Avoid using a family member or close friend as an interpreter because this violates the patient's confidentiality. Focused or Problem-Oriented Assessment 4. The nurse should interview the parent and child together, but when a presenting symptom or sign exists, the nurse should ask the child about it first, then gather data from the parent. By combining this subjective data with objective data from the physical examination and diagnostic tests, you create a database to make a judgment about the person's health status. The health history is adapted to include information specific for the age and developmental stage of the child (e.g., mother's health during pregnancy, labor and delivery, and the perinatal period). *, *complete health history data category 1.*. The HEEADSSS method of interviewing adolescents has essential questions, important questions, and situational questions. (3) Using authority, - *E* Eye-opener - Do you drink in the morning (i.e. When preparing the physical setting for an interview, the interviewer should: *Nonverbal communications convey messages* from the sender to the receiver. For example, explore *changes in activities of daily living* that may result from the aging process or chronic illness. B) the beliefs of the patients family. Feedback: INCORRECT Diagnosis (nursing diagnosis)- second phase of the nursing process. Interpretation also ascribes feelings and helps the person understand his or her own feelings in relation to the verbal message. B) Health exists when physical, psychologic, spiritual, and social needs are met. Arthritis is a medical diagnosis. D) environmental hazards The instructor determines that the teaching was successful when the students identify which of the following as the overall purpose? A) Infants (3) And choice of *healers.*. B) personal response to stress. C) clarification. Older adults may need special considerations related to physical limitations (e.g., adjusted pace to avoid fatigue, impaired hearing). Feedback: INCORRECT B) use nonverbal communication. *complete health history data category 8.*. Feedback: INCORRECT D) helps the nurse understand his or her own feelings in relation to the patient's verbal message. You can foster good communication with certain external factors, such as by *ensuring privacy*, *preventing interruptions*, *creating a conducive environment*, and *documenting responses* without interfering with the conversation. A complete database includes a complete health history and a full physical examination; it describes the current and past health state and forms a baseline against which all future changes can be measured. (1) Providing false assurance or reassurance, first level priority Emergent, life threatening, and immediate ex. This type of question encourages the person to respond in paragraphs and to give a spontaneous account in any order chosen. B) a personal effort to find meaning and purpose in life. Feedback: INCORRECT Health assessment is a plan of care that focuses on the specific needs of a patient and how the healthcare system, or you can say, the skilled nursing. The most appropriate introduction to use to start an interview with an older adult patient is: D) Patients with language barriers have a decreased risk of nonadherence to medication regimens. *, *External factors* relate mainly to the *physical setting.*. Simply maintaining eye contact, shifting forward in your seat with increased attention, nodding "Yes," or using your hand to gesture, "Yes, go on, I'm with you," encourage the person to continue talking. A) set the room temperature between 64 and 66 F. - Physical appearance, Which of the following is true regarding language barriers and health care? D) a social group that claims to possess variable traits. *Feedback: CORRECT* C) use short, simple, concrete sentences. *Feedback: CORRECT* Which of the following is included in documenting a history source? 30 Comments Please sign inor registerto post comments. *complete health history data category 4.*. B) history of present illness * Fifth, investigate *past health events*, such as illnesses, injuries, hospitalizations, and allergies as well as current medications. B) the Hispanic population tends to be older. Inspect mouth: pushed tongue right with tongue blade. Feedback: INCORRECT What are the four kinds of databases? D) "Tell me what you mean by 'bad blood'.". Feedback: INCORRECT *C) cost less than traditional or biomedical providers. B) "On a scale of 1 to 10, how would you rate your pain?" Work to develop the ability to read patients' nonverbal behaviors and to monitor your own nonverbal communication. Which theory has been expanded in an attempt to study the degree to which a person's lifestyle reflects his or her traditional heritage? This option is not within the context of the interview. Family History 4. This response is an inappropriate communication technique referred to as false reassurance. The interpretation by the nurse will improve communication. A reliable person always gives the same answers, even when questions are rephrased or are repeated later in the interview. Risk for infection is an example of a second-level priority. . D) Health exists when there is optimal functioning. D) helps the nurse understand his or her own feelings in relation to the patient's verbal message. Objective data is what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. A) Alert and oriented Your response *focuses on the patient's frame of reference.