COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE
Subjective data
What the patient reports (e.g., pain level).
Objective data
What the nurse observes (e.g., BP reading).
Complete database
Full health history & exam.
Focused database
Specific issue (e.g., ear pain).
Follow-up database
Monitoring a condition over time.
Emergent database
Rapid assessment in critical situations.
First-level problems
Life-threatening (airway, breathing, circulation).
Second-level problems
Urgent but not life-threatening (infection, pain).
Third-level problems
Can be addressed later (patient education).
Key components of a cultural assessment
, Beliefs, values, dietary practices, health perceptions, communication styles.
Impact of cultural beliefs on health perceptions
Some cultures may prefer alternative medicine, refuse certain treatments, or have
unique dietary restrictions.
Open-ended questions
Encourages elaboration ("Tell me more about your pain.").
Closed-ended questions
Direct, specific answers ("Is your pain sharp or dull?").
Active listening/Facilitation
focus on the patient's perspective; encourages the patient to say more
Restatement
ask patient to elaborate; getting more information
Reflection
summarize the main themes of communication; repeating things patient mentioned
Elaboration
encourage to say more; ask for more information if needed
Clarification
simplify or verification
Silence
gathering thoughts / give answers
confrontation
clarification of finding inconsistences based on what the patient states
Interpretation