NURSING 150 EXAM 4 QUESTIONS AND
ANSWERS
What are the 3 phases of the interview? - Answer-- Introduction
- Discussion
- Summary
Introduction - Answer-prepare patient for what to expect
Discussion - Answer-- nurse collects data
- keep it patient centered
- nurse prompts questions and takes brief notes
Summary - Answer-- allows for clarification of data
- provides closure
Therapeutic communication is affected by these factors: - Answer-- physical setting
- nurse behaviors
- type of questions asked
- personality and behavior of patients
- how patient is feeling at the time of interview
- nature of information being discussed
Physical setting - Answer-private, quiet, comfortable room w/o distractions and privacy
Nurse behaviors - Answer-warm professional demeanor
- use active listening
- communicate acceptance
- avoid extreme nonverbal reactions
Types of questions - Answer-- begin with open-ended questions about patient's health
- close-ended questions give more precise data
- directive questions lead patient to focus on one set of thoughts
How questions are asked - Answer-- should be clearly spoken
- define words
- ask one question at a time
Technique that enhance data collection: restatement - Answer-repeating what patient
says in different words to confirm interpretation
Technique that enhance data collection: reflection - Answer-repeating what patient said
and encourages elaboration or more information
, Technique that enhance data collection: confrontation - Answer-used when
inconsistencies are noted between patient report and nurse's observations
Technique that enhance data collection: interpretation - Answer-used to share
conclusions drawn from data
Technique that enhance data collection: summary - Answer-condenses and orders data
to clarify sequence of events for patient
Techniques that diminish data collection - Answer-- using medical terminology
confusing to patient
- expressing value judgements
- interrupting while patient is talking
- having an authoritarian demeanor
- asking "why" questions
Functional health patterns - Answer-health perception-health management
nutrition-metabolic
elimination
activity-exercise
cognitive-perceptual
sleep-rest
self-perception-self-concept
role-relationship
sexuality-reproductive
coping-stress tolerance
values-belief
Medical diagnoses - Answer-identify and label medical illnesses
-physical
-psychological
Nursing diagnosis - Answer--broader in focus
-make clinical judgements
Type of nursing diagnosis: Actual Nursing Diagnosis - Answer-describes human
responses to health conditions or life processes
contain: diagnosis label, related factors, and defining characteristics
Type of nursing diagnosis: Risk Nursing Diagnosis - Answer-describes human
responses to health conditions/life processes that may develop
contain: diagnosis label and risk factors
Type of nursing diagnosis: Health Promotion Nursing Diagnosis - Answer-a clinical
judgement of motivation, desire, and readiness to enhance well-being and actualize
human health potential
ANSWERS
What are the 3 phases of the interview? - Answer-- Introduction
- Discussion
- Summary
Introduction - Answer-prepare patient for what to expect
Discussion - Answer-- nurse collects data
- keep it patient centered
- nurse prompts questions and takes brief notes
Summary - Answer-- allows for clarification of data
- provides closure
Therapeutic communication is affected by these factors: - Answer-- physical setting
- nurse behaviors
- type of questions asked
- personality and behavior of patients
- how patient is feeling at the time of interview
- nature of information being discussed
Physical setting - Answer-private, quiet, comfortable room w/o distractions and privacy
Nurse behaviors - Answer-warm professional demeanor
- use active listening
- communicate acceptance
- avoid extreme nonverbal reactions
Types of questions - Answer-- begin with open-ended questions about patient's health
- close-ended questions give more precise data
- directive questions lead patient to focus on one set of thoughts
How questions are asked - Answer-- should be clearly spoken
- define words
- ask one question at a time
Technique that enhance data collection: restatement - Answer-repeating what patient
says in different words to confirm interpretation
Technique that enhance data collection: reflection - Answer-repeating what patient said
and encourages elaboration or more information
, Technique that enhance data collection: confrontation - Answer-used when
inconsistencies are noted between patient report and nurse's observations
Technique that enhance data collection: interpretation - Answer-used to share
conclusions drawn from data
Technique that enhance data collection: summary - Answer-condenses and orders data
to clarify sequence of events for patient
Techniques that diminish data collection - Answer-- using medical terminology
confusing to patient
- expressing value judgements
- interrupting while patient is talking
- having an authoritarian demeanor
- asking "why" questions
Functional health patterns - Answer-health perception-health management
nutrition-metabolic
elimination
activity-exercise
cognitive-perceptual
sleep-rest
self-perception-self-concept
role-relationship
sexuality-reproductive
coping-stress tolerance
values-belief
Medical diagnoses - Answer-identify and label medical illnesses
-physical
-psychological
Nursing diagnosis - Answer--broader in focus
-make clinical judgements
Type of nursing diagnosis: Actual Nursing Diagnosis - Answer-describes human
responses to health conditions or life processes
contain: diagnosis label, related factors, and defining characteristics
Type of nursing diagnosis: Risk Nursing Diagnosis - Answer-describes human
responses to health conditions/life processes that may develop
contain: diagnosis label and risk factors
Type of nursing diagnosis: Health Promotion Nursing Diagnosis - Answer-a clinical
judgement of motivation, desire, and readiness to enhance well-being and actualize
human health potential
