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NUR 6512 MIDTERM EXAM WITH COMPLETE SOLUTIONS

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NUR 6512 MIDTERM EXAM WITH COMPLETE SOLUTIONS What soothes or aggravates the problem? SOAP Notes - S Subjective data—the information, including the absence or presence of pertinent symptoms, that the patient tells you O Objective data—your direct observations from what you see, hear, sme...

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  • May 13, 2024
  • 14
  • 2023/2024
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NUR 6512 MIDTERM EXAM WITH COMPLETE SOLUTIONS What soothes or aggravates the problem? SOAP Notes - S Subjective data —the information, including the absence o r presence of pertinent symptoms, that the patient tells you O Objective data —your direct observations from what you see, hear, smell, and touch and from diagnostic test results A Assessment —your interpretations and conclusions, your rationale, the diagnos tic possibilities, and present and anticipated problems P Plan —diagnostic testing, therapeutic modalities, need for consultants, and rationale for these decisions Ethical Considerations - • Autonomy: The patient's need for self -determination. Autonomy sug gests that choices exist, and a patient may choose between alternatives. Uncertainty exists when the patient is a child or is cognitively impaired. Parents, guardians, family, or other significant persons should then be included, and the boundaries of that participation must be clearly set. In some cases, the boundaries are established by an advance directive from the patient. Competency is not always easily determined, and there may be disagreement. Both the mental status examination (see Chapter 7) and co nsultation with individuals who know the person well can assist. • Beneficence: Do good for the patient. This may be too eagerly pursued and may result in a paternalism that might preclude autonomy of the patient. However, paternalism may have some benefit when used with constraint and respect for autonomy. • Nonmaleficence: Do no harm to the patient. • Utilitarianism: Consider appropriate use of resources with concern for the greater good of the larger community. Choose wisely. • Fairness and justice: Reco gnize the balance between autonomy and competing interests of the family and community. • Deontologic imperatives: Our dutiful responsibilities for offering care are established by tradition and in cultural contexts. Because cultures vary, these may not be universally binding for all patients. Ethical principles can come into conflict in any given circumstance. Cultural Awareness and Diversity - The stereotype, a fixed image of any group that denies the potential of originality or individuality within the group, must be rejected. When this occurs, the beliefs and feelings (prejudices) come to mind about what members of that particular group are like. Socioeconomic, spiritual, and lifestyle factors affecting diverse populations - Chapter 2: Cultural Compete ncy Functional Assessments - Functional assessments are an attempt to understand a patient's ability to achieve the basic activities of daily living. This assessment should be made for all older adults and for any person limited by disease or disability, acute or chronic. Growth, Development and Measurements in Children and Adults - • Standing height • Weight • Calculate the BMI (lbs/inches x 703) • Waist circumference • Calculate waist -height ratio and waist -to-hip circumference ratio Infants: Head/Chest circ umference Communication techniques used to obtain a patient's health history - Courtesy, Comfort, Connection, Confirmation Courtesy Communication Technique - • Knock before entering a room. • Address, first, the patient formally (e.g., Miss, Ms., Mrs., Mr.) It is all right to shake hands. • Meet and acknowledge others in the room and establish their roles and degree of participation. • Learn their names. • Ensure confidentiality.

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