Chapter 1 & 3- Evidence Based Assessment & The Interview Flashcards Preview

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Flashcards in Chapter 1 & 3- Evidence Based Assessment & The Interview Deck (22)
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1

Assessment phase includes what things??

Subjective data + Objective data + patient's record, and laboratory studies from the database

2

Subjective = "________" ?

Symptoms

3

Objective = "_________" ?

Signs

4

Subjective Data definition?

Patient's statements, concerns, & sensations
- Ex: pain
* Whatever our patient's tell us*

5

Objective Data definition?

Observable or Measurable by you
- Ex: Vital signs
Heart/Lung sounds
Blood work
Change in skin color
Looks more fatigued than usual

6

Steps of the Nursing Process?

- Assessment
- Diagnosis
- Outcome identification
- Planning
- Implementation
- Evaluation

7

Four types of Health Assessment?

- Complete health assessment
- Episodic or problem-centered assessment
- Follow-up assessment
- Emergency assessment

8

What is an example of a Episodic or problem-centered assessment?

Shift assessment

9

What is an example of a Follow-up assessment?

Giving someone an Analgesic for pain and then going back to check

10

Assessment definition?

The collection of data about a person's health

11

The ___________ is the best chance to gain an understanding of the patient's beliefs, concerns, and perception of their individual health state?

Interview

12

The Interview allows for what?

Allows for compilation of subjective data and initial awareness of objective data

13

During The Interview the health care provider establishes what with the patient?

Establishes trust and builds rapport

14

How should you start a conversation with a patient?

With Open-Ended Questions or Statements

Ex: - How are you doing today?
- Is there anything I can get you?

15

In what types of situations should Open-Ended Questions or Statements be used?

- To begin interview
- To introduce a new section of questions
- Whenever the patient introduces a new topic

16

Closed or Direct questions Elicit what?

- Short one or two word answers
- A yes or no answer
- A forced choice

17

Closed or Direct Questions ask for what?

Specific information

18

In what situations would you use closed or direct questions?

- To fill in details person may have left out
- When you require multiple pieces of information
- To move the interview along

19

Types of Communication Techniques?

- Facilitation
- Silence
- Reflection
- Empathy
- Clarification
- Confrontation
- Interpretation
- Explanation
- Summary

20

What Communication Techniques are patient driven?

- Facilitation
- Silence
- Reflection
- Empathy
- Clarification

21

What Communication Techniques are Nurse driven?

- Confrontation
- Interpretation
- Explanation
- Summary

22

Ten Traps of Interviewing?

1. Providing false assurance or reassurance
2. Giving unwanted advice
3. Using authority
4. Using avoidance language
5. Engaging in distancing
6. Using professional jargon
7. Using leading or biased questions
8. Talking too much
9. Interrupting
10. Using "why" questions (can be offensive)