Podcast
Questions and Answers
Which of the following actions should a nurse avoid when interacting with a patient from a different culture?
Which of the following actions should a nurse avoid when interacting with a patient from a different culture?
- Asking questions to better understand their health concerns
- Encouraging the patient to share their beliefs and practices
- Referring the patient to cultural resources
- Telling the patient you don't understand their culture (correct)
The presenting symptoms are not relevant to a patient's reason for seeking health care.
The presenting symptoms are not relevant to a patient's reason for seeking health care.
False (B)
What question should a nurse ask to assess the risk of depression in a patient?
What question should a nurse ask to assess the risk of depression in a patient?
Over the past 2 weeks have you felt down, depressed, or hopeless?
During a mental health assessment, the nurse needs to assess the patient's orientation to ______, ______, ______, and ______.
During a mental health assessment, the nurse needs to assess the patient's orientation to ______, ______, ______, and ______.
Which of the following activities is NOT typically considered an activity of daily living (ADL)?
Which of the following activities is NOT typically considered an activity of daily living (ADL)?
Which principle should not be followed when conducting a health assessment history?
Which principle should not be followed when conducting a health assessment history?
Match the following questions with their purpose in assessing a support system:
Match the following questions with their purpose in assessing a support system:
What is the priority action for the nurse to remember before starting the physical assessment for a patient with a visual impairment?
What is the priority action for the nurse to remember before starting the physical assessment for a patient with a visual impairment?
Standing at all times when talking to the patient is a recommended practice in health history interviews.
Standing at all times when talking to the patient is a recommended practice in health history interviews.
Assessing a patient's independence in activities of daily living involves asking about their need for assistance.
Assessing a patient's independence in activities of daily living involves asking about their need for assistance.
List two activities the nurse should inquire about when assessing a patient's activities of daily living (ADLs).
List two activities the nurse should inquire about when assessing a patient's activities of daily living (ADLs).
A patient’s culture can influence the interview process and how they perceive health and illness.
A patient’s culture can influence the interview process and how they perceive health and illness.
What nonverbal visual cue should be avoided during an interview?
What nonverbal visual cue should be avoided during an interview?
Which primary source for health history information is considered the most reliable?
Which primary source for health history information is considered the most reliable?
During a follow-up assessment for a patient who is aphasic, the nurse should communicate one question or ______ at a time.
During a follow-up assessment for a patient who is aphasic, the nurse should communicate one question or ______ at a time.
The nurse is conducting a health history on a patient in the emergency room, which type of health history is this?
The nurse is conducting a health history on a patient in the emergency room, which type of health history is this?
Match the following nursing interventions with their appropriate actions for an aphasic patient:
Match the following nursing interventions with their appropriate actions for an aphasic patient:
What type of communication technique is used when asking, 'Have you ever had surgery?'
What type of communication technique is used when asking, 'Have you ever had surgery?'
Which of the following is a barrier to communication?
Which of the following is a barrier to communication?
A patient can refuse to discuss personal matters out of concern for privacy.
A patient can refuse to discuss personal matters out of concern for privacy.
Using medical jargon is encouraged to demonstrate authority in patient interviews.
Using medical jargon is encouraged to demonstrate authority in patient interviews.
The nurse is conducting a follow-up health history on a patient seen in the health clinic 2 days ago. This is an example of a ________ health history.
The nurse is conducting a follow-up health history on a patient seen in the health clinic 2 days ago. This is an example of a ________ health history.
What should a nurse do to create a conducive environment for a health assessment interview?
What should a nurse do to create a conducive environment for a health assessment interview?
Match the type of health history with its context:
Match the type of health history with its context:
______ data are pieces of information specifically reported by the patient in a health history.
______ data are pieces of information specifically reported by the patient in a health history.
What is a suitable question for a nurse to ask a patient concerned about her weight history?
What is a suitable question for a nurse to ask a patient concerned about her weight history?
The elderly are not at risk for malnutrition.
The elderly are not at risk for malnutrition.
What medical term describes difficulty swallowing?
What medical term describes difficulty swallowing?
Which group of individuals is NOT typically at risk for undernutrition?
Which group of individuals is NOT typically at risk for undernutrition?
An 89-year-old patient states he has no appetite and eats only 50% of his meals. This condition is documented as: Patient has ______.
An 89-year-old patient states he has no appetite and eats only 50% of his meals. This condition is documented as: Patient has ______.
Match the conditions with their definitions:
Match the conditions with their definitions:
What factors are included in a nutritional assessment?
What factors are included in a nutritional assessment?
What is checked to determine if a patient is alert and oriented?
What is checked to determine if a patient is alert and oriented?
A patient can take an oral temperature immediately after consuming hot or cold food or drink.
A patient can take an oral temperature immediately after consuming hot or cold food or drink.
What symptom is most indicative of orthostatic hypotension?
What symptom is most indicative of orthostatic hypotension?
The rectal probe should be inserted about _____ inches into the anal canal.
The rectal probe should be inserted about _____ inches into the anal canal.
What should the nurse do after getting a blood pressure reading significantly different from the patient's usual?
What should the nurse do after getting a blood pressure reading significantly different from the patient's usual?
A blood pressure reading of 178/100 is considered normal.
A blood pressure reading of 178/100 is considered normal.
What is a common symptom of stress that might affect blood pressure?
What is a common symptom of stress that might affect blood pressure?
Match the symptoms with the corresponding condition:
Match the symptoms with the corresponding condition:
What type of pain is described when a patient experiences burning, aching pain shooting down the leg?
What type of pain is described when a patient experiences burning, aching pain shooting down the leg?
The patient's family should always be the first to report pain to the healthcare providers.
