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63 Cards in this Set
- Front
- Back
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What are the 4 kinds of histories?
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1. complete history
2. inventory history 3. problem focused history 4. interim or interval history |
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What is an inventory history?
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similar to a complete history, but does not replace the complete history. similar to a review of systems
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Which type of history is taken for an acute illness?
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problem focused history
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which form of history is usually done in specialty clinics in a non-acute setting?
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interim or interval histories
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What is meant by setting the scene of the interview?
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Remove any barriers between the patient and the interviewer
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What are the 8 best interviewing techniques?
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1. Use patient's name
2. Empathetic tone 3. Thoughtful 4. Respectful 5. Encouragement to talk 6. LISTEN ACTIVELY 7. Take notes sparingly 8. allow for awkward silences |
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Give examples of the communication technique of facilitation and what its use conveys
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1. Maintaining eye contact
2. "Yes, uh huh, I see" 3. Conveys interest |
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What is the technique of reflection?
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Repetition of what the patient is saying
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Describe clarification.
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Summarizing what you hear. "what do you mean by..."
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Describe and give examples of empathy.
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1. Responding and recognizing to parent's concern, fears or embarrassment
2. "i can understand why that upsets you." 3. "that must have been difficult for you." |
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Give an example of an appropriate statement to confront you patient.
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" I'm a little confused about what you are saying...can you clarify what you are saying?"
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What is interpretation and why is it so important?
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It is a move beyond clarification to an inference that can be made from the circumstances present.
-"Do you think that there might be a relationship between Alison's not wanting to go to school and her upset stomach?" -Helps bring a new light to the parents |
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At what age should a child carry on a conversation?
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Age 3
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What is the linguistic ability of a 2 year old like?
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They should be able to talk around the doctor's office. If no speech is noted then further assessment is needed.
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What are 3 techniques used in psychodiagnosis?
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1. Sentence completion
2. Drawings 3. Storytelling |
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Describe the sentence game.
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You give the first part of the sentence and the child completes the second half
"I feel bad when I..." |
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Where is an appropriate place to examine a child who is 0-8 months old?
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In the mothers lap
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Which body part should be examined LAST according to Dr. John?
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The throat
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At what age should a child be crying as the HCP comes in the room?>
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7 months
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What should the practitioner keep in mind when communicating with a 0-2 month old?
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1. Note the child's ability to self-quiet and observe tracking behavior
2. Engage the infant by putting your face to his |
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What should the HCP observe for when communicating with a 3-8 month old?
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1. Note social responsiveness
2. Reaching out to play? 3. Mother-child interactions, cuddling? 4. How well does the child see? 5. how does the child use hands and mouth in exploration 6. Does the child use both arms and hands equally |
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At what age does separation anxiety tend to occur?
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8 months-18 months
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What age group of children hate to be naked? How should you assess them?
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9-12 months
When you examine them and remove an article of clothing, put it back on before you move on to the next area. |
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Describe object permanence. When does it occur?
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If you were to hide a toy under the rug in front of a child, they would pick up the rug to look for the toy.
Happens at age 8-10 months |
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How should a child who is between 9-18 months act when you enter the room for the interview?
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They should be afraid, clingining to mother and then wave bye, bye when you leave
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What is the age of toddlerhood?
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18 months to age 3
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What should the nurse do and assess for when examining a child ages 18months to 3 years old?
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1. Nurse should take off clothes and then put them back on again.
2. Observe the child play 3. look at the child's interaction with toys 4. Look for aggressive behavior, hyperactivity |
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Which children have been found to have a higher risk for developing hyperactivity?
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Late preterm babies. 34-36 and 6 days
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What is the preschool age?
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2-5 years old
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Give an example of an appropriate statement to confront you patient.
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" I'm a little confused about what you are saying...can you clarify what you are saying?"
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What is interpretation and why is it so important?
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It is a move beyond clarification to an inference that can be made from the circumstances present.
-"Do you think that there might be a relationship between Alison's not wanting to go to school and her upset stomach?" -Helps bring a new light to the parents |
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At what age should a child carry on a conversation?
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Age 3
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What is the linguistic ability of a 2 year old like?
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They should be able to talk around the doctor's office. If no speech is noted then further assessment is needed.
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What are 3 techniques used in psychodiagnosis?
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1. Sentence completion
2. Drawings 3. Storytelling |
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For children ages 2-3, what should the nurse ask them and how should she respond to the patient's answer?
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Ask the child his/her name and age. Nurse should guess wrong and then play a game with the child
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At what age should the nurse begin to take the initial history from the child?
