Midterm Exam: NR 569 / NR569 (Latest 2026 / 2027 Update) Differential Diagnosis in Acute Care Practicum | Questions with Verified Answers | 100% Correct | Grade A – Chamberlain.

Midterm Exam: NR 569 / NR569 (Latest
Update) Differential Diagnosis in Acute Care
Practicum | Questions with Verified Answers | 100%
Correct | Grade A – Chamberlain.


Question:

Components of Comprehensive Adult Health History?
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Answer:

- Initial information (Identifying patient information/source/reliability)
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- Chief Complaint(s)
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- History of Present Illness
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- Past Medical History
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- Family History
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- Personal/Social History
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- Review of Systems (ROS)
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Question:

SNAPPS method? i,-




Answer:

- Summarize the history and findings.
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- Narrow the differential diagnosis to two to three possibilities.
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,- Analyze the differential by comparing and contrasting the possibilities.
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- Probe the preceptor by asking questions about alternative approaches
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or uncertainties.
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- Plan the management of the patient's health issues.
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- Select an issue from the case for self-directed learning.
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Question:

Creating a Differential Diagnosis i,- i,- i,-




*Hoofbeats = Horses NOT Zebras*? i,- i,- i,- i,-




Answer:

- The differential diagnosis process involves using clinical reasoning to
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distinguish between two or more conditions that share similar signs and
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symptoms. Based on the CC the NP gathers information through PMH
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(subjective data) and physical examination (objective data) to establish a
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broad list of common & uncommon diagnosis. As the provider collects
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more data, competing hypotheses are either confirmed, disproved, or
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their priority changes.
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Question:

Steps for Creating a Differential Diagnosis?
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Answer:

1. Initially start with a broad list of diagnoses until further information or
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data is obtained.
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,2. List your top diagnosis FIRST followed by other potential diagnoses for
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a specific problem *but keep it problem oriented until you have an actual
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diagnosis.*



3. Aggressively prioritize work up of the most likely and most harmful (ie,
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life threatening) diagnoses under consideration.
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4. Prioritize the work up of ACUTE and REVERSIBLE diseases followed by
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CHRONIC and IRREVERSIBLE (eg, delirium r/t a medical cause vs. chronic,
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progressive dementia). i,- i,-




5. As information or data that effectively rules out a particular diagnosis
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for a chief complaint becomes available, remove that diagnosis from your
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list & focus your attention on remaining possibilities.
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6. Once a diagnosis has been confirmed, the problem list should be
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diagnosis-oriented rather than problem-oriented. i,- i,- i,-




Question:

Comprehensive Patient Assessment? i,- i,-




Answer:

- Appropriate for new patients in the office or hospital.
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- Provides fundamental and personalized knowledge about patient.
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- Strengthens the clinician-patient relationship.
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, - Helps identify or rule out physical causes related to patient concerns.
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- Provides a baseline for future assessments.
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- Creates a platform for health promotion through education and
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counseling.

- Develops proficiency in the skills of physical assessment.
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Question:

Focused Patient Assessment?
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Answer:

- Appropriate for established patients, especially during routine or urgent
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care visits.
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- Addresses focused concerns or symptoms.
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- Assesses symptoms restricted to a specific body system.
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- Applies examination methods relevant to assessing the concern or
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problem as thoroughly and carefully as possible.
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Question:

Subjective Information? i,-




Answer:

- The clinical record from the Chief Complaint (CC) through the Review of
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Systems (ROS) is considered SUBJECTIVE information.
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