NURS 6512 ADVANCED HEALTH ASSESSMENT MIDTERM
ACTUAL PAPER VERIFIED STUDY SOLUTIONS
◉ What is the primary objective when developing a relationship
with the patient? Answer: To discover the details about a patient's
concern, explore expectations, display interest, and partnership
◉ What does establishing a positive relationship with the patient
depend on? Answer: Communication built on courtesy, comfort,
connection, and confirmation.
◉ What are effective communication strategies when obtaining a
health history? Answer: Using open-ended questions, direct
questions, rarely leading questions. Facilitate by encouraging patient
to say more. Reflect by repeating what you heard. Clarify. Empathize
by showing understanding and acceptance. Confront by discussing
disturbing behavior. Interpret by repeating what you heard to
confirm.
◉ What are open-ended questions? Answer: Those that give the
patient discretion about the extent of the answer. Such as "How have
you been feeling?" or "What brings you in today?"
◉ What are direct questions? Answer: Those that seek specific
information. Such as "How long ago did that happen?" or "Where
does it hurt?"
,◉ What are leading questions? Answer: Those that are prompting
the patient toward the desired answer and these are the most risky.
◉ What is a patient centered question? Answer: One that respects
and responds to a patient's wants, needs, preferences so that they
can make choices in their care that best fit their individual
circumstances. Such as "How would you like to be addressed?",
"What would you like us to do today?", "How are you coping with
your illness?".
◉ What are potential barriers of patient and provider
communication? Answer: When the patient is curious about you,
anxiety, silence, depression, crying/compassionate moments,
physical & emotional intimacy, seduction, anger, avoiding the full
story, financial considerations.
◉ What is the structure and components of the patient history?
Answer: Patient identifiers, chief complaint, history of present
illness, past medical history, family history, personal/social history,
review of systems
◉ What kind of patient information is obtained in the patient
identifier component of the patient history? Answer: name, age,
gender, race, occupation, date, time, and referral source
,◉ What kind of patient information is obtained in the chief
complaint component of the patient history? Answer: a brief
statement about why the patient is seeking care while probing for
underlying concerns.
◉ What kind of patient information is obtained in the HPI
component of the patient history? Answer: a chronological order of
events leading up to the presenting problem, health status prior to
the onset, a complete description of first symptoms, symptom
analysis (onset, location, description, duration, intensity, character,
aggravating factors, alleviating factors), impact on patients lifestyle,
medications or treatments tried
◉ What kind of information is obtained in the PMH component of
the patient history? Answer: general health/strength childhood
illnesses
major adult illnesses and chronic diseases immunization
surgeries (dates, hospital, diagnosis, complications)
serious injuries resulting in disability limitation of
ability to function d/t past events medications
allergies (meds, environment, seasonal, food)
transfusions recent screening tests
emotional status
, ◉ What kind of information is obtained in the family history
component of the patient history? Answer: Any relevant medical
problems for both immediate and non-immediate family members
◉ What kind of information is obtained in the personal/social
history section of the patient history? Answer: home
environment and conditions (pets, economic) where was the
patient raised education position in family marital status life
satisfaction hobbies/interests source of stress
habits (nutrition, sleep, drugs, etoh, ADL's, and smoking)
self-care (self breast exams, exercise, home remedies) sexual
history
environmental (travel, exposure to diseases)
religious and cultural preferences access to
care
◉ What information is necessary when obtaining sexual health
information? Answer: number of partners, concerns, birth control,
protection from STI's
◉ What kind of information is obtained for the ROS component of
the patient history? Answer: those that identify presence or absence
of health related issues in each body system
ACTUAL PAPER VERIFIED STUDY SOLUTIONS
◉ What is the primary objective when developing a relationship
with the patient? Answer: To discover the details about a patient's
concern, explore expectations, display interest, and partnership
◉ What does establishing a positive relationship with the patient
depend on? Answer: Communication built on courtesy, comfort,
connection, and confirmation.
◉ What are effective communication strategies when obtaining a
health history? Answer: Using open-ended questions, direct
questions, rarely leading questions. Facilitate by encouraging patient
to say more. Reflect by repeating what you heard. Clarify. Empathize
by showing understanding and acceptance. Confront by discussing
disturbing behavior. Interpret by repeating what you heard to
confirm.
◉ What are open-ended questions? Answer: Those that give the
patient discretion about the extent of the answer. Such as "How have
you been feeling?" or "What brings you in today?"
◉ What are direct questions? Answer: Those that seek specific
information. Such as "How long ago did that happen?" or "Where
does it hurt?"
,◉ What are leading questions? Answer: Those that are prompting
the patient toward the desired answer and these are the most risky.
◉ What is a patient centered question? Answer: One that respects
and responds to a patient's wants, needs, preferences so that they
can make choices in their care that best fit their individual
circumstances. Such as "How would you like to be addressed?",
"What would you like us to do today?", "How are you coping with
your illness?".
◉ What are potential barriers of patient and provider
communication? Answer: When the patient is curious about you,
anxiety, silence, depression, crying/compassionate moments,
physical & emotional intimacy, seduction, anger, avoiding the full
story, financial considerations.
◉ What is the structure and components of the patient history?
Answer: Patient identifiers, chief complaint, history of present
illness, past medical history, family history, personal/social history,
review of systems
◉ What kind of patient information is obtained in the patient
identifier component of the patient history? Answer: name, age,
gender, race, occupation, date, time, and referral source
,◉ What kind of patient information is obtained in the chief
complaint component of the patient history? Answer: a brief
statement about why the patient is seeking care while probing for
underlying concerns.
◉ What kind of patient information is obtained in the HPI
component of the patient history? Answer: a chronological order of
events leading up to the presenting problem, health status prior to
the onset, a complete description of first symptoms, symptom
analysis (onset, location, description, duration, intensity, character,
aggravating factors, alleviating factors), impact on patients lifestyle,
medications or treatments tried
◉ What kind of information is obtained in the PMH component of
the patient history? Answer: general health/strength childhood
illnesses
major adult illnesses and chronic diseases immunization
surgeries (dates, hospital, diagnosis, complications)
serious injuries resulting in disability limitation of
ability to function d/t past events medications
allergies (meds, environment, seasonal, food)
transfusions recent screening tests
emotional status
, ◉ What kind of information is obtained in the family history
component of the patient history? Answer: Any relevant medical
problems for both immediate and non-immediate family members
◉ What kind of information is obtained in the personal/social
history section of the patient history? Answer: home
environment and conditions (pets, economic) where was the
patient raised education position in family marital status life
satisfaction hobbies/interests source of stress
habits (nutrition, sleep, drugs, etoh, ADL's, and smoking)
self-care (self breast exams, exercise, home remedies) sexual
history
environmental (travel, exposure to diseases)
religious and cultural preferences access to
care
◉ What information is necessary when obtaining sexual health
information? Answer: number of partners, concerns, birth control,
protection from STI's
◉ What kind of information is obtained for the ROS component of
the patient history? Answer: those that identify presence or absence
of health related issues in each body system
