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the nurse will introduce themselves and state the purpose of the interview.
the nurse can begin on a neutral topic such as the weather if the patient
seems nervous.
,what is the mnemonic we use for remembering the elements of assessing a present
symptom?
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OLDCART: onset, location, duration, character, associated or
aggravating/alleiviating factors, timing and severity.
What are the 4 main themes in personal and social history?
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development, psychological, spiritual, sociocultural.
What is a chief concern?
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a brief description of why the patient is seeking care. ex: daily headaches
for the past 5 days.
How do we use therapeutic communication with a patient who is angry?
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, We listen to the patients and search for themes of their anger. We do not
become defensive and personalize the situation because it may be from a
previous experience, not our own. These patients are triggered by the
feeling they have lost control over the situation which leads to feelings of
helplessness and anxiety. Nurses must acknowledge their feelings by
saying: "I understand that you are upset about being asked this question, or,
I am sorry you are upset" The nurse must validate the patients concern and
attempt to connect their feelings with related events. Nurses are
encouraged to call hospital security if the situation is seen to become
physical.
Describe the M in a SMART nursing goal.
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measurable: how will you know when have reached the goal?
what is the A in a smart goal?
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Is it in our power to reach the goal?
what happens in the closing phase of an interview?
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