NR 509 midterm questions with complete solutions 2023

NR 509 midterm questions with complete solutions 2023 Active listening - CORRECT ANSWER -closely attending to what the patient is communicating -connecting to the patient's emotional state -verbal and nonverbal skills Empathic responses - CORRECT ANSWER capacity to identify with the patient and feel the patient's pain as your own, then respond in a supportive manner Guided questioning - CORRECT ANSWER Helps to continue the patients story -moving from open ended to focused questions -using questions that elicit a graded response -asking a series of questions, ONE at a time -clarifying what the patient means -encouraging with continuers -using echoing also known as adaptive questioning Reassurance - CORRECT ANSWER appropriate way to help the patient feel that problems have been fully understood and are being addressed Partnering - CORRECT ANSWER When building rapport with patients, express your commitment to an ongoing relationship Transitions - CORRECT ANSWER Inform your patient when you are changing directions during the interview. Empowering the patient - CORRECT ANSWER -to ask questions -express their concerns -probe your recommendations in order to encourage them to adopt your advice, make lifestyle changes, or take medications as prescribed. Comprehensive exam used for? Includes? Focused exam used for? - CORRECT ANSWER -new patients -health history -complete physical examination. -routine care, urgent care, specific problem Articular structures - CORRECT ANSWER articular cartilage intra-articular ligaments juxta-articular bone joint capsule synovium synovial fluid Articular disease signs and symptoms - CORRECT ANSWER crepitus deformity instability locking of the joints Limits active & passive ROM d/t stiffness/pain Swelling Tenderness of the joint Extra-articular structures - CORRECT ANSWER bursae bone fascia muscle nerve overlying skin periarticular ligaments tendons Extra-articular disease involves - CORRECT ANSWER point of focal tenderness in regions adjacent to articular structures -Limits active ROM RARELY causes swelling, instability, joint deformity Nonarticular conditions - CORRECT ANSWER trauma/fracture, fibromyalgia, polymyalgia rheumatica, bursitis, tendinitis