NURS 6512 Advanced health assessment exam 1 Questions With Complete Solutions

What are the concepts of developing a relationship with the patient? correct answer: See the patient as a unique individual Let them know that you really want to know all that is needed Be open and flexible Explain boundaries Be honest What is the primary objective when developing a relationship with the patient? correct answer: To discover the details about a patient's concern, explore expectations, display interest, and partnership What does establishing a positive relationship with the patient depend on? correct answer: Communication built on courtesy, comfort, connection, and confirmation. What are effective communication strategies when obtaining a health history? correct answer: Using open-ended questions, direct questions, rarely leading questions. Facilitate by encouraging patient to say more. Reflect by repeating what you heard. Clarify. Empathize by showing understanding and acceptance. Confront by discussing disturbing behavior. Interpret by repeating what you heard to confirm. What are open-ended questions? correct answer: Those that give the patient discretion about the extent of the answer. Such as "How have you been feeling?" or "What brings you in today?" What are direct questions? correct answer: Those that seek specific information. Such as "How long ago did that happen?" or "Where does it hurt?" What are leading questions? correct answer: Those that are prompting the patient toward the desired answer and these are the most risky. What is a patient centered question? correct answer: One that respects and responds to a patient's wants, needs, preferences so that they can make choices in their care that best fit their individual circumstances. Such as "How would you like to be addressed?", "What would you like us to do today?", "How are you coping with your illness?". What are potential barriers of patient and provider communication? correct answer: When the patient is curious about you, anxiety, silence, depression, crying/compassionate moments, physical & emotional intimacy, seduction, anger, avoiding the full story, financial considerations.