Healthcare Participant- Exam 1 NUR 245 Practice Questions and Answers
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Course
NUR 245
Institution
NUR 245
Nursing Process assessment, diagnosis, planning, implementation, evaluation
Assessment Gather information about the patient's condition
Diqgnose Identify the patients problem(s)
Plan set goals of care and desired outcomes and identify appropriate nursing actions
implement perform the nursing ac...
Healthcare Participant- Exam 1 NUR 245
Practice Questions and Answers
Nursing Process ✅assessment, diagnosis, planning, implementation, evaluation
Assessment ✅Gather information about the patient's condition
Diqgnose ✅Identify the patients problem(s)
Plan ✅set goals of care and desired outcomes and identify appropriate nursing actions
implement ✅perform the nursing actions identified in planning
evaluate ✅determine if goals and expected outcomes are achieved
Health History Sequence ✅1. Biographic data
2. Reason for seeking care
3. Present health or history of present illness
4. Past history
5. Medication reconciliation
6. Family history
7. Review of systems
8. Functional assessment or activities of daily living (ADLs)
Interview Environment ✅1. Set room temperature at a comfortable level
2. Provide sufficient lighting
3. Reduce noise
4. Remove distracting objects
5. Maintain the distance between you and the patient at 4 to 5 ft
6. Arrange equal-status seating, comfortable eye level, avoid sitting behind a desk
7. Avoid standing
working phase ✅Open ended questions and closed or direct questions are asked
, Summary and closing phase ✅Summarizing information obtained during the working
phase
Validating problems and goals with the client
Identifying and discussing possible plans to resolve the problem with the client
Making sure to ask if anything else concerns the client and if there are any further
questions
Responses during working phase ✅1. Facilitation- nodding or "go-on"
2. Silence
3. Reflection- repeating what patient said
4. Empathy - "this must be hard for you" or hand on arm
5. Clarification - "tell me what you mean by..."
6. Confrontation - "you look sad" or " you sound angry"
7. Explanation - "your dinner comes at 5:30" or "the reason you cannot eat or drink..."
8. Summary
9. Interpretation - "it seems that every time you have pain in your stomach you have
some kind of stress in your life"
What not to do in an interview ✅1. Provide false reassurance- "now don't worry, I'm
sure you'll be all right
2. Giving unwanted advice- "if I were you, I..."
3. Using Authority- " your dr./ nurse knows best"
4. Using Avoidance Language- " passed on"
5. Using Professional Jargon
6. Using Leading or biased questions- " you don't smoke, do you?"
7. Interrupting
8. Using "why" questions- implies blame
9. Talking too much
What do you do after the interview ✅Collect information about health history for your
patient
Who is giving you the information? ✅The patient or a substiute
What is the reason for seeking care? ✅This is a brief, spontaneous statement in the
patients own words that describes the reason for the visit
Three types of history to report ✅1. History of present illness
2. Patients past health history
3. Family past history
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