Nursing 611
Midterm exam
with verified
solutions 2024
COLDSPA - answer C-Character
O- Onset
L- Location
D-Duration
S- severity
P- Pattern (Precipitating or Relieving Factors)
A- Associated Symptoms
Chief Complaint (CC)/Reason for Visit - answer -Patient's
brief statement explaining why he/she sought medical
attention
-Usually quote in patient's own words (include time frame)
Source and Reliability for Examinations - answer -Usually
the patient
,-Reliability of the patient should be assessed (is the
patient competent to provide a history? Are they oriented
to self/place/time/event? Any cognitive dysfunction?)
History of Present Illness (HPI) - answer -Recent changes
in health that led patient to seek medical attention
-Describes info relevant to the chief complaint
-Should answer the what, when, how where, which, who
and why
Pain Scales - answer -Simple Descriptive Pain Intensity
Scale (no pain to worst possible pain)
-0 to 10 Numeric Pain Intensity Scale (0-10)
-Visual Analog Scale (white to red in pain scale)
-Face Scale (happy to sad on scale)
Past Medical History - answer 1) General State of Health
(with dates of last physical, dental, and eye exam)
2) Past illnesses (childhood and adult)
3) Prior injuries and accidents (date and type of injury)
4) Hospitalizations/Surgeries (date, diagnosis, LOS)
5) Allergies (meds, food, environment, latex, etc)
6) Immunizations (with dates)
7) Substance Use
8) Diet (24-hour recall of food)
9) Sleep patterns
10) Current medications
,11) Complementary and alternative therapies
12) Psychiatric History
13) Transfusion History
14) Daily activities (exercise?)
Biographic/Demographic Information - answer -Name
-Age
-DOB
-Address
-Sex
-Marital Status
-Race/Religion/Ethnicity
-Language Spoken
-Height/Weight
Health Maintenance - answer -Regularity of doctor's
appointment/dental exam/vision exam/GYN exam/etc
-Pap Smear, self-breast exam, or mammogram
-Self testicular exam
-Exercise
-Cessation of alcohol/tobacco/illicit drugs
-Safety (use of seatbelt/helmet)
Occupational and Environmental History - answer -Type of
work patient does
-Exposure to any hazardous materials
, -Use of PPE
-Description of home and location from needed facilities
(hospital, MD, stores, etc)
-Incidence of crime/traffic
-Pollution (noise, air, soil, water)
-Water and sanitation facilities
Family History - answer -Age and health of all immediate
family members
-Complete a genogram with at-least 3 generations with
ages and health status/cause of death
Psychosocial and Spiritual History - answer -Educational
level
_Religion/Spirituality
-Stressors and coping mechanisms
-Personal relationships
-Family member relationships and roles
-Employment/Income
-Insurance coverage
-Support system
-Hobbies or organizational involvement
Sexual, Reproductive, and Gynecologic History - answer -
Current Status (M, S, D)
-Sexual Preferences
-Sexual Activity
Midterm exam
with verified
solutions 2024
COLDSPA - answer C-Character
O- Onset
L- Location
D-Duration
S- severity
P- Pattern (Precipitating or Relieving Factors)
A- Associated Symptoms
Chief Complaint (CC)/Reason for Visit - answer -Patient's
brief statement explaining why he/she sought medical
attention
-Usually quote in patient's own words (include time frame)
Source and Reliability for Examinations - answer -Usually
the patient
,-Reliability of the patient should be assessed (is the
patient competent to provide a history? Are they oriented
to self/place/time/event? Any cognitive dysfunction?)
History of Present Illness (HPI) - answer -Recent changes
in health that led patient to seek medical attention
-Describes info relevant to the chief complaint
-Should answer the what, when, how where, which, who
and why
Pain Scales - answer -Simple Descriptive Pain Intensity
Scale (no pain to worst possible pain)
-0 to 10 Numeric Pain Intensity Scale (0-10)
-Visual Analog Scale (white to red in pain scale)
-Face Scale (happy to sad on scale)
Past Medical History - answer 1) General State of Health
(with dates of last physical, dental, and eye exam)
2) Past illnesses (childhood and adult)
3) Prior injuries and accidents (date and type of injury)
4) Hospitalizations/Surgeries (date, diagnosis, LOS)
5) Allergies (meds, food, environment, latex, etc)
6) Immunizations (with dates)
7) Substance Use
8) Diet (24-hour recall of food)
9) Sleep patterns
10) Current medications
,11) Complementary and alternative therapies
12) Psychiatric History
13) Transfusion History
14) Daily activities (exercise?)
Biographic/Demographic Information - answer -Name
-Age
-DOB
-Address
-Sex
-Marital Status
-Race/Religion/Ethnicity
-Language Spoken
-Height/Weight
Health Maintenance - answer -Regularity of doctor's
appointment/dental exam/vision exam/GYN exam/etc
-Pap Smear, self-breast exam, or mammogram
-Self testicular exam
-Exercise
-Cessation of alcohol/tobacco/illicit drugs
-Safety (use of seatbelt/helmet)
Occupational and Environmental History - answer -Type of
work patient does
-Exposure to any hazardous materials
, -Use of PPE
-Description of home and location from needed facilities
(hospital, MD, stores, etc)
-Incidence of crime/traffic
-Pollution (noise, air, soil, water)
-Water and sanitation facilities
Family History - answer -Age and health of all immediate
family members
-Complete a genogram with at-least 3 generations with
ages and health status/cause of death
Psychosocial and Spiritual History - answer -Educational
level
_Religion/Spirituality
-Stressors and coping mechanisms
-Personal relationships
-Family member relationships and roles
-Employment/Income
-Insurance coverage
-Support system
-Hobbies or organizational involvement
Sexual, Reproductive, and Gynecologic History - answer -
Current Status (M, S, D)
-Sexual Preferences
-Sexual Activity
