NR 565 Midterm Study Guide: Key
Concepts in Prescriptive Authority
beneficence vs nonmaleficence - 100 correct answer as-
Beneficence
-guides the actions and behaviors of practitioners toward beneficial patient outcomes
-ex. provide emergency meds without regard to legal consequence
Nonmaleficence
-principle that urges practitioners to avoid actions and behaviors that might bring harm
to their patients
-ex. refusing to fill a prescription that pharmacist says may harm the patient
Utalitarianism - 100 correct answer as-appropriately use resources
for greater good
deontological imperatives - 100 correct answer as-Care delivered
according to traditions and in cultural contexts
Positive patient rapport depends on communication built on... - 100 correct
answer as-Courtesy, Comfort, Connection, Confirmation, Confidentiality
open-ended question - 100 correct answer as-pt discretion about
extent of an answer
direct question - 100 correct answer as-seeks out specific
information
EX: OLDCART
leading question - 100 correct answer as-a question that implies that
one answer would be better than another
,what should you do if a pt doesnt understand what you are asking? - 100
correct answer as-Facilitate (encourage pt to say more)
Reflect (repeat what you heard)
Clarify (ask pt to reiterate)
Empathize (show understanding)
Confront (address disturbing pt behavior
Interpret (repeat what you have heard to confirm pt's meaning)
examples of communication tensions - 100 correct answer as-
curiosity, anxiety, silence, depression, crying, emotional or physical intimacy, seduction,
anger, avoidance, financial considerations
while taking pt history, you should remain in a constant state of _____ evaluation of the
pt's words and behaviors
A. objective
B. subjective - 100 correct answer as-subjective, you are asking pt
for their own history
sensitive issues that come up during the history taking process include - 100
correct answer as-alcohol/drug use, domestic violence, spirituality,
sexuality
what tools are used to screen for alcohol abuse during the history taking process? -
100 correct answer as-CAGE (cutting down, annoyance by criticism,
guilty feeling, eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people ANNOYED you by
criticizing your drinking? have you felt you ought to CUT down on your drinking? have
you ever had an EYE-OPENER drink first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself who was
intoxicated? do you take drugs to RELAX or to fit in? do you ever use drugs when your
ALONE? do you ever FORGET things while using? has a FAMILy member or FRIEND
told you to cut down? have you ever gotten into TROUBLE from using drugs?)
screening vs assessment - 100 correct answer as-Screening is the
process for EVALUATING the possible presence of a problem VS Assessment is the
process for DEFINING the nature of the problem.
, what tools are used to screen for domestic violence during the history taking process? -
100 correct answer as-HITS
The wording of the question is "In the last year how often did your partner:
1. Hurt you physically?"
2. Insult or talk down to you?"
3. Threaten you with physical harm?"
4. Scream or curse at you?"
what tools can be used to approach spirituality during the history taking process? -
100 correct answer as-FICA
1. Faith, belief, meaning (what is your spiritual heritage? what writings are important to
you?)
2. Importance and Influenc (how have these beliefs influenced how you handle stress?)
3. Community (do you belong to a spiritual community?)
4. Address/Action in care (how do your religious beliefs affect your healthcare
decisions?)
what is the basic outline/sequence of taking the history? - 100 correct
answer as-1. Chief Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)
4. Family History (FH)
5. Personal and Social History (PSH)
6. Review of Systems
chief complaint (CC) - 100 correct answer as-the main reason for the
patient's visit.
History of Present Illness (HPI) - 100 correct answer as-information
gathered regarding the symptoms and nature of the patient's current concern.
can ask about chronology of events, health state before present problem, first
symptoms, exposure to infection or toxic agents, typical attack etc.
