NR 509 Midterm Study Guide
General Study Tips and Recommendations
✓ Topics and content on guides are intended to focus student attention
... [Show More] when
reading/studying and some topics may be repeated in multiple chapters.
✓ Multiple test items are derived from the same topic areas to encourage deeper
comprehension.
✓ Students must have a broad understanding of content and not simply memorize passages
in textbooks or articles.
✓ Information in red letters in the chapters as well as tables and appendices at the end of
the chapters may include test items.
✓ Exam questions represent various levels of cognitive learning. You are expected to
analyze, synthesis, and evaluate patient scenarios in order to answer the questions.
✓ Read all of the answers BEFORE reading the stem of the question. This will help you
focus on the key content and not get distracted by extraneous information.
✓ Be familiar with “Techniques of Examination” and “Recording Your Findings” for all
body system chapters in the textbook.
Chapter 1 Approach to the Clinical Encounter
• The interviewing process
o Stage 1: Initiating the Encounter
▪ This is the stage of relationship building with your patient.
▪ Fostering the patient–clinician relationship is critical
because without a good relationship none of the other
goals of the clinical encounter can be pursued in an
optimal manner.
▪ Respect trust, and rapport are necessary components of
a therapeutic relationship that is just beginning.
▪ Set the Stage.
• Prepare for the interview.
• Check your appearance.
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• Make sure the patient is comfortable and the
environment is conducive to the very personal
information soon to be shared.
• You will find that each interview has its own rhythm
and sequence.
• Master the steps described.
• Finally, the interview has important societal
dimensions.
• Reflect on any biases you have that color your
reactions to the patient and the therapeutic alliance
you need to create.
▪ Adjust the Environment.
• Make the interview setting as private and
comfortable as possible.
• You may have to talk with the patient in
surroundings like a two-bedded hospital room or the
corridor of a busy emergency department.
• Making the environment as confidential as possible
improves communication.
• If there are privacy curtains, try to pull them shut.
• Suggest moving to an empty room instead of talking
in a waiting area. [Show Less]