Exam (elaborations) NUR 2092 Final Exams Concepts

1. Know the difference between subjective and objective data. (I will scream if you all get these wrong! :)) • Subjective: What a person says about themselves o Example: “My BP was 118/90 yesterday” and pain • Objective: What you observe through measurement, inspection, palpation, percussion, and auscultation o Examples: Meter readings, vital signs, and measurements 2. Barriers to communication. What are they? • The use of jargon • Emotional barriers and taboo • Lack of attention, interest, distractions, or irrelevance to the receiver • Difference in viewpoint • Physical barriers to non-verbal communication • Physical or mental disabilities (Physical: Hearing problems. Mental: Down Syndrome) • Language differences and difficulty understanding unfamiliar accents • Cultural difference. 3. Traps of interviewing-Chapter 3 • Providing false assurance or reassurance • Giving unwanted advice • Using authority • Using avoidance language • Distancing • Using professional jargon • Using leading or bias questions • Talking too much • Interrupting • Using “why” questions 4.Open ended questions vs closed ended questions. Know the difference and when to use them during the interview process. • Open ended: Questions asking for narrative information o When to use them: ▪ Use it to begin the interview ▪ Introduce a new section of questions ▪ Whenever the person introduces a new topic • Closed (direct) questions: Asking for specific information. Elicit a short, one- or two-word answer, a “yes” or “no” or a forced choice. o Used in an emergengy to obtain information quickly 5. Components of a Health History -Chapter 4. Know this Chapter!! • Initial information • Chief complaint • Past medical history • Family history • Social history • Review of systems • Physical exam 6. General survey and what it consists of. • Initial inspection • Observe posture • Hygeine • Facial expression • Assess breathing • Behaviors • Body language o Appearance o Body Structure and mobility o Behavior 7. Skills requisite of physical exam. Chapter 8. Know the correct order for assessment. (Inspection, palpation etc). Know the different order for abdominal exam. ..................................CONTINUED..............................................