ANS: D Show
Nội dung chính
Components of a nursing health history include physical examination findings, patient expectations, environmental history, and diagnostic data. Current treatment orders are located under the Orders section in the patients chart and are not a part of the nursing health history. Patient concerns, not nurses concerns, are included in the database. Goals that are mutually established, not nurses goals, are part of the nursing care plan. PQRST p- provokes: What causes symptom? What makes it better or worse? Are there activities (e.g., exercise) that affect it? q- quality: What does the symptom feel like? If patient cannot describe, offer probes such as "Is it sharp? Dull? Burning?" R—Radiate: Where is the symptom located? Is it in one place? Does it go anywhere else? Have patient be as precise as possible. S—Severity: Ask a patient to rate the severity of a symptom on a scale of 0 to 10. This gives you a baseline with which to T—Time: Assesses onset and duration of symptom. When did B. Dependence-independence pattern The nurse can use two approaches for comprehensive assessment. They include using a structured database format and a problem-oriented approach. Gordon's model is an example of a structured database format. It has 11 functional health patterns that are assessed: the health perception-health management pattern, nutritional-metabolic pattern, elimination pattern, activity-exercise pattern, sleep-rest pattern, cognitive-perceptual pattern, self-perception-self-concept pattern, role-relationship pattern, sexuality-reproductive pattern, coping-stress tolerance pattern, and the value-belief pattern. A nurse is conducting a patient-centered interview. Place the statements from the interview in the correct order, beginning with the first statement a nurse would ask. 1. "You say you've lost weight. Tell me how much weight you've lost in the last month." 2. "My name is Todd. I'll be the nurse taking care of you today. I'm going to ask you a series of questions to gather your health history." 3. "I have no further questions. Thank you for your patience." 4. "Tell me what brought you to the hospital." 5. "So, to summarize, you've lost about 6 lbs in the last month, and your appetite has been poor—correct?" A. 4, 2, 1, 3, 5 Sets with similar termsa nurse is conducting a patient centered interview. place the statements from the interview in the correct order, beginning with the first statement a nurse would ask 1. "you say you've lost weight. tell me how much weight you've lost in the last month" A nurse is conducting a patient-centered interview. Place the statements from the interview in the correct order, beginning with the first statement a nurse would ask. 4, 2, 1, 3, 5 Sets with similar termsHome Subjects Solutions Create Log in Sign up Upgrade to remove ads Only SGD 41.99/year
Terms in this set (15)A nurse assess a patient who comes to the pulmonary clinic. I see that it's been over 6 months since you've been here but your appointment was for every 2 months. Tell me about that. Also i see from your last visit that the doctor recommended routine exercise. Can you tell me how successful you've been in following his plan? the nurse's assessment covers which of Gordon's functional health patterns? Health perception - health managment pattern The nurse's assessment covers the health perception--health management pattern which is a patient's self report of how they manage their health and their knowledge of preventive health practices. The nurse observes a patient walking down the hall with a shuffling gait. When the patient returns to bed, the nurse checks the strength in both of the patient's legs. The nurse applies the info gained to suspect that the patient has a mobility problem. This conclusions is an example of: Clinical inference An inference is your judgment or interpretation of cues such as the shuffling gait and reduced leg strength. Any info gathered through your senses is a cue. A 72 year old male patient comes to the health clinic for an annual follow up. The nurse enters the patient's room and notices him to be diaphoretic holing his chest and breathing with difficulty. The nurse immediately checks the patient's heart rate and blood pressure and asks him, " tell me where your pain is." Which of the following assessment approaches does this scenario describe? Problem oriented approach The nurse focuses on assessing 1 body system to determine the nature of the patient's pain and other presenting symptoms The nurse asks a patient, "describe for me a typical night's sleep. What do you do to fall asleep? Do you have difficulty falling or staying asleep?" This series of questions would likely occur during which phase of a patient centered interview? Working phase The gathering of info A nurse is assigned to a 42 year old mother of 4 who weighs 136.2 kg (300 lbs), has diabetes and works part time in the kitchen of a restaurant. The patient is facing surgery for gallbladder disease. Which of the following approaches demonstrates the nurse's cultural competence in assessing the patient's health care problems? You have 4 children, do you have any concerns about going home and caring for them? This is the only assessment approach that is not biased or does not show judgement about the patient's weight or occupational status. Which type of interview question does the nurse first use when assessing the reason for a patient seeking health care? Open ended The best interview question for initially determining why a patient is seeking health care is by asking an open ended question that allows the patient to tell their story. A nurse is checking a patient's iv line and while doing so, notices how the patient bathes himself and then sits on the side of the bed independently to put on a new gown. This observation is an example of assessing: Patient's level of function Observing a patient perform activities physical, socially, psychologically, and developmentally assess their level of function. In the case of this question the nurse assesses physical functional level. A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his right leg tell the nurse practitioner that he is worried about his ability to continue to support his family. He tells the nurse he feels that he has let his family down after having an auto accident that led to the loss of his left leg. The nurse listens and then asks the patient, how do you see yourself now? On the basis of Gordon's functional health patterns, which pattern does the nurse assess? Self perception--self concept pattern Assessment of patient's feelings about his worth and body image A nurse is conducting a patient centered interview. Place the statements from the interview in the correct order, beginning with the first statement a nurse would ask: My name is Jess, I'll be the nurse taking care of you today. I'm going to ask you a series of questions to gather your health history. During a visit to the clinic, a patient tells the nurse that he has been having headaches on and off for a week. The headaches sometimes make him feel nauseated. Which of the following responses by the nurse is an example of probing? Tell me what makes your headaches begin An open ended question that probes such as tells me what makes your headaches begin encourages a fuller description of situation. Which of the following examples are steps of nursing assessment? Collection of info about patient's family members When a nurse conducts an assessment data about the patient often comes from which of the following sources? An observation of
