Actual Exam for NR 509 midterm EXAM
ELABORATIONS QUESTIONS AND VERIFIED
ANSWERS 2025 UPDATE | 100% SOLVED!!
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Terms in this set (244)
is the clinical encounter both; needs to be a balance of the clinician meeting
clinician-centered to their needs of the interaction and the patient feeling
patient-centered heard and create personal dimension
Interviewing technique empowering the patient to
provide a candid and complete medical history
patient-centered
approach recognizes importance of patient concerns, feelings
and emotions and understands the patients personal
contact of the symptoms/disease
mnemonic for patients perspective on the illness
FIFE model Feelings (fears and concerns about the problem)
Ideas (about nature and cause of problem)
Functioning (effect of illness on function)
Expectations
initiate the encounter
general structure of gather information
patient encounter (5 perform the physical examination
steps) explaining and planning
closing the encounter
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,8/1/25, 11:11 PM Actual Exam for NR 509 midterm EXAM ELABORATIONS QUESTIONS AND VERIFIED ANSWERS 2025 UPDATE | 100% SOLVE…
2 frameworks that relationship building
continue throughout structuring the interview
whole clinical encounter
what happens while greet the patient and set the stage/preparation
initiating the encounter
prepare for the interview
what does it mean to set check your appearance
the stage make sure patient is comfortable and environment is
conducive to private info being shared
initiate information gathering
history of present illness
what happens during the
past medical history
gathering information
social history
stage
explore patients perspective of disease and relevant
background information
provide correct amount and type of information
what happens during
negotiate plan of action
explaining and planning
shared decision making
share your own pronouns
when asking patient about
"in an effort to promote an inclusive and respectful
there pronouns it may be
environment, we use pronouns that are right for us.
helpful to....
The pronouns I prefer are......how about you what
pronouns do you prefer?
the initial moments of your your ongoing relationship
encounter lay the
foundation for....
introduce yourself, explain your role and how you will
how to establish rapport
be a part of their care
1) Self-awareness
3 dimensions of cultural
2) Respectful communication
humility
3) Collaborative partnerships
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Closely listening to what the patient is communicating,
connecting on an emotional state to the patient.
active listening
use both verbal and nonverbal skills to encourage pt
to expand on their feelings/concerns
capacity to identify with a patient and feel patients
pain as your own and respond in a supportive manner
"That must have been difficult for you."
Empathetic responses "I understand, you're worried."
Non-verbal: offering a tissue to a crying patient;
reaching out and gently touching a patient's hand.
Therapeutic use of self: "I've had surgery before, so I
can relate to what you're going through."
Helps to continue the patients story, shows sustained
interest and allows clinician to adapt questioning
based on patient i.e.:
-moving from open ended to focused questions
guided questioning
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing
guided questioning aka adaptive questioning
communication using body movements, gestures, and
nonverbal communication
facial expressions rather than speech
affirm validity of patients emotional experience
"Your accident must have been terrifying. Car
validation
accidents are always unsettling because they remind
us how vulnerable we are. Perhaps that explains why
you still feel upset,"
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