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NURS 5220 EXAM | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTIONS 100% CORRECT

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NURS 5220 EXAM | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTIONS 100% CORRECT

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NURS 5220 ASSIGNMENT 3 | 2026 UPDATED
| WITH COMPLETE SOLUTIONS 100 %
CORRECT


The Partnership with the Patient - ANSWER>Getting to know your client:

Culture

Physical characteristics Influence on health and illness

Beliefs and behaviors Family relationships Preparing to be an effective health care provider



The History and Interviewing process - ANSWER>The history and physical exam begin the diagnostic and treatment
process



The techniques you will learn are orderly but not rigid



To prevent misinterpretations and misperceptions, you must make every effort to view the patient's perspective.



GOALS - ANSWER>Discover information leading to diagnosis and management



Provide information about diagnosis



Negotiate and share health care management



Counsel about disease prevention



Autonomy - ANSWER>Patient's self-determination



Beneficence - ANSWER>Do good for the patient

,Nonmaleficence - ANSWER>Do no harm to the patient



Utilitarianism - ANSWER>Appropriate use of resources for the greater good



Fairness and Justice - ANSWER>Equitable treatment of all



Deontological imperatives - ANSWER>Care delivered according to traditions and in cultural contexts



Factors that Enhance Communication - ANSWER>Establishing a positive patient relationship depends on
communication built on: Courtesy Comfort Connection Confirmation Confidentiality



Be Professional:

Attire & Response



Enhancing Patient Responses - ANSWER>Establish rapport and trust-Seek connection



Open-Ended Question-Allows patient discretion about the extent of an answer



Direct Question-Seeks specific information



Leading Question

-May limit the information provided to what the patient thinks you want to know



If the patient does not understand what you are asking, remember to: - ANSWER>Facilitate: Encourage your patient
to say more



Reflect: Repeat what you have heard.



Clarify: Ask "What do you mean?"

,Empathize: Show understanding and acceptance.



Confront: Address disturbing patient behavior.



Interpret: Repeat what you have heard to confirm the patient's meaning.



Communication TensionsLimit barriers - ANSWER>curiosity about you

anxiety

silence

depression

crying

physical intimacy

emotional intimacy

anger

avoidance

financial considerations



Setting for the Interview - ANSWER>comfort

removal of physical barriers

good lighting

privacy

quiet

unobtrusive access to clock



Taking the history usually begins... - ANSWER>your relationship with the patient



Structure of the History - ANSWER>Identifiers: name, date, time, age, gender, race, occupation, and referral source

• Chief concern/complaint (CC)

, • History of present illness (HPI)

• Past medical history (PMH)

• Family history (FH)

• Personal and social history (PH/ SH)

• Review of systems (ROS)



Basic Rules for Building the History - ANSWER>• Introduce yourself

• Address patient properly

• Be courteous

• Make eye contact

• Do not overtire patient

• Do not be judgmental

• Be flexible

Avoid medical jargon

• Take notes sparingly

• Avoid leading questions

• Start with general concerns, then move to specific descriptions.

• Clarify responses with where, when, what, how, and why questions.

• Verify and summarize what you have heard



Building the History - ANSWER>• Identify what the patient defines as problems.

• Establish patient's reliability.

• Consider intentional or unintentional suppression or underreporting of information.

• Evaluate patient's words and behaviors.

• Adapt to the modifications that age, pregnancy, and physical and emotional handicaps mandate



Approaching Sensitive Issues - ANSWER>• Ensure privacy.

• Be direct and firm.

• Do not apologize for broaching the issue.

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