how a patient turns and moves in bed A nurse gathers the following assessment data. Which of the following cues together forms a pattern suggesting a problem? The skin around the wound is tender to touch A nurse makes the following statements during a change of shift report to another nurse, "i assessed Mr. Diaz, my 61 year old patient from Chile. He fell at home and hurt his back 3 days ago. He has some difficulty turning in bed, and he says that he has pain that radiates down his leg. He rates his pain at a 6, and he moves slowly as he transfers to a chair." What can the nurse who is beginning a shift do to validate the previous nurse's assessment finding s when she rounds on the patient? The nurse asks the patient to rate their pain on scale of 0 to 10 The nurse compares data reported by the previous nurse with data collected directly with the patient, including assessing pain on the rating scale and assessing the patient's lower limb strength. Asking the patient what caused the fall and about past back pain and experience with pain mess would offer the nurse new info about the patient The nurse enters the room of a 82 year old patient for whom she has not cared previously. The nurse notices the the patient wears a hearing aid. The patient looks up as the nurse approaches the bedside. Which of the following approaches are likely to be effective with an older adult? Listen attentively to the patient's story Sets with similar termsNS 103 - Nursing Process - Ch.16 Practice Test15 terms ChristianAsanoPLUS Chapter 16 Nursing 23126 terms lydbrown12 Fundamentals Chapter 16 Nursing assessment37 terms Brittney_Davis10 Sets found in the same folderChp 16 Review15 terms Margaret_Luthi Nursing Diagnosis Review Questions14 terms stephanie4389 Chp 15 review13 terms Margaret_Luthi Potter & Perry Chapter 32: Medication Administrati…15 terms kyakuma Other sets by this creatorChapter 25: health assessment15 terms Jessaay_D13 Chapter 24 Vital Signs26 terms Jessaay_D13 Chapter 23 Asepsis and Infection Control17 terms Jessaay_D13 Chapter 3 health, illness, and disparities8 terms Jessaay_D13 Other Quizlet setsSolis Ch. 444 terms brandon_ballweg FINC 370034 terms river_coop World History Sem 2 Final Exam27 terms Karlee_Balanowski 204.03 RADIOLOGICAL HAZARDS M.P. 04/98-R RADIOLOGI…20 terms merillat33 Related questionsQUESTION Mrs. Greene keeps sliding down in bed. the nurse tells you to raise the head of the bed no more than 30 degrees. this position will prevent tissue damage caused by 15 answers QUESTION how many beats per minute does the SA Node beat? 8 answers QUESTION A nurse is using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model PET as a clinical decision-making tool when delivering care to patients. Which steps reflect the intended use of this tool? 6 answers QUESTION 15. A nurse is assessing a newborn who is jittery, diaphoretic, and hypothermic, and has poor feeding. What laboratory value would the nurse correlate with this condition? 2 answers Which type of question is used when starting the assessment of a patient?Which type of question is used when starting the assessment of a patient? The nurse uses open-ended questions when beginning the assessment of a patient. This allows patients to talk about their concerns and problems in detail. What are the 4 general components of a nursing assessment?4 types of nursing assessments:. Initial assessment. Also called a triage, the initial assessment's purpose is to determine the origin and nature of the problem and to use that information to prepare for the next assessment stages. ... . Focused assessment. ... . Time-lapsed assessment. ... . Emergency assessment.. What is the preparatory phase of the nursing interview?Preparatory Phase: During the Preparatory Phase the nurse reviews all data and does not let his/her own prejudices and stereotypes affect the nurse-patient relationship. During this phase the nurse should assure that the environment is private and relaxed. What should a clinical interview ideally focus on?The best clinical interview focuses on the patient. It helps to get a detailed history of the patient's problem and provide care accordingly. Focusing on the nurse's agenda or hospital policy may distract the nurse's efforts from the patient. Which question will the nurse ask to strengthen the connection with a postoperative patient?Which question by the nurse while taking an interview can strengthen his or her connection with a postoperative patient? "Tell me how you are managing your pain at home?" The nurse is interviewing a patient who is admitted to the hospital with complaints of abdominal pain.
Which question encourages the patient to tell his or her story?Using open-ended questions encourages the patient to tell his or her story and actively describe his or her health status.
What type of question is used when starting the assessment of a patient?Which type of question is used when starting the assessment of a patient? The nurse uses open-ended questions when beginning the assessment of a patient. This allows patients to talk about their concerns and problems in detail.
Which action by the nurse indicates the setting the stage phase of the PatientWhich actions by the nurse indicate the "setting the stage" phase of the patient-centered interview? Select all that apply. The nurse greets the patient with his or her full name, introduces him- or herself and explains the reason for the interview in the "setting the stage" phase of a patient-centered interview.
|
Which question by the nurse while taking an interview can strengthen his or her connection?
zusammenhängende Posts
Urheberrechte © © 2024 paraquee Inc.
