NURS612 / NURS 612 / NUR 612 / NUR612 Key Points to Review for EXAM

NURS612 Key Points to Review for Exam 1 Key Point to Review - Health History STUDENT NOTES What are the concepts of developing a relationship with the patient? 1. Build trust 2. Communicate What are effective communication strategies when obtaining a health history? 1. Be courteous (knock, address patient, ensure confidentiality, sitting in room, respect modesty, make notes sparingly) 2. Ensure comfort both physical and emotional (minimum separation, maintain privacy, comfortable room temp, good lighting, quiet, don’t overtire pt) 3. Connect with trust and candor (good eye contact, avoid jargon, listen, H&P & physical before previous tests, be flexible) 4. Confirm that everything in the interview is understood and patient agrees upon plan (pt summarize discussion, allow for more discussion, fix mistakes) What is a patient-centered question? Give examples. 1. What would you like for us to do today (questions dealing with “you”) What are potential barriers of patient and provider communication? 1. Curiosity about you (patients asking questions about you. Exercise caution and remain professional in what is disclosed) 2. Anxiety (from CP or seeing a doctor: avoid overload of info, pace conversation, and have calm demeanor) 3. Silence (be patient, it may be needed, move interview with open ended question, may be cultural) 4. Depression (pt cannot be hurried, don’t use superficial reassurance) 5. Crying and Compassionate moments (let them cry, name the emotion, show empathy) 6. Physical and Emotional Intimacy (Respect cultural privacy, but say