Page 1 of 59
Physical Assessment Notes - NR509 / NR 509 (Latest
2025) : Advanced Physical Assessment - Chamberlain
The nurse practitioner (NP) is completing a comprehensive
assessment of Anita, a new client in a primary care facility.
Which assessment finding(s) reported by Anita are related to
social determinants of health? Select all that apply.
.....ANSWER.....occasionally running out of food, being
discriminated against in the workplace, has a great amount of
smog in their community, having difficulty making the rent
payment
Focused assessment: .....ANSWER.....- addresses focused concerns
or symptoms
-used for established clients during routine or urgent care visits
- health history and physical exams are focused on the problem
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-Includes: brief history of present illness, only the system related
to the problem in the ROS
comprehensive assessment: .....ANSWER.....- used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
-provides a baseline for future assessments
-provides an opportunity for health promotion education and
counseling
includes: extended history of the present illness, at least two area
of PMhx, family hx, social hx, at least 10 ROS
subjective data .....ANSWER.....Subjective data includes symptoms
that the client describes such as a sore throat, headache, or pain.
It also includes the client's feelings, perceptions, and concerns
objective data .....ANSWER.....Objective data includes the
physical examination findings or signs observed. Information
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obtained from the client during any part of the health history is
considered subjective data. All physical examinations, laboratory
information, and test data are considered objective data
initial encounter .....ANSWER.....-review the clinical record
-ensure the client is comfortable
-clarify the goals/agenda for the encounter
-establish rapport
-identify client's preferred title, name, and gender pronouns
-use "people first" language (i.e. hearing loss, wheelchair)
-identify the c/o
-open-ended approach for client's story
-gather information about the client's perspective of the illness
using the FIFE (feelings, ideas, function, expectations)
-conduct health history interview
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-gather information about PMHx, meds, allergies, family,
personal and social, ROS
"How would you describe your sexual identity?"
"How would you describe your gender identity?"
"What is the sex on your original birth certificate?"
.....ANSWER.....
Basic Interviewing Skills .....ANSWER.....-active listening-closely
attending to what the pt is communicating, connect to pt's
emotional state, use verbal and nonverbal skills
-empathy- the capacity to identify with the pt and feel the pt's
pain as your own
-guided questioning- allows for interviewer to facilitate full
communications
-validating- affirm legitimacy of pt's emotional experience
-empowerment; encourage pt to ask questions
Physical Assessment Notes - NR509 / NR 509 (Latest
2025) : Advanced Physical Assessment - Chamberlain
The nurse practitioner (NP) is completing a comprehensive
assessment of Anita, a new client in a primary care facility.
Which assessment finding(s) reported by Anita are related to
social determinants of health? Select all that apply.
.....ANSWER.....occasionally running out of food, being
discriminated against in the workplace, has a great amount of
smog in their community, having difficulty making the rent
payment
Focused assessment: .....ANSWER.....- addresses focused concerns
or symptoms
-used for established clients during routine or urgent care visits
- health history and physical exams are focused on the problem
,Page 2 of 59
-Includes: brief history of present illness, only the system related
to the problem in the ROS
comprehensive assessment: .....ANSWER.....- used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
-provides a baseline for future assessments
-provides an opportunity for health promotion education and
counseling
includes: extended history of the present illness, at least two area
of PMhx, family hx, social hx, at least 10 ROS
subjective data .....ANSWER.....Subjective data includes symptoms
that the client describes such as a sore throat, headache, or pain.
It also includes the client's feelings, perceptions, and concerns
objective data .....ANSWER.....Objective data includes the
physical examination findings or signs observed. Information
,Page 3 of 59
obtained from the client during any part of the health history is
considered subjective data. All physical examinations, laboratory
information, and test data are considered objective data
initial encounter .....ANSWER.....-review the clinical record
-ensure the client is comfortable
-clarify the goals/agenda for the encounter
-establish rapport
-identify client's preferred title, name, and gender pronouns
-use "people first" language (i.e. hearing loss, wheelchair)
-identify the c/o
-open-ended approach for client's story
-gather information about the client's perspective of the illness
using the FIFE (feelings, ideas, function, expectations)
-conduct health history interview
, Page 4 of 59
-gather information about PMHx, meds, allergies, family,
personal and social, ROS
"How would you describe your sexual identity?"
"How would you describe your gender identity?"
"What is the sex on your original birth certificate?"
.....ANSWER.....
Basic Interviewing Skills .....ANSWER.....-active listening-closely
attending to what the pt is communicating, connect to pt's
emotional state, use verbal and nonverbal skills
-empathy- the capacity to identify with the pt and feel the pt's
pain as your own
-guided questioning- allows for interviewer to facilitate full
communications
-validating- affirm legitimacy of pt's emotional experience
-empowerment; encourage pt to ask questions
