NURS 612 Quiz 1 Questions With 100% Correct Answers

NURS 612 Quiz 1 Questions With 100% Correct Answers What are the concepts of developing a relationship with the patient? - answerMake every effort to sense the world of the individual patient as that patient senses it -each of us is unique -first meeting with the patient sets the tone for a successful partnership -discover details about a patient's concerns -explore expectations for the encounter -display genuine interest, curiosity, and partnership -Communicate effectively What are effective communication strategies when obtaining a health history? - answerEstablishing effective communication with the patient, the provider needs to built; -Courtsey -Comfort -Connection -Confirmation What is a patient-centered question? Give examples. - answerHow will you like to be addressed? How are you feeling today? What will you like us to do today? What do you think is causing your symptoms? Have you prepared advance directives? How private of a person are you? What are potential barriers of patient and provider communication? - answer-Patient curiosity about the provider -Anxiety -Silence -Depression -Seduction -Anger -Avoiding the full story -Financial considerations What is the structure and the components of a patient history? What kind of patient information is obtained in each section? - answerPatient identifiers Chief complain HPI- history of present illines PHM- past medical history FH- family history SH- social history What is the difference between objective and subjective data? What components of the health history are objective and subjective? - answerSubjective data is gathered from the patient telling you something that you cannot use your five senses to measure. Objective data is the information that we can gather using our 5 senses. It is either a measurement or an observation. Components that are subjective include patients description of review of symptoms, past medical/social history. Components that are objective include physical exam of review of symptoms, vital signs, lab values or test results. How do you approach sensitive issues when interviewing a patient? - answerProvide privacy, avoid confrontation, be direct and firm, do not apologize for asking questions, do not ask leading questions, do not push too hard, always use language that is understandable to the patient, but not patronizing. What does it mean to be culturally aware and culturally competent when caring for patients with diverse backgrounds? - answerCulturally competent requires one to be sensitive to a patient's heritage, sexual orientation, socioeconomic situation, ethnicity, and cultural background. Culturally aware refers to understanding one's own biases, stereotypes, prejudices, and assumptions of others who are different from them. What are examples of questions to explore the patient's culture? - answerWhy do you think it started when it did? What should be done to get rid of it? What are the most important problems your sickness has caused for you? What worries you and frightens you the most about your sickness? What are the components of a cultural response to a patient? - answer-Modes of communication: the use of speech, body language, and space -Health beliefs and practices that may vary from your own -Diet and nutritional practices -The nature of relationships with families How do you measure visual acuity and test cranial nerve II (Optic)? Describe the various tests to measure different types of visual acuity. How do you document your findings? - answerVisual acuity testing measures the function of CN2 -(optic nerve) central vision: ALWAYS TEST W/O GLASSES FIRST! Document W and W/O glasses -Snellen chart for distance vision smaller the fraction, worse the vision 20/200 is legally blind -Rosenbaum chart for near vision 14 inches fm eyes. Read smallest line possible -Confrontation test for peripheral vision Sit at eye level, 1 meter apart. Examiner covers eye directly opposite of pt. ABNORMAL RESULTS: caused by Stroke, retinal detachment, optic neuropathy, pituitary tumor compression, central retinal vascular occlusion -Amsler grid is used to evaluate macular degeneration -Tumbling E / HOTV charts→ test children ages 3-5, 10 feet from chart. When you palpate the eyes, what are you assessing for? - answer1. for nodules 2. .ntraoccular pressure ( one eye will be harder than the other) 3. pain→ scleritis, orbital cellulitis, cavernous sinus thrombosis 4. Firm and resists palpation→ severe glaucoma, retrobulbar tumor Describe you would inspect the lower and upper conjunctiva.