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Exam (elaborations)

NURS 307 Exam 1 WITH CORRECT ANSWERS

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NURS 307 Exam 1 WITH CORRECT ANSWERS

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NURS 307 Exam 1 WITH CORRECT
ANSWERS

autonomy - CORRECT ANSWERS ✔✔pt self-determination



beneficence vs nonmaleficence - CORRECT ANSWERS ✔✔Beneficence

-guides the actions and behaviors of practitioners toward beneficial patient
outcomes

-ex. provide emergency meds without regard to legal consequence



Nonmaleficence

-principle that urges practitioners to avoid actions and behaviors that might
bring harm to their patients

-ex. refusing to fill a prescription that pharmacist says may harm the patient



Utalitarianism - CORRECT ANSWERS ✔✔appropriately use resources for
greater good



deontological imperatives - CORRECT ANSWERS ✔✔Care delivered
according to traditions and in cultural contexts



Positive patient rapport depends on communication built on... - CORRECT
ANSWERS ✔✔Courtesy, Comfort, Connection, Confirmation, Confidentiality

,open-ended question - CORRECT ANSWERS ✔✔pt discretion about extent of
an answer



direct question - CORRECT ANSWERS ✔✔seeks out specific information



EX: OLDCART



leading question - CORRECT ANSWERS ✔✔a question that implies that one
answer would be better than another



what should you do if a pt doesnt understand what you are asking? -
CORRECT ANSWERS ✔✔Facilitate (encourage pt to say more)

Reflect (repeat what you heard)

Clarify (ask pt to reiterate)

Empathize (show understanding)

Confront (address disturbing pt behavior

Interpret (repeat what you have heard to confirm pt's meaning)



examples of communication tensions - CORRECT ANSWERS ✔✔curiosity,
anxiety, silence, depression, crying, emotional or physical intimacy, seduction,
anger, avoidance, financial considerations



while taking pt history, you should remain in a constant state of _____
evaluation of the pt's words and behaviors

,A. objective

B. subjective - CORRECT ANSWERS ✔✔subjective, you are asking pt for their
own history



sensitive issues that come up during the history taking process include -
CORRECT ANSWERS ✔✔alcohol/drug use, domestic violence, spirituality,
sexuality



what tools are used to screen for alcohol abuse during the history taking
process? - CORRECT ANSWERS ✔✔CAGE (cutting down, annoyance by
criticism, guilty feeling, eye-openers)



TACE (how many drinks does it TAKE to feel drunk? have people ANNOYED
you by criticizing your drinking? have you felt you ought to CUT down on your
drinking? have you ever had an EYE-OPENER drink first thing in the
morning?)



CRAFFT (have you ridden in a CAR driven by someone or yourself who was
intoxicated? do you take drugs to RELAX or to fit in? do you ever use drugs
when your ALONE? do you ever FORGET things while using? has a FAMILy
member or FRIEND told you to cut down? have you ever gotten into
TROUBLE from using drugs?)



screening vs assessment - CORRECT ANSWERS ✔✔Screening is the process
for EVALUATING the possible presence of a problem VS Assessment is the
process for DEFINING the nature of the problem.

, what tools are used to screen for domestic violence during the history taking
process? - CORRECT ANSWERS ✔✔HITS



The wording of the question is "In the last year how often did your partner:

1. Hurt you physically?"

2. Insult or talk down to you?"

3. Threaten you with physical harm?"

4. Scream or curse at you?"



what tools can be used to approach spirituality during the history taking
process? - CORRECT ANSWERS ✔✔FICA

1. Faith, belief, meaning (what is your spiritual heritage? what writings are
important to you?)

2. Importance and Influenc (how have these beliefs influenced how you handle
stress?)

3. Community (do you belong to a spiritual community?)

4. Address/Action in care (how do your religious beliefs affect your healthcare
decisions?)



what is the basic outline/sequence of taking the history? - CORRECT
ANSWERS ✔✔1. Chief Complaint (CC)

2. History of Present Illness (HPI)

3. Past Medical History (PMH)

4. Family History (FH)

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