Midterm Exam v1: NR569 / NR 569 (Latest Update
) Differential Diagnosis in Acute Care
Practicum | Review Questions and Answers |
Grade A | 100% Correct – Chamberlain
Comprehensive Patient Assessment
- Appropriate for new patients in the office or hospital.
- Provides fundamental and personalized knowledge about patient.
- Strengthens the clinician-patient relationship.
- Helps identify or rule out physical causes related to patient concerns.
- Provides a baseline for future assessments.
- Creates a platform for health promotion through education and counseling.
- Develops proficiency in the skills of physical assessment.
Focused Patient Assessment
- Appropriate for established patients, especially during routine or urgent care visits.
- Addresses focused concerns or symptoms.
- Assesses symptoms restricted to a specific body system.
- Applies examination methods relevant to assessing the concern or problem as thoroughly and
carefully as possible.
Subjective Information
- The clinical record from the Chief Complaint (CC) through the Review of Systems (ROS) is
considered SUBJECTIVE information.
,Midterm Exam v1: NR569 / NR 569 (Latest Update
) Differential Diagnosis in Acute Care
Practicum | Review Questions and Answers |
Grade A | 100% Correct – Chamberlain
- Includes symptoms which are health concerns the patient tells the provider.
- Includes feelings, perceptions, and concerns obtained from the clinical interview.
- Examples: complaints of sore throat, headache, or pain.
Objective Information
- All physical examination, laboratory information and test data are objective data.
Components of Comprehensive Adult Health History
- Initial information (Identifying patient information/source/reliability)
- Chief Complaint(s)
- History of Present Illness
- Past Medical History
- Family History
- Personal/Social History
- Review of Systems (ROS)
, Midterm Exam v1: NR569 / NR 569 (Latest Update
) Differential Diagnosis in Acute Care
Practicum | Review Questions and Answers |
Grade A | 100% Correct – Chamberlain
SNAPPS method
- Summarize the history and findings.
- Narrow the differential diagnosis to two to three possibilities.
- Analyze the differential by comparing and contrasting the possibilities.
- Probe the preceptor by asking questions about alternative approaches or uncertainties.
- Plan the management of the patient's health issues.
- Select an issue from the case for self-directed learning.
Creating a Differential Diagnosis
Hoofbeats = Horses NOT Zebras
- The differential diagnosis process involves using clinical reasoning to distinguish between two
or more conditions that share similar signs and symptoms. Based on the CC the NP gathers
information through PMH (subjective data) and physical examination (objective data) to
establish a broad list of common & uncommon diagnosis. As the provider collects more data,
competing hypotheses are either confirmed, disproved, or their priority changes.
) Differential Diagnosis in Acute Care
Practicum | Review Questions and Answers |
Grade A | 100% Correct – Chamberlain
Comprehensive Patient Assessment
- Appropriate for new patients in the office or hospital.
- Provides fundamental and personalized knowledge about patient.
- Strengthens the clinician-patient relationship.
- Helps identify or rule out physical causes related to patient concerns.
- Provides a baseline for future assessments.
- Creates a platform for health promotion through education and counseling.
- Develops proficiency in the skills of physical assessment.
Focused Patient Assessment
- Appropriate for established patients, especially during routine or urgent care visits.
- Addresses focused concerns or symptoms.
- Assesses symptoms restricted to a specific body system.
- Applies examination methods relevant to assessing the concern or problem as thoroughly and
carefully as possible.
Subjective Information
- The clinical record from the Chief Complaint (CC) through the Review of Systems (ROS) is
considered SUBJECTIVE information.
,Midterm Exam v1: NR569 / NR 569 (Latest Update
) Differential Diagnosis in Acute Care
Practicum | Review Questions and Answers |
Grade A | 100% Correct – Chamberlain
- Includes symptoms which are health concerns the patient tells the provider.
- Includes feelings, perceptions, and concerns obtained from the clinical interview.
- Examples: complaints of sore throat, headache, or pain.
Objective Information
- All physical examination, laboratory information and test data are objective data.
Components of Comprehensive Adult Health History
- Initial information (Identifying patient information/source/reliability)
- Chief Complaint(s)
- History of Present Illness
- Past Medical History
- Family History
- Personal/Social History
- Review of Systems (ROS)
, Midterm Exam v1: NR569 / NR 569 (Latest Update
) Differential Diagnosis in Acute Care
Practicum | Review Questions and Answers |
Grade A | 100% Correct – Chamberlain
SNAPPS method
- Summarize the history and findings.
- Narrow the differential diagnosis to two to three possibilities.
- Analyze the differential by comparing and contrasting the possibilities.
- Probe the preceptor by asking questions about alternative approaches or uncertainties.
- Plan the management of the patient's health issues.
- Select an issue from the case for self-directed learning.
Creating a Differential Diagnosis
Hoofbeats = Horses NOT Zebras
- The differential diagnosis process involves using clinical reasoning to distinguish between two
or more conditions that share similar signs and symptoms. Based on the CC the NP gathers
information through PMH (subjective data) and physical examination (objective data) to
establish a broad list of common & uncommon diagnosis. As the provider collects more data,
competing hypotheses are either confirmed, disproved, or their priority changes.
