NUR2180 Module 3 Quiz Focused Review Latest updated 2022
• Subjective vs objective data
o Subjective
▪ Health history
o Objective
▪ Physical assessment
• Components of a health history
o Chief complaint
o Present health status
o Past health history
o Current lifestyle
o Psychosoc...
NUR2180 Module 3 Quiz Focused Review
Latest updated 2022
• Subjective vs objective data
o Subjective
▪ Health history
o Objective
▪ Physical assessment
• Components of a health history
o Chief complaint
o Present health status
o Past health history
o Current lifestyle
o Psychosocial status
o Family history
o Review of symptoms
• Types of databases
o Complete total health database
▪ Includes complete health history and full physical examination
▪ Describes current and past health state and forms baseline to
measure all future changes
▪ Yields first diagnoses
o Episodic or problem-centered database
▪ For limited or short-term problems
▪ Collect “mini” database, smaller scope and more focused
than complete database.
▪ Concerns mainly one problem, one cue complex, or one body
system
▪ History and examination follow direction of presenting
concern
o Follow-up database (found in doctors office)
▪ Status of all identified problems should be evaluated at
regular and appropriate intervals
▪ Note changes that have occurred
▪ Evaluate whether problem is getting better or worse
▪ Identify coping strategies being used
o Emergency database (usually ER or Trauma)
▪ Rapid collections of data, often compiled concurrently with
lifesaving measures
▪ Diagnosis must be rapid and comprehensive in nature
• Therapeutic vs non-therapeutic communication
o Therapeutic
▪ Active listening
▪ Sharing observations
▪ Sharing empathy
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