*. Clarification also is used to summarize the person's words, simplify the words to make them clearer, and then ask if you are on the right track. During the working phase, *gather data. D) 11. This may be for orientation to the agency setting: "Your dinner comes at 5:30 PM." B) a pattern of coping. C) family role, interpersonal relations, social support, and time spent alone. (7) Using leading or biased questions, *Feedback: CORRECT* Health Assessment Final Exam Flashcards Quizlet Health (1 days ago) WebA nurse is completing an assessment that will involve gathering subjective and objective data. C) "I can see that you are quite uncomfortable." You should also understand *culture-bound syndromes,* which may have no equivalent from a biomedical perspective. Which of the following will most likely describe this patient's view of wellness? What type of data is this? Feedback: INCORRECT B) used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. B) Dizziness Chapter 3 - The Interview C) aggravating factors. Health Assessment ATI EXAM 1 Flashcards | Quizlet Health Assessment ATI EXAM 1 5.0 (13 reviews) Term 1 / 30 A nurse is introducing herself to a client as the first step of a comprehensive physical examination. *, *Heritage consistency* is the degree to which *a person's lifestyle reflects his or her traditional heritage. Read the PDFs files. The book/lab manual also have some practice questions that are very similar if you would like extra practice. D) Health exists when there is optimal functioning. Feedback: INCORRECT * Feedback: INCORRECT Feedback: INCORRECT - Studocu good notes to help understand health assessment practicum quiz study online at be to what is important to your patient. Recording physical findings in the review of systems is incorrect; review of systems is limited to the patient statements or subjective data. B) Risk for infection Spirituality is defined as: And I never even used the ATI to study for the NCLEX. 1. initial comprehensive. D) prevention of disease. C) an individual's perception of health. *complete health history data category 5. Each culture has its own healers who usually: Health assessment also should consider what two other factors? Starting at ___ years of age, the interviewer asks the child directly about his or her presenting symptoms. C) left knee has been swollen and hot for the past 3 days. Refer to feedback in Option B. Feedback: INCORRECT I just did Caplan and flash cards. The hot/cold theory of health is based on humoral theory; the treatment of disease is based on the balance of the humors. B) "David, I am here to ask you questions about your illness; we want to determine what is wrong." * C) "Mr. Jones, is it okay if I ask you several questions this morning about your health?" The patient may not share personal feelings if fear is experienced. A) speak at least two languages. Additions include: One method to verify information within the context of the interview is to: Behavior theory or behaviorism is a learning theory. C) Congruence mechanism B) rephrase the same questions later in the interview. Feedback: INCORRECT Feedback: INCORRECT *Spirituality* is borne out of each person's unique life experience and his or her personal effort to find purpose and meaning in life. Feedback: INCORRECT The concept of health also includes health promotion and disease prevention. A) unhealthy lifestyle behaviors. Turn off the television or radio and any unnecessary equipment to reduce noise. Education is a form of socialization. (2) the *cultural beliefs and practices* of different people. Feedback: INCORRECT When preparing the physical setting for an interview, the interviewer should: Patients may experience barriers to communication with a health care provider seen as an authority figure. Assessment Diagnosis Planning Implementation Evaluation ADPIE- assessment collect data ADPIE- diagnosis hypothesize ADPIE- planning plan of action (meds, tests, etc) ADPIE- implementation give meds, tests ADPIE- evaluation did symptoms change? * Start with *open-ended questions,* which ask for narrative information. Functional assessment measures a person's self-care ability. This is a closed or direct statement. Empathy is therapeutic; sympathy is nontherapeutic. *C) Impaired gas exchange* A) set the room temperature between 64 and 66 F. These areas are related to the coping and stress management section of the functional assessment. Welcome to N5220 Advanced Health Assessment meet and greet letter.docx. * While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician's reaction. Nonverbal communication is the primary communication method for infants. C) Adolescents D) ask every youth about the use of condoms. Feedback: INCORRECT B) exercise and activity, leisure activities, and level of independence. D) a short statement of general health status. A) used to rapidly collect data and is often compiled concurrently with life-saving measures. (2) *working phase*, (1) A *complete (or total health) database* includes a complete health history and a full physical examination. In the hot/cold theory, health consists of a positive state of total well-being, including physical, psychologic, spiritual, and social aspects of the person. So be sure to record the person's reason for seeking care, not your assumption about the problem. When taking a health history from an adolescent, the interviewer should: For *all patients*, it is a *screening tool* for abnormal symptoms, health problems, and concerns. Many also speak and *understand little or no English. Feedback: INCORRECT *Feedback: CORRECT* *Explanation. Which problem is a first-level priority? *Feedback: CORRECT* Ask about alcohol and drug use before asking about safety (related to injury and violence). 03/18/20 2:04 PM PDT. D) stressors, coping mechanisms, and change in past year. Most healers cost significantly less than healers practicing in the biomedical or scientific health care system. Feedback: INCORRECT Your silent attentiveness communicates that the patient has time to think, to organize what he or she wishes to say without interruption from you. *complete health history data category 2.