NR 603 WEEK 2 PART TWO 2026
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ Key skill in care.
Answer: Judging when to treat vs. when to refer.
◉ Differential Diagnosis Process.
Answer: Data Collection - history + exam; Data Analysis - identify
key findings; Hypothesis Generation - broad list of possible
diagnoses; Testing Hypotheses - order targeted tests, align with
HPI/PE; Diagnosis Confirmation - most likely diagnosis based on
evidence; Reflection - evaluate process to improve future practice.
◉ Intuitive Decision-Making.
Answer: Quick, experience-based.
◉ Analytical Decision-Making.
Answer: Thorough, evidence-based, slower.
◉ Best Practice in Decision-Making.
,Answer: Use both intuitive and analytical approaches depending on
urgency, complexity, and available resources.
◉ Factors Influencing Decision-Making.
Answer: Comorbidities, mental health, SDOH, legal/ethical concerns,
cost, time constraints.
◉ Clinical Practice Guidelines (CPGs).
Answer: Provide evidence-based frameworks for care.
◉ Challenges of CPGs.
Answer: May conflict across conditions, must adapt to individual
needs, need to distinguish intermediate vs. clinical outcomes.
◉ Example of CPG.
Answer: ACE inhibitors in CHF improve survival → strong guideline
recommendation.
◉ Clinical Decision Support (CDS) Tools.
Answer: Benefits: Real-time evidence, reduces errors, improves
accuracy, personalized care.
◉ Limitations of CDS Tools.
, Answer: Alert fatigue, workflow integration challenges, reliance on
data quality.
◉ Imaging Decisions in Complex Care.
Answer: Use decision rules to avoid unnecessary imaging.
◉ Diagnostic Errors.
Answer: Prevalence: 12M U.S. clients/year; 40-80K deaths/injuries.
◉ Prevention of Diagnostic Errors.
Answer: Checklists, algorithms, second opinions, critical thinking +
interdisciplinary collaboration.
◉ Acute pain.
Answer: ≤ 3 months; often post-trauma, surgery, acute medical
illness.
◉ Subacute pain.
Answer: 1-3 months.
◉ Chronic pain.
Answer: > 3 months or beyond expected healing.
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ Key skill in care.
Answer: Judging when to treat vs. when to refer.
◉ Differential Diagnosis Process.
Answer: Data Collection - history + exam; Data Analysis - identify
key findings; Hypothesis Generation - broad list of possible
diagnoses; Testing Hypotheses - order targeted tests, align with
HPI/PE; Diagnosis Confirmation - most likely diagnosis based on
evidence; Reflection - evaluate process to improve future practice.
◉ Intuitive Decision-Making.
Answer: Quick, experience-based.
◉ Analytical Decision-Making.
Answer: Thorough, evidence-based, slower.
◉ Best Practice in Decision-Making.
,Answer: Use both intuitive and analytical approaches depending on
urgency, complexity, and available resources.
◉ Factors Influencing Decision-Making.
Answer: Comorbidities, mental health, SDOH, legal/ethical concerns,
cost, time constraints.
◉ Clinical Practice Guidelines (CPGs).
Answer: Provide evidence-based frameworks for care.
◉ Challenges of CPGs.
Answer: May conflict across conditions, must adapt to individual
needs, need to distinguish intermediate vs. clinical outcomes.
◉ Example of CPG.
Answer: ACE inhibitors in CHF improve survival → strong guideline
recommendation.
◉ Clinical Decision Support (CDS) Tools.
Answer: Benefits: Real-time evidence, reduces errors, improves
accuracy, personalized care.
◉ Limitations of CDS Tools.
, Answer: Alert fatigue, workflow integration challenges, reliance on
data quality.
◉ Imaging Decisions in Complex Care.
Answer: Use decision rules to avoid unnecessary imaging.
◉ Diagnostic Errors.
Answer: Prevalence: 12M U.S. clients/year; 40-80K deaths/injuries.
◉ Prevention of Diagnostic Errors.
Answer: Checklists, algorithms, second opinions, critical thinking +
interdisciplinary collaboration.
◉ Acute pain.
Answer: ≤ 3 months; often post-trauma, surgery, acute medical
illness.
◉ Subacute pain.
Answer: 1-3 months.
◉ Chronic pain.
Answer: > 3 months or beyond expected healing.
