NURS 612 Chen-Walta Exam 1 Review-Fall 2019

NURS 612 Chen-Walta Exam 1 Review-Fall 2019NURS 612 Chen-Walta Exam 1 Review-Fall 2019 Ch 1-The History and Interviewing Process Objective data- object=what I observe( see,hear, smell, touch…) Subjective=subject as my patient what patient tells me 1. CC 2. History of Present illness 3. Medical History 4. Social history 5. Review of systems 6. Family history Objective data collection 1. Inspect 2. Palpate 3. Auscultate/ perform test EKG etc.. Documentation= SOAP Subjective/objective/Assessment/ Plan O - Onset L - Location D - Duration Ch - Character A - Aggravating factors R - Relieving T - Temporal factors (other things going on) S - Severity Ch 2-Cultural Competency Know how to ask culturally sensitive questions…..if someone of a different culture comes in with pain how would you address that? By asking them what questions? Pg 24 o What do you call your problem? o What do you think caused it? o Why do you think it started when it did? o What does your sickness do to you? o How does it work? o How bad is your sickness? o How long do you think it will last? o What should be done to get rid of it? o Why did you come to me for treatment? o What benefit will you get from the treatment? o What are the most important problems your sickness has caused for you? o What worries you and frightens you most about your sickness? o Who else or what else might get you better? o Has anyone else helped you with this problem? Ch 3-Examination techniques and Equipment Proper way to use an Ophthalmoscope pg 216-217. (237 new book) 1. To promote pupil dilation, dim the lights. Instill a mydriatic, if needed.