Health & Physical Assessment in Nursing First Edition

1. Health & Physical Assessment in NursingFirst Edition Donita D’AmicoandColleen Barbarito Chapter 10 The Health History

2. LEARNING OBJECTIVE ONE

3. LEARNING OBJECTIVE ONE • Nursing Health History - Definition

4. LEARNING OBJECTIVE ONE • Purpose of the Nursing Health History

5. LEARNING OBJECTIVE ONE • Difference Between the Nursing Health History and the Physician Medical History

6. LEARNING OBJECTIVE ONE • Components of the Health History • Wellness assessment • Nutrition • Stress management • Social interaction

7. LEARNING OBJECTIVE TWO

8. LEARNING OBJECTIVE TWO • Communication - Exchange of Information Between Individuals

9. Figure 10.1 The communication process.

10. LEARNING OBJECTIVE TWO • Interactional Skills

11. Box 10.1 Guidelines for Interviewing Clients Who Do Not Speak English

12. LEARNING OBJECTIVE TWO • Interactional Skills • Listening

13. Figure 10.2 The nurse conveys attentive listening through a posture of involvement.

14. LEARNING OBJECTIVE TWO • Interactional Skills • Attending • Paraphrasing • Leading • Questioning • Reflecting • Summarizing

15. LEARNING OBJECTIVE TWO • Listening - Paying Undivided Attention to What the Client Says and Does

16. LEARNING OBJECTIVE TWO • Attending - Giving Full Attention to Verbal and Nonverbal Messages

17. LEARNING OBJECTIVE TWO • Paraphrasing - Restating the Client’s Basic Message

18. LEARNING OBJECTIVE TWO • Leading - Used to Encourage Open Communication • Techniques • Direct leading • Focusing • Questioning

19. LEARNING OBJECTIVE TWO • Questioning - Direct Way of Speaking with Clients to Obtain Subjective Data for Decision Making and Planning Care • Closed and open-ended questions

20. LEARNING OBJECTIVE TWO • Reflecting - Repeating the Client’s Verbal or Nonverbal Message for the Client’s Benefit to Show that the Nurse Has Empathy with the Client’s Thoughts, Feelings, or Experiences

21. LEARNING OBJECTIVE TWO • Summarizing - The Process of Gathering the Ideas, Feelings, and Themes That Clients Have Discussed Throughout the Interview and Restating Them in Several General Statements

22. LEARNING OBJECTIVE THREE

23. LEARNING OBJECTIVE THREE • Barriers to Effective Client Interactions • False reassurance • Interrupting or changing the subject • Passing judgment • Cross-examination • Using technical terms • Encountering sensitive issues

24. LEARNING OBJECTIVE THREE • False Reassurance - Occurs When the Nurse Assures the Client of a Positive Outcome with No Basis for Believing in It

25. LEARNING OBJECTIVE THREE • Interrupting or Subject Changing - Shows Insensitivity to the Client’s Thoughts and Feelings, and May Occur When the Nurse Is Not Comfortable with the Conversation

26. LEARNING OBJECTIVE THREE • Passing Judgment - Conveys Messages to Clients That They Are Not Meeting the Nurse’s Values

27. LEARNING OBJECTIVE THREE • Cross - Examination - Asking Questions During the Interview May Cause the Client to Feel Threatened and Reveal Less Information

28. LEARNING OBJECTIVE THREE • Technical Terminology - Should Be Avoided, as Well as Jargon, Slang, or Clichés, to Facilitate Client Understanding

29. LEARNING OBJECTIVE THREE • Encountering Sensitive Issues - May Make the Client Feel Uncomfortable or Defensive

30. LEARNING OBJECTIVE FOUR

31. LEARNING OBJECTIVE FOUR • Diversity and Impact on the Nurse - Client Interactions

32. Figure 10.3 Differences in cultural or regional background may become barriers to effective nurse-client communication.

33. LEARNING OBJECTIVE FOUR • Diversity and Impact on the Nurse - Client Interactions • Factors • Culture • Body language • Ethnicity • Religion

34. LEARNING OBJECTIVE FOUR • Diversity and Impact on the Nurse - Client Interactions • Factors • Nationality • Education • Health status • Level of intelligence

35. LEARNING OBJECTIVE FOUR • Cultural Stereotypes

36. LEARNING OBJECTIVE FOUR • Body Language

37. LEARNING OBJECTIVE FOUR • Ethnicity

38. LEARNING OBJECTIVE FOUR • Language

39. Box 10.1 Guidelines for Interviewing Clients Who Do Not Speak English

40. Figure 10.4 A translator may help facilitate interaction with a client who does not speak English.

41. LEARNING OBJECTIVE FIVE

42. LEARNING OBJECTIVE FIVE • Establishing the Nurse - Client Relationship

43. LEARNING OBJECTIVE FIVE • Characteristics • Positive regard • Empathy • Genuineness • Concreteness

44. LEARNING OBJECTIVE FIVE • Positive Regard - Respect for Another’s Worth and Dignity

45. LEARNING OBJECTIVE FIVE • Empathy - Capacity to Respond to Another’s Feelings and Experiences as If They Were One’s Own

46. LEARNING OBJECTIVE FIVE • Genuineness - Ability to Present Oneself Honestly and Spontaneously

47. LEARNING OBJECTIVE FIVE • Concreteness - Speaking in Specific Terms

48. LEARNING OBJECTIVE SIX

49. LEARNING OBJECTIVE SIX • Health History Interview Phases • Preinteraction phase • Initial interview • Focused interview

50. LEARNING OBJECTIVE SIX • Preinteraction Phase - Occurs Before You Meet the Client, When Data Is Collected from Previous Records