HA

What are the different facets of patient health?

Individual's personality and attitude, resilience, family dynamics, access to healthcare and resources, nutrition, exercise, culture, and beliefs.

Health assessment

Health assessment involves collecting health history and conducting a physical exam.

Social determinants of health

Factors that affect a person's health based on where they live, work, play, and learn, including economic stability, education access and quality, healthcare access and quality, neighborhood and environment, and social community.

What are the steps in the nursing process?

Assessment, Diagnosis, Planning, Implementation, Evaluation.

How does the nurse utilize the nursing process during health assessment?

Sets a goal based on the patient’s needs, develops an action plan, implements the plan, and evaluates the outcome.

What types of problems must have the highest priority for patient care?

CAB (Circulation, Airway, Breathing), Safety, Pain, Other, Risk.

What is the OLD CART mnemonic used for?

It's used to gather detailed information about symptoms: O: Onset, L: Location, D: Duration, C: Characteristic Symptoms, A: Associated Manifestations, R: Relieving/Worsening Factors, T: Treatment.

Difference between subjective and objective data

Subjective data (symptoms) are stated by the patient and non-measurable; objective data (signs) are measurable and observed.

What is the purpose of evaluating a patient’s care plan?

To determine if goals have been attained, assess the patient’s condition, and ensure nursing care is relevant.

Difference between open and closed-ended questioning

Open-ended questions allow full freedom of response; closed-ended questions limit responses to yes/no or simple statements.

Different therapeutic communication techniques

Techniques include active listening, guided questioning, using graded responses, clarifying, encouraging with continuers, and using reflection.

Phases of the patient interview

Pre-interview, Introduction, Working, Termination.

Organize the phases of the nurse-patient interview

1. Pre-interview: Review records, set goals. 2. Introduction: Establish rapport, set agenda. 3. Working: Invite patient’s story, clarify. 4. Termination: Summarize points, discuss plan.

How to focus an interview for a specific condition

Listen to the patient and clarify their concerns using targeted strategies.

Strategies for handling difficult patients

Encouraging silent patients, setting limits for talkative patients, supporting crying patients.

Types of health histories

1. Comprehensive Health Assessment: Admission of new patient. 2. Focused Assessment: Returning patient. 3. Follow-up History: Problem evaluation. 4. Emergency History: Focused on emergent problem.

Components of a comprehensive health history

Identifying data, chief complaint, history of present illness, past history, family history, review of systems, health patterns.

Reasons to complete a comprehensive assessment

Admission to a clinic, hospital, long-term care facility, or visiting nurse agency.

Why is culture important in health assessment?

Provides valuable data for setting mutual goals, planning care, intervening, and evaluating care.

Difference between spirituality and religion

Spirituality: Behaviors that give meaning to life; Religion: System of beliefs/practice of worship.

Purpose of conducting a cultural and spiritual assessment

To identify spiritual distress and guide care based on cultural context.

Difference between cultural humility and cultural competence

Cultural Humility: Lifelong self-reflection; Cultural Competence: Set of skills for caring for diverse cultures.