Advanced Health Assessment Quizzes 1-4 With Complete Verified Solutions Graded A

When writing a SOAP note, the nurse practitioner is aware that "A" represents - The diagnosis When reading a healthcare record you see the following notation: Patient states "I have had a runny nose and a cough for 1 week now" This is an example of: - Chief complaint Which of the following is an appropriate recording of the subjective information provided by a patient? - "grabbing" chest pain for 2 hours You receive results from the laboratory, a metabolic panel and a CBC. Where should that information appear in the SOAP note? - Objective The nurse asks "Mr. S. tell me what you do when your headaches occur," with this question you are seeking information about: - Aggravating and relieving factors What is the best terminology to describe significant symptoms associated with each area of the patient's body? - Review of systems Mrs. Ellis is being seen for a routine physical examination. She is a college graduate and president of a research firm. She attends the local Methodist church weekly. She has adequate health insurance. Most of this information belongs in her: - Personal and social history Mr. S complains of a headache. During the history, he mentions his use of alcohol and street drugs. Where is the most appropriate place for this information? - Social history You are a nurse practitioner in a busy primary care practice, when should you ask your patient about substance use? A) when prescribing medication B) At an episodic visit C) At the patient's annual health assessment D) All of the above - All of the above It is important to ask your patient about their sexual history. Why? Select all that apply. - 1. To assess their risk for potential pregnancy in females of childbearing age 2. It is important to know their sexual preferences 3. So that you can provide patient centered sex education 4. To learn their potential risk for sexually transmitted infection Documentation of the general survey includes - Posture, gait, motor activity and personal hygiene The normal appearance of the tympanic membrane is - Pearly grey with a visible cone of light shining downward & forward from center While undergoing the Rinne test for air conduction (AC) and bone conduction (BC), normal findings would reveal that - AC is greater than BC Which of the following describes a normal thyroid examination finding? Select all that apply. - 1. nonpalpable 2. Slightly palpable, smooth, symmetrical Macule - Flat, non-palpable <1cm lesion Common mole (nevi) - Hyperpigmented papule 0.75 cm Patch - flat >1cm lesion Bullae - fluid-filled, well circumscribed lesion >1com Fissure - narrow linear crack into epidermis, exposing dermis Vesicle - fluid-filled, well circumscribed lesion <5mm The most lethal skin cancer is - melanoma A 4 by 3 cm, well circumscribed, rough, elevated area of skin is an example of a - plaque The mental status exam consists of assessment of a patient's appearance and behavior, speech and language, mood, thoughts and perceptions and cognitive function. By questioning orientation to time, person, and place, recent and remote memory, you are assessing - Cognitive function You are seeing a 37 year old female that you suspect is suffering from depression and you are concerned about her risk of suicide. Which of the following findings is of greatest concern that would cause you to recommend immediate hospitalization or referral to the emergency room or crisis for further evaluation - History of previous suicide attempt with current intent and means What is responsible for the inspiratory splitting of S2 - Closure of the aortic, then pulmonic valves