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NURS 612 ADVANCED HEALTH ASSESSMENT (AHA) EXAM 1 MARY VILLE UNIVERSITY
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NURS 612 ADVANCED HEALTH ASSESSMENT (AHA) EXAM 1 MARY VILLE UNIVERSITY
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NURS 612 ADVANCED HEALTHASSESSMENT (AHA) EXAM 1 MARY
VILLE UNIVERSITY
, AHA Exam 1 Review
• What does it mean to practice with a patient centered approach?
o Respecting and responding to patients wants, needs and preferences so that they
can make choices in their care that best fit their individual circumstances
o “How would you like to be addresses”
o “How are you feeling today”
o “What do you think is causing your symptoms”?
o What is your understanding of your diagnosis? Its importance? Its need for
management?
o How do you feel about your illness?
o Do you believe treatment will help?
o Do you want to know all of the details about your diagnosis?
o How important to you is “doing everything possible”
o How important to you is quality of life?
o Have you prepared advanced directive?
o Do you have people you can talk to about your illness?
o Is there anyone that we should contact regarding your illness?
o Do you want or expect emotional support from the healthcare team?
o Are you troubled by financial questions regarding your medical care?
o How private of a person are you?
o Would you prefer an older/younger/male/female healthcare provider?
o Are there medical matters you do not wish to have disclosed to others?
• What techniques can the nurse practitioner use to assist in obtaining an accurate health
history?
o Open ended questions
o Active listening to both verbal and non verbal cues
o Adaptive Questioning; allows you ro encourage communication without
interruption (starting with generalized questions and moving into more specific)
o Echoing (repeating the patients statement to them)
o Empathy, Validation & Reassurance
• Consider how you will screen for depression and intimate partner violence as part of
your health history
• SOAP note
o Subjective, Objective, Assessment, Plan
o Describe what subjective data means & examples
▪ What the patient says
▪ Chief Complaint
▪ Cough, HA, R knee pain
▪ “Pt states, patient denies”
▪ OLD CARTS (Onset, Location/radiation, Duration, Character,
aggravating factors, Relieving factors, Timing and Severity
o Describe what objective data means & examples
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