MARYVILLE NURS 612 EXAM 1 EXAM REVIEW
QUESTIONS AND VERIFIED SOLUTIONS
◉ PQRST.
Answer: provocative/palliative, quality, region/radiation, severity,
and timing
◉ COLDPA.
Answer: characteristic, onset, location, duration, pattern, and
associated factors
◉ PMH.
Answer: General health, childhood illnesses, adult illnesses or
chronic diseases, Immunizations, surgeries, serious injuries
resulting in disability, medications, ability to complete ADLs,
allergies and reactions, transfusions, recent screening tests,
emotional status,
◉ FM.
Answer: Investigate blood relatives in the immediate family with
features similar to the patient's. If a disease "runs in the family", ask
about everyone from grandparents to cousins. Ask about heart
disease, hypertension, cancer, TB, stroke, sickle cell, CF, kidney
disease, thyroid disease, blood diseases, Ascertain whether cancers
,are multiple, bilateral, and occurring more than once in the family, or
at a young age.
◉ SH.
Answer: birthplace, home environment, cultural and ethnic
background, education, occupation, marital status,hobbies or
interests, sources of stress, habits of self-care (self breast exams,
etc), habits regarding smoking, alcohol and drug use, and sexual
history. Five Ps of sexual history-partners, practices, protection, past
history of STIs, pregnancy prevention.
◉ ROS.
Answer: general, skin hair and nails, head and neck, eyes, ears, nose,
throat and mouth, lymph nodes, chest and lungs, breasts, heart and
blood vessels, peripheral vasculature, hematologic, GI, diet,
endocrine, GU, musculoskeletal, neurologic, psychiatric.
◉ concepts of developing a relationship with the patient.
Answer: A primary objective is to discover the details about a
patient's concern, explore expectations for the encounter and
display interest, curiosity and partnership. Identifying underlying
worries, believing them, and trying to deal with them optimizes your
ability to be of help
◉ effective communication strategies.
, Answer: Communication built on courtesy, comfort, connection, and
confirmation.
◉ patient-centered care.
Answer: respecting and responding to patients wants and needs so
they can make choices that best fit their circumstances
◉ potential barriers of patient and provider communication.
Answer: moments of tension this includes: patient curiosity about
you, anxiety, silence, depression, seduction, anger, crying, financial
issues, and avoidance.
◉ Chief Concern.
Answer: a brief statement about why the patient is seeking care.
Many interviewers include duration in the CC
◉ Females-.
Answer: start and character of meneses, LMP, last PAP smear,
pregnancies
◉ Males.
Answer: puberty onset, difficulty with erections, emissions,
testicular pain and libido.
QUESTIONS AND VERIFIED SOLUTIONS
◉ PQRST.
Answer: provocative/palliative, quality, region/radiation, severity,
and timing
◉ COLDPA.
Answer: characteristic, onset, location, duration, pattern, and
associated factors
◉ PMH.
Answer: General health, childhood illnesses, adult illnesses or
chronic diseases, Immunizations, surgeries, serious injuries
resulting in disability, medications, ability to complete ADLs,
allergies and reactions, transfusions, recent screening tests,
emotional status,
◉ FM.
Answer: Investigate blood relatives in the immediate family with
features similar to the patient's. If a disease "runs in the family", ask
about everyone from grandparents to cousins. Ask about heart
disease, hypertension, cancer, TB, stroke, sickle cell, CF, kidney
disease, thyroid disease, blood diseases, Ascertain whether cancers
,are multiple, bilateral, and occurring more than once in the family, or
at a young age.
◉ SH.
Answer: birthplace, home environment, cultural and ethnic
background, education, occupation, marital status,hobbies or
interests, sources of stress, habits of self-care (self breast exams,
etc), habits regarding smoking, alcohol and drug use, and sexual
history. Five Ps of sexual history-partners, practices, protection, past
history of STIs, pregnancy prevention.
◉ ROS.
Answer: general, skin hair and nails, head and neck, eyes, ears, nose,
throat and mouth, lymph nodes, chest and lungs, breasts, heart and
blood vessels, peripheral vasculature, hematologic, GI, diet,
endocrine, GU, musculoskeletal, neurologic, psychiatric.
◉ concepts of developing a relationship with the patient.
Answer: A primary objective is to discover the details about a
patient's concern, explore expectations for the encounter and
display interest, curiosity and partnership. Identifying underlying
worries, believing them, and trying to deal with them optimizes your
ability to be of help
◉ effective communication strategies.
, Answer: Communication built on courtesy, comfort, connection, and
confirmation.
◉ patient-centered care.
Answer: respecting and responding to patients wants and needs so
they can make choices that best fit their circumstances
◉ potential barriers of patient and provider communication.
Answer: moments of tension this includes: patient curiosity about
you, anxiety, silence, depression, seduction, anger, crying, financial
issues, and avoidance.
◉ Chief Concern.
Answer: a brief statement about why the patient is seeking care.
Many interviewers include duration in the CC
◉ Females-.
Answer: start and character of meneses, LMP, last PAP smear,
pregnancies
◉ Males.
Answer: puberty onset, difficulty with erections, emissions,
testicular pain and libido.