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Age 3-5
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What are the communication techniques to use on a child ages 3-5 years old?
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-Use of medical kits
-Children's art- draw a person - Self dressing behaviors -Tell a story and ask how it should end--assesses curiosity |
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How do preschoolers interpret illness?
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Their concept of illness is not clear
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What do preschool age children have difficulty understanding?
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1. illness
2. time 3. size |
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A sense of ___ and ___ is very important to school aged children.
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Mastery and privacy
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What methods can a nurse do to help a preschool age child understand why they are sick and to help their emotional development?
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1. Introduce the germ
2. give child a Band-aid 3. Allow the child to cry if they are upset |
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Which group do school age children orient themselves to?
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Their peer group
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What aspects of school life is it important for the nurse to assess for school age children?
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1. Teachers
2. troubles at school 3. report cards 4. best and worst subject 5. ask child if they would rather be at home or at school |
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Which age group has a concrete thought process and tend to keep their feelings inward?
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School aged children
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What aspects of a school aged childs social life should a nurse inquire about?
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-Obtain a peer history
-ask for the name of their best friend -should find out what child is able to manage socially -Do they have friends over? -What activities do they do? -are their friends younger, older or same age? Is the child being bullied or are they the bully |
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What should the interviewer ask about in terms of home life of a school age child?
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1. Who lives at home?
2. Who are the members of the family 3. Chores, allowance, misbehave? 4. What do parents do if they are in a fight 5. how much time does the child spend with parents? 6. is there opportunity for privacy? 7. Ask how many days of the week the child feels sad and how bad days are |
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Name and describe the screening tool for intimate partner violence.
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HITS
How often does your partner 1. physically hurt you 2. insult or talk down to you 3. threaten you with harm 4. scream or curse at you 1=never, 2=rarely, 3=sometimes, 4=fairly often or 5=frequently Greater than 10 is positive |
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What is the name of the test to screen for postnatal depression?
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Edinburg Postnatal Depression Scales (EPDS)
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What is the new federally mandated level of lead for children?
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5
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What does SHEADS-- I'm Very Good stand for?
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S: Strengths?
H: Home? E: Education/Employment? A: Activities? D: Drugs/Disabilities S: Sleep/Safety/self-image/sexuality/suicide I: Internet? M: Media? V: Violence? G: Gangs? |
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What is a good way to begin talking to an adolescent about sexuality?
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"I have to ask you some personal questions so that I can make sure you stay healthy."
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What are the 5 P's of the Sexual assessment?
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1. Partner
2. Prevention of pregnancy 3. Protection from STDs 4. Practices 5. Past history of STDs |
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What is the proper way to begin asking a patient about their sexual partners?
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"Do you have sex with men, women or both?"
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Describe PQRST
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P: promoting, preventing, precipitating, palliating factors
Q: Quality or quantity R: Region or radiation S: Severity, setting, simultaneous symptoms T: Temporal factors: onset, durations, intervals, frequency, course over time, has symptoms occurred before |
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The younger the child to (more/less) detailed the past medical history must be?
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MORE
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What is included in the neonatal period?
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-duration of pregnancy
-ease or difficulty of labor -duration of labor -type of delivery -type of anesthesia -attendance by other family members -birth order if multiple birth -if delivered by C section, why? |
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What are the factors of the neonatal history?
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-APGAR score at 1 and 5 mins
-cyanosis -resp distress -juandice -anemia -convulsions -dysmorphic -congenital anomolies -infections -admissions in first 2 months -parental or health care provider concerns -did mom go home with child? -feeding history |
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What is the purpose of the review of systems?
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-Evaluate the past and present health state of each body system
-double-check in case any significant data were omitted in the present illness section - evaluate health promotion practices -The order of the examination is roughly head to toe |
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What is the proper order for the ROS?
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-General
-Skin -Head -Eyes -Ears -Nose/sinus -Throat -Dentition -Neck -Respiratory -Cardiovascular -Gastrointestinal -Genitourinary -Musculoskeletal -Neuro -Hematological -Psych -Endocrine |
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Psychiatric disorders are _____ conditions/
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multifocal
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What is heritability?
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Measures the contribution of genetics (compared to environment) in the development of a particular disorder
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Define recurrence risk.
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Is the likelihood that a trait or disorder present in one family member will occur again in other family members in the same or subsequent generations
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What are the ADLs?
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NEEDS
Nutrition Elimination Education/environment Development/daycare Sleep/Sexuality |
