Nurs251 final Exam Questions and Correct
Answers
complete (baseline)
✓ ~~~ -total health history and full physical examination describing current and past
health state
-example: checkup or annual appointment
focused
✓ ~~~ -health history that is problem-centered: limited, targeted, mainly 1 problem or
body system
-example: patient presents with a rash, broken bone, etc.
episodic or emergency
✓ ~~~ -health history that is urgent, rapid collection of information with lifesaving
measures
-not much time, really just need to do quick assessment
-example: heart attack
first-level priority (top priority)
✓ ~~~ -priority that is emergent, life threatening, and immediate
second-level priority
✓ ~~~ -priority that is next in urgency, requiring attention so as to avoid further
deterioration
-example: infection, diabetic (check their sugar/give insulin)
,third-level priority
✓ ~~~ -priority that is important to patient's health but can be addressed after more
urgent problems are addressed
collaborative problems
✓ ~~~ -approach to treatment involves multiple disciplines
health history components
✓ ~~~ -biographic data (name, age, gender, relationship status, ethnic origin,
occupation, language)
-reason for seeking care
-history of present illness
-past medical history
-family history-genogram
-review of systems with health promotion activities
-functional assessment
symptom
✓ ~~~ -subjective sensation that the person feels from the disorder
sign
, ✓ ~~~ -objective abnormality that you detect on physical exam or diagnostic testing
introducing the interview
✓ ~~~ -keep this part of the interview short and formal
working phase
✓ ~~~ -data-gathering phase
-open ended and closed ended questions
open ended
✓ ~~~ type of question that asks for narrative information
closed
✓ ~~~ type of question that asks for specific information leading to a forced choice
(yes or no)
facilitation
✓ ~~~ -patient leads and reactions obtained from interviewer
-encourages patient to say more
silence
✓ ~~~ -patient leads and reactions obtained from interviewer
-directed attentiveness
, reflection
✓ ~~~ -patient leads and reactions obtained from interviewer
-echoes to help express meaning
empathy
✓ ~~~ -patient leads and reaction obtained from interviewer
-names a feeling and allows its expansion
clarification
✓ ~~~ -patient leads and reaction obtained from interviewer
-asking for confirmation
confrontation
✓ ~~~ -interviewer leads and expression of own thoughts based on obtained
information
-clarifying inconsistent information
interpretation
✓ ~~~ -interviewer leads and expression of own thoughts based on obtained
information
-makes association to identify cause or conclusion
explanation
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