Assessment Ch: 2 Flashcards


Set Details Share
created 2 years ago by jessjess2601
5 views
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

___________________- require more than one word responses; use at the beginning of the assessment interview à “How or what…”

Open ended questions

2

________________ used to CLARIFY or obtain more accurate information and focus on specific information

Close ended questions

3

Introductory- actually meet the client:

  • Introduce yourself
  • Explain purpose of interview
  • Discuss the type of questions that will be asked
  • Explain why we are taking notes
    • “I am paying attention, just want to make sure I get everything.”
  • Assure client that confidential information will remain confidential
    • Unless patient is at risk to themselves or somebody else
    • Understanding HIPAA is important to ensure patient confidentiality
  • Make sure that the patient is comfortable
    • Sit with them at eye level which shows equality and respect, arms not folded
    • Need to establish a nurse-client rapport to ensure that you are receiving complete and accurate data
  • Make sure to answer any question and use trusting verbal and non-verbal communications
  • Nursing goals during introductory phase: establish an agenda for the interview and establish a trusting relationship and rap
4

In the ___________________ part of the interview:

  • Nurse draws out the client’s comments about major bio data, reasons for seeking care, history of present health concern (COLDSPA), past health history, family history, review of body systems (ROS) for current problems, lifestyle and health practices, and developmental level
  • Interpret and validate information received from the client by listening, observing cues, and using critical thinking
  • Collaborate with client to identify problems and goals
  • Working
  • Nurse draws out the client’s comments about major bio data, reasons for seeking care, history of present health concern (COLDSPA), past health history, family history, review of body systems (ROS) for current problems, lifestyle and health practices, and developmental level
  • Interpret and validate information received from the client by listening, observing cues, and using critical thinking
  • Collaborate with client to identify problems and goals
5

In the ___________________ part of the interview:

  • Nurse summarizes info obtained during working phase
  • Validates problems and goals with client
  • Discuss possible plans to resolve the problem w/ client
  • Finally, ask the client if they have any questions or concerns
  • Summary/closing phases
6

When interviewing older clients, must ________________________________

first assess hearing acuity