Nursing A&S Final Exam Latest Study Guide
Priority assessment
ABCS - airway, breathing, circulation
-the nurse should place priority on assessing the clients respirations
-noting the rate and pattern
-evaluate oxygen saturation
The interview
-use open ended question to obtain more information in interview
-use therapeutic communication
-active listening (listening to the patient without judgement)
-empathy and compassion
-consider hearing and visual impairments
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Brainpower
Read More
Communication with those who are visually impaired
,ensure large fonts. Assess how visually impaired they are: (What can you see?)
Communication with those who are hearing impaired
Reduce background noise if hearing impaired prior to conduction of health history
-provide things in writing, ask them to repeat back to confirm they understand.
Techniques and sequencing or physical for abdomen
inspect
auscultate
percuss
palpate
Techniques and sequencing or physical for other body systems
inspect
palpate
percuss
auscultate
Documentation
must ensure confidentiality in electronic and charting records
Interview preparation
-review patient record
-allow sufficient time
-ensure good lighting
, -maintain privacy
-sit or stand at the same eye level
-introduce yourself
-state how long the interview will take
-reaassure confidentiality
-encourage patient to ask questions
Phases of the interview
1)introductory step (introduce yourself, explain role & purpose, ask what the main reason is they are
here today)
2) working phase (using open and close ended questions, ask if there's any questions)
3) summarization phase (clarify and summarize patients self report, ask if there is anything you
would like to share.)
Mnemonic for subjective history gathering
LMNOPQRSTUVW
Location
Mechanism
New problem
Onset
Palliative/Provocative
Quality
radiation
Severity
Timing
Unusual symptoms
Valid
Work
Priority assessment
ABCS - airway, breathing, circulation
-the nurse should place priority on assessing the clients respirations
-noting the rate and pattern
-evaluate oxygen saturation
The interview
-use open ended question to obtain more information in interview
-use therapeutic communication
-active listening (listening to the patient without judgement)
-empathy and compassion
-consider hearing and visual impairments
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Brainpower
Read More
Communication with those who are visually impaired
,ensure large fonts. Assess how visually impaired they are: (What can you see?)
Communication with those who are hearing impaired
Reduce background noise if hearing impaired prior to conduction of health history
-provide things in writing, ask them to repeat back to confirm they understand.
Techniques and sequencing or physical for abdomen
inspect
auscultate
percuss
palpate
Techniques and sequencing or physical for other body systems
inspect
palpate
percuss
auscultate
Documentation
must ensure confidentiality in electronic and charting records
Interview preparation
-review patient record
-allow sufficient time
-ensure good lighting
, -maintain privacy
-sit or stand at the same eye level
-introduce yourself
-state how long the interview will take
-reaassure confidentiality
-encourage patient to ask questions
Phases of the interview
1)introductory step (introduce yourself, explain role & purpose, ask what the main reason is they are
here today)
2) working phase (using open and close ended questions, ask if there's any questions)
3) summarization phase (clarify and summarize patients self report, ask if there is anything you
would like to share.)
Mnemonic for subjective history gathering
LMNOPQRSTUVW
Location
Mechanism
New problem
Onset
Palliative/Provocative
Quality
radiation
Severity
Timing
Unusual symptoms
Valid
Work
