NURS 5220: Module 1 The University of Texas at Arlington | Questions with 100% Verified Answers | Latest Update

NURS 5220: Module 1 The University of Texas at Arlington | Questions with
100% Verified Answers | Latest Update
Question: SOAP note
Answer:
SOAP note is both a process and a documentation format

Question: The Partnership with the Patient
Answer:
Getting to know your client: Culture Physical characteristics Influence on health and illness Beliefs and
behaviors Family relationships Preparing to be an effective health care provider

Question: The History and Interviewing process
Answer:
The history and physical exam begin the diagnostic and treatment process The techniques you will learn
are orderly but not rigid To prevent misinterpretations and misperceptions, you must make every effort
to view the patient's perspective.

Question: GOALS
Answer:
Discover information leading to diagnosis and management Provide information about diagnosis
Negotiate and share health care management Counsel about disease prevention

Question: Autonomy
Answer:
Patient's self-determination

Question: Beneficence
Answer:
Do good for the patient

Question: Nonmaleficence
Answer:
Do no harm to the patient

Question: Utilitarianism
Answer:
Appropriate use of resources for the greater good

,Question: Fairness and Justice
Answer:
Equitable treatment of all

Question: Deontological imperatives
Answer:
Care delivered according to traditions and in cultural contexts

Question: Factors that Enhance Communication
Answer:
Establishing a positive patient relationship depends on communication built on: Courtesy Comfort
Connection Confirmation Confidentiality Be Professional: Attire & Response

Question: 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

Question: 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.

Question: Communication TensionsLimit barriers
Answer:
curiosity about you anxiety silence depression crying physical intimacy emotional intimacy anger
avoidance financial considerations

Question: Setting for the Interview
Answer:
comfort removal of physical barriers good lighting privacy quiet unobtrusive access to clock

Question: Taking the history usually begins...
Answer:
your relationship with the patient

, Question: 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)

Question: 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

Question: 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

Question: 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.