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NUR 203 Exam 1 Questions And 100% Correct Answers
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NUR 203 Exam 1 Questions And 100% Correct Answershealth
physical, emotional, social, spiritual, intellectual, financial and occupational
co-morbidity
conditions a patient has (more than 1)
purpose of health assessment
develop a nursing plan of care
RN starts health assessment w/ open-ended questions
determine patient health issues, risk factors + health education
health assessment
every patient must have a history and physical (complete health assessment)
should be done on admission (things may delay like dementia)
health history
asking pertinent questions
past med, physical and mental
social + cultural + spiritual
sources of history
primary and secondary
subjective data
themselves
symptoms expressed by the patient
what patient describes/tells you
objective
what you see "signs"
(ex. BP)
, who do you see first
level 1 - airway, breathing, circulation (A,B,C)
level 2- mental status changes, acute pain, abnormal lab values + elimination problems
level 3- lack of knowledge, mobility, family coping
physical exam
head to toe
changes in the body ( unusual/abnormal findings may support history data/new
questions)
clinical reasoning steps
identify abnormal positive findings
organize and interpret findings
formulate + and test hypotheses and establish a working diagnosis
validate diagnosis
identify etiology (cause) + related factors
motivational interviewing
evidence-based method communication to enhance behavior change to
improve/maintain health
OARS - open-ended questions, affirmation, reflective listening (statement not question),
summarize + teach back
effective way of talking with people about change (evidence based)
ambivalence
wanting/not wanting change (incompatible)
naturally condition b being unsure of making change
components of interviewing
environment- temp, lighting, noise and privacy
interviewer- dress, standing, proximity to patient, rate of speech
client
communication process
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