Questions and CORRECT Answers
Standard precautions assuming blood and body fluids of any patient could be infectious.
Gloves Use when touching blood, body fluids, secretions, excretions, contaminated
items; for touching mucus membranes and nonintact skin
Gowns Use during procedures and patient care activities when contact of clothing/
exposed skin with blood/body fluids, secretions, or excretions is anticipated
Mask and goggles or a face shield Use during patient care activities likely to generate splashes or sprays of blood,
body fluids, secretions, or excretions
Medical asepsis "clean technique" includes procedures for reducing the number of organisms
present and preventing the transfer of organisms- including hand hygiene, clean
gloves, clean environment, and disinfection of equipment.
Surgical asepsis "sterile technique" prevents contamination of an open wound, serves to isolate the
operative area from the unsterile environment, and maintains a sterile field for
surgery. Sterile technique is used for invasive procedures, when the skin's integrity
is broken as a result of trauma, surgical incision or burns. Inserting iv's, inserting
urinary catheters, suctioning the tracheobronchial airway, and applying sterile
dressings.
Donning putting on personal protective equipment. The sequence includes gown,
mask/respiratory, goggle/ face shield, and gloves.
Doffing removing a providers PPE. The sequence is gloves, face shield/goggles, gown,
and mask/ respiratory.
Direct contact persons-to-person (fecal, oral) physical contact between source and susceptible
host (touching the patients feces and then touching your inner mouth or
consuming contaminated food)
Indirect contact personal contact of susceptible host with contaminated inanimate object (needle,
dressings, environment)
Droplet large particles that travel up to 3 feet during coughing, sneezing, or talking and
come in contact with susceptible host
Airborne droplet nuclei or residue or evaporated droplets suspended in air during
coughing or sneezing or carried on dust particles
Vector external mechanical transfer (flies) internal transmission such as parasitic
conditions between vector and host like: mosquito, louse, flea, tick
, Vehicles contaminated items, water, drugs/ solutions, blood, food (improperly
handled/stored)
Subjective data your patients' verbal descriptions of their health problems. Includes patients'
feelings, perceptions, and self-report of their symptoms. These finds reflect
physiological changes, which them you explore further in objective data.
Objective data observations or measurements of a patient's health status. Examples are
inspecting a patients surgical wound or surgical incision. Describing an observed
behavior, blood pressure. Measured of accepted standard such as Fahrenheit
measure on a thermometer, or a rating pain scale. When collecting objective data,
apply critical thinking intellectual standards so you can correctly interpret your
findings.
Traps of Client Interview 1. False Assurance
2. Unwanted Advice
3. Using Authority
4. Avoidance Language
5. Engaging in Distancing
6. Using Professional Jargon
7. Leading/Biased Questions
8. Talking Too Much
9. Interruption
10. Why Questions
Positive Techniques of Client Interview Patient centered orientation and Setting an Agenda
Negative Techniques of Client Interview · Not liking others
· Not listening
· Not ensuring privacy or reducing noise
· Not sitting face to face
· Being over expressive or gesturing too much
Open-ended questions in a patient centered interview, you try to find out in the patient's own words his or
her health goals, and problems or concerns that exist and their probable cause.
Patients are the best resources for talking about their symptoms or relating their
health history ; prompts patients to describe situation in more than one or two
words. This normally leads to a discussion in which patients actively describe their
health status, while also strengthening the relationship with the patient. These
questions show that you want to hear the patient's thoughts and feelings. Provider
should try to be encouraging and let the patient tell the entire story.
Closed ended questions asking the patient questions that can only be answer with "yes", "no", or normally a
number. These questions do not encourage the patient to give more information
than the answer to the question asked. This allows you to acquire specific
information about health problems such as symptoms, precipitating factors, or
relief measures.