NURS 618 Test 1 with precise detailed solutions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Terms in this set (40)
||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
SNAPPS
-Summarize (history and physical). ||\\//|| ||\\//|| ||\\//||
-Narrow-(narrow the differentials to 2 or 3). ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Analyze-(compare the DDX). ||\\//|| ||\\//||
-Probe-Probe the preceptor (ask questions). ||\\//|| ||\\//|| ||\\//|| ||\\//||
-P-Plan(come up with a specific plan). ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-S-Self-directed learning (research topics that you are unaware of) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Histories
Comprehensive health history - complete ||\\//|| ||\\//|| ||\\//|| ||\\//||
Focused history - evaluation of specific problem (SOAP Note)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Follow up visit - established patients
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Emergency history ||\\//||
Holistic Health ||\\//||
Lifestyle behaviors ||\\//||
Culture
Family/social roles ||\\//||
,Self care behaviors
||\\//|| ||\\//||
Job related stress
||\\//|| ||\\//||
Failures/frustrations in life ||\\//|| ||\\//||
Spirituality
History taking ||\\//||
Number of people in the room ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Appear calm and unhurried ||\\//|| ||\\//|| ||\\//||
Use neutral open ended questions if needed
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Directed questions when dealing with multiple chief concerns ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Priority assessment: High - life threatening/emergent, moderate priority - require prompt
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
intervention to prevent further deterioration, low priority- often require teaching, not ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
immediate
Gender
Natal Sex ||\\//||
Sexual orientation ||\\//||
Hx taking in older children and adolescents
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Developmental data generally more important than birth data ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Behavioral issues and interaction with family or other children ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Motor/Language milestones ||\\//||
Safety issues ||\\//||
, Adolescents:
Privacy, confidentiality ||\\//||
Parent needs to leave room for honest responses ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
HEAEADSSS assessment ||\\//||
Discuss things of interest ||\\//|| ||\\//|| ||\\//||
Hx taking in pregnancy
||\\//|| ||\\//|| ||\\//||
Reproductive health hisotry ||\\//|| ||\\//||
Number of pregnancies, live births, abortions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Perinatal complications ||\\//||
Pap history ||\\//||
HIV, STD, sexuality concerns
||\\//|| ||\\//|| ||\\//||
All medications
||\\//||
Specialty care ||\\//||
Illicit drug use ||\\//|| ||\\//||
Social support issues ||\\//|| ||\\//||
Hx of elderly
||\\//|| ||\\//||
Long and complicated ||\\//|| ||\\//||
Physical limitations ||\\//||
Health history ||\\//||
Medication - polypharmacy (bring all meds) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Recent life changes/psychiatric issues ||\\//|| ||\\//|| ||\\//||
Terms in this set (40)
||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
SNAPPS
-Summarize (history and physical). ||\\//|| ||\\//|| ||\\//||
-Narrow-(narrow the differentials to 2 or 3). ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Analyze-(compare the DDX). ||\\//|| ||\\//||
-Probe-Probe the preceptor (ask questions). ||\\//|| ||\\//|| ||\\//|| ||\\//||
-P-Plan(come up with a specific plan). ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-S-Self-directed learning (research topics that you are unaware of) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Histories
Comprehensive health history - complete ||\\//|| ||\\//|| ||\\//|| ||\\//||
Focused history - evaluation of specific problem (SOAP Note)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Follow up visit - established patients
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Emergency history ||\\//||
Holistic Health ||\\//||
Lifestyle behaviors ||\\//||
Culture
Family/social roles ||\\//||
,Self care behaviors
||\\//|| ||\\//||
Job related stress
||\\//|| ||\\//||
Failures/frustrations in life ||\\//|| ||\\//||
Spirituality
History taking ||\\//||
Number of people in the room ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Appear calm and unhurried ||\\//|| ||\\//|| ||\\//||
Use neutral open ended questions if needed
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Directed questions when dealing with multiple chief concerns ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Priority assessment: High - life threatening/emergent, moderate priority - require prompt
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
intervention to prevent further deterioration, low priority- often require teaching, not ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
immediate
Gender
Natal Sex ||\\//||
Sexual orientation ||\\//||
Hx taking in older children and adolescents
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Developmental data generally more important than birth data ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Behavioral issues and interaction with family or other children ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Motor/Language milestones ||\\//||
Safety issues ||\\//||
, Adolescents:
Privacy, confidentiality ||\\//||
Parent needs to leave room for honest responses ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
HEAEADSSS assessment ||\\//||
Discuss things of interest ||\\//|| ||\\//|| ||\\//||
Hx taking in pregnancy
||\\//|| ||\\//|| ||\\//||
Reproductive health hisotry ||\\//|| ||\\//||
Number of pregnancies, live births, abortions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Perinatal complications ||\\//||
Pap history ||\\//||
HIV, STD, sexuality concerns
||\\//|| ||\\//|| ||\\//||
All medications
||\\//||
Specialty care ||\\//||
Illicit drug use ||\\//|| ||\\//||
Social support issues ||\\//|| ||\\//||
Hx of elderly
||\\//|| ||\\//||
Long and complicated ||\\//|| ||\\//||
Physical limitations ||\\//||
Health history ||\\//||
Medication - polypharmacy (bring all meds) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Recent life changes/psychiatric issues ||\\//|| ||\\//|| ||\\//||