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Instructions for Side by Side Printing
  1. Print the notecards
  2. Fold each page in half along the solid vertical line
  3. Cut out the notecards by cutting along each horizontal dotted line
  4. Optional: Glue, tape or staple the ends of each notecard together
  1. Verify Front of pages is selected for Viewing and print the front of the notecards
  2. Select Back of pages for Viewing and print the back of the notecards
    NOTE: Since the back of the pages are printed in reverse order (last page is printed first), keep the pages in the same order as they were after Step 1. Also, be sure to feed the pages in the same direction as you did in Step 1.
  3. Cut out the notecards by cutting along each horizontal and vertical dotted line
To print: Ctrl+PPrint as a list

6 notecards = 2 pages (4 cards per page)

Viewing:

Assessment Ch: 2

front 1

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

back 1

Open ended questions

front 2

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

back 2

Close ended questions

front 3

Introductory- actually meet the client:

back 3

  • 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

front 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

back 4

  • 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

front 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

back 5

  • Summary/closing phases

front 6

When interviewing older clients, must ________________________________

back 6

first assess hearing acuity