you are close to?"
17. PVS (Partner Violence Screening 3 questions used to detect partner violence
) Tool purpose:
1 positive response = positive screen
18. PVS Questions: Have you been hit, kicked, punched, or otherwise hurt in
the last year?
, NUR 505 Exam 1
Do you feel safe in your current relationship?
Is there a partner from a past relationship that is making
you feel unsafe now?
19. FICA tool purpose used to assess a patient's spiritual, religious beleif and
their impact on healthcare descisions.
20. FICA components: F Faith or beleif: Do you have spiritual beliefs to help cope
with stress
21. FICA components: I Importance: IS religion or spirituality important to you
22. FICA components: C Community: Are you apart of a religious community
23. FICA components: A Adress in care: How would you like your healthcare
provider to adress these spiritual concerns.
24. What are the sexual History 5 p's Partners: Ask about number and gender of partners.
Practices: Sexual practice and behaviors
Protection from STIs: Condom use and safe sex.
Past STI: have they had any?
Prevention of pregnancy: explore methods used for preg-
nancy prevention.
25. Therapeutic communication a type of communication that health care providers con-
sciously use when talking with residents in order to influ-
ence residents or help residents to a better understand-
ing.
When dealing with an angry client use active listening,
acknowledge their feelings, maintain a calm demeanor,
and adress their concerns empathetically.
26.
1. Subjective Data Information gathered from patient statements; the pa-
tient's feelings and perceptions. This includes their chief
complaint, HPI, review of systems, social, family, and med-
ical history.
2. Objective data observable and measurable data that can be seen, heard,
or felt by someone other than the person experienc-
ing them. found through physical examination, diagnostic
tests, and clinical observations
3. review of systems physical examination of all body systems in a systematic
manner as part of the nursing assessment.
document relevant positive and negative findings in each
body system.
it helps screen for any potential health problems beyond
the patients primary complaint.
4. Speciality populations: Pediatric communication should be age appropriate, trust-building,
exams and consider developlment stages.
5. Speciality populations: Pregnan- attention to maternal and fetal health, as well as agressing
cy unique concerns
6. Speciality populations: Geriatric consider age related changes, comorbidities, and poten-
tial cognitive impairments.
7. purpose of CAGE questionnaire is a brief screening tool used to assess alcohol disorders
and identify individuals? who may need further evaluation
Scoring: "A yes" to two or more questions may indicate
possible alcohol problem.
8. CAGE Questions: C
, NUR 505 Exam 1
Cut Down: "have you ever felt the need to cut down on your
drinking?
9. CAGE Questions: A Annoyed: "Have you ever been annoyed by your critism of
your drinking?"
10. CAGE Questions: G Guilty: "Have you ever felt guilty about your drinking?"
11. CAGE Questions: E Eye-opener: Have you ever had a drink first thing in the
morning to steady your nerves or get rid of a hangover?"
12. HITS Purpose A screening tool used to assess domestic violence or inti-
mate partner violence.
Screening: a "yes" to one or more questions may indicate
potential partner violence.
13. HITS Questions: H Hurt: "Have you ever been physically hurt by someone you
are close to?"
14. HITS Questions: I Insult: Have you ever been insulted or made to feel bad
about yourself by someone you are close to?"
15. HITS Questions: T Threaten: Have you ever been threatened with physical
harm by someone you are close to?
16. HITS Questions: S Scream: Have you ever been screamed or curses at by
someone you are close to?"
17. PVS (Partner Violence Screening 3 questions used to detect partner violence
) Tool purpose:
1 positive response = positive screen
18. PVS Questions: Have you been hit, kicked, punched, or otherwise hurt in
the last year?
, NUR 505 Exam 1
Do you feel safe in your current relationship?
Is there a partner from a past relationship that is making
you feel unsafe now?
19. FICA tool purpose used to assess a patient's spiritual, religious beleif and
their impact on healthcare descisions.
20. FICA components: F Faith or beleif: Do you have spiritual beliefs to help cope
with stress
21. FICA components: I Importance: IS religion or spirituality important to you
22. FICA components: C Community: Are you apart of a religious community
23. FICA components: A Adress in care: How would you like your healthcare
provider to adress these spiritual concerns.
24. What are the sexual History 5 p's Partners: Ask about number and gender of partners.
Practices: Sexual practice and behaviors
Protection from STIs: Condom use and safe sex.
Past STI: have they had any?
Prevention of pregnancy: explore methods used for preg-
nancy prevention.
25. Therapeutic communication a type of communication that health care providers con-
sciously use when talking with residents in order to influ-
ence residents or help residents to a better understand-
ing.
When dealing with an angry client use active listening,
acknowledge their feelings, maintain a calm demeanor,
and adress their concerns empathetically.
26.
