NR509 Advanced
Physical Assessment
Midterm Questions
And Answers.
active listening - solutions:Involves closely attending to what the client is
communicating, connecting to the client's emotional state, and using verbal
and nonverbal skills to encourage the client to expand on their feelings and
concerns.
Empathy - solutions:Encompasses identifying with the client and feeling their
pain as one's own, then responding to them in a supportive manner.
Guided Questioning - solutions:Show your sustained interest in the patient's
feelings and deepest disclosures and allows the interviewer to facilitate full
communication, in the patient's own words, without interruption.
Nonverbal communication - solutions:Includes eye contact, facial expression,
posture, head position and movement such as shaking or nodding,
interpersonal distance, and placement of the arms or legs--crossed, neutral,
or open.
Validation - solutions:Helps to affirm the legitimacy of the patient's emotional
experiences.
Reassurance - solutions:An appropriate way to help the patient feel that
problems have been fully understood and are being addressed.
Partnering - solutions:When building rapport with patients, express your
commitment to an ongoing relationship
,Summarization - solutions:Giving a capsule summary of the patient's story
during the course of the interview to communicate that you have been
listening carefully.
Transitions - solutions:Inform your patient when you are changing directions
during the interview
Empowering the patient - solutions:Empower patients to ask questions,
express their concerns, and probe your recommendations in order to
encourage them to adopt your advice, make lifestyle changes, or take
medications as prescribed.
Comprehensive - solutions:Used for patients you are seeing for the first time
in the office or hospital. Includes all the elements of the health history and
complete physical examination.
Focused - solutions:For patients, you know well returning for routine care, or
those with specific "urgent care" concerns like sore throat or knee pain. You
will adjust the scope of your history and physical examination to the situation
at hand, keeping several factors in mind: the magnitude and severity of the
patient's problems; the need for thoroughness; the clinical setting--inpatient
or outpatient, primary or subspecialty care; and the time available.
Disease - solutions:Clinical explanation for symptoms
Illness - solutions:Patient experience of symptoms
FIFE model - solutions:Gathering information in a patient centered approach.
F-Feelings
I-Ideas
,F-Functional Effect
E-Expectations
The seven attributes of a patient's principal symptoms - solutions:Location
Quality
Quantity or severity
Timing (Onset, duration, frequency, setting, modifying factors, associated
manifestations
Objective data - solutions:what the health professional observes by
inspecting, palpating, percussing, and auscultating during the physical
examination
Subjective data - solutions:things a person tells you about that you cannot
observe through your senses; symptoms
comprehensive - solutions:Head to toe exam; done on first encounter
Focused - solutions:Exam based on patient symptoms
Techniques of examination - solutions:Inspection
Palpation
Percussion
Auscultation
Inspection - solutions:Examining the patient's appearance, behavior, and
movement
, Palpation - solutions:Using tactile pressure to assess.
Percussion - solutions:Striking finger with another finger on the chest or
abdomen to elicit a sound of resonance or dullness.
Auscultation - solutions:Listening with a stethoscope
General survey - solutions:Close observation from first meeting the patient to
their leaving.
Vital signs - solutions:BP, HR, RR, Temp
Skin assessment - solutions:color, moisture, temperature, texture, turgor,
vascularity, edema, lesions
HEENT assessment - solutions:head, ears, eyes, nose, throat
Head examination - solutions:Examine hair, scalp, skull, and face
Eye examination - solutions:Visual acuity, visual fields. Position and
alignment. Check eyelids, sclera, and conjunctiva. Cornea, iris, and lens.
Compare pupils and PERRLA.
Ear assessment - solutions:Inspect auricles, canals, and drums. Check
lateralization (Weber test) and compare air/bone conduction (Rinne test).
Neck Assessment - solutions:Cervical lymph nodes. Any deviation in the
trachea. Sound and effort of pt breathing, inspect and palpate thyroid. Move
behind the patient to examine the thyroid.
