Quiz 1 Health A.

Understand why we use genograms and what information it can tell us

-Family History -Outlines a lot of information in one diagram., clearly, concise.

Understand the difference between different interview techniques (esp. open-ended vs. direct questioning).

-Open ended questions-ask for narrative information, discusses the topic in general terms. e.g. "tell how i can help?" "What brings you to the hospital"- the open-ended question is unbiased, encourages expression. -Direct-Ask for specific information, "yes" "no", e.g Have you ever had pain, double vision?" Avoid double barreled questions "Do you exercise and follow a diet for your weight?" -Choose language the person understand -regional phrases, colloquial expression.

Differentiate between subjective and objective data

-Subjective data consist of information provided by the affected individual. -Objective data include information obtained by the health care provider through physical assessment, the patient's record, and laboratory studies.

Understand how and why the 4 different assessment techniques are performed and the common order of assessment (including when the order changes).

Evidence-based practice is a systematic approach to practice that uses the best evidence, the clinician's experience, and the patient's preferences and values to make decisions about care and treatment.

Identify how different hand surfaces can be used for different assessments

Examiner will use the senses,sight, smell,touch, and hearing, to gather data during physical examination. -inspection -palpation* -percussion** -auscultation *Sense of touch to asses -masses, swelling etc. Different part of the hand are used to asses different factors: Finger tips-Swelling, pulsation, lumps Finger and thumbs-detection of shape, position of organ mass Dorsa of hands and fingers-determining temapture Base of fingers or ulnar surface of hand- best for vibration. ** Tapping person's skin with short, sharp stokes to access underlying structures. *Detecting abnormal mass *Mapping location/size *percussion vibration penetrates 5cm deep Two methods: direct- also called immediate-striking hand direction contacts body wall. indirect-using both hands, striking hand contacts stationary hand fixed on person's skin.

Identify best or most appropriate therapeutic responses(Actionable items,listening, speaking) based on patients' non-verbal and verbal communication.

Nonverbal communications convey messages from the sender to the receiver. Work to develop the ability to read patients' nonverbal behaviors and to monitor your own nonverbal communication.

Identify what are important questions to ask to gather more details regarding a patient's symptoms? (PQRSTU)

P-Provocative or Palliative "What brings it on? What were you doing when you first noticed it? What makes it better?worse? Q-Quality or quantity-How dose it look,feel, sound? How intense/severe is it? R-region or radiation" where is it? dose it spread anywhere? S-Severity Scale-How bad is it (1-10) "Is it getting better?worse? T-Timing-Onset-Exactly when did it occur? How long did it last? U-Understand Patients Perception of problem "what do you think it means"

Differentiate between when to use different methods of palpation

Sense of touch to asses -masses, swelling etc. Different part of the hand are used to asses different factors: Finger tips-Swelling, pulsation, lumps Finger and thumbs-detection of shape, position of organ mass Dorsa of hands and fingers-determining temapture Base of fingers or ulnar surface of hand- best for vibration.

Differentiate between the different phases of the interview process

The interview has three phases: Orientation-Introduce name, ensure privacy, comfort, remember expectation are based on passed experiences. (1) introduction, (2) working phase,-often a sensitive part(provide info/instructions) reaction may be emotional, acknowledge feelings. (3) closing.-Always express appreciation, allow for final input, " is there anything else I should know about you?"-give exit cues. 1)During the first phase, introduce the interview. 2)During the working phase, gather data. Start with open-ended questions, which ask for narrative information. Then use closed questions, which ask for specific information in short, one- or two-word answers. 3)During the closing, signal that the interview is ending, which gives the patient one last chance to share concerns or express himself or herself. Also briefly summarize what you learned during the interview. 4) follow-up-planned interventions should be explained, communication is continuous

Define culturally competent care

means to be aware, respectful and responsive to the health beliefs and practices—and cultural and linguistic needs—of diverse population groups. -Understanding and attending to total context of a patients situation. -immigration status -Stress Factors -Social Factors -Cultural similarities/differences.