Assessment Week 1: Confidentiality, Legalities, Interview and Health History Taking

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Questions and Answers

What is one of the primary ethical responsibilities of nurses regarding client information?

Sharing information with colleagues freely

Requesting patient information to be publicly available

Protecting clients’ privacy and confidentiality (correct)

Documenting all personal opinions on patient care

Which organization is NOT mentioned as overseeing the nursing profession?

BCNU

Canadian Medical Association (correct)

NNPBC

BCCNM

What is the purpose of the nursing assessment?

To evaluate the costs of medical interventions

To identify health problems and provide a plan of care (correct)

To establish personal relationships with other healthcare providers

To create a database of all patient information

What does 'person-first language' emphasize in nursing communication?

Recognizing patients as individuals, not just their problems Signup and view all the answers

Which piece of legislation relates to controlled substances?

Controlled Drugs and Substances Act (1996) Signup and view all the answers

What is a key aspect of preparing for a nursing interview?

Creating a welcoming environment for the patient Signup and view all the answers

Why is confidentiality important in nursing practice?

It builds trust between the patient and the healthcare provider. Signup and view all the answers

Which of the following is NOT considered part of the legal aspects of nursing practice?

Adherence to health industry trends Signup and view all the answers

What does 'establishing rapport' in a nursing interview involve?

Building a trusting relationship with the patient Signup and view all the answers

Which of these acts is associated with ethical responsibilities in nursing?

Health Professions and Occupations Act (2022) Signup and view all the answers

Which of the following methods is NOT typically recommended for effective patient communication?

Value laden language Signup and view all the answers

What is the purpose of 'Teach Back' in a patient-care context?

To ensure patient comprehension Signup and view all the answers

In the '20 Questions' method, what must the interviewer avoid when framing their questions?

Questions about the item's function Signup and view all the answers

When gathering health history, what kind of family history is significant for assessing a patient with chest pain?

Pertinent family history related to cardiac issues Signup and view all the answers

Which of the following constitutes an essential element in a comprehensive health history?

History of previous allergies Signup and view all the answers

What does the term 'validation' refer to in a healthcare setting?

Acknowledging a patient's feelings Signup and view all the answers

What type of questioning is discouraged when gathering patient information?

Leading questions Signup and view all the answers

What should not be included in a patient's medication history?

Future medication opportunities Signup and view all the answers

Which aspect is vital when reviewing a patient's medical history?

Previous serious illnesses Signup and view all the answers

What is one objective of active listening in patient interactions?

To understand the patient's concerns thoroughly Signup and view all the answers

What is the primary focus of social history in health assessment?

Collecting information about lifestyle and living conditions Signup and view all the answers

Which of the following is a component of primary prevention in health promotion?

Immunization programs Signup and view all the answers

Which factor is NOT considered a social determinant of health?

Daily step count Signup and view all the answers

How is secondary prevention primarily defined?

Detection of disease before symptoms emerge Signup and view all the answers

What aspect of health history should be explored regarding tobacco and alcohol?

How often and in what quantity they are consumed Signup and view all the answers

Which of these is an important consideration in assessing recent travel history?

Potential exposure to infectious diseases Signup and view all the answers

Which of the following correctly describes tertiary prevention?

Promoting healthy lifestyle changes post-diagnosis Signup and view all the answers

Which of the following factors is NOT a component of the population health promotion model?

Preferences for alternative medicine Signup and view all the answers

What role does education and literacy play in health promotion?

It influences health behaviors and decision-making Signup and view all the answers

What considerations should be taken into account when assessing a patient's dietary habits?

Cultural and lifestyle dietary practices Signup and view all the answers

Study Notes

Course Overview

NRSG 301-3 consists of 90 minutes of classroom instruction and 90 minutes of laboratory practice weekly.
Instructor: Gwen Keeler MScN, NP(F).

Confidentiality

Nurses are mandated to protect clients' personal and health information as per the BCCNM Practice Standard.
Ethical and legal responsibilities must be adhered to in order to maintain patient privacy.

Legal Framework

Nursing is self-regulated with oversight from the BCCNM, NNPBC, and BCNU, focusing on safety for both nurses and the public.
Nurses must navigate several key legislations guiding health practices.

Important Legislation

Health Professions and Occupations Act (2022)
Assisted Human Reproduction Act (2004)
Controlled Drugs and Substances Act (1996)
Food and Drugs Act (1985)

Nursing Process

Goals of nursing assessment include identifying health problems, planning care, implementing interventions, and evaluating their impact.

Interview and Health History Taking

Preparation and setting the stage are crucial for successful patient interviews.
Establishing rapport with patients is essential in gathering accurate health histories.

Appropriate Use of Language

Use clear and simple language to facilitate understanding; avoid jargon.
Employ person-first language, emphasizing the individual rather than their conditions.
Utilize teach-back methods to confirm patient understanding.

Information Gathering Techniques

Active listening and guided questioning are important for effective communication.
Summarizing and empathetic responses help validate the patient's experience.
Non-verbal cues should be congruent with verbal communication for reassurance.

Comprehensive Health History

Initial data collection includes age, gender, and presenting concerns of the patient.
Details about the presenting concern, medical history, medications, and allergies are critical.
Consider family history, social factors, and lifestyle habits in assessments.

Explore occupation, living situation, and safety at home.
Assess substance use, sexual health, sleep patterns, dietary habits, and recent travel.
Ensure immunization status is up-to-date according to age and health guidelines.

Health Promotion Tiers

Primary Prevention: Aims to avoid illness and injury through proactive measures tailored to community needs.
Secondary Prevention: Focuses on early disease detection and screening before symptoms manifest.
Tertiary Prevention: Prevents complications in patients with existing conditions.

Various factors influence health outcomes, including income, employment, education, childhood experiences, physical environment, social support, healthcare access, genetics, gender, culture, and race/racism.

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Description

This quiz covers the key components of NRSG 301-3, focusing on the legal and ethical responsibilities nurses must uphold. Topics include confidentiality, relevant legislation such as the Health Professions and Occupations Act, and the nursing process. Test your knowledge on patient privacy and the legal frameworks that guide nursing practices.