Exam (elaborations)
NURS 6512 Midterm Exam Questions and Answers Latest Update
- Course
- Nurs 6512
- Institution
- Walden University
NURS 6512 Midterm Exam Questions and Answers Latest Update
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Solution 2024/2025Pepper
NURS 6512 Midterm Exam Questions and
Answers Latest Update
·Communication techniques used to obtain a patient's health history ANS✔✔
Courtesy, Comfort, Connection, Confirmation
Courtesy Communication Technique ANS✔✔ • Knock before entering a
room.
• Address, first, the patient formally (e.g., Miss, Ms., Mrs., Mr.) It is all right
to shake hands.
• Meet and acknowledge others in the room and establish their roles and
degree of participation.
• Learn their names.
• Ensure confidentiality.
• Be in the room, sitting, with no effort to reach too soon for the doorknob.
• If taking notes, take notes sparingly; note key words as reminders but do
not let note-taking distract from your observing and listening.
• If typing in the electronic medical record, type briefly and maintain eye
contact with patient, if possible.
• Respect the need for modesty.
• Allow the patient time to be dressed and comfortably settled after the
examination. Follow-up discussion with the patient still "on the table" is
often discomfiting.
Comfort Communication Technique ANS✔✔ • Ensure physical comfort for
all, including yourself.
, Solution 2024/2025
Pepper
• Try to have a minimum of furniture separating you and the patient.
• Maintain privacy, using available curtains and shades.
• Ensure a comfortable room temperature or provide a blanket—a cold room
will make a patient want to cover up.
• Ensure good lighting.
• Ensure necessary quiet. Turn off the television set.
• Try not to overtire the patient. It is not always necessary to do it all at one
visit.
Confirmation Communication Technique ANS✔✔ • Ask the patient to
summarize the discussion. There should be clear understanding and
uncertainty should be eased.
• Allow the possibility of more discussion with another open-ended question:
"Anything else you want to bring up?"
• If there is a question that you cannot immediately answer, say so. Be sure
to follow up later if at all possible.
• If you seem to have made a mistake, make every effort to repair it.
Candor is important for development of a trusting partnership. Most patients
respect it.
Connection Communication Technique ANS✔✔ • Look at the patient;
maintain good eye contact if cultural practices allow.
• Watch your language. Avoid professional jargon. Do not patronize with
what you say.
• Do not dominate the discussion. Listen alertly. Let the patient order
priorities if several issues are raised.
• Do not accept a previous diagnosis as a chief concern. Do not too readily
follow a predetermined path.
, Solution 2024/2025
Pepper
• Find out whether the patient has turned from other healthcare providers
to come to you.
• Take the history and conduct the physical examination before you look at
previous studies or tests. Consider first what the patient has to say.
• Avoid leading or direct questions at first. Open-ended questions are better
for starters. Let specifics evolve from these.
• Avoid being judgmental.
• Respect silence. Pauses can be productive.
• Be flexible. Rigidity limits the potential of an interview.
• Assess the patient's potential as a partner.
• Seek clues to problems from the patient's verbal behaviors and body
language (e.g., talking too fast or too little).
• Look for the hidden concerns underlying chief concerns.
• Never trivialize any finding or clue.
• Problems can have multiple causes. Do not leap to one cause too quickly.
• Define any concern completely: Where? How severe? How long? In what
context? What soothes or aggravates the problem?
SOAP Notes ANS✔✔ S Subjective data—the information, including the
absence or presence of pertinent symptoms, that the patient tells you
O Objective data—your direct observations from what you see, hear, smell,
and touch and from diagnostic test results
A Assessment—your interpretations and conclusions, your rationale, the
diagnostic possibilities, and present and anticipated problems
P Plan—diagnostic testing, therapeutic modalities, need for consultants, and
rationale for these decisions
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