NUR 162 Ch. 10
- Assessment
Answer the deliberate and systematic collection and interpretation of information or data to determine current and past health, wellness, strengths, functional status, and mental health problems, both actual and potential.
- When does assessment begin?
Answer At first contact with the patient when a collaborative relationship is initiated.
- Consent for an assessment
Answer must be given by the patient, and the nurse must follow the Health Insurance Portability and Accountability Act of 1996 guidelines
- self-assessment
Answer Analyzing your own likes, dislikes, wants, needs, skills, and abilities to discover what career will fit you best and helps the nurse interpret the data objectively.
- What does an assessment interview involve?
Answer Direct questions to obtain facts, clarify perceptions, validate observations, interpret the meanings of facts, or com- pare information.
- open-ended questions
Answer Most helpful when beginning the interview because they allow the nurse to observe how the patient responds verbally and nonverbally. They also convey caring and interest in the person's well-being, which helps to establish rapport and gives the patient a chance to speak freely. 1 / 3
- closed-ended questions
Answer Most helpful when specific information is needed.
- strength-based assessment
Answer An assessment model that looks at an individual's strengths, abilities, mental health and accomplishments rather than focusing on his or her deficits.
- assessment of trauma
Answer The nurse should listen for any clues of trauma including physical, emotional, or social events.
Psychiatric hospitalizations can be traumatic and can contribute to posttraumatic stress disorders. Any abuse or mistreatment should be identified in the assessment.
- synchronous communication
Answer Telehealth communication that occurs in real time
- Asynchronous communication
Answer communication such as emails text messages and video recordings in which the message and the response do not occur at the same time.
- Exhibiting empathy
Answer to show empathy to the patient, the nurse uses phrases such as, "That must have been upsetting for you" or "I can understand your hurt feelings."
- Giving recognition
Answer the nurse gives recognition by listening actively 2 / 3
Answer verbally encouraging the patient to continue and nonverbally presenting an open, interested demeanor.
- Demonstrating acceptance
Answer note that acceptance does not mean agreement or nonagreement with the patient but is a neutral stance that allows the patient to continue.
- Restating
Answer the nurse tries to clarify what the patient is trying to say by restating it.
- Reflecting
Answer the nurse presents the patient's last statement as a question. This gives the patient a chance to expand on the information.
- Focusing
Answer the nurse attempts to bring the conversation back to the questions at hand when the patient goes off on a tangent.
- Presenting reality
Answer the nurse presents reality when the patient makes unrealistic or exaggerated statements.
- Making observations
- / 3
Answer the nurse says aloud what patient behaviors are observed to give the patient a chance to speak to those behaviors. For example, the nurse may say, "I notice you are twisting your fingers; are