NURS 612 Quiz 1 Questions With 100% Correct
Answers
What are the concepts of developing a relationship with the patient?
Make every effort to sense the world of the individual patient as that patient senses it
-each of us is unique
-first meeting with the patient sets the tone for a successful partnership
-discover details about a patient's concerns
-explore expectations for the encounter
-display genuine interest, curiosity, and partnership
-Communicate effectively
What are effective communication strategies when obtaining a health history?
Establishing effective communication with the patient, the provider needs to built;
-Courtsey
-Comfort
-Connection
-Confirmation
What is a patient-centered question? Give examples.
How will you like to be addressed?
How are you feeling today?
What will you like us to do today?
What do you think is causing your symptoms?
Have you prepared advance directives?
How private of a person are you?
What are potential barriers of patient and provider communication?
-Patient curiosity about the provider
-Anxiety
-Silence
-Depression
-Seduction
-Anger
-Avoiding the full story
-Financial considerations
What is the structure and
the components of a patient history? What kind of patient information is obtained in each section?
Patient identifiers
Chief complain
HPI- history of present illines
PHM- past medical history
FH- family history
SH- social history
What is the difference between objective and subjective data? What components of the health
history are objective and subjective?
Subjective data is gathered from the patient telling you something that you cannot use your five
senses to measure.
Objective data is the information that we can gather using our 5 senses. It is either a measurement or
an observation.
, Components that are subjective include patients description of review of symptoms, past
medical/social history.
Components that are objective include physical exam of review of symptoms, vital signs, lab values or
test results.
How do you approach sensitive issues when interviewing a patient?
Provide privacy, avoid confrontation, be direct and firm, do not apologize for asking questions, do not
ask leading questions, do not push too hard, always use language that is understandable to the
patient, but not patronizing.
What does it mean to be culturally aware and culturally competent when caring for patients with
diverse backgrounds?
Culturally competent requires one to be sensitive to a patient's heritage, sexual orientation,
socioeconomic situation, ethnicity, and cultural background. Culturally aware refers to understanding
one's own biases, stereotypes, prejudices, and assumptions of others who are different from them.
What are examples of questions to explore the patient's culture?
Why do you think it started when it did?
What should be done to get rid of it?
What are the most important problems your sickness has caused for you?
What worries you and frightens you the most about your sickness?
What are the components of a cultural response to a patient?
-Modes of communication: the use of speech, body language, and space
-Health beliefs and practices that may vary from your own
-Diet and nutritional practices
-The nature of relationships with families
How do you measure visual acuity and test cranial nerve II (Optic)?
Describe the various tests to measure different types of visual acuity. How do you document your
findings?
Visual acuity testing measures the function of CN2 -(optic nerve) central vision:
ALWAYS TEST W/O GLASSES FIRST! Document W and W/O glasses
-Snellen chart for distance vision smaller the fraction, worse the vision 20/200 is legally blind
-Rosenbaum chart for near vision 14 inches fm eyes. Read smallest line possible
-Confrontation test for peripheral vision Sit at eye level, 1 meter apart. Examiner covers eye directly
opposite of pt. ABNORMAL RESULTS: caused by Stroke, retinal detachment, optic neuropathy,
pituitary tumor compression, central retinal vascular occlusion
-Amsler grid is used to evaluate macular degeneration
-Tumbling E / HOTV charts→ test children ages 3-5, 10 feet from chart.
When you palpate the eyes, what are you assessing for?
1. for nodules
2. .ntraoccular pressure ( one eye will be harder than the other)
3. pain→ scleritis, orbital cellulitis, cavernous sinus thrombosis
4. Firm and resists palpation→ severe glaucoma, retrobulbar tumor
Describe you would inspect the lower and upper conjunctiva.
What is normal? What is abnormal? How do you document these findings?
CONJUNCTIVA- have pt look upward- note translucent, vascular pattern, no erythema, exudate
Answers
What are the concepts of developing a relationship with the patient?
Make every effort to sense the world of the individual patient as that patient senses it
-each of us is unique
-first meeting with the patient sets the tone for a successful partnership
-discover details about a patient's concerns
-explore expectations for the encounter
-display genuine interest, curiosity, and partnership
-Communicate effectively
What are effective communication strategies when obtaining a health history?
Establishing effective communication with the patient, the provider needs to built;
-Courtsey
-Comfort
-Connection
-Confirmation
What is a patient-centered question? Give examples.
How will you like to be addressed?
How are you feeling today?
What will you like us to do today?
What do you think is causing your symptoms?
Have you prepared advance directives?
How private of a person are you?
What are potential barriers of patient and provider communication?
-Patient curiosity about the provider
-Anxiety
-Silence
-Depression
-Seduction
-Anger
-Avoiding the full story
-Financial considerations
What is the structure and
the components of a patient history? What kind of patient information is obtained in each section?
Patient identifiers
Chief complain
HPI- history of present illines
PHM- past medical history
FH- family history
SH- social history
What is the difference between objective and subjective data? What components of the health
history are objective and subjective?
Subjective data is gathered from the patient telling you something that you cannot use your five
senses to measure.
Objective data is the information that we can gather using our 5 senses. It is either a measurement or
an observation.
, Components that are subjective include patients description of review of symptoms, past
medical/social history.
Components that are objective include physical exam of review of symptoms, vital signs, lab values or
test results.
How do you approach sensitive issues when interviewing a patient?
Provide privacy, avoid confrontation, be direct and firm, do not apologize for asking questions, do not
ask leading questions, do not push too hard, always use language that is understandable to the
patient, but not patronizing.
What does it mean to be culturally aware and culturally competent when caring for patients with
diverse backgrounds?
Culturally competent requires one to be sensitive to a patient's heritage, sexual orientation,
socioeconomic situation, ethnicity, and cultural background. Culturally aware refers to understanding
one's own biases, stereotypes, prejudices, and assumptions of others who are different from them.
What are examples of questions to explore the patient's culture?
Why do you think it started when it did?
What should be done to get rid of it?
What are the most important problems your sickness has caused for you?
What worries you and frightens you the most about your sickness?
What are the components of a cultural response to a patient?
-Modes of communication: the use of speech, body language, and space
-Health beliefs and practices that may vary from your own
-Diet and nutritional practices
-The nature of relationships with families
How do you measure visual acuity and test cranial nerve II (Optic)?
Describe the various tests to measure different types of visual acuity. How do you document your
findings?
Visual acuity testing measures the function of CN2 -(optic nerve) central vision:
ALWAYS TEST W/O GLASSES FIRST! Document W and W/O glasses
-Snellen chart for distance vision smaller the fraction, worse the vision 20/200 is legally blind
-Rosenbaum chart for near vision 14 inches fm eyes. Read smallest line possible
-Confrontation test for peripheral vision Sit at eye level, 1 meter apart. Examiner covers eye directly
opposite of pt. ABNORMAL RESULTS: caused by Stroke, retinal detachment, optic neuropathy,
pituitary tumor compression, central retinal vascular occlusion
-Amsler grid is used to evaluate macular degeneration
-Tumbling E / HOTV charts→ test children ages 3-5, 10 feet from chart.
When you palpate the eyes, what are you assessing for?
1. for nodules
2. .ntraoccular pressure ( one eye will be harder than the other)
3. pain→ scleritis, orbital cellulitis, cavernous sinus thrombosis
4. Firm and resists palpation→ severe glaucoma, retrobulbar tumor
Describe you would inspect the lower and upper conjunctiva.
What is normal? What is abnormal? How do you document these findings?
CONJUNCTIVA- have pt look upward- note translucent, vascular pattern, no erythema, exudate
