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15 Cards in this Set

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