Unit 1 Study Guide Exam 1 Part 2– NUR 201

 MMSE

Mini Mental State Exam

Entries into the medical record

Timely, accurate, factual, objective, no opinions

EHR & communication effect

Improves access, accuracy, coordination

Interview & assessment techniques

Active listening, empathy, clarification, reflection, summarizing, silence

Communication skills

Clarification, reflection, and empathy

OLDCARTS

Onset, Duration, Location, Characteristics, Aggravating factors, Relieving factors, Treatment, Severity

Cultural

values, beliefs, practices.

Spiritual

faith, meaning, coping resources

Contact

Touching, C diff., mrsa

Droplet

Cough (3-6 ft), influenza

Airborne

Spreads, N95, and Tuberculosis

Discharge

Lower level of care

Transfer

Lower, higher, or same level of care