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15 Cards in this Set
- Front
- Back
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THE ABILITY TO ______ THE PT IS ONE OF THE MOST IMPORTANT SKILLS OF THE NURSE.
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ASSESS
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THE ROLE OF THE NURSE IN HEALTH ASSESSMENT INCLUDES:
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OBTAINING THE PT'S HEALTH HISTORY; PERFORMING A PHYSICAL ASSESSMENT
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REGARDLESS OF THE FORMAT, THE DATA BASE OBTAINED BY THE NURSE IS ______ TO THE DATA BASE OBTAINED BY OTHER MEMBERS OF THE HEALTH CARE TEAM.
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COMPLIMENTARY
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THE NURSE ATTEMPTS TO ESTABLISH A RAPPORT WITH THE PT BY:
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PUTTING THE PT AT EASE; ENCURAGES HONEST COMMUNICATION; MAKES EYE CONTACT; LISTEN'S CAREFULLY TO THE PT'S RESPONSES TO QUESTIONS ABOUT HEALTH ISSUES
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THE NURSE MUST BE AWARE OF HIS/HER OWN ______ ______ AS WELL AS THAT OF THE PT.
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NONVERBAL COMMUNICATION
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THE NURSE TAKES INTO CONSIDERATION THE ______ AND ________ BACKGROUND AS WELL AS ________ PROFICENCY OF THE PT.
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EDUCATION; CULTURAL; LANGUAGE
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AT THE END OF THE ASSESSMENT, THE EXAMINER MAY SUMMARIZE AND CLARIFY THE INFORMATION OBTAINED AND ASK IF THE PERSON HAS ANY QUESTIONS. WHY?
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THIS PROVIDES AN OPPURTUNITY TO CORRECT MISINFORMATION AND ADD FACTS THAT MAY HAVE BEEN OMITTED.
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WHEN THE PT IS SEEN FOR THE FIRST TIME BY A MEMBER OF THE HEALTH CARE TEAM, THE FIRST REQUIRMENT IS A DATA BASE CONTAINING:
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BIOGRAPHICAL DATA; CHIEF COMPLAINT; PRESENT HEALTH CONCERN; PAST HISTORY; FAMILY HISTORY; REVIEW OF SYSTEMS; PATIENT PROFILE
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BIO INFORMATION INCLUDES THE PT'S:
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ADDRESS; AGE; GENDER; MARITAL STATUS; OCCUPATION; ETHNIC ORIGIN; SOURCE OF DATA
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THE _____ ______ IS THE ISSUE THAT BRINGS THE PERSON TO THE ATTENTION OF THE HEALTH CARE PROVIDER.
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CHEF COMPLAINT (CC)
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WHY TYPE OF QUESTIONS USUALLY ELICIT THE CC?
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BROAD, OPEN ENDED QUESTIONS
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WHAT IS THE SINGLE MOST IMPORTANT FACTOR IN HELPING THE HEALTH CARE TEAM TO ARRIVE AT A DIAGNOSIS OR DETERMINE THE PT'S NEEDS?
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HISTORY OF THE PRESENT HEALTH CONCERN/ ILLNESS
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THE PHYSICAL EXAMINATION IS HELPFUL BUT OFTEN ONLY _____ THE INFORMATION OBTAINED FROM THE HISTORY.
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VALIDATES
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A CAREFUL HISTORY ASSISTS IN CORRECT SELECTION OF APPROPRIATE _____ _____.
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DIAGNOSTIC TESTS
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THE DETAILS OF THE HEALTH CONCERN/ PRESENT ILLNESS ARE DESCRIBED FROM ONSET UNTIL?
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THE TIME OF CONTACT WITH THE HEALTH CARE TEAM
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