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34 notecards = 9 pages (4 cards per page)

Viewing:

Assessment Exam 1

front 1

_____________ communication includes appearance, demeanor, facial expression, attitude, silence, listening

back 1

Nonverbal

front 2

_______________is the most important skill to learn and develop fully in order to collect complete and valid data from your client

back 2

Listening

front 3

Listing- SOLER

back 3

Square up to person you are listening to

Open posture

Lean in

Eye contact

Relax and respond

front 4

Avoid ________________________, and avoid being more then 2-3 feet away from patient

back 4

Excessive or insufficient eye contact

front 5

______________ communication includes open ended questions, close ended questions, laundry list, rephrasing, well- placed phrases, inferring, provide information

back 5

verbal

front 6

Providing a list of words to choose from in describing symptoms, conditions, or feelings to help you obtain specific answers is an example of a _____________________.

back 6

Laundry list

front 7

Reviewing the medical records regarding past visits, previous test results, medications, lab results, allergies, previous procedures, etc. before meeting with the client so that you have some background information before going into the room, is part of what phase of the interview process?

back 7

Pre-introductory

front 8

Nursing goals during_______________: establish an agenda for the interview and establish a trusting relationship and rapport with the client

back 8

introductory phase

front 9

___________________ phase includes:

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

      1. Unless patient is at risk to themselves or somebody else
      2. Understanding HIPAA is important to ensure patient confidentiality
    1. Make sure that the patient is comfortable
      1. Sit with them at eye level which shows equality and respect, arms not folded
      2. Need to establish a nurse-client rapport to ensure that you are receiving complete and accurate data

back 9

Introductory

front 10

During the ______________ phase: 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

back 10

working

front 11

During the _________________ phase:

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

back 11

Summary

front 12

When interviewing older clients, must first assess __________________.

back 12

hearing acuity

front 13

What does COLDSPA stand for?

back 13

Character

Onset

Location

Duration

Severity

Pattern

Associated factors

front 14

“What does the pain feel like?” is part of ___________________.

back 14

Character

front 15

"When did the pain start?" is part of ______________.

back 15

onset

front 16

“Where does it hurt the most? Does it radiate or go to any other part of your body?”, is part of a ________________ question.

back 16

location

front 17

“How long does it last?” is part of a ______________ question.

back 17

duration

front 18

“What other symptoms occur with it? How does it affect you?” is a part of ______________________ question.

back 18

associated factors

front 19

If you have dry, flaky skin, you are deficient in:

back 19

Vitamin A

Vitamin B

Linoleic Acid

front 20

If you have Dry skin with poor turgor, you are _________________________

back 20

Dehydrated

front 21

Rough scaly skin with bumps is a sign of?

back 21

Vitamin A deficiency

front 22

Thinning, dry hair is a sign of?

back 22

Protein deficiency

front 23

Sores that won't heal?

back 23

Protein, vitamin c, or zinc deficiencies

front 24

______________ is a voice volume disorder, caused by an issue within the larynx or impairment of cranial nerve X

back 24

Dysphonia

front 25

______________is a defect in the muscles that control speech.

back 25

Dysarthria

front 26

Working Phase:

back 26

biographical data

reasons for seeking care

history of present health concern

past health history

family history

review of body systems (ROS) for current health problems

lifestyle and health practices

developmental level.

front 27

The health history has eight sections:

back 27

  • Biographical data
  • Reasons for seeking health care
  • History of present health concern
  • Personal health history
  • Family health history
  • ROS for current health problems
  • Lifestyle and health practices profile
  • Developmental level

front 28

___________________ is used to view the red reflex and to examine the retina of the eye

back 28

Ophthalmoscope

front 29

The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations?

back 29

Palpation

front 30

____________ (heard over part air and part solid) Loud, low, hollow sound of a normal lung

back 30

Resonance

front 31

_______________________ (heard over mostly air) Very loud, low, booming sound heard from a Lung with emphysema

back 31

Hyperresonance

front 32

___________ (heard over air) loud, high, drumlike sound heard over stomach

back 32

Tympany

front 33

_______________ (heard over more solid tissue) is a medium pitched, thud like sound hear over Diaphragm, pleural effusion, liver

back 33

Dullness

front 34

________________(heard over very dense tissue) soft, high pitched heard over Muscle, bone, sternum, thigh

back 34

Flatness