Complete Solutions
___ in every ___ residents belongs to a *group other than single-
race, non-Hispanic White.* Correct Answers *One* in every
*three* residents belongs to a *group other than single-race,
non-Hispanic White.*
* Empathy* Correct Answers *Empathy* means viewing the
world from the other person's inner frame of reference while
remaining yourself.
* External factors* Correct Answers *External factors* relate
mainly to the *physical setting.*
* Heritage consistency* Correct Answers *Heritage
consistency* is the degree to which *a person's lifestyle reflects
his or her traditional heritage.* A person can possess values that
are consistent with the norms of the traditional culture or that are
modern (or acculturated to the norms of the dominant society).
Heritage consistency includes determination of a person's
*cultural, ethnic, and religious background and socialization
experiences.*
*10 traps of interviewing* Correct Answers *10 traps of
interviewing*. These nonproductive verbal messages include:
(1) Providing false assurance or reassurance,
(2) Giving unwanted advice,
(3) Using authority,
(4) Using avoidance language,
(5) Engaging in distancing,
,(6) Using professional jargon,
(7) Using leading or biased questions,
(8) Talking too much,
(9) Interrupting,
(10) And using "why" questions.
*Assessment* Correct Answers *Assessment* is the collection
of subjective and objective data about a patient's health.
*CAGE* test identify what? Correct Answers *CAGE* test is a
screening questionnaire to identify excessive or uncontrolled
drinking, such as:
- *C* Cut down - Have you ever thought you should cut down
your drinking?
- *A* Annoyed - Have you ever been annoyed by criticism of
your drinking?
- *G* Guilty - Have you ever felt guilty about your drinking?
- *E* Eye-opener - Do you drink in the morning (i.e. an eye-
opener?)
If the person answers "yes" to 2 or more CAGE questions, you
should suspect alcohol abuse and continue with a more complete
substnce abuse assessment.
*Clarification* Correct Answers *Clarification.* Use this when
the person's word choice is ambiguous or confusing (e.g., "Tell
me what you mean by 'tired blood.' "). Clarification also is used
,to summarize the person's words, simplify the words to make
them clearer, and then ask if you are on the right track. You are
asking for agreement, and the person can then confirm or deny
your understanding.
*Communication* Correct Answers *Communication* carries
you and the patient through the interview. Communication is the
*exchange of information* so that each person clearly
understands the other.
*complete health history data category 1.* Correct Answers
*complete health history data category 1.* First, collect
*biographic data*, such as the patient's name, address, and date
of birth as well as language and communication needs.
*complete health history data category 2.* Correct Answers
*complete health history data category 2.* Second, note the
*source of the history*, which is usually the patient, but may be
someone else, such as a relative or interpreter.
*complete health history data category 3.* Correct Answers
*complete health history data category 3.* Third, obtain the
*reason for seeking care*, formerly known as the chief
complaint. In the patient's own words, briefly describe the
reason for the visit.
*complete health history data category 4.* Correct Answers
*complete health history data category 4.* Fourth, record the
*present health or history of present illness*. For a well person,
briefly note the general state of health. For a sick person,
chronologically record the reason for seeking care. When a
, patient reports a symptom, perform a *symptom analysis*. If
you find it helpful, use the mnemonic PQRSTU to do this.
*complete health history data category 5.* Correct Answers
*complete health history data category 5.* Fifth, investigate
*past health events*, such as illnesses, injuries, hospitalizations,
and allergies as well as current medications.
*complete health history data category 6.* Correct Answers
*complete health history data category 6.* Sixth, gather a
*family history* to help detect health risks for the patient. To
aid in this process, draw a pedigree or genogram.
*complete health history data category 7.* Correct Answers
*complete health history data category 7.* Seventh, perform a
*review of systems* to evaluate the past and present health of
each body system, double-check for significant data, and assess
health promotion practices. For each body system, assess for
symptoms and health-promoting behaviors.
*complete health history data category 8.* Correct Answers
*complete health history data category 8.* Finally, perform a
*functional assessment*, including activities of daily living,
such as bathing dressing, toileting, eating, walking,
housekeeping, shopping, cooking, and other factors.
*Confrontation* Correct Answers *Confrontation.* These
responses now include your own thoughts and feelings. Use this
only when merited by the situation. If you use it too often, you
take over at the patient's expense. In the case of confrontation,
you have observed a certain action, feeling, or statement and you