to obtain subjective data that is added to objective data obtained by physical
examination. The resulting database is then used to make judgment concerning the
individual's health. - Answer what is the purpose of the health history
A symptom is a subjective sensation that the patient feels. A sign is an objective
abnormality that you detect. - Answer symptom vs sign
subjective data is what is told to you by the patient, objective data is what you observed
or gathered - Answer subjective vs objective
biomedical view looks at biological factors, objective diagnostic measures, and
specialized treatments while holistic view is a more patient centered approach and
looks at social and environmental factors. - Answer biomedical vs holistic perception of
health
Patient's overall health history examination and a full physical examination. Usually
happens to new patients. - Answer Complete database
Focuses on one system/the problem. Usually happens in routine or non-emergency
situations - Answer Episodic database
Examines a patient health after a treatment. - Answer follow up database
People seen quicker than others because of a life threatening issue. - Answer
emergency database
Personal characteristics and information - Answer biographical data
,the person who is relating the information-history source
the patient's own words about why he/she has come for care-Answer reason for seeking
care
general status and chronological story of reason for seeking care-Answer current
health/history of current illness
o- onset
p- provocative or palliative
q- quality
r- region
s- severity
t- timing
u - understanding - Answer what is an important mnemonic for all symptoms
because they may be listing side effects of something and not actual symptoms of an
allergy - Answer why do you ask the patient for side effects of their allergies
service and status of a client. records the nursing process - Answer two reasons for
documentation
sending, receiving, attending to power differentials - Answer 3 parts of process of
communication
let the patient cry, don't move onto a new topic, state that the patient looks sad to gain
insight - Answer how to deal with a crying patient
, don't personalize with their anger, stay non judgemental, hear the patient out, deal with
the anger before moving on - Answer how to deal with an angry patient
act immediately, not become angry, are courteous, and show empathy - Response how
to de-escalate a patient
demonstrate acceptance, patience and tolerating - Response how to handle a patient
with anxiety
b - Response The nurse is conducting a full health history on a new client. The nurse
recognizes that a precise history of the present illness must comprise which of the
following elements:
a) To ascertain whether the client is a reliable historian
b) To obtain primary data
c) To obtain demographic data
d) To establish a correct diagnosis
b - Answer The nurse is admitting and assessing a new client. What type of assessment
would be appropriate to conduct?
a) Focused assessment
b) Comprehensive assessment
c) Acute assessment
d) Symptomatic assessment
c - Answer The nurse is conducting an environmental history on a 52-year-old male
client employed in a chemical processing plant. Which of the following would be
included in the environmental history?
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