Comprehensive Nursing Assessment: Data Types, Physical Exam, Pain, and Cultural
Considerations
1. Objective data: What we see and can measure.
2. Subjective data: What the patient tells us to be true.
3. 4 components of a general Survey: Physical appearance, Body structure, mobility, Behavior.
4. Physical appearance: Skin tone, skin color, Paler.
5. Body structure: Weight and Posture.
6. Mobility: Range of motion and gait.
7. Behavior: Are they crying, laughing, appropriate reactions.
8. 10 Traps of Interviewing: Common pitfalls in patient interviews.
9. Provide false reassurance: Saying 'Don't worry, everything will be OK.'
10. Giving uncoated advice: Shifts the focus from what the patient wants to what the nurse wants.
11. Using authority: Saying 'I know best/doctor knows best.'
12. Using avoidance language: Using terms like 'passed away' instead of 'died.'
13. Engaging in distance: Using terms like 'the lump' instead of 'your lump.'
14. Using professional Jargon: Use plain speech.
15. Using leading or biased questions: Asking 'You don't smoke, do you?'
16. Talk too much: Interrupting the patient.
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Considerations
1. Objective data: What we see and can measure.
2. Subjective data: What the patient tells us to be true.
3. 4 components of a general Survey: Physical appearance, Body structure, mobility, Behavior.
4. Physical appearance: Skin tone, skin color, Paler.
5. Body structure: Weight and Posture.
6. Mobility: Range of motion and gait.
7. Behavior: Are they crying, laughing, appropriate reactions.
8. 10 Traps of Interviewing: Common pitfalls in patient interviews.
9. Provide false reassurance: Saying 'Don't worry, everything will be OK.'
10. Giving uncoated advice: Shifts the focus from what the patient wants to what the nurse wants.
11. Using authority: Saying 'I know best/doctor knows best.'
12. Using avoidance language: Using terms like 'passed away' instead of 'died.'
13. Engaging in distance: Using terms like 'the lump' instead of 'your lump.'
14. Using professional Jargon: Use plain speech.
15. Using leading or biased questions: Asking 'You don't smoke, do you?'
16. Talk too much: Interrupting the patient.
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