NURS 6512N Week 11 Final Exam LATEST 2022/2023 QTR (2020 RETAKE)

NURS 6512N Week 11 Final Exam LATEST 2022/2023 QTR (2020 RETAKE) HIGHLY GRADED What are the concepts of developing a relationship with the patient? - 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? - 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? - ANSWERCommunication built on courtesy, comfort, connection, and confirmation. What are effective communication strategies when obtaining a health history? - 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? - 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? - ANSWER-Those that seek specific information. Such as "How long ago did that happen?" or "Where does it hurt?" What are leading questions? - ANSWER-Those that are prompting the patient toward the desired answer and these are the most risky. What is a patient centered question? - 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? - 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. What is the structure and components of the patient history? - ANSWER-Patient identifiers, chief complaint, history of present illness, past medical history, family history, personal/social history, review of systems What kind of patient information is obtained in the patient identifier component of the patient history? - ANSWER-name, age, gender, race, occupation, date, time, and referral source What kind of patient information is obtained in the chief complaint component of the patient history? - ANSWER-a brief statement about why the patient is seeking care while probing for underlying concerns. What kind of patient information is obtained in the HPI component of the patient history? - ANSWER-a chronological order of events leading up to the presenting problem, health status prior to the onset, a complete description of first symptoms, symptom analysis (onset, location, description, duration, intensity, character, aggravating factors, alleviating factors), impact on patients lifestyle, medications or treatments tried What kind of information is obtained in the PMH component of the patient history? - ANSWER-general health/strength childhood illnesses major adult illnesses and chronic diseases immunization surgeries (dates, hospital, diagnosis, complications) serious injuries resulting in disability limitation of ability to function d/t past events medications allergies (meds, environment, seasonal, food) transfusions recent screening tests emotional status What kind of information is obtained in the family history component of the patient history? - ANSWER-Any relevant medical problems for both immediate and nonimmediate family members What kind of information is obtained in the personal/social history section of the patient history? - ANSWER-home environment and conditions (pets, economic) where was the patient raised education position in family marital status life satisfaction hobbies/interests source of stress habits (nutrition, sleep, drugs, etoh, ADL's, and smoking) self-care (self breast exams, exercise, home remedies) sexual history environmental (travel, exposure to diseases) religious and cultural preferences access to care What information is necessary when obtaining sexual health information? - ANSWERnumber of partners, concerns, birth control, protection from STI's What kind of information is obtained for the ROS component of the patient history? - ANSWER-those that identify presence or absence of health related issues in each body system What is subjective data? - ANSWER-it is information collected during the patient interview with the patient or significant other. it is their words. It can include symptoms, sensations, feelings, perceptions, desires, preferences, beliefs, ideas, values, personal information, ROS, complete health history What is objective data? - ANSWER-it is the information that can be physically seen by the provider and tested against. It can include the physical exam, lab analysis, x rays, and professional consults. How do you approach sensitive issues when interviewing a patient? - ANSWER-Provide privacy, be direct and firm, don't ask leading questions, use open-ended questions, don't apologize for asking questions, don't preach, avoid confrontation, use understandable language, watch medical jargon, document carefully using the patient's words. What does it mean to be culturally aware? - ANSWER-It is the deliberate selfexamination and in depth exploration of one's own biases, stereotypes, prejudices, assumptions that one holds about people different than them. What does it mean to be culturally competent? - ANSWER-It requires the provider to be sensitive to a patient's heritage, sexual orientation, socioeconomic situation, ethnicity, and cultural background What are examples of questions that explore the patient's culture? - ANSWER-"what do you call your problem?" "What do you think caused it?" "What does your sickness do to you?" "Why do you think it started when it did?" "What should be done to get rid of it?" "Who else or what else might help you get better?" What are the components of a cultural response to a patient? - ANSWER-the response should include modes of communication to include speech, space, and body language, awareness of the the patients health beliefs, diet and nutritional practice, and the nature of relationships with their family How do you measure visual acuity and test CN II - ANSWER-by measuring distance, near vision , and peripheral vision What is CN II? - ANSWER-optic nerve How do you measure distance vision for visual acuity? - ANSWER-by using a snellen chart and having the patient cover one eye and read the lowest line that he can see clearly and then alternate eyes How do you document distance vision? - ANSWER-the numerator is 20 and the denominator is the distance at which the average eye can read the line. How do you measure near vision? - ANSWER-by using a rosenbaum pocket screener and have the patient hold it about 14 inches from eyes and read the smallest line possible with one eye and then the oth