Physical Assessment
Midterm Questions
And Answers.
active listening - solutions:Involves closely attending to what the client is
communicating, connecting to the client's emotional state, and using verbal
and nonverbal skills to encourage the client to expand on their feelings and
concerns.
Empathy - solutions:Encompasses identifying with the client and feeling their
pain as one's own, then responding to them in a supportive manner.
Guided Questioning - solutions:Show your sustained interest in the patient's
feelings and deepest disclosures and allows the interviewer to facilitate full
communication, in the patient's own words, without interruption.
Nonverbal communication - solutions:Includes eye contact, facial expression,
posture, head position and movement such as shaking or nodding,
interpersonal distance, and placement of the arms or legs--crossed, neutral,
or open.
Validation - solutions:Helps to affirm the legitimacy of the patient's emotional
experiences.
Reassurance - solutions:An appropriate way to help the patient feel that
problems have been fully understood and are being addressed.
Partnering - solutions:When building rapport with patients, express your
commitment to an ongoing relationship
,Summarization - solutions:Giving a capsule summary of the patient's story
during the course of the interview to communicate that you have been
listening carefully.
Transitions - solutions:Inform your patient when you are changing directions
during the interview
Empowering the patient - solutions:Empower patients to ask questions,
express their concerns, and probe your recommendations in order to
encourage them to adopt your advice, make lifestyle changes, or take
medications as prescribed.
Comprehensive - solutions:Used for patients you are seeing for the first time
in the office or hospital. Includes all the elements of the health history and
complete physical examination.
Focused - solutions:For patients, you know well returning for routine care, or
those with specific "urgent care" concerns like sore throat or knee pain. You
will adjust the scope of your history and physical examination to the situation
at hand, keeping several factors in mind: the magnitude and severity of the
patient's problems; the need for thoroughness; the clinical setting--inpatient
or outpatient, primary or subspecialty care; and the time available.
Disease - solutions:Clinical explanation for symptoms
Illness - solutions:Patient experience of symptoms
FIFE model - solutions:Gathering information in a patient centered approach.
F-Feelings
I-Ideas
,F-Functional Effect
E-Expectations
The seven attributes of a patient's principal symptoms - solutions:Location
Quality
Quantity or severity
Timing (Onset, duration, frequency, setting, modifying factors, associated
manifestations
Objective data - solutions:what the health professional observes by
inspecting, palpating, percussing, and auscultating during the physical
examination
Subjective data - solutions:things a person tells you about that you cannot
observe through your senses; symptoms
comprehensive - solutions:Head to toe exam; done on first encounter
Focused - solutions:Exam based on patient symptoms
Techniques of examination - solutions:Inspection
Palpation
Percussion
Auscultation
Inspection - solutions:Examining the patient's appearance, behavior, and
movement
, Palpation - solutions:Using tactile pressure to assess.
Percussion - solutions:Striking finger with another finger on the chest or
abdomen to elicit a sound of resonance or dullness.
Auscultation - solutions:Listening with a stethoscope
General survey - solutions:Close observation from first meeting the patient to
their leaving.
Vital signs - solutions:BP, HR, RR, Temp
Skin assessment - solutions:color, moisture, temperature, texture, turgor,
vascularity, edema, lesions
HEENT assessment - solutions:head, ears, eyes, nose, throat
Head examination - solutions:Examine hair, scalp, skull, and face
Eye examination - solutions:Visual acuity, visual fields. Position and
alignment. Check eyelids, sclera, and conjunctiva. Cornea, iris, and lens.
Compare pupils and PERRLA.
Ear assessment - solutions:Inspect auricles, canals, and drums. Check
lateralization (Weber test) and compare air/bone conduction (Rinne test).
Neck Assessment - solutions:Cervical lymph nodes. Any deviation in the
trachea. Sound and effort of pt breathing, inspect and palpate thyroid. Move
behind the patient to examine the thyroid.
