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  • Exam 1 Study Guide

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    This document summarizes key concepts from Lecture 1 on health promotion and disease prevention, the nursing process, types of patient data collection, and best practices for patient interviews. It discusses the goals and methods of primary, secondary, and tertiary prevention. It also outlines the subjective and objective components of patient assessment, the stages of the nursing process (ADPIE), and types of data such as complete health histories, episodic, follow-up, and emergency data. Recommendations are provided for effective patient interviewing techniques including establishing rapport, setting parameters, ensuring confidentiality, addressing verbal and non-verbal communication, and avoiding challenges like note taking that can interrupt the flow of information gathering.

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    nurs 202 exam 1 study guide

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    This document summarizes key concepts from Lecture 1 on health promotion and disease prevention, the nursing process, types of patient data collection, and best practices for patient interviews. It discusses the goals and methods of primary, secondary, and tertiary prevention. It also outlines the subjective and objective components of patient assessment, the stages of the nursing process (ADPIE), and types of data such as complete health histories, episodic, follow-up, and emergency data. Recommendations are provided for effective patient interviewing techniques including establishing rapport, setting parameters, ensuring confidentiality, addressing verbal and non-verbal communication, and avoiding challenges like note taking that can interrupt the flow of information gathering.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    3 views2 pages

    Exam 1 Study Guide

    Uploaded by

    cminor2993
    This document summarizes key concepts from Lecture 1 on health promotion and disease prevention, the nursing process, types of patient data collection, and best practices for patient interviews. It discusses the goals and methods of primary, secondary, and tertiary prevention. It also outlines the subjective and objective components of patient assessment, the stages of the nursing process (ADPIE), and types of data such as complete health histories, episodic, follow-up, and emergency data. Recommendations are provided for effective patient interviewing techniques including establishing rapport, setting parameters, ensuring confidentiality, addressing verbal and non-verbal communication, and avoiding challenges like note taking that can interrupt the flow of information gathering.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    Lecture 1

    - Health Promotion & Disease Prevention


    - Primary prevention
    - Promote optimum health prior to illness onset
    - Immunizations, healthy lifestyle, diet, exercise
    - Secondary prevention
    - Early identification & treatment of existing health problems
    - PAP smear, mammogram, PPD, colonoscopy
    - Tertiary prevention
    - Rehab & resortation of health
    - Cardiac rehab, after traumatic health event
    - Assessment
    - Subjective: symptoms; pt statements
    - Objective: signs - what nurse can observe/assess throughout exam
    - Inspection, palpation, percussion, auscultation, lab & diagnostic tests, pt
    medical records
    - Nursing process
    - ADPIE
    - Types of data
    - Complete: health history & physical exam; 1st appt in primary care or hospital
    admission
    - Episodic: mini data base concerning one problem; acute illness
    - Follow-up: to assess progress
    - Emergency: rapid & focused data collection; chest pain (does pt have h/o heart
    trouble, MI, PUD, hiatal hernia?)
    - Interviews
    - Allow for subjective data collection
    - Assists pt in identifying areas of cencern & perceptinos of health status
    - Identifies pt’s problems/strengths
    - Establishes rapport & trust for an ongoing working relationship
    - Provides a comfortable bridge to physical examination
    - Provides an opportunity for education
    - Terms of the interview
    - Purpose: why is pt here
    - Time: set time limits
    - Presence of others: other care givers, family, friends, translator
    - Affects communication, positive or negative effects (abuse, information
    acquisition, confidentiality)
    - Confidentiality
    - Communication is verbal & non-verbal and two-way
    - Factors affecting the interview
    - Internal factors (personal bias)
    - Acceptance of others
    - Empathy
    - Active listening
    - Self-awareness
    - External factors
    - Environment
    - Professional dress
    - Ensure physical or psychological privacy
    - Avoid interruptions
    - Challenges of note taking
    - Impedes eye contact
    - Attention shifting
    - Interrupts pt’s narrative flow
    - Impedes observation of nonverbal behavior
    - Can be threatening
    - Makes pt feel unheard and you seem robotc/stand-offish
    - Beginning of the interview
    - Introduction, explain your role
    - Address pt by surname, unless otherwise permissions
    - Open ended questions then close ended questions
    - Communication techniques
    - Facilitation
    - Silence
    - Empathy
    - Clarification
    - Confrontation
    - Interpretation
    - Explanation
    - Summary
    - Avoid
    - False assurance
    - Giving advice
    - Using authority
    - Avoiding difficult topics
    - Engaging in distancing
    - Using professional jargon
    - Using leading/biased questions
    - Talking too much
    - Interrupting
    - Asking why

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