solution graded A+
Identify the components of a health history - correct answer ✔✔Biographic data,
reason for seeking care, present health or history of present illness, past history
(childhood illness, accidents or injuries, serious or chronic illnesses,
hospitalizations, obstetrics, operations, immunizations, allergies, current meds),
medication reconciliation, family history, review of systems, functional assessment
(psycho-social history) or ADLs, ROS (review of symptoms)
Use key verbal communications techniques to gain accurate health histories in the
clinical setting. - correct answer ✔✔Affirmation(use of verbal cues to show you're
paying attention), Facilitation(responses designed to facilitate more information
sharing), Reflection(repeating a portion of a clients statement in order to gain
greater meaning), Restating(restating the main point to see if you really wonder
what the client is saying), Clarification(asking the client to expand on a topic to
increase your understanding), Presenting reality(presenting reality to client when
you know they're exaggerating), Humor(can be useful, careful it can be insulting),
Redirecting(refocusing), Sharing perceptions(sharing what you perceive to
determine the meaning that the client attributes to the situation)
Use key non-verbal communications techniques to gain accurate health histories
in the clinical setting. - correct answer ✔✔Physical appearance, facial expression,
posture, gestures, eye contact, voice, touch. Vocal cues(change in character, tone,
or quality of voice), action cues(body movements or postural changes, object
cues(physical characteristics such as dress which relay meaning), personal
space(the use of personal space to relay meaning), touch(use sparingly, but in
some cultures may relay meaning. It's dependent on your level of familiarity with
a client), cultural considerations(you must modify your actions based upon the
, clients culture.), silence, active listening(the use of eye contact and head
movements to show you're listening).
Differentiate objective and subjective data. Be able to state some of the
advantages and disadvantages of each. - correct answer ✔✔Objective data: is
what the health professionals do/see/hear/smell/feel, sign, physical assessment.
Things that can be directly observed with the senses. Things that can be measured
or quantified. Vital signs, ht/wt/BMI, intake and output(urine output should be
greater than or equal to 30cc/hr). Assessment tech(inspection, palpation,
percussion, auscultation), Tests(lab, radiology(x-ray), diagnostic(ECG,EEG).
Subjective is what the patient tells you-symptom, pt hx, hx may vary from multiple
sources
Obtain accurate height and weight measurement of clients across the lifespan.
How to determine ideal body weight? - correct answer ✔✔Height: Use a wall-
mounted device or the measuring pole on the balance scale. Align the extended
headpiece with the top of the head. The person should be shoeless, standing
straight with gentle traction under the jaw, and looking straight ahead. Feet,
shoulders, and buttocks should be in contact with the wall or measuring pole,
compare to previous heights. Weight: Record in kg and lbs. Normal weight would
be 18.5-24.9 kg/m2. Underweight would be <18.5 kg/m2. Obese would be 30-
39.9. Extreme or morbidly obese would be greater than or equal to 40. Ideal body
weight is determined by BMI
Accurately assess vital signs of clients across the lifespan(Temperature). - correct
answer ✔✔Hypothalamus as thermostat mechanism. Things that can affect
temperature-Environmental temp(cold or hot in room, lots of blankets or none, IV
fluids infusing, etc.), Diurnal cycle or circadian rhythms(trough in am and peak in
pm or early evening, 1-1.5 degree Fahrenheit difference), Exercise(moderate to
hard exercise can increase temperature), Age(wide variation, when younger it's
because of less effective heat control mechanisms, older adults usually lower with
mean 97.2), Smoking(increases temperature), Menstrual cycle(ovulation causes