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NR509 Midterm Study Guide Correct Answers 2024/2025update
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NR509 Midterm Study Guide Correct Answers 2024/2025update
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NR509 Midterm Study GuideCorrect Answers 2024/2025update
The interviewing process ANS✔✔ -initiate, gather, exam, explanation + planning, close
-clarify goals for interview (balance provider + pt goals)
-establish rapport (foster relationship) then CC,
-shared decision making
-review clinical record before seeing pt
Interviewing techniques ANS✔✔ -follow the pts lead
-begin w/ open-ended ?'s (identify concerns at beginning)
-invite the pts story, follow their leads
-gather info about pts perspective
-respond to emotional cues: NURSE (name, understand/legitimize, respect, support, explore)
-teach back (test of how well you explained things)
Setting the stage for the examination ANS✔✔ private environment
temp + lighting
remove physical barriers
check your appearance
review the clinical record before seeing pt
set agenda
establish rapport
,Establishing rapport ANS✔✔ -the initial moments of your encounter lay the foundation for your ongoing
relationship
-how you great pts/visitors, provide for pts comfort, arrange setting, shape first impressions
-explain your role, your status as a student, and how you will be involved in their care
-introduce yourself
Gender pronouns ANS✔✔ -ask pts their preferred name and gender pronouns
-apologize if mistake made
Patient-centered medical care ANS✔✔ shared decision making is the pinnacle
3 steps: choices/options, exploring preferences, make decision/offer more time
FIFE model ANS✔✔ *pts perspective on the illness
Feelings, Ideas, effect on Function, Expectations
Fundamentals of skilled interviewing ANS✔✔ -active/attentive listening
-guided ?'s
-empathic responses
-summarization
-transitions
-partnering
-validation
-empowering the pt
-reassurance
-appropriate verbal communication
, -appropriate nonverbal communication
Verbal and nonverbal communication ANS✔✔ nonverbal: calm, unhurried, give full attention, positive
regard. eye contact, facial expression, posture, head position/movement, interpersonal distance,
placement of arms/legs
-mirroring, body/gaze orientation, head nodding, posture, tone of voice, silence/touch
no judgement, explain why you need certain info, acknowledge discomfort, opening ?'s
Challenging patient situations + behaviors ANS✔✔ -be aware of your reactions
-know how to elicit hx
-importance of listening to pt + clarifying concerns
-decision-making capacity
-flirting unethical
-discriminatory behavior named + processed
-deaf/hearing loss (deaf culture)
-work through feelings of death + dying
Focused + comprehensive health histories ANS✔✔ focused: routine/urgent care (established pts),
specific body system, specific concern
comprehensive: new pts office/hospital, fundamental/personalized knowledge, strengthens
relationship, baseline for future assessments, health promotion education/counseling, develops a
proficiency in the essential skills of physical exam (initial info, CC, HPI, PMH, family hx, social hx, ROS)
make CC quote of pt's words
HPI is story of pt's problem
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