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Potter, Perry Fundamentals of nursing test 1| Questions with 100% Solutions | Verified

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Potter, Perry Fundamentals of nursing test 1| Questions with 100% Solutions | Verified

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Potter, Perry Fundamentals of nursing
test 1| Questions with 100% Solutions |
Verified

Data collection (primary data) - ANSWER What is the pt telling you; primary data comes from
the pt



sources of data - ANSWER pt, family, significant others, health care team, medical
records, other records and the scientific literature, nurse's experience


Secondary data - ANSWER Family members, friends



Subjective data - ANSWER Anything pt tells you that cannot be measured; pt verbal
descriptions of their health; includes pt's feeling perceptions, and self report of symptoms.



Objective data - ANSWER Observations or measurements of a pt's health status. temp, BP,
measuring of a wound.



Data organization - ANSWER factual complete, document it and make it clear, accurate
assessment

, pt centered interview - ANSWER motivational interviewing, effective communication,
interview preparation, phases of an interview (orientation and setting agenda, working phase,
termination)



Interviewing techniques - ANSWER observation, open-ended questions, leading questions,
back channeling, direct close ended questions.



Pt interview phases - ANSWER interview preparation, introduction/orientation phase,
working phase, and termination phase.



interview preparation - ANSWER review medical chart, any diagnostic test etc,
provide comfortable private room



introduction/orientation phase - ANSWER introduce self, explain purpose of interview,
get demographics - DOB, living situation.



working phase - ANSWER Assessment of health history, gather information about a pt's
concerns then complete all relevant questions of health history. Use active listening, stay
focused on pt, allow open-ended questions, allow pt to describe what they may know about
their health, use therapeutic communication techniques to allow pt to tell his story, verbal cues
allows for more focused assessment, must be a though health history and go thru all systems
of the body.


Termination Phase - ANSWER



Health history (part of working phase) - ANSWER Provides holistic view of a pt's health care
experiences, and current health habits. Chief complaint, hx of current illness, allergies,
med's and adverse reactions, medical hx, family and social hx (drinking, drugs, tobacco use)
health promotion practice (breast exams, colonoscopy etc)



termination phase - ANSWER close, review key findings, ask pt if there is anything else they
would like to address, validation , nurse acknowledge pt's participation, describe next step.

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