NSG 351 Unit 1 Exam – Updated 2025
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What is an Assessment?
The collection of data about the individual's health state
During an assessment, what are the 2 types of data you collect?
objective and subjective data
Subjective data
What the person says about himself or herself during history
Primary source of subjective data
the client, other main spokesperson for the client (i.e. the mother speaking on behalf of the sick
child)
Secondary source of subjective data
medical records, family, friends, sources other than the client
objective data
what you, as the health professional observe by inspecting, percussing, palpating, and
auscultating during the physical examination. (IPPA)
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Electronic Health Record (EHR)
- Eliminates handwritten clinical data and provides access to online health education materials.
- Uses improved documentation of biomedical information, but psychosocial and emotional
information is not always captured
The working phase
is when you gather your data; you will likely use a combination of closed ended and open ended
questions
Open ended questions
Unbiased and leaves the person free to answer in any way. Use it to begin the interview, to
introduce a new section of questions, and whenever the person introduces a new topic.
Closed or Direct Questions
ask for specific information. They elicit a one- or two-word answer. They may help you elicit specific
information and are useful to fill in any details that were initially left out of the person's opening
narrative.
How should you ask questions?
• Ask only one question at a time; avoid double-barreled questions (do you exercise and follow a
diet for your weight?)
• Chose a language that the person understands
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nine types of verbal responses
facilitation, silence, reflection, empathy, clarification, confrontation, interpretation, explanation,
summary
i. Facilitation
encourages the client to say more ("mm-hhmmm")
ii. Silence
gives the client more time to think; count to 10 and do not fidget
iii. Reflection
Repeating what the person just said to help them elaborate or express feelings; "You feel worried
and anxious about your children?"
iv. Empathy
allows the person to feel accepted and strengthens rapport; "this must be very hard for you"
v. Clarification
useful when the person's word choice is confusing or if you want to ensure that you are on the right
tract; "... is that correct?"
vii. Interpretation
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links events, makes associations, and implies cause; "it seems that every time you feel stomach
pain, you have stress in your life"
viii. Explanation
Informing the person; "you may not eat or drink for 12 hours before your blood test because food
may change the results"
ix. Summary
condenses facts and validates what was discussed during the interview; review patient facts and
allow the client time to make corrections.
What is a trap?
a nonproductive verbal/nonverbal message
What are the ten traps of interviewing?
1. Providing false assurance or reassurance
2. Giving unwanted advice
3. Using authority
4. Using avoidance language
5. Engaging in distancing
6. Using professional jargon
7. Using leading or biased questions
8. Talking too much
9. Interrupting
10. Using "why" questions
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