Exam Test For Clinical Manifestation Assesssment And Respiratory Disease Chapter 1,2,&3

EXAM TEST FOR CLINICAL MANIFESTATION ASSESSSMENT AND RESPIRATORY DISEASE CHAPTER 1,2,&3 Action plan - CORRECT ANSWER-Achievable goal Assess barriers to achieve goal Specific and measurable goal Have follow-up mechanism-determine how complacence will be measured Closed-loop communication - CORRECT ANSWER-if an order is brought to you by third party, you must verify the order if the order is given orally and you are authorized to take it you must repeat it back to verify culturally competent communication - CORRECT ANSWER-active listening, attending to individual needs, eliciting patient concerns, attending to individual needs, and expressing genuine concern, explore cultural beliefs(gender role, personal space, and religion), self-awareness, situations awareness, and adaptability intimate space - CORRECT ANSWER-0-18 inches; reserved for physical examination component and treatment/monitoring stage patient centered care - CORRECT ANSWER-individualized care&patient involvement=care given consistent with each individual's values, needs, and preferences provider collaboration= patient becomes active participate in their own care. personal space - CORRECT ANSWER-2-4 feet; used in initial assessment, usually after establishing rapport Protected Health Information (PHI) - CORRECT ANSWER-Any information about health status, provision of health care, or payment for health care that can be linked to an individual. Discharge - CORRECT ANSWER-time frame for implementation define responsibility of team members 4/daily care arrangements for pt integration into community alternate emergency plans methods for ongoing assessment of outcome return demonstration - CORRECT ANSWER-demonstration after the patient has first observed the teacher and then practiced the skill in mock or real situations SBAR - CORRECT ANSWER-S: Situation B: Background A: Assessment R: Recommendation form of patient hand off social space - CORRECT ANSWER-4-12 feet; used in introductory stage of encounter *when you begin to establish RAPPORT Speak Up Initiative - CORRECT ANSWER-speak up pay attention educate yourself ask for advocates know the medicine use a clinic or hospital participate in decisions Standard Precautions - CORRECT ANSWER-CDC precautions used in the care of all patients regardless of their diagnosis or possible infection status hand hygiene is the most important element in preventing spread of infection For encounter with a pt that has airborne precautions you should - CORRECT ANSWER-wear properly fitting N95 respirator During initial pt encounter you notice the pt has acute anxiety. You would suggest what? - CORRECT ANSWER-The doctor prescribe an anxiolytic postpone efforts until anxiety managed enlist family assistance to calm pt teach back method - CORRECT ANSWER-allows patient to repeat back key concepts from teaching session to confirm understanding Chart review stage - CORRECT ANSWER-(Pre-interaction)~ use this to clarify role what patient introductory stage - CORRECT ANSWER-introduce self, use patent formal name, verify patient ID -social spaceInitial Assessment - CORRECT ANSWER-(overlaps w/introduction Stage)~ actively listen- most important in this stage observe patients general appearance and response to questions & identify patients baseline -personal spacetreatment monitoring - CORRECT ANSWER-Monitor patient response & if the patient has Side effects -intimate spaceFollow up - CORRECT ANSWER-confim resoponse to treatment, communicate with paitent, let them know when youll be back, give goals, make sure paitent is comfortable Assessing patient learning needs - CORRECT ANSWER-1. identify&accommodate any barriers to learning 2. assess patient preferred learning method 3. evaluate pt's readiness to learn 4. determine pt's specific learning needs Level of pt understanding of care you provide should include - CORRECT ANSWERstanding current condition edge of prescribed medications iarity with procedures you will implement iarity with equipment needed for care SMART - CORRECT ANSWER-Specific, Measurable, Attainable, Realistic, Timely advanced directive (living will) - CORRECT ANSWER-legal document which individuals use to specify what actions are to be taken for their health if they are no longer able to make the decisions. open-ened questions - CORRECT ANSWER-What Happened next? What promoted your visit? require explination closed-ended questions - CORRECT ANSWER-When did the pain start? How Long did the cough last? very yes or no leading question - CORRECT ANSWER-You didn't cough up blood did you -a question that implies that one answer would be better than another Generally health histories contain - CORRECT ANSWER-Background informationusually tells you willingness to participate in therapy Screening information-obtained from review of body or description of disease