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21 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

Subjective data consists of

Perception


Preference


Personal information


Ideas


Values


Sensation/symptoms


Belief


Feelings


Desire

PPPIVSBFD

2 focuses of nursing interview

Building a friendly and trusting relationship with the client



Gather clients status to resolve deviation

4 basic phases of nursing interview

Preintroductory


Introductory


Working


Summary/closing phase

Reviews the medical record before the meeting with the client

Preintroductory

Nurse explains the purpose of the interview and assures that he/her information will remain confidential

Introductory

Nurse elicits the client's comments and it's subjective data

Working

Nurse summarizes information obtained during the working phase and validates problems

Summary and closing phase

2 types of communication

Nonverbal


Verbal

Nonverbal communication

Listen


Appearance


Demeanor


Silence


Facial expressions


Attitude

Verbal communication

Close-ended questions


Laundry list


Open-ended questions


Rephrasing


Well-placed phrases


Inferring


Providing information

3 variations in communication

Gerontologic


Cultural


Emotional


8 sections of health history

Biographical data


Reason for seeking health care


History of present health concern


Personal health history


Family health history


Ros for current health problems


Lifestyle and health practices profile


Developmental level

Rationale for each body part

Skin, hair and nails


Eyes


Eats


Mouth, throat, nose and sinuses


Heart and neck vessels


Peripheral vascular


Abdomen


Male genitalia


Anus, rectum and prostate


Musculoskeletal


Neurologic


Thoracic and lungs


Female genitalia


SHHEEMB PAMMAN

Components of COLDSPA

Character


Onset


Location


Duration


Severity


Pattern


Associated factors

PQRST pain analysis

Provocative


Quality


Radiates


Severity


Timing

Under Lifestyle and health practices profile

Description of typical day


Nutrition and weight management


Activity level and exercise


Sleep and rest


Substance use


Self-concept and self-care responsiblies


Social activities


Relationships


Values and belief system


Education and work


Stress levels and coping styles


Environment

DNASSS SERVES

Communication to avoid nonverbal

Excessive/insufficient eye contact


Distraction and distance


Standing

Included information that identifies the client such as name address phone number gender and who provided the Information

Biographic data

Communication to avoid verbal

Biased/leading question


Rushing through the interview


Reading the question

Communication to avoid verbal

Biased/leading question


Rushing through the interview


Reading the question

Communication to avoid verbal

Biased/leading question


Rushing through the interview


Reading the question