Term
| In communication, the process of sending the message? |
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Definition
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Term
| In communication, the process of receiving the message? |
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Definition
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Term
| What are the 7 interactional skills? |
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Definition
Listening/Attending
Paraphrasing
Leading
focusing
Questioning
Reflecting
Summarizing |
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Term
the interactional skill that is: Paying undivided attention to what the patient is saying/Active Listening,
Giving full attention to the patient’s verbal and non verbal messages
Non Verbal Communication |
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Definition
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Term
| interactional skill: giving the client undivided attention |
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Definition
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Term
| nurse arranges with peers for no interruption during the interview. this is an example of which interactional skill? |
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Definition
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Term
| Facial expression,Eye contact,Dress, Makeup, Posture, Tone of voice, Items in environment are all examples of what kind of communication? |
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Definition
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Term
The interactional skill that: Re phrasing the patients basic message re stating using your own words
Always have client assure that what you have re stated is correct |
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Definition
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Term
| the interactional skill that: using to encourage open communication |
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Definition
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Term
| helping the client zero in on a subject or get in touch with feelings. this is which interactional skill? |
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Definition
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Term
client:"i toss and turn all night. sometimes i can't get to sleep at all. i dont know why this is happening. ive always been a deep sleeper."
Nurse: "it sounds like youre not getting enough sleep. is that right?"
this is an example of which interactional skill? |
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Definition
| paraphrasing/clarification |
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Term
| "how did you feel after you talked to your boss" this is which interactional skill |
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Definition
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Term
| "it sounds like youre feeling lonely." this is which interactional skill |
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Definition
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Term
| "youre yawing. you must be tired." this is which interactional skill |
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Definition
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Term
| "you believe your going to die" this is which interactional skill |
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Definition
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Term
| "you believe the medication is helping" this is which interactional skill |
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Definition
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Term
| "lets review the health problems youve identified today." this is which interactional skill |
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Definition
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Term
| nurse sits facing client, remains alert, and focuses on what client is saying. this is an example of which interactional skill? |
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Definition
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Term
| "when did your symptoms begin?" this is which interactional skill |
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Definition
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Term
| "lets discuss the pain in your back." this is an example of which interactional skill |
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Definition
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Term
| "describe how you feel when you can't sleep" this is which interactional skill |
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Definition
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Term
| "what did you mean when you said your back was breaking?" this is which interactional skill |
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Definition
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Term
| "did you say you were angry and frustrated before you went to bed? go over that again." this is which interactional skill |
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Definition
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Term
| what are the 3 types of leading? |
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Definition
1. direct leading
2. focusing
3. questioning |
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Term
| type of leading that leads the patient in the direction you want to go |
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Definition
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Term
| type of leading that that keeps the patient more focused on the important topic |
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Definition
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Term
| type of leading that is the most helpful for trying to obtain data for care planning? |
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Definition
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Term
| type of leading, that asks patient direct questions to elicit patient feelings. it uses open ended questions and avoids closed questions |
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Definition
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Term
| type of interactional skill that: Repeating patient verbal or non verbal messages, Helps patient realize that nurse has empathizes with the thoughts(content), feelings, or experiences expressed |
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Definition
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Term
| type of interactional skill that: Restating an overview of thoughts, ideas and feelings, Verify data |
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Definition
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Term
| when you ask the patient too many direct questions and it might make them feel uncomfortable |
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Definition
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Term
| Things you need to do to have a good nurse-patient relationship? |
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Definition
1. positive regard-demonstrate respect for the patient, give them dignity
2. empathy-response to your patients feelings
3. geniuneness-present honesty
4. concreteness-speak in specific terms, do not be vague |
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Term
| Data is collected from record or from other healthcare providers who have cared for the client, Review of literature that might help care of patient and Identify barriers to communication is during what part of the health assessment |
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Definition
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Term
| Part of the health assessment that is a Planned meeting between nurse and patient and Clearly identify purpose |
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Definition
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Term
part of the health assessment that Clarify previous information, Gather in depth information, Guides physical assessment
Helps identify nursing diagnoses |
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Definition
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Term
| What are the 6 components of health history? |
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Definition
1.Biographical data
2. Present state of health or illness
3. Past medical/surgical history
4. Family history
5. Psychosocial history
6. Review of systems |
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Term
Component of the health history that: Initial nursing judgment
Establish expectation for norms
Establishes social and environmental concerns for health
(Name, address, DOB, gender, marital status,Race/Religion/Culture, Occupation, Insurance??) |
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Definition
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Term
| Component of the health history that: reason patient is seeking care and his or her health beliefs/practices |
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Definition
| present state of health or illness (HPI) |
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Term
| In the history of present illness what 11 things are included? |
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Definition
What made you seek healthcare today? Aggravating/alleviating factors
Setting
Quality/Quantity
Location
Radiation
Timing (onset, duration, frequency)
Anything associated
Concerns/fears
Previous occurrences(How treated)
Culture/religion |
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Term
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Definition
| depression medicine that can make mediations ineffective |
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Term
| what is Glucosamine/Chondritin? |
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Definition
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Term
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Definition
| medicine for atherosclerosis that may potentiate warfarin and anti diabetic meds |
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Term
| what 7 things are included in the past medical/surgical history? |
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Definition
Childhood illnesses/immunizations
Chronic illnesses
Hospitalizations
Injuries
OB History
Mental Health
Use of Alcohol/Tobacco or illicit drugs |
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Term
| why is it important to do a family history? |
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Definition
| Helps determine genetic predisposition to disease |
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Term
| what is included in the psychosocial history? |
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Definition
occupational history
educational level
finances
relationships |
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Term