The patient's family should always be the first to report pain to the healthcare providers.
What does the abbreviation OPQRST stand for in pain assessment?
What does the abbreviation OPQRST stand for in pain assessment?
The nurse should assess the patient's pain using the _____ scale when the patient reports a pain level of '8'.
The nurse should assess the patient's pain using the _____ scale when the patient reports a pain level of '8'.
Which action should the nurse take first when a patient's family reports increased pain?
Which action should the nurse take first when a patient's family reports increased pain?
Match the following factors to their influence on pain experience:
Match the following factors to their influence on pain experience:
The patient's self-report is the only valid indicator of pain levels.
The patient's self-report is the only valid indicator of pain levels.
When assessing pain provocation, the nurse would ask, 'What _____ the pain?'
When assessing pain provocation, the nurse would ask, 'What _____ the pain?'
Flashcards
Sensitivity in health assessment
Sensitivity in health assessment
Being sensitive to a patient's feelings and showing empathy during a health assessment. Being aware of their emotional state and accommodating their needs.
Non-judgmental approach
Non-judgmental approach
Remaining unbiased and objective when assessing a patient, without letting personal opinions influence the evaluation.
Professional demeanor in health assessments
Professional demeanor in health assessments
Ensuring that communication is respectful, professional, and approachable during a health assessment.
Privacy for health assessments
Privacy for health assessments
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Interpreting non-verbal cues
Interpreting non-verbal cues
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Clear communication in health assessments
Clear communication in health assessments
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Addressing communication barriers
Addressing communication barriers
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Communicating with patients with aphasia
Communicating with patients with aphasia
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Assessing Depression
Assessing Depression
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Presenting Symptoms
Presenting Symptoms
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Activities of Daily Living (ADLs)
Activities of Daily Living (ADLs)
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Assessing Support System
Assessing Support System
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Orientation Assessment
Orientation Assessment
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History of Present Illness
History of Present Illness
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Past Medical History
Past Medical History
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Family History
Family History
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Closed-ended question
Closed-ended question
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Cultural Influence on Interview
Cultural Influence on Interview
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Comprehensive Health History
Comprehensive Health History
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Focused Health History
Focused Health History
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Problem-based Health History
Problem-based Health History
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Follow-up Health History
Follow-up Health History
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Open-ended question
Open-ended question
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Reliable Source for Health History
Reliable Source for Health History
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Subjective Data
Subjective Data
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Orientation
Orientation
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Nutritional Assessment
Nutritional Assessment
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Anorexia
Anorexia
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Dysphagia
Dysphagia
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Ageusia
Ageusia
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Dysgeusia
Dysgeusia
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Individuals at Risk for Undernutrition
Individuals at Risk for Undernutrition
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Rectal Temperature
Rectal Temperature
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Orthostatic Hypotension
Orthostatic Hypotension
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Blood Pressure Assessment
Blood Pressure Assessment
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Alert and Oriented Assessment
Alert and Oriented Assessment
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Auscultation of the Heartbeat
Auscultation of the Heartbeat
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Blood Pressure Discrepancy
Blood Pressure Discrepancy
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Irregular Pulse
Irregular Pulse
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Respiratory Rate
Respiratory Rate
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Numerical pain scale
Numerical pain scale
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Radiating pain
Radiating pain
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Nurse's action when a patient reports pain
Nurse's action when a patient reports pain
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Discrepancy between pain report and behavior
Discrepancy between pain report and behavior
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OPQRST pain assessment method
OPQRST pain assessment method
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Provocation of pain
Provocation of pain
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Factors influencing pain experience
Factors influencing pain experience
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Multiple pain assessment methods
Multiple pain assessment methods
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Study Notes
Health Assessment
- Health assessment is a fundamental nursing skill
- Registered nurses (RNs) need to diagnose and treat patients
- Identify normal and abnormal findings
- Refer patients with abnormal findings
- Counsel patients with psychosocial needs
Health Prevention
- A 38-year-old male with family history of colon cancer
- Doctor recommended colonoscopy this year
- Represents secondary health prevention
Patient Care
- Patient in hospital reports fever and stomach discomfort
- Registered nurse should assess the patient for fever and epigastric discomfort
- Registered nurse should ask medical assistant to assess the patient's complaints
Health Assessment Components
- 32-year-old female patient reports feeling fatigued
- Health assessment includes past health, present health, significant other's health, factors influencing health and physical examination
Nursing Process Steps
- The proper sequence of nursing process steps is Planning, Evaluation, Assessment, Implementation and Diagnosis
Health History Components
- Preparing for a health history interview involves reading the patient record
- Conducting the interview in a private place free from noise
- Allowing enough time for the interview
- Maintaining professional body language and posture
Communication Barriers
- Barriers to communication can include asking too many questions, leading the patient, maintaining silence , offering false re-assurance and stereotyping
Effective Communication
- Effective communication includes avoiding medical jargon
- Maintaining sensitivity, nonjudgmental attitude, and genuine approach
- Presenting professional behaviors during interactions
- Keeping questions simple and clear
Hearing Impairment
- Nurse should adapt communication techniques when a patient reports a hearing impairment
- Speak in simple, focused sentences
- Reduce background noise
- Use short, simple sentences
Visual Impairment
- When assessing a patient with a visual impairment, speak clearly and loudly
- Acknowledge the patient by touching their shoulder, and provide clear directions
Cultural Influences
- A patient's cultural background can influence the interview process
- The patient may have different perceptions about health and illness
- The patient may have concerns about privacy
- The patient may project personal cultural beliefs onto the nurse
Data Reliability
- The most reliable source of health history information is an alert and oriented patient
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