Term
| 2 Primary Components of Health Assessment |
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Definition
| Health history and physical examination |
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Term
| Purpose of health history |
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Definition
| is to obtain subjective data from clients |
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Term
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Definition
| Introduction-telling themyour name and what u will discuss, Discussion Phase-client centered discussion, Summary Phase- Clarification that nurse understands |
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Term
| What does the summary allow for? |
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Definition
| clarification of data and provides vaildation to clients that you have an accurate understanding of the health issues, problems, and concerns |
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Term
| Single most importand factor in the succes of an interview |
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Definition
| communication skills of the nurse |
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Term
| What is important for the physical setting? |
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Definition
| Importance of privacy, unoccupied quiet room without distractions, comfortable |
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Term
| What is important for the professional nursing behavior? |
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Definition
| First impressions with clean dress and grooming |
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Term
| When do you use open-ended questions? |
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Definition
| Beginning of interview. Ex: How have you been feeling? |
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Term
| When do you use close-ended questions? |
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Definition
| When you need more precuse details. Ex: Do you frequently get bruises? |
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Term
| Techniques that enhance data collection: |
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Definition
| Facilitation, clarification, restatement, reflection, confrontation, interpretation, summary |
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Term
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Definition
| using phrases to encourage cleints to go on like "go on" "uh huh" |
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Term
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Definition
| used to obtain more information about conflicting, vague, or ambiguous statements. "what do you mean by?" |
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Term
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Definition
| repeating wht the clients say using different words. it confirms your interpretation of what they said. |
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Term
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Definition
| repeating a phrase or sentence the client just said. encourage elaboration and interested in more info |
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Term
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Definition
| used when you notice inconsisties btwn wat the client reports or other data about the client. OD's, drinking. |
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Term
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Definition
| used when you want to share with clients conclusions u hav drawn from data they have given. Then clients can confirm, deny, or revise. "Let me share my thoughts bout wat u just told me" |
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Term
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Definition
| condenses and orders data obtained during the interview to help clarify a sequence of events |
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Term
| Techniques that Diminish Data Collection |
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Definition
| Medical Terminology, Expressing Value Judgements(watch how u say something), Interrupting the Client, Being Authoritarian or paternalistic, Using "why" questions, |
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Term
| Managing Awkaward Moments when Answering Personal Questions |
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Definition
| Brief, direct answer satisfies the clients curiosity |
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Term
| How do you manage and overly talkative client? |
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Definition
| With close-ended questions |
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Term
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Definition
| do not assume relationships of people |
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Term
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Definition
| Language is needed for accurate communication, perferrably same gender |
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Term
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Definition
| Comprehensive and Problem Based(focused) |
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Term
| Comprehensive Health History |
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Definition
| includes biographic data, reason for seeking care, present health status, past medical history, family history, personal and psychosocial history, and a review of all body systems |
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Term
| Problem Based(focused) Health History |
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Definition
| involves data that are limited in scope to a specific problem |
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Term
| Components of Health History |
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Definition
| Biographic data, reason for seeking care, history of present illness, present health status, past health history, family history, personal and psychosocial history, review of systems |
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Term
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Definition
| It is collected at the first visit and then updated as changes occur. Include: name, gender, adress and telephone, birth date, birth place if foreign, race, religion, marital status, occupation, contact person, source of data |
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Term
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Definition
| reason for seeking care. It's a brief statement of the client's purpose for requesting services |
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Term
| What is mnemonic for symptom analysis? |
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Definition
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Term
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Definition
| O:Onset, L:Location, D:Duration, C:Characteristics, A:Aggravating and Alleviating Factors, R:Related Symptoms, T: Treatment, S:Severity |
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Term
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Definition
| Tool consisting of a family tree diagram . symbols for male and females and living and deceased |
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