Answer to Question 1
ANS: A, B, C
To know a patient means that the nurse avoids assumptions, focuses on the patient, and engages in a caring relationship with the patient that reveals information and cues that facilitate critical thinking and clinical judgments. Knowing develops over time as a nurse learns the clinical conditions within a specialty and the behaviors and physiological responses of patients.
Answer to Question 2
ANS: A
When an ill person chooses to tell his story, it involves reaching out to another human being. Telling the story implies a relationship that develops only if the clinician exchanges his or her stories as well. Professionals do not routinely take seriously their own need to be known as part of a clinical relationship. Yet, unless the professional acknowledges this need, there is no reciprocal relationship, only an interaction. Offering false reassurances and cliches, telling not to worry, or offering to cancel the procedure does not open up that relationship and dismisses the patient's concerns.
An example of a medical history sheet to list patient problems.
Preparing the Patient’s Skin for Surgical Procedures
Deliver abdominal thrusts to the supine unconscious patient.
Metastasis Cancer Order
The antagonistic actions of insulin and
Patient Physical Status Classification