CNUR 203 questions and answers
already passed
General Survey includes:
physical appearance, body structure, mobility, behavior
Physical Appearance
Age, Sex, LOC, Skin Color, Facial Features
Body Structure
stature, nutrition, symmetry, posture, position, body build, contour
Mobility
gait, range of motion
Behavior
facial expression, mood and affect, speech, dress, personal hygiene
Subjective Data
what the patient 'says to you', health history
Objective data
What the health professional observes
Physical systems assessment
Lab values
Imaging reports
Collecting Subjective Data includes:
Biographical Data
Reason for seeking care
Present health or history of present illness
Past health History
Family health history
Review of systems
Functional Assessment (ADL)
, What is Biographical Data?
Name, address, phone number, age, birthdate, and birthplace, gender and martial status,
ethnocultural background, preferred language, occupation
Reason for seeking care
in their own words
Present Health or History of Present Illness
* well person- briefly note the general state of health
* sick person- chronologically record the reason for seeking care
PQRSTU
PQRSTU - P
Proactive-Palliative
What brings it on?
What makes it worse? What makes it better? What were you doing when you first noticed the
symptom?
PQRSTU - Q
Quality-Quantity
How does it look, feel, sound?
How intense/severe is it?
PQRSTU - R
Region-Radiation, Where is it?, Does it spread?
PQRSTU - S
Severity Scale, rate from 1-10, how bad is it? is it getting worse? better? or staying the same?
PQRSTU - T
Timing, onset when did it first occur? duration how long did it last? frequency how often does it
occur?
PQRSTU - U
Understanding PT's perception, what do you think it means?
What are the 10 attributes of a sign or symptom?
already passed
General Survey includes:
physical appearance, body structure, mobility, behavior
Physical Appearance
Age, Sex, LOC, Skin Color, Facial Features
Body Structure
stature, nutrition, symmetry, posture, position, body build, contour
Mobility
gait, range of motion
Behavior
facial expression, mood and affect, speech, dress, personal hygiene
Subjective Data
what the patient 'says to you', health history
Objective data
What the health professional observes
Physical systems assessment
Lab values
Imaging reports
Collecting Subjective Data includes:
Biographical Data
Reason for seeking care
Present health or history of present illness
Past health History
Family health history
Review of systems
Functional Assessment (ADL)
, What is Biographical Data?
Name, address, phone number, age, birthdate, and birthplace, gender and martial status,
ethnocultural background, preferred language, occupation
Reason for seeking care
in their own words
Present Health or History of Present Illness
* well person- briefly note the general state of health
* sick person- chronologically record the reason for seeking care
PQRSTU
PQRSTU - P
Proactive-Palliative
What brings it on?
What makes it worse? What makes it better? What were you doing when you first noticed the
symptom?
PQRSTU - Q
Quality-Quantity
How does it look, feel, sound?
How intense/severe is it?
PQRSTU - R
Region-Radiation, Where is it?, Does it spread?
PQRSTU - S
Severity Scale, rate from 1-10, how bad is it? is it getting worse? better? or staying the same?
PQRSTU - T
Timing, onset when did it first occur? duration how long did it last? frequency how often does it
occur?
PQRSTU - U
Understanding PT's perception, what do you think it means?
What are the 10 attributes of a sign or symptom?
