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NSG3160 STUDY GUIDE 2026 MASTER
SOLUTION DIGEST
◉What is the primary goal of the initial interview with a client? Answer: To establish trust and build rapport ◉Name an internal factor that can enhance communication skills. Answer: Empathy ◉What does 'self-awareness' refer to in the context of communication? Answer: Being aware of implicit bias ◉What is one external factor that fosters effective communication? Answer: Ensuring privacy ◉What is the purpose of a Mental Status Examination? Answer: To assess mental health strengths and screen for dysfunction ◉When is a full Mental Status Examination necessary? Answer: When there are abnormalities in affect or behavior ◉What screening tool is used for anxiety disorders? Answer: Generalized Anxiety Disorder scale (GAD-7)
◉What does a score of 3 or greater on the GAD-7 indicate? Answer: A diagnosis of generalized anxiety disorder ◉What is the Patient Health Questionnaire-2 (PHQ-2) used for? Answer: To screen for depression by asking about depressed mood and anhedonia ◉What should be assessed when screening for suicidal thoughts? Answer: Feelings of sadness, hopelessness, despair, or grief ◉What type of data is subjective data? Answer: Data collected by the examiner asking questions ◉What is one important consideration when interviewing patients? Answer: Minimize distractions in the environment ◉What are the stages of an interview? Answer: Preparatory, Introduction, Working, Closing ◉What is the difference between open-ended and closed questions? Answer: Open-ended questions elicit narrative information; closed questions elicit specific facts.
◉What is the role of note-taking during patient interviews? Answer: To keep it to a minimum and offer focused attention. ◉What is the significance of the physical environment in communication? Answer: It should promote equal-status seating and comfort. ◉What does the term 'functional use of space' refer to? Answer: Sitting with the patient, not behind a desk, to enhance communication. ◉What is the importance of understanding cultural background in healthcare? Answer: It influences etiquette, space, and distance in communication. ◉What is the purpose of obtaining a complete health history? Answer: To gather comprehensive information about the patient's health status, including biographic data, medical history, and family history. ◉What does HPI stand for in health assessments? Answer: History of Present Illness ◉What are the eight critical characteristics to identify in HPI? Answer: Location, character, quantity, timing, setting,
aggravating/relieving factors, associated factors, and patient's perception. ◉What does the PQRSTU mnemonic stand for? Answer: P = Provocative or palliative, Q = Quality or quantity, R = Region or radiation, S = Severity scale, T = Timing, U = Understand patient's perception. ◉What is the significance of past medical history in health assessments? Answer: It provides insight into the patient's previous health issues that may impact current health status. ◉What does GPAL stand for in obstetric history? Answer: Gravida, Para, Abortus, Living children. ◉What is the purpose of a genogram in family history? Answer: To visually represent family relationships and health history, highlighting genetic risks. ◉What are the common categories of abuse? Answer: Physical violence, sexual violence, stalking, psychological abuse, financial abuse, and neglect.
◉What key health conditions should be reviewed in family history? Answer: Heart disease, high blood pressure, stroke, diabetes, obesity, blood disorders, cancers, and mental illness. ◉What is the general survey in health assessment? Answer: A study of the whole person that provides an overall impression of health status and physical characteristics. ◉What does A&Ox4 refer to in a health assessment? Answer: A person who is awake, alert, and oriented to person, place, time, and event. ◉What should be included in the functional assessment of a patient? Answer: Activities of daily living (ADLs) and personal habits. ◉Why is it important to use measurable standards in health assessments? Answer: To ensure precision and accuracy in documenting findings. ◉What are some societal stressors affecting ethnic and racial minorities in health care? Answer: Poverty, fear of seeking help, legal regulations, and lack of access to health services.
◉What are the signs of psychological abuse? Answer: Verbal and nonverbal behaviors intended to humiliate, isolate, or control the victim. ◉What is the role of documentation in assessing abuse? Answer: To provide a clear record of findings and support legal and clinical actions. ◉What are the potential complications from elder abuse? Answer: Injuries, infections, and complications from neglect or trauma. ◉How can health care providers ensure effective communication with non-English speaking patients? Answer: By using qualified interpreters and confirming the patient's preferences regarding family involvement. ◉What is the order of assessment techniques for most body systems? Answer: Inspection, Palpation, Percussion, Auscultation (IPaPeA) ◉What is the order of assessment techniques for the abdomen? Answer: Inspection, Auscultation, Percussion, Palpation (IAPePa)
◉What are some major risk factors for cardiovascular disease? Answer: Smoking, dyslipidemia, diabetes mellitus, and family history of cardiac disease. ◉What lifestyle modifications can help manage hypertension? Answer: Weight loss, limiting alcohol, increasing aerobic exercise, reducing sodium intake, and smoking cessation. ◉What is the first step of assessment? Answer: Collecting data from primary or secondary sources. ◉What are the two types of data in nursing assessments? Answer: Subjective (patient's verbal descriptions) and objective (observations or measurements). ◉What is data clustering in nursing assessment? Answer: Grouping signs or symptoms gathered during assessment in a logical way. ◉What is the importance of cultural considerations in assessments? Answer: To conduct an accurate assessment by respecting and being sensitive to a patient's cultural background. ◉What is the last component of a complete assessment? Answer: Data documentation, which requires accurate terminology and abbreviations.
◉What should you do if unsure about what a patient is saying? Answer: Ask for clarification to prevent misdiagnosis. ◉What is the significance of vital signs in patient assessment? Answer: They provide critical data that trends throughout patient experiences in clinical settings. ◉What is the purpose of a focused assessment? Answer: To address specific problems or concerns, such as pain. ◉What should be done before making an inference from assessment data? Answer: Validate the data by comparing it with another source. ◉What is the role of nursing judgment in monitoring vital signs? Answer: To determine when additional assessment is warranted. ◉What is the expected pulse quality in older adults? Answer: The radial artery may feel stiff and rigid but does not necessarily indicate vascular disease. ◉What is the significance of documenting data in nursing? Answer: It fulfills legal and professional responsibilities.
