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Which 4 assessment methods provide all of the objective PE data?
- PLOP:
- percussion
- listening - auscultation
- observation - inspection
- palpation
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What is the nursing process?
- ADOPIE
- Assessment
- Dx
- Outcome IDPlan
- Implement
- Evaluate
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4 possible types of data collected during the interview
- Complete: collected during 1st appt with PCP or upon hospital admission
- Episodic: mini database re: 1 specific prob
- Follow-up: focused and limited
- Emergency: rapid and focused, quickly increase/decrease level of suspicion for certain types of prob
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What's the difference between the medical dx and the nursing dx?
- Medical dx used to dx disease/problem.
- Nursing dx used to dx patient's response to health prob.
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Why interview? (6 reasons)
- 1. Collect subjective data.
- 2. Assist pt in IDing areas of concern and perceptions of health status.
- 3. IDs pt's problems and strengths.
- 4. Established rapport and trust for ongoing work relationship.
- 5. Provides bridge to PE (esp. important before having pt disrobe).
- 6. Opportunity to educate pt.
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What are the internal factors that affect the interview? (3)
- 1. Acceptance of others: tolerance for weakness, convey warmth and caring, respect for other's healthcare decisions.
- 2. Empathy
- 3. Active listening, giving pt full attn.
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What is empathy?
Conveying understanding for how the pt feels, not feeling how the pt feels (sympathy).
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What are external factors that affect the interview? (3)
- 1. Environment
- 2. Professional dress
- 3. Privacy - psychological and physical
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What is the normal position and distance from the pt to use when interviewing?
Why not stand during the interview?
- Sit 4-5 ft from pt and slightly to the side.
- Standing implies haste and superiority.
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Give examples of aspects of a comfortable interview environment.
temperature, lighting, noise level, privacy
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What distance range is the "intimate zone"?
0-1.5 ft
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What distance range is considered "personal distance"? When is this used during the PE?
1.5-4 ft. Used for most physical assessment.
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What distance range is considered "social distance"? When is this used in the PE?
4-12 ft. Used for interview (4-5 ft away).
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Name 4 cross-cultural considerations during the interview.
- 1. eye contact
- 2. hand shaking
- 3. touch
- 4. personal space / interview distance
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What are the 9 communication techniques?
Finally, she rapidly exited conspicuously, colorfully imagining extreme suspense.
- facilitation
- silence
- reflection
- empathy
- clarification
- confrontation
- interpretation
- explanation
- summary
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What are the downsides of note taking during the interview?
- impedes eye contact
- shifts pt's attn
- interrupts pt's narrative flow
- hinders our observation of pt's nonverbal comm
- can be threatening
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What are some examples of nonverbal behavior?
- Physical appearance
- Posture
- Gestures
- Facial expression
- Eye contact
- Voice
- Touch
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How should we close the interview?
"Is there anything else you want to tell me?"
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What are the interviewing traps to avoid?
- -providing false assurance
- -giving advice
- -using authority
- -avoiding difficult topics
- -distancing
- -leading or biased questions
- -interrupting
- -asking "why" questions
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