OLDCARTS is a good tool to start with (onset, location, duration, characteristics,
aggravating factors, relieving factors, treatment, severity of symptoms)
past medical history (PMH) - 100 correct answer as-information
gathered regarding the patient's health problems in the past
Concepts in Prescriptive Authority
beneficence vs nonmaleficence - 100 correct answer as-
Beneficence
-guides the actions and behaviors of practitioners toward beneficial patient outcomes
-ex. provide emergency meds without regard to legal consequence
Nonmaleficence
-principle that urges practitioners to avoid actions and behaviors that might bring harm
to their patients
-ex. refusing to fill a prescription that pharmacist says may harm the patient
Utalitarianism - 100 correct answer as-appropriately use resources
for greater good
deontological imperatives - 100 correct answer as-Care delivered
according to traditions and in cultural contexts
Positive patient rapport depends on communication built on... - 100 correct
answer as-Courtesy, Comfort, Connection, Confirmation, Confidentiality
open-ended question - 100 correct answer as-pt discretion about
extent of an answer
direct question - 100 correct answer as-seeks out specific
information
EX: OLDCART
leading question - 100 correct answer as-a question that implies that
one answer would be better than another
,what should you do if a pt doesnt understand what you are asking? - 100
correct answer as-Facilitate (encourage pt to say more)
Reflect (repeat what you heard)
Clarify (ask pt to reiterate)
Empathize (show understanding)
Confront (address disturbing pt behavior
Interpret (repeat what you have heard to confirm pt's meaning)
examples of communication tensions - 100 correct answer as-
curiosity, anxiety, silence, depression, crying, emotional or physical intimacy, seduction,
anger, avoidance, financial considerations
while taking pt history, you should remain in a constant state of _____ evaluation of the
pt's words and behaviors
A. objective
B. subjective - 100 correct answer as-subjective, you are asking pt
for their own history
sensitive issues that come up during the history taking process include - 100
correct answer as-alcohol/drug use, domestic violence, spirituality,
sexuality
what tools are used to screen for alcohol abuse during the history taking process? -
100 correct answer as-CAGE (cutting down, annoyance by criticism,
guilty feeling, eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people ANNOYED you by
criticizing your drinking? have you felt you ought to CUT down on your drinking? have
you ever had an EYE-OPENER drink first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself who was
intoxicated? do you take drugs to RELAX or to fit in? do you ever use drugs when your
ALONE? do you ever FORGET things while using? has a FAMILy member or FRIEND
told you to cut down? have you ever gotten into TROUBLE from using drugs?)
screening vs assessment - 100 correct answer as-Screening is the
process for EVALUATING the possible presence of a problem VS Assessment is the
process for DEFINING the nature of the problem.
, what tools are used to screen for domestic violence during the history taking process? -
100 correct answer as-HITS
The wording of the question is "In the last year how often did your partner:
1. Hurt you physically?"
2. Insult or talk down to you?"
3. Threaten you with physical harm?"
4. Scream or curse at you?"
what tools can be used to approach spirituality during the history taking process? -
100 correct answer as-FICA
1. Faith, belief, meaning (what is your spiritual heritage? what writings are important to
you?)
2. Importance and Influenc (how have these beliefs influenced how you handle stress?)
3. Community (do you belong to a spiritual community?)
4. Address/Action in care (how do your religious beliefs affect your healthcare
decisions?)
what is the basic outline/sequence of taking the history? - 100 correct
answer as-1. Chief Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)
4. Family History (FH)
5. Personal and Social History (PSH)
6. Review of Systems
chief complaint (CC) - 100 correct answer as-the main reason for the
patient's visit.
History of Present Illness (HPI) - 100 correct answer as-information
gathered regarding the symptoms and nature of the patient's current concern.
can ask about chronology of events, health state before present problem, first
symptoms, exposure to infection or toxic agents, typical attack etc.
OLDCARTS is a good tool to start with (onset, location, duration, characteristics,
aggravating factors, relieving factors, treatment, severity of symptoms)
past medical history (PMH) - 100 correct answer as-information
gathered regarding the patient's health problems in the past
