Complete Solutions
Chapter 1 - Evidence-Based Assessment
Chapter 2 - Cultural Competence
Chapter 3 - The Interview
Chapter 4 - The Complete Health History
Chapter 5 - Mental Status Assessment
Chapter 8 - Assessment Techniques and Clinical Setting
Chapter 9 - General Survey, Measurement, Vital Signs
Chapter 10 - Pain Assessment: the 5th vital sign
Chapter 11 - Nutritional Assessment
Chapter 14 - Eyes
Chapter 15 - Ears
Chapter 23 - Neurologic System
* Empathy* Correct Answer *Empathy* means viewing the
world from the other person's inner frame of reference while
remaining yourself.
* External factors* Correct Answer *External factors* relate
mainly to the *physical setting.*
,*10 traps of interviewing* Correct Answer *10 traps of
interviewing*. These nonproductive verbal messages include:
(1) Providing false assurance or reassurance,
(2) Giving unwanted advice,
(3) Using authority,
(4) Using avoidance language,
(5) Engaging in distancing,
(6) Using professional jargon,
(7) Using leading or biased questions,
(8) Talking too much,
(9) Interrupting,
(10) And using "why" questions.
*Assessment* Correct Answer *Assessment* is the collection
of subjective and objective data about a patient's health.
*CAGE* test identify what? Correct Answer *CAGE* test is
a screening questionnaire to identify excessive or uncontrolled
drinking, such as:
,- *C* Cut down - Have you ever thought you should cut down
your drinking?
- *A* Annoyed - Have you ever been annoyed by criticism of
your drinking?
- *G* Guilty - Have you ever felt guilty about your drinking?
- *E* Eye-opener - Do you drink in the morning (i.e. an eye-
opener?)
If the person answers "yes" to 2 or more CAGE questions, you
should suspect alcohol abuse and continue with a more complete
substnce abuse assessment.
*Clarification* Correct Answer *Clarification.* Use this
when the person's word choice is ambiguous or confusing (e.g.,
"Tell me what you mean by 'tired blood.' "). Clarification also is
used to summarize the person's words, simplify the words to
make them clearer, and then ask if you are on the right track.
You are asking for agreement, and the person can then confirm
or deny your understanding.
, *Communication* Correct Answer *Communication* carries
you and the patient through the interview. Communication is the
*exchange of information* so that each person clearly
understands the other.
*complete health history data category 1.* Correct Answer
*complete health history data category 1.* First, collect
*biographic data*, such as the patient's name, address, and date
of birth as well as language and communication needs.
*complete health history data category 2.* Correct Answer
*complete health history data category 2.* Second, note the
*source of the history*, which is usually the patient, but may be
someone else, such as a relative or interpreter.
*complete health history data category 3.* Correct Answer
*complete health history data category 3.* Third, obtain the
*reason for seeking care*, formerly known as the chief
complaint. In the patient's own words, briefly describe the
reason for the visit.
*complete health history data category 4.* Correct Answer
*complete health history data category 4.* Fourth, record the
*present health or history of present illness*. For a well person,
briefly note the general state of health. For a sick person,
chronologically record the reason for seeking care. When a