Nursing Health History Lecture Notes

These flashcards cover key concepts and definitions outlined in the Nursing Health History lecture notes.

Active Listening

The ability to focus on patients and their perspectives through techniques like restatement, reflection, and summarizing.

Therapeutic Communication

Patient-focused communication that incorporates caring, empathy, and effective verbal and non-verbal techniques.

Pre-interaction Phase

The phase of the interview process where the nurse prepares for meeting the patient.

Comprehensive Health History

A detailed account of a patient's health history including demographic data, past illnesses, and family history.

Genogram

A graphical representation of a family tree that includes medical history.

Cultural Assessment

An evaluation of the patient's cultural beliefs, health patterns, and spiritual beliefs.

Non-therapeutic Responses

Communication styles that hinder effective patient interaction, such as false reassurance and leading questions.

Phases of the Interview Process

Includes the pre-interaction, beginning, working, and closing phases.

Source of Data in Health History

Includes primary data from the patient and secondary data from charts and family.

Types of Health Histories

Emergency, focused, and comprehensive histories used in clinical assessments.

Health Behaviors

Actions taken by individuals to promote or maintain their health.

OLDCARTS

A mnemonic for assessing the history of present illness: Onset, Location, Duration, Character, Aggravating/Alleviating factors, Timing, Severity.

Professional Boundaries

Limits that protect the space between the nurse and the patient to maintain a professional relationship.

Mental Health Evaluation

A comprehensive assessment conducted when mental health is the primary concern.