NUR2180 Module 3 Quiz Focused Review

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Subjective vs objective data o Subjective  Health history o Objective  Physical assessment  Components of a health history o Chief complaint o Present health status o Past health hist... ory o Current lifestyle o Psychosocial status o Family history o Review of symptoms  Types of databases o Complete total health database  Includes complete health history and full physical examination  Describes current and past health state and forms baseline to measure all future changes  Yields first diagnoses o Episodic or problem-centered database  For limited or short-term problems  Collect “mini” database, smaller scope and more focused than complete database.  Concerns mainly one problem, one cue complex, or one body system  History and examination follow direction of presenting concern o Follow-up database (found in doctors office)  Status of all identified problems should be evaluated at regular and appropriate intervals  Note changes that have occurred  Evaluate whether problem is getting better or worse  Identify coping strategies being used o Emergency database (usually ER or Trauma)  Rapid collections of data, often compiled concurrently with lifesaving measures  Diagnosis must be rapid and comprehensive in nature  Therapeutic vs non-therapeutic communication o Therapeutic  Active listening  Sharing observations  Sharing empathy  Sharing hope........................................continued [Show More]

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