NURS 612 final Exam 1 complete study guide 2022 100% perfect for exam prep
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Course
NURS 612 (NURS612)
Institution
Maryville University Of St. Louis
What are the concepts of developing a relationship with the patient?
First meeting with the patient sets the tone to forma relationship and letting them know
you want to know all that is needed and that you will be open and available. Trust
should be developed.
What are the effective commun...
nurs 612 final exam 1 complete study guide 2022 100 perfect for exam prep
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Maryville University Of St. Louis
NURS 612 (NURS612)
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What are the concepts of developing a relationship with the patient?
First meeting with the patient sets the tone to forma relationship and letting them know
you want to know all that is needed and that you will be open and available. Trust
should be developed.
What are the effective communication strategies when obtaining a health history?
Offer instruction regarding learning about the well and the sick
History and physical exam are at the heart of the interview
Communication should be based on courtesy, comfort and support
Confirm all that has happened and communicated is understood.
What is a patient centered question?
Patient and family centered care encourages the active shared collaboration between
patient, family, providers and specialties. Eye to eye contact and empathy is key
How are you feeling today?
What would you like to do today?
What are potential barriers of patient and provider communication?
Language, culture, education and disability
What is the difference between objective and subjective data?
Objective: direct observation of what we see about the patient.
o Hear (auscultation), Touch (Palpation, percussion)
Subjective: information patient offers about their current condition
How do you approach sensitive issues when interviewing a patient?
Provide privacy for the patient
Be direct and firm and do not apologize for asking the questions
Do not preach
Use the patients own words when documenting
What does it mean to be culturally aware and culturally competent when care for patients
with diverse backgrounds?
Use patient centered communication skills.
Self awareness, knowledge for culture issues
Be aware of others values and beliefs
What are examples of questions to explore the patients culture?
Who makes the decisions in the family?
What is the composition of the family?
What is the role of and attitude towards children in the family?
What major events are important and how are they celebrated?
Is co-sleeping practiced?
What are the components of a cultural response to a patient?
When certain different cultures exist, be certain to know exactly what the patient means
and assure that they know what you mean. Asking questions if you are not sure is okay.
History Components of Interviewing Process
Chief Concern (CC): a brief statement for the reason the patient is seeking care
, Family History (FH): blood relatives in the immediate or extended family with illnesses
that have features similar to the patients concern
Functional Assessment: questions concerning the ability to take care of ones daily needs
that are part of the review of systems
History of Present Illness (HPI): a step-by-step evaluation of the circumstances that
surround the primary reason for the patients visit.
Past Medical History (PMH): the patients state of overall health before the present
problem
Personal and Social History (SH): work, marriage, sexual and spiritual experiences; the
patients use of alcohol, tobacco and drugs, cultural background, birthplace, education,
family, marital status, general life satisfaction, hobbies, sources of stress and religious
practices.
Review of Systems: the presence or absence of health-related issues in each body
system
Symptom Analysis: questions specifying the onset, location, duration, intensity,
characteristics and aggravating and alleviating factors.
Comprehensive Health history and physical examination: record that must include all
data collected, both positive and negative, that contribute to the examiners assessment.
OLDCARTS: onset, location, duration, character, aggravating factors, relieving factors,
temporal factors, and severity of symptoms.
SOAP: subjective, objective, assessment and plan
Eyes
How do you measure visual acuity and test cranial nerve II? How do you document your
findings?
Snellen Chart: measures distant vision. Patient stands 20ft away, covering one eye. Read
the smallest line they can see. Normal is 20/20 Top number is 20ft away and the bigger
the bottom number the worse the patients vision is.
Rosenbaum Chart: Measures near vision. Patient holds card 35cm away and reads
smallest line they are able to see with one eye covered. Vision 20/20
Peripheral Vision: Confrontation test-sit knee to knee and over same eye as patient.
Look directly at each other. Move fingers inward from superior, inferior, nasal and
temporal fields. Assure both seen fingers at the same time.
Describe how you would perform an external examination of the eye. What is normal and
abnormal?
Eye Brows: equal in size, extend past the temporal canthus and the texture is thick.
Orbital: no edema or puffiness, no sagging tissue below the orbits. No Xanthelasama
which can be a sign of lipid metabolism disorder.
When you palpate the eyes, what are you assessing for?
No fasciculation or tremors, no nodules, opens eyes and close them tightly. No redness,
edema or flakiness. Eye lashes curve away from the globe. The eyes do not invert or
ever. The eye lids cover the globe and meet completely.
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