*. (2) A *focused (or problem-centered) database* is used for a limited or short-term problem. Nonverbal communication is the primary form of communication method for infants. *D) "Tell me what you mean by 'bad blood'. The incidence of breast cancer varies with different cultural groups. Functional assessment includes questions on substance use and abuse. Feedback: INCORRECT Chapter 1 - Evidence-Based Assessment Chapter 2 - Cultural Competence Chapter 3 - The Interview Chapter 4 - The Complete Health History Chapter 5 - Mental Status Assessment Chapter 8 - Assessment Techniques and Clinical Setting Chapter 9 - General Survey, Measurement, Vital Signs Chapter 10 - Pain Assessment: the 5th vital sign Chapter 11 - D) stressors, coping mechanisms, and change in past year. B) sympathetic language. The interview has *three phases*: The Geriatric Depression Scale, Short Form (Yesavage and Brink, 1983) is an assessment instrument for use with the older adult. *Feedback: CORRECT* B) "On a scale of 1 to 10, how would you rate your pain?" A) complaints of left knee pain. D) Readiness for enhanced spiritual well-being. An older adult should be addressed by the last name; older adults may be offended by a younger person using their first names. The second largest population is *Asians* followed by *Blacks*, American Indians, Alaska natives, Native Hawaiians, and other Pacific islanders. A) "I know just how you feel." The adolescent interview during the health history should be with the youth alone; the parent(s) may wait in the waiting area and complete other past health questionnaire forms. Third-level priority problems are those that are import to the patient's health but can be addressed after more urgent health problems are addressed. What are the four kinds of databases? D) food intolerance According to the biomedical model, a narrow definition of health is: *B) empathy. *, The *National Standards for Culturally and Linguistically Appropriate Services in Health Care* state that health care organizations should ensure that patients receive *effective, understandable, and respectful care* in a manner compatible with their *cultural health beliefs and practices and their preferred language.*. During the closing, *signal that the interview is ending*, which gives the patient one last chance to share concerns or express himself or herself. Feedback: INCORRECT *C) interview the youth alone with a parent in the waiting area. D) Socialization experience. C) the presence or absence of all symptoms under the system heading. Advanced Health Assessment: Exam 1 Flashcards Quizlet Health (6 days ago) WebThe inventory history: touches the major points without going into detail; when the entire history will take multiple sessions. * A) Appearance, dress, and hygiene What information is included in greater detail when taking a health history on an infant? Which of the following statements, if made by the interviewer, would be an appropriate response? Health Assessment Exam 1 Flashcards | Quizlet Health Assessment Exam 1 4.0 (1 review) Term 1 / 61 In which part of an assessment does "collection of subjective data about the clients perception of health of all body parts or systems, past medical history, family history, and lifestyle health practices" occur Click the card to flip Definition A) reflection. * Advance Health Assessment Exam 1 2022 - AHA Exam 1 Review What does it mean to practice with a - Studocu Advanced Health Assessment 2022 exam one review notes aha exam review what does it mean to practice with patient centered approach? A) Good is hot. Feedback: INCORRECT C) symptoms. Exam (elaborations) - shadow health focused exam:uti with antibiotic sensitivity (education and empathy) 4. A) Episodic Feedback: INCORRECT A) complaints of left knee pain. What is the yin/yang theory of health? Feedback: INCORRECT Feedback: INCORRECT While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician's reaction. D) relieving factors. NURSINGTB. Objective b. Subjective c. Introspective d. Reflective a. Feedback: INCORRECT It is including subjective and objective information of patient medication. A patient seeks care for "debilitating headaches that cause excessive absences at work." *A) Alert and oriented* *complete health history data category 8. Phys. *Socialization* is the process of being raised within a culture and acquiring the characteristics of the group. - Any childhood illnesses or accidents, Immunization data, * * * Spirituality is a personal effort to find purpose and meaning in life. C) used to evaluate cause and etiology of disease. a. The adolescent interview during the health history should be with the youth alone. Feedback: INCORRECT An example of objective data is: D) depression. * The perceived causes of illness and symptoms can be culturally based and may be viewed as *biomedical* (or scientific), *naturalistic* (or holistic), or *magicoreligious*. *A) "Mr. Jones, I want to ask you some questions about your health so that we can plan your care. B) history of present illness Patients may seek help from biomedical health professionals as well as traditional healers. - *A* Annoyed - Have you ever been annoyed by criticism of your drinking? Areas covered under self-esteem and self-concept include: You should *guard against stereotyping* individuals. * This statement is not based on direct observation as with confrontation, but it is based on your inference or conclusion. For the well person, the present health or history of present illness is a short statement about the general state of health.
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