NR509 ADVANCED PHYSICAL ASSESSMENT MIDTERM WEEK 1-4 QUESTIONS AND ANSWERS

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NR509 ADVANCED PHYSICAL
ASSESSMENT MIDTERM WEEK 1-4
QUESTIONS AND ANSWERS
Thecxinterviewcxprocesscx-cxanswer--Initiatingcxthecxsession
Gatheringcxinformation
Physicalcxexamination
Explanationcxandcxplanning
Closingcxthecxsession
Thesecxstepscxarecxprovingcxstructurecxandcxbuildingcxthecxrelationship

interviewingcxtechniquescx-cxanswer--Nonverbalcxcommunicationcx
Empathy
Activecxlistening
Validationcx
reassurancecx
cxpartneringcx

cxsummarizecx

Guidedcxquestioning
Empowerment

Settingcxthecxstagecxforcxexaminationcx-cxanswer--
Explainingcxpointcxforcxpointcxwhatcxthecxexaminationcxwillcxentail,cxpreparing,cxprivacy,cxawar
enesscxofcxthecxsettingcxincxwhichcxthecxexamcxiscxtakingcxplace,cxdocxnotcxassumecxitcxiscxokcxtoc
xhavecxotherscxincxthecxroom,cxbeingcxawarecxofcxdisabilities.



EstablishingcxRapportcx-cxanswer--
Earningcxtrust,cxfollowingcxthrough,cxshowingcxempathycxandcxcompassion,cxbeingcxknowled
geablecxofcxthecxinformationcxprovided

GendercxPronounscx-cxanswer--
Howcxacxpersoncxwouldcxlikecxtocxbecxreferredcxto.cxEx:cx"She/Her"cx"He/Him"cx"They/
Them"cxetc.
Howcxwouldcxyoucxdescribecxyourcxsexualcxidentitycx
Howcxwouldcxyoucxdescribecxyourcxgendercxidentitycx
Whatcxiscxthecxsexcxoncxyourcxoriginalcxbirthcxcertificate

FIFEcxmodelcx-cxanswer--Feelings
Ideas
Functioning
Expectations
Helpscxexplorecxthecxpatient'scxperspectivecxaboutcxtheircxhealthcxandcxillness

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Patient-centeredcxmedicalcxcarecx-cxanswer--
Involvingcxthecxpatientcxincxtheircxcarecxandcxcomingcxupcxwithcxacxplancxwithcxthecxprovider.cxPr
ovidercxmustcxacknowledgecxtheircxowncxpersonalcxbiasescxwhilecxbeingcxawarecxofcxwhatcxiscx
thecxsafestcxSam'scxmostcxeffectivecxplancxforcxthecxpatient

Fundamentalscxofcxskilledcxinterviewingcx-cxanswer--
Activecxlistening,cxempatheticcxresponses,cxguidedcxquestioning,cxnonverbalcxcommunicatio
n,cxvalidation,cxreassurance,cxpartnering,cxsummarization,cxtransitions,cxempoweringcxthecxp
atient

verbalcxcommunicationcx-cxanswer--expressingcxideascxtocxotherscxbycxusingcxspokencxwords

nonverbalcxcommunicationcx-cxanswer--
communicationcxusingcxbodycxmovements,cxgestures,cxandcxfacialcxexpressionscxrathercxtha
ncxspeech

ChallengingcxPatientcxSituationscxandcxbehaviorscx-cxanswer--Silent
Talkative
Withcxconfusingcxnarrative
Withcxalteredcxstatecxorcxcognition
Withcxemotionalcxlability
Angrycxorcxaggressive
Flirtatious
Discriminatory
Withcxhearingcxloss
Withcxlowcxorcximpairedcxvision
Withcxlimitedcxintelligence
Burdenedcxbycxpersonalcxproblems
Nonadherent
Withcxlowcxliteracy
Withcxlowcxhealthcxliteracy
Withcxlimitedcxlanguagecxproficiency
Withcxterminalcxillnesscxorcxdying

5cxR'scxoffcxculturalcxhumilitycx-cxanswer--Reflection—cxwhatcxdidcxIcxlearn?
Respect—didcxIcxtreatcxeveryonecxinvolvedcxwcxrespect?
Regard—didcxunconsciouscxbiascxdrivecxthiscxencounter?
Relevance—howcxwascxculturalcxhumilitycxrelevant?
Resiliency—howcxdidcxmycxpersonalcxresiliencecxaffectcxthiscxinteraction?

CorecxValuescxofcxMedicalcxEthicscx-cxanswer--nonmaleficence,cx
beneficence,cx
respectcxforcxautonomy,cx
decisionalcxcapacity,cx
confidentiality,cx
informedcxconsent,cx
truthcxtelling,cx
justice
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FocusedcxHealthcxHistorycx-cxanswer--
ALLcxcomponentscxofcxthecxCompletecxHealthcxHistorycxwithcxthecxfocuscxoncxthecxspecificcxre
asoncxthecxclientcxiscxseekingcxcare.

ComprehensivecxHealthcxHistorycx-cxanswer--
includescxbiographiccxdata,cxreasoncxforcxseekingcxcare,cxpresentcxhealthcxstatus,cxpastcxmedi
calcxhistory,cxfamilycxhistory,cxpersonalcxandcxpsychosocialcxhistory,cxandcxacxreviewcxofcxallcxb
odycxsystems
Psych
Obstetrics
Surgerycxc-sectioncxgoescxherecx
Hospitalcxstays

ComponentscxofcxHealthcxHistorycx-cxanswer--1)cxDemographiccxinformation
2)cxSourcecxofcxhistory
3)cxChiefcxconcern
4)cxHistorycxofcxpresentcxillness
——OLDCARTS
5)cxPastcxhealthcxhistorycxandcxcurrentcxhealthcxstatus
6)cxFamilycxhistory
7)cxSocialcxhistory
8)cxHealthcxpromotioncxbehaviors
9)cxROS
——allcxsubjective

DeterminingcxthecxScopecxofcxpatientcxassessmentcx-cxanswer--
Thecxpatient'scxsymptoms,cxage,cxandcxhealthcxhistorycxhelpcxdeterminecxthecxscopecxofcxthecxf
ocusedcxexamination,cxascxdoescxyourcxknowledgecxofcxdiseasecxpatterns.

sevencxattributescxofcxacxsymptomcx-cxanswer--1.cxLocation
2.cxQuality
3.cxQuantitycxorcxseverity
4.cxTimingcx(includingcxonset,cxduration,cxandcxfrequency)
5.cxThecxsettingcxincxwhichcxitcxoccurs
6.cxfactorscxthatcxhavecxaggravatedcxorcxrelievedcxthecxsymptom
7.cxassociatedcxmanifestations

subjectivecxdatacx-cxanswer--
whatcxthecxpersoncxsayscxaboutcxhimselfcxorcxherselfcxduringcxhistorycxtaking

objectivecxdatacx-cxanswer--
informationcxthatcxiscxseen,cxheard,cxfelt,cxorcxsmelledcxbycxancxobserver;cxsigns

Modifyingcxofcxthecxclinicalcxinterviewcxforcxvariouscxsettingscx-cxanswer--
Interviewscxmaycxvarycxbasedcxoncxwherecxthecxinterviewcxiscxtakingcxplace.cxIdealcxsituationsc
xarecxacxquiet,cxuninterruptedcxenvironmentcxhowevercxthecxERcxsetting,cxhomecxsetting,cxurg

entcxcare,cxnursingcxhome,cxandcxinpatientcxsettingcxwillcxdiffercxgreatlycxfromcxinformationcxobt
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