| function of the bodys systems in the patients words and helps focus the physical examination |
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Definition
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Term
| capacity to respond to anothers feelings and experiences as if they were your own |
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Definition
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Term
| occurs when the nurse assures the client of a positive outcome with no basis for believing in it. |
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Definition
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Term
| if a client has to use a translator, who does the nurse look at when the interview proceeds? |
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Definition
| she looks at the client not the translator |
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Term
| carl rogers defined this type of relationship as one "in which at least one of the parties has the intent of promoting the growth, development, maturity, improved functioning, and improved coping with life of the other." |
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Definition
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Term
| the ability to appreciate and respect another person's worth and dignity with a nonjudgmental attitude |
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Definition
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Term
| the ability to present oneself honestly and spontaneously. they present themselves as down-to-earth and real. |
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Definition
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Term
| facing the client, leaning forward during conversation, and sitting with arms and legs uncrossed are examples of which type of body language |
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Definition
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Term
| for the nurse, _____ means speaking to the client in specific terms rather than vague generalities. for instance, saying "i need this information to help you to plan a diet to lower your cholesterol level" is more specific than "I need this informaiton to plan your nursing care." |
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Definition
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Term
| this is a formal, planned interaction to inquire about the clients health patterns, ADLS, past health history, current health issues, selfcare activities, wellness concerns, and other aspects of the clients health status. |
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Definition
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Term
| what does HIPAA stand for? |
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Definition
| health insurance portability and accountability act |
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Term
| is nursing progress notes, medical histories, laboratory results and vital signs examples of secondary resources? |
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Definition
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Term
| the health assessment interview is divided into what 3 phases? |
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Definition
1. preinteraction
2. initial or formal interview
3. focused interview |
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Term
| which phases of the health assessment interview provide information the nurse uses along with the information from the physical assessment to develop the total client database, formulate nursing diagnoses, and initiate the nursing care plan. |
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Definition
1. preinteraction
2. initial or formal interview |
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Term
| which phase of the health assessment interview occurs throughout all stages of the nursing process |
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Definition
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Term
| which phase of the health assessment interview, is purpose is to gather, clarify, and update additional client data as they become available |
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Definition
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Term
| is used to validate probable or hypothetical nursing or collaborative diagnoses |
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Definition
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Term
| after the initial interview, the nurse develops several hypothetical nursing diagnoses. before making her final diagnosis, the nurse conducts a ______ along with a ________ to gather additional data. these additional data are then compared with defining characteritics of the probable diagnoses to determine the most appropriate nursing diagnosis for the client |
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Definition
focused interview
physical assessment |
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Term
| the client will feel more relaxed and comfortable if the lighting was ____ |
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Definition
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Term
| there should be a distance between _____ft between the nurse and client during the initial interview |
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Definition
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Term
| to make clients feel more at ease you should address them by what? |
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Definition
| their title (dr. mrs. mr. ms) and family name (last name) rather than their given name(first name). |
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Term
| when obtaining subjective data about clients symptoms many nurses find it helpful to use which acronmyn? |
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Definition
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Term
| What does OLDCART & ICE stand for? |
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Definition
onset
location
duration
characteristics
aggravating factors
relieving factors
treatment
&
impact on ADLs
coping strategies
emotional response |
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Term
| ______history focuses on the clients physical status, patterns of daily living, wellness practices, and self-care activities as well as psychosocial, cultural, environmental, and other factors that influence health status |
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Definition
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Term
| ____history focuses on the clients past and present illnesses, medical problems, hospitalizations, and family history |
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Definition
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Term
| the major aim of the medical history is to determine a ______ that accounts for the clients ______ |
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Definition
medical diagnosis
physiologic alteration |
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Term
| the nursing health history and medical history combined is called what |
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Definition
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Term
| regardless of how the health history is formatted they all include which groups of information |
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Definition
biographic data
present health or illness
past history
family history
psychosocial history
review of body systems |
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Term
| who has a higher risk for osteoporosis Asians, Caucasions or African Americans |
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Definition
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Term
| who has a greater risk for peripheral arterial disease caucasians or african americans? |
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Definition
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Term
| who has a higher risk for hypertension and hypertension-related kidney failure african americans or caucasians? |
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Definition
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Term
| this history includes determination of the reason for seeking care as well as identification of health beliefs and practices, health patterns, health goals, and information about medication and therapies. |
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Definition
| present health or illness (HPI) |
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Term
| in the US and in many Westernized countries, beliefs about health and illness are derived from this approach? |
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Definition
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Term
| what are the 2 factors that have influenced perception of health and healthcare practices in the US? |
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Definition
1. people of all nations have emigrated and continue to emigrate to the US.
2. availability of information |
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Term
| this can also refer to the types and frequency of health care in which a client participates |
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Definition
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Term
| this history includes information about childhood diseases, immunizations, allergies, blood transfusions, major illnesses, injuries, hospitalizations, labor and deliveries, surgical procedures, mental, emotional or psychiatric health problems, and use of alcohol, tobacco and other substances. |
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Definition
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Term
| what are the signs of type 1 diabetes? |
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Definition
increased appetite
frequent urination
weight loss |
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Term
| what is another name for genogram? |
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Definition
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Term
| what is included in the psychosocial history? |
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Definition
occupational history
educational level
financial background
roles and relationships
ethniticy and culture
family
spirituality
self-concept |
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Term
| coal mining increases the risk for what |
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Definition
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Term
| trunk driving is associated with what disease |
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Definition
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Term
| exposure to asbestos in the shipbuilding and construction industries is associated with what |
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Definition
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