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HA > CHAP 2 > Flashcards

CHAP 2 Flashcards

1
Q

Subjective
data provide clues to:

A

physiological, psychological, and sociologic
problems.

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2
Q

The subjective data is obtained through

A

interviewing

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3
Q

2 focuses of nursing interview

A
  • establish rapport & rltship
    gain info on client
  • developmental, psychological status
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4
Q

4 basic phases of an interview in nursing:

A

preintroductory
introductory
working
summary

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5
Q

in this phase, the nurse reviews the medical record before meeting with the client
Knowing some of the client’s already documented biographical information

A

Preintroductory phase

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6
Q

during the introductory phase, the nurse explains these:

A
  • discuss the of questions
  • explain reason for notes
  • assure confidential info to the client
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7
Q

the guidelines that ensure confidentiality of client info

A

Health Insurance Portability and Accountability Act (HIPAA)

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8
Q

conducting an interview should be at what level

A

eye level with client

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9
Q

these are essential to promote full disclosure of information

A

develop trust and rapport

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10
Q

Developing rapport
depends heavily on

A

verbal and nonverbal communication

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11
Q

During this phase, the nurse elicits the client’s comments about major biographical
data

A

Working phase

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12
Q

during this phase, the nurse summarizes information obtained during
the working phase and validates problems and goals with the client

A

Summary & closing phase

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13
Q

in this phase, the nurse identifies and discusses possible plans to resolve the problem

A

summary and closing phase

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14
Q

The client interview involves two types of communication

A

Nonverbal and verbal

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15
Q

Your appearance, demeanor, posture, facial expressions, and attitude strongly influence
how the client perceives the questions you ask belongs to what type of communication

A

Nonverbal communication

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16
Q

Actions that must be followed during a nurisng interview of nonverbal actions

A

Appearance
Demeanor
Facial expression
Attitude
Silence
Listening

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17
Q

The client is expecting
to see a health professional; therefore, you should look the part. Wear comfortable,
neat clothes and a laboratory coat or a uniform. What type of nonverbal component is this?

A

Appearance

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18
Q

in nonverbal communication your ___ should be professional

A

Demeanor

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19
Q

not being overwhelmingly friendly/touchy is under

A

Demeanor

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20
Q

Greeting the client calmly, by name and not
with references such as honey, sweetie, or sugar is under what type of nonverbal communication

A

Demeanor

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21
Q

When you enter a room to interview a
client, display what?

A

Poise

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22
Q

an overlooked aspect of communication. it often shows what you are truly thinking

A

Facial expression

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23
Q

No matter what you think about a client or what kind
of day you are having, keep your expression

A

neutral and friendly

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24
Q

appear shocked, disgusted, or surprised at what you are told is under

A

Attitude

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25
Q

One of the most important nonverbal skills to develop as a health care professional
is a

A

Nonjudgemental attitude

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26
Q

allow you and the client to reflect and organize thoughts, which facilitate
more accurate reporting and data collection.

A

silence

27
Q

is the most important skill to learn and develop fully in order to collect
complete and valid data from your client

A

Listening

28
Q

Nonverbal communications to avoid

A

Excessive or Insufficient Eye contact
Distraction & distance
Standing

29
Q

Verbal Communication to avoid

A

Biased or leading question
Rushing through interview
Reading the questions

30
Q

these questions are used to elicit the client’s feelings and perceptions

A

Open ended questions

31
Q

open ended questions begins with the words

A

“how” or “what”

32
Q

Asking _____may help to reveal
significant data about the client’s health status.

A

open ended questions

33
Q

these questions are asked to obtain facts and to focus on specific information

A

close ended questions

34
Q

these questions are useful in keeping the interview on course

A

close ended questions

35
Q

Closed-ended questions typically begin
with the words

A

“when or did”

36
Q

used to clarify or obtain more accurate information

A

Close ended questions

37
Q

this approach
helps you to obtain specific answers and reduces the likelihood of the client
perceiving or providing an expected answer.

A

laundry list

38
Q

these type of questions are what? “Is the pain severe, dull,
sharp, mild, cutting, or piercing?” “Does the pain occur once every year, day,
month, or hour?” Repeat choices as necessary.

A

Laundry list

39
Q

This technique helps you to clarify information the client has stated; it also enables you and the client to reflect on what was said.

A

Rephrasing

40
Q

these words can encourage client verbalization

A

Well-placed phrases

41
Q

“uh-huh,” “yes,” or “I agree” are what types of words

A

Well placed phrases

42
Q

getting information from what the client tells you and what you observe in the
client’s behavior may elicit more data or verify existing data is what type of action

A

Inferring

43
Q

Examples of verbal communication

A

Open & close ended
Laundry list
Rephrasing
Well-placed phrases
inferring
Providing information

44
Q

include information that identifies the client, such as
name, address, phone number, gender, and who provided the information—the
client or significant others

A

Biographical data

45
Q

This category includes two questions: “What is your major health problem or
concern at this time?” and “How do you feel about having to seek health care?”

A

Reasons for seeking health care

46
Q

Three variations in communication must be considered as you interview clients

A

gerontologic, cultural and emotional

47
Q

age effects are under what variation of interviewing

A

Gerontologic variations

48
Q

used to identify clients’ strengths and limitations in
lifestyle and health status

A

Health history data

49
Q

Religious or spiritual practices
Educational level
Occupation are what type of data

A

Biographical data

50
Q

Meaning of COLDSPA

A

Character
Onset
Location
Duration
Severity
Pattern
Associated factors

51
Q

(How does it feel, look, smell, sound, etc.? is what type of question

A

Character

52
Q

when did it begin? is it worse than before? what statement tdoes this belong

A

Onset

53
Q

what makes it better? unsay maka lala ani? is what type of question

A

Pattern

54
Q

what other sympomts do u have? can u work with having this?

A

Associated factors

55
Q

Nursing health history format (client care plan)

A

Biographical data
History of present health (COLDSPA)
Past health history
Family Health history
Lifestyle and Health practice
Developmental Level

56
Q

PQRST meaning

A

Provocative
Quality
Radiates
Severity
Timing

57
Q

in pqrst what does this question stand for “What provokes the pain or relieves it?

A

Provocative

58
Q

is the pain localized? or ga spread? what type of analysis is this from PQRST stand for?

A

Radiates

59
Q

Ask the client about
any childhood illnesses and immunizations to date is what type of data

A

Personal health history

60
Q

the questions elicit data about the client’s health history related to their
strengths and weaknesses

A

Past health or personal history

61
Q

include nutritional habits, activity and exercise
patterns, sleep and rest patterns, self-concept and self-care activities, social and
community activities, relationships, values and beliefs system, education and work,
stress level and coping style, and environment.

A

Lifestyle & health practices profile

62
Q

This information is necessary to elicit an overview of how the client sees their usual
pattern of daily activity

A

Description of typical day

63
Q

These questions
uncover food habits that are health promoting as well as those that are less desirable

A

Nutrition and weight management

64
Q

sexual responsibility, basic hygiene practices, regularity of health
care checkups (i.e., dental, visual, medical), breast/testicular self-examination, and
accident prevention and hazard protection (e.g., seat belts, smoke alarms, and
sunscreen). are under what data

A

self concept and self care responsibilities

HA (32 decks)

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