NR 509 MIDTERM EXAM
Active listening - ANSWER- -closely attending to what the patient is communicating
-connecting to the patient's emotional state
-verbal and nonverbal skills
Empathic responses - ANSWER- capacity to identify with the patient and feel the patient's pain as your
own, then respond in a supportive manner
Guided questioning - 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 - ANSWER- appropriate way to help the patient feel that problems have been fully
understood and are being addressed
Partnering - ANSWER- When building rapport with patients, express your commitment to an ongoing
relationship
Transitions - ANSWER- Inform your patient when you are changing directions during the interview.
Empowering the patient - 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? - ANSWER- -new patients
-health history
-complete physical examination.
-routine care, urgent care, specific problem
Articular structures - ANSWER- articular cartilage
intra-articular ligaments
juxta-articular bone
joint capsule
synovium
synovial fluid
Articular disease signs and symptoms - ANSWER- crepitus
deformity
instability locking of the joints
Limits active & passive ROM d/t stiffness/pain
, Swelling
Tenderness of the joint
Extra-articular structures - ANSWER- bursae
bone
fascia
muscle
nerve
overlying skin
periarticular ligaments
tendons
Extra-articular disease involves - ANSWER- point of focal tenderness in regions adjacent to articular
structures
-Limits active ROM
RARELY causes swelling, instability, joint deformity
Nonarticular conditions - ANSWER- trauma/fracture, fibromyalgia, polymyalgia rheumatica, bursitis,
tendinitis
Intra-articular (acute, < 6 weeks): acute arthritis - ANSWER- gout
infectious arthritis
pseudogout
Reiter syndrome
Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with 1-3 joints involved - ANSWER-
Indolent infection
Active listening - ANSWER- -closely attending to what the patient is communicating
-connecting to the patient's emotional state
-verbal and nonverbal skills
Empathic responses - ANSWER- capacity to identify with the patient and feel the patient's pain as your
own, then respond in a supportive manner
Guided questioning - 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 - ANSWER- appropriate way to help the patient feel that problems have been fully
understood and are being addressed
Partnering - ANSWER- When building rapport with patients, express your commitment to an ongoing
relationship
Transitions - ANSWER- Inform your patient when you are changing directions during the interview.
Empowering the patient - 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? - ANSWER- -new patients
-health history
-complete physical examination.
-routine care, urgent care, specific problem
Articular structures - ANSWER- articular cartilage
intra-articular ligaments
juxta-articular bone
joint capsule
synovium
synovial fluid
Articular disease signs and symptoms - ANSWER- crepitus
deformity
instability locking of the joints
Limits active & passive ROM d/t stiffness/pain
, Swelling
Tenderness of the joint
Extra-articular structures - ANSWER- bursae
bone
fascia
muscle
nerve
overlying skin
periarticular ligaments
tendons
Extra-articular disease involves - ANSWER- point of focal tenderness in regions adjacent to articular
structures
-Limits active ROM
RARELY causes swelling, instability, joint deformity
Nonarticular conditions - ANSWER- trauma/fracture, fibromyalgia, polymyalgia rheumatica, bursitis,
tendinitis
Intra-articular (acute, < 6 weeks): acute arthritis - ANSWER- gout
infectious arthritis
pseudogout
Reiter syndrome
Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with 1-3 joints involved - ANSWER-
Indolent infection
