When interviewing to obtain health history, RN approaches collecting client data by asking the
client... - ANSWER - How they define health
- What their beliefs are about attaining/maintaining health
- View of responsibility for health, health behaviors currently, and unhealthy behaviors
willing...
When interviewing to obtain health history, RN approaches collecting client data by asking the
client... - ANSWER - How they define health
- What their beliefs are about attaining/maintaining health
- View of responsibility for health, health behaviors currently, and unhealthy behaviors
willing to change
- Health expectations based on life experiences (self, family, friends, culture)
The health assessment interview occurs in 3 phases, which are: - ANSWER 1) Introduction (RN
introduces self & role in health care)
2) Discussion (facilitate discussion of pt health)
3) Summary (review pt's main points)
The components of a comprehensive health history include what 7 items? - ANSWER
- Biographic data
- Family history
- Past medical history
- Reason for seeking care
- Present health status
- Personal/psychosocial history
- Review of all body systems
True or false: the pt's reason for seeking care is recorded in direct quotes from the pt - ANSWER
True
,What does the mnemonic OLD CARTS stand for? - ANSWER O: Onset
L: Location
D: Duration
C: Characteristics
A: Alleviating/aggravating factors
R: Related symptoms
T: Treatment
S: Severity
Symptom analysis for collecting subjective data
When obtaining pt's present health status as part of comprehensive health history, the focus
is on the pt's current condition. This info includes what? - ANSWER - Health conditions acute &
chronic (duration & impact on daily life; ex: diabetes, hypertension, etc.)
- Medications include dose, frequency, route, & reasons for taking
- Allergies including reaction (clarify & distinguish b/w side-effect & allergy)
When obtaining pt's family history as part of comprehensive health history, how far back does
RN trace pt's family? - ANSWER 3 generations
Pt, pt's parents, pt's grandparents
What goals does collecting a thorough health history accomplish? - ANSWER -
Establishes therapeutic relationship w/ pt
- Provides snapshot of pt if organized & synthesized well
A comprehensive assessment gathers total pt data & is not focused, whereas shift assessment
is focused on pt's _____ and _____ - ANSWER immediate needs
, potential complication of pt
ex: heart failure needs focus on heart & lungs
W/ hospitalized pts, both the pt & equipment used in treatment are assessed (ex: IV running
& insertion site)
What kind of health history is obtained at first prenatal visit? - ANSWER Comprehensive
What common data is collected during shift assessment? - ANSWER - Vitals
- Neurologic (orientation)
- Communication (speech clear & appropriate)
- Cardiac
- Lungs & respiratory system
- Abdomen & GI system
- Musculoskeletal system
- Skin
- Equipment
the study of heredity; examines the function & composition of a single gene - ANSWER genetics
the study of genes and their function; incorporates all the genes & their interrelationship so
as to understand their combined effect on growth and development - ANSWER genomics
Personalized medicine is the use of specific info about individuals to decide which
interventions will best treat their disease, it includes what sort of components? - ANSWER -
Prenatal diagnosis
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