NUR-643E Midterm Exam Study Guide
Comprehensive Adult Assessment Sequence
*Chief Complaint
*Hx of present illness
*Past medical Hx
*Past surgical Hx
*Family Hx
*Social Hx
*Allergies
*Medications
*Review of Symptoms of System
*Physical Exam
*Assessment Steps
*Tx Plan
Objective Data
what the health professional observes by inspecting, palpating, percussing, and auscultating
during the physical examination
Subjective Data
what the person says about himself or herself during history taking
Normal Findings
findings that are within range
Abnormal Findings
findings that are outside of normal limits
Validity
The ability of a test to measure what it is intended to measure
Sensitivity
indicates how likely it is to detect a condition when it is actually present in a patient. A test with
low ____________ can be thought of as being too cautious in finding a positive result, meaning
it will err on the side of failing to identify a disease in a sick person.
, Specificity
the percentage of true negatives out of all subjects who do not have a disease or condition. In
other words, it is the ability of the test or instrument to obtain normal range or negative results
for a person who does not have a disease.
History Taking
A step within the patient assessment process that provides detail about the patient's chief
complaint and an account of the patient's signs and symptoms.
*Ask open-ended questions and listen carefully to the patient's story.
*Craft a thorough and systematic sequence to history taking and physical examination.
*Keep an open mind toward both the patient and the clinical data.
*Always include "the worst-case scenario" in your list of possible explanations of the patient's
problem, and make sure it can be safely eliminated.
*Analyze any mistakes in data collection or interpretation.
*Confer with colleagues and review the pertinent clinical literature to clarify uncertainties.
*Apply the principles of evaluating clinical evidence to patient information and testing.
Psychopathology
scientific study of psychological disorders
Pathophysiology
the study of how disease processes affect the function of the body
Interviewing - Sequencing
The key to a thorough and accurate physical examination is developing a systematic sequence
of examination.
Order of Cardinal Techniques of Examination
Inspection, palpation, percussion, and auscultation
Interviewing - Intimate Partner Violence and Domestic Violence
leading cause of serious injury and the second leading cause of death among U.S. women of
reproductive age.
Comprehensive Adult Assessment Sequence
*Chief Complaint
*Hx of present illness
*Past medical Hx
*Past surgical Hx
*Family Hx
*Social Hx
*Allergies
*Medications
*Review of Symptoms of System
*Physical Exam
*Assessment Steps
*Tx Plan
Objective Data
what the health professional observes by inspecting, palpating, percussing, and auscultating
during the physical examination
Subjective Data
what the person says about himself or herself during history taking
Normal Findings
findings that are within range
Abnormal Findings
findings that are outside of normal limits
Validity
The ability of a test to measure what it is intended to measure
Sensitivity
indicates how likely it is to detect a condition when it is actually present in a patient. A test with
low ____________ can be thought of as being too cautious in finding a positive result, meaning
it will err on the side of failing to identify a disease in a sick person.
, Specificity
the percentage of true negatives out of all subjects who do not have a disease or condition. In
other words, it is the ability of the test or instrument to obtain normal range or negative results
for a person who does not have a disease.
History Taking
A step within the patient assessment process that provides detail about the patient's chief
complaint and an account of the patient's signs and symptoms.
*Ask open-ended questions and listen carefully to the patient's story.
*Craft a thorough and systematic sequence to history taking and physical examination.
*Keep an open mind toward both the patient and the clinical data.
*Always include "the worst-case scenario" in your list of possible explanations of the patient's
problem, and make sure it can be safely eliminated.
*Analyze any mistakes in data collection or interpretation.
*Confer with colleagues and review the pertinent clinical literature to clarify uncertainties.
*Apply the principles of evaluating clinical evidence to patient information and testing.
Psychopathology
scientific study of psychological disorders
Pathophysiology
the study of how disease processes affect the function of the body
Interviewing - Sequencing
The key to a thorough and accurate physical examination is developing a systematic sequence
of examination.
Order of Cardinal Techniques of Examination
Inspection, palpation, percussion, and auscultation
Interviewing - Intimate Partner Violence and Domestic Violence
leading cause of serious injury and the second leading cause of death among U.S. women of
reproductive age.
