Nurs 125 Health assessment and symptom analysis Questions and Answers
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Course
Nurs 125 Health assessment and symptom analysis
Institution
Nurs 125 Health Assessment And Symptom Analysis
How do we use therapeutic communication with a patient who is angry? - ️️We
listen to the patients and search for themes of their anger. We do not become defensive
and personalize the situation because it may be from a previous experience, not our
own. These patients are triggered by the fee...
Nurs 125 Health assessment and
symptom analysis
How do we use therapeutic communication with a patient who is angry? - ✔️✔️We
listen to the patients and search for themes of their anger. We do not become defensive
and personalize the situation because it may be from a previous experience, not our
own. These patients are triggered by the feeling they have lost control over the situation
which leads to feelings of helplessness and anxiety. Nurses must acknowledge their
feelings by saying: "I understand that you are upset about being asked this question, or,
I am sorry you are upset" The nurse must validate the patients concern and attempt to
connect their feelings with related events. Nurses are encouraged to call hospital
security if the situation is seen to become physical.
How do we use therapeutic communication with patients who have anxiety? - ✔️✔️We
must first acknowledge that healthcare issues cause plenty of anxiety. Characteristic
signs are foot tapping, nail biting, and sweating. The voice they use might seem
defensive and they speak fast with a voice that quivers. A patient who has anxiety will
decrease the patients perception and it will become more difficult to understand their
communication. We must use active listening and honesty as well as use a calm tone to
assure the patient there is no hurry. We can show the patient breathing techniques.
How do we use therapeutic communication with infants and young children? - ✔️✔️we
use a calm tone and are relaxed because they easily pick up on non verbal behaviours.
We do not enter the room if we are anxious. We smile to show friendliness.
What do we observe in families with newborns? - ✔️✔️We observe how they interact
with the baby, whether they encourage happy behaviour or if their behaviour is
appropriate for the situation. We do not want a irritable patient because this is a reason
for concern such as post partum. We also must keep in mind families are often sleep
deprived and this can manifest anxiety and depression.
What do we look for between the parents and child's interactions in an interview? -
✔️✔️we look to see who is answering the questions. We typically want the child to
answer first and the parent to fill in any gaps.
How do we interview adolescents? - ✔️✔️We interview them alone to ask about
sensitive topics like sexuality, drugs, and alcohol. We want to allow these patients
privacy and we must treat them like an adult in order for them to feel comfortable and
relaxed. We may ask them about school activities and hobbies to warm up the
conversation.
, How do we communicate with school age children? - ✔️✔️We address them so they
feel like they are the most important thing in the room. We collect most of the data from
the parents but we do not ignore the child. We want the child to answer if they have the
cognitive ability, and the parent to fill in any blanks.
How do we use therapeutic communication for adults? - ✔️✔️we create a relaxing
environment by closing a door so there is less noise, we turn up the temperature a bit,
we also avoid rushing so they are able to tell their story and feel that they have been
heard. We need to prioritize questions so we do not tire and stress the patient out.
How do we communicate with someone who has a hearing impairment? - ✔️✔️We
ensure their hearing aid is on and they can hear us, we can therapeutically touch the
patient and use visual signs before interacting with them. We need them to hear
everything so we need to ensure the environment is quiet. We ask open ended
questions so we know they are listening. If a patient is deaf, we should sit close to the
patient and let them read our lips, we must speak slower.
how do we speak in a therapeutic verbal way? - ✔️✔️we use a calm tone, we are
relaxed, we introduce ourselves to build familiarity and trust, we ask what they would
like to be called. We actively listen by making eye contact, having an open posture,
leaning forward, being eye level with them, asking open ended questions.
How do we communicate with a patient who has cognitive impairment? - ✔️✔️we allow
the patient sufficient time to answer and help them find the right words to describe their
symptoms. We do not want to put words in their mouth however. It is easy to confuse
cognitive impairment with anxiety or agitation. We must monitor these patients for basic
needs such as water, food, and ensure their pain is properly managed.
.
How do we use therapeutic communication when there is a language barrier? -
✔️✔️We should use a interpreter that can be found in the hospital. we should meet
with them before patient interaction and cannot use them for the entire treatment of the
patient. Nurses can use charts, diagrams, and simple sentences to communicate after
the health assessment is completed. A nurse must understand that the patient's level of
English speaking does not determine their intelligence level, and we must allow more
time for the patient to respond because they think in their native language and translate
in english. We must speak to the patient, not the interpreter, when communicating.
What are the 4 phases of the interview process? - ✔️✔️1. pre-interaction
2. Beginning phase
3. Working phase
4. Closing phase
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