650 Exam 1 Essay Study Guide
Q1. Know how the environment can impact the health assessment and strategies to create an environment
that best facilitates
The environment can significantly impact health assessments. To create an optimal environment:
1) Ensure privacy to build trust and encourage open communication.
2) Maintain proper lighting and temperature for patient comfort.
3) Minimize distractions and noise.
4) Use a comfortable examination table and seating for the patient.
5) Ensure that all necessary equipment and supplies are readily available.
Q2. Know strategies to build rapport for and complete and H&P for patients, including patients from
different cultures, and developmental stages
Strategies for building rapport and completing a History and Physical (H&P) for patients from different
cultures and developmental stages include:
1) Active listening and showing empathy.
2) Respecting cultural norms and practices.
3) Using professional interpreters when language barriers exist.
4) Being sensitive to developmental stages and tailoring communication accordingly.
Q3. Know strategies to getting a history and establishing a relationship from challenging patients (rambling,
angry, silent, nervous, mentally ill, confused, etc)
Strategies for obtaining information from challenging patients include:
1) Providing a non-judgmental and empathetic environment.
2) Using open-ended questions.
3) Empathetically acknowledging emotions.
4) Adjusting communication to the patient's state (e.g., calming an angry patient).
5) Providing reassurance and maintaining patience
Q4. Know the three dimensions of cultural humility
-> Cultural humility involves self-awareness, respect, and a willingness to learn about different cultures.
1) Self-awareness: Be aware of your own biases
2) Respectful communication: Don’t make assumptions. Each pt. in a culture is an individual. Ask the pt.
about their culture.
3) Collaborative partnerships: Build pt. relationships on respect and mutually acceptable plans. Be willing
to re-examine the right approach to care in certain situations. If a cultural practice is not harmful, try to
, NU 650 Exam 1 Essay Study Guide
incorporate it in the plan of care