NURS 307 Exam 1 Questions and Correct Answers |
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autonomy Ans: pt self-determination
beneficence vs nonmaleficence Ans: Beneficence
-guides the actions and behaviors of practitioners toward beneficial
patient outcomes
-ex. provide emergency meds without regard to legal consequence
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Nonmaleficence
-principle that urges practitioners to avoid actions and behaviors that
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might bring harm to their patients
-ex. refusing to fill a prescription that pharmacist says may harm the
patient
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Utalitarianism Ans: appropriately use resources for greater good
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deontological imperatives Ans: Care delivered according to traditions
and in cultural contexts
Positive patient rapport depends on communication built on... Ans:
Courtesy, Comfort, Connection, Confirmation, Confidentiality
open-ended question Ans: pt discretion about extent of an answer
direct question Ans: seeks out specific information
EX: OLDCART
leading question Ans: a question that implies that one answer would be
better than another
what should you do if a pt doesnt understand what you are asking? Ans:
Facilitate (encourage pt to say more)
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Reflect (repeat what you heard)
Clarify (ask pt to reiterate)
Empathize (show understanding)
Confront (address disturbing pt behavior
Interpret (repeat what you have heard to confirm pt's meaning)
examples of communication tensions Ans: curiosity, anxiety, silence,
depression, crying, emotional or physical intimacy, seduction, anger,
avoidance, financial considerations
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while taking pt history, you should remain in a constant state of _____
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evaluation of the pt's words and behaviors
A. objective
B. subjective Ans: subjective, you are asking pt for their own history
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sensitive issues that come up during the history taking process include
Ans: alcohol/drug use, domestic violence, spirituality, sexuality
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what tools are used to screen for alcohol abuse during the history taking
process? Ans: CAGE (cutting down, annoyance by criticism, guilty
feeling, eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people
ANNOYED you by criticizing your drinking? have you felt you ought to
CUT down on your drinking? have you ever had an EYE-OPENER drink
first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself who
was intoxicated? do you take drugs to RELAX or to fit in? do you ever use
drugs when your ALONE? do you ever FORGET things while using? has a
FAMILy member or FRIEND told you to cut down? have you ever gotten
into TROUBLE from using drugs?)
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screening vs assessment Ans: Screening is the process for EVALUATING
the possible presence of a problem VS Assessment is the process for
DEFINING the nature of the problem.
what tools are used to screen for domestic violence during the history
taking process? Ans: HITS
The wording of the question is "In the last year how often did your
partner:
1. Hurt you physically?"
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2. Insult or talk down to you?"
3. Threaten you with physical harm?"
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4. Scream or curse at you?"
what tools can be used to approach spirituality during the history taking
process? Ans: FICA
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1. Faith, belief, meaning (what is your spiritual heritage? what writings
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are important to you?)
2. Importance and Influenc (how have these beliefs influenced how you
handle stress?)
3. Community (do you belong to a spiritual community?)
4. Address/Action in care (how do your religious beliefs affect your
healthcare decisions?)
what is the basic outline/sequence of taking the history? Ans: 1. Chief
Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)