NSG 6170 Adv Health Assessment Exam 1
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What is acute pain?
The normal, predicted physiological response to an adverse chemical, thermal or mechanical
stimulus lasting 3-6 months
What is chronic pain?
Pain lasting more than 1 month beyond the course of an acute illness or injury that is not
associated with cancer or other medical conditions. This can be recurring at intervals of months
or years
What is nociceptive pain? Describe it.
Linked to tissue damage to skin, musculoskeletal or viscera but the sensory system is intact.
This pain can be acute or chronic. It is usually described as dull, pressing, pulling, throbbing,
boring, spasmodic, or colicky
What is neuropathic pain? Describe it.
Direct consequence of a lesion or disease affecting the somatosensory system and it may be
independent of the initial injury over time. This injury can persist after healing from the initial
injury. It is usually described as burning, pins & needles, stabbing, and electric-shock like
What is testing specificity when used for diagnostic testing?
The probability that a person with disease has a positive test. A positive result in a test with
high specificity usually indicates the disease
What does the acronym SNOUT stand for? When is it used?
Used for sensitivity testing
SENSITIVE test with a NEGATIVE result rules OUT disease
,What is testing sensitivity when used for diagnostic testing?
Probability of a non-diseased person has a negative test. A negative test from a highly sensitive
test usually excludes disease.
What does the acronym SPIN stand for? When is it used?
Used for specificity testing.
SPECIFIC test with a POSITIVE result rules IN a disease
List the adult vaccine recommendations.
- Flu
- Hep A/B
- Td/Tdap
- HPV
- PCV
- Varicella
- RZV
When should an adult receive the Hep A vaccine?
Those at risk should receive a 2 dose series. At risk patients include:
- Chronic liver disease
- Clotting factor disorders
- Drug users
- Homeless
- Travel to counties with high/intermediate endemic hep A
- Personal contact with intermediate adoptee with high/intermediate endemic hep A
When should an adult receive the Hep B vaccine?
Those at risk should receive a 2-3 dose series. At risk patients include:
- Chronic liver disease
- HIV
- Injection drug use
- Incarnation
- Anyone who works with an exposure to blood
- Travel to counties with high/intermediate endemic hep B
When should an adult receive the Td vaccine?
, Booster every 10 years
When should an adult receive the Tdap vaccine?
Every pregnancy
When should an adult receive the HPV vaccine?
- Starts 11-12 y/o for males and females
- Females: 13-26 years old who have NOT been vaccinated previously or who have not
completed the series
- Males: 13-21 years old who have NOT been vaccinated previously or who have not completed
the series
- Recently approved use for men and women 27-45 years old
When should an adult receive the PCV vaccine?
Usually 2 vaccines PCV 13 AND PPSV23 that adults should receive PCV13 first, then 12 months
later, PPSV23. Adults should receive PPSV23 should receive a dose of PCV13 no earlier than 1
year following the most recent PPSV23 vaccine. Adults who should receive thee vaccine are:
- Adults 65 and older
- Smokers
- Those with increase risk for pneumococcal pneumonia between the 19-64 years old
When should an adult receive the varicella vaccine?
Recommended to adults born in 1980 or later who has not received 2 vaccine doses, or never
had chickenpox
When should adults receive the RZV (herpes zoster) vaccine?
- 2 doses 2-6 months apart to adults 50 and over,
- Included adults who have had shingles or received the previous shingles vaccine
Periods of silence during the interview can serve important purposes, such as:
A. Increasing the length of the visit.
B. Allowing the patient to reveal more profound feelings.
C. Allowing the clinician to catch up on documentation.
Latest 2025/2026 Cedarville University
Accurate Spring-Summer
What is acute pain?
The normal, predicted physiological response to an adverse chemical, thermal or mechanical
stimulus lasting 3-6 months
What is chronic pain?
Pain lasting more than 1 month beyond the course of an acute illness or injury that is not
associated with cancer or other medical conditions. This can be recurring at intervals of months
or years
What is nociceptive pain? Describe it.
Linked to tissue damage to skin, musculoskeletal or viscera but the sensory system is intact.
This pain can be acute or chronic. It is usually described as dull, pressing, pulling, throbbing,
boring, spasmodic, or colicky
What is neuropathic pain? Describe it.
Direct consequence of a lesion or disease affecting the somatosensory system and it may be
independent of the initial injury over time. This injury can persist after healing from the initial
injury. It is usually described as burning, pins & needles, stabbing, and electric-shock like
What is testing specificity when used for diagnostic testing?
The probability that a person with disease has a positive test. A positive result in a test with
high specificity usually indicates the disease
What does the acronym SNOUT stand for? When is it used?
Used for sensitivity testing
SENSITIVE test with a NEGATIVE result rules OUT disease
,What is testing sensitivity when used for diagnostic testing?
Probability of a non-diseased person has a negative test. A negative test from a highly sensitive
test usually excludes disease.
What does the acronym SPIN stand for? When is it used?
Used for specificity testing.
SPECIFIC test with a POSITIVE result rules IN a disease
List the adult vaccine recommendations.
- Flu
- Hep A/B
- Td/Tdap
- HPV
- PCV
- Varicella
- RZV
When should an adult receive the Hep A vaccine?
Those at risk should receive a 2 dose series. At risk patients include:
- Chronic liver disease
- Clotting factor disorders
- Drug users
- Homeless
- Travel to counties with high/intermediate endemic hep A
- Personal contact with intermediate adoptee with high/intermediate endemic hep A
When should an adult receive the Hep B vaccine?
Those at risk should receive a 2-3 dose series. At risk patients include:
- Chronic liver disease
- HIV
- Injection drug use
- Incarnation
- Anyone who works with an exposure to blood
- Travel to counties with high/intermediate endemic hep B
When should an adult receive the Td vaccine?
, Booster every 10 years
When should an adult receive the Tdap vaccine?
Every pregnancy
When should an adult receive the HPV vaccine?
- Starts 11-12 y/o for males and females
- Females: 13-26 years old who have NOT been vaccinated previously or who have not
completed the series
- Males: 13-21 years old who have NOT been vaccinated previously or who have not completed
the series
- Recently approved use for men and women 27-45 years old
When should an adult receive the PCV vaccine?
Usually 2 vaccines PCV 13 AND PPSV23 that adults should receive PCV13 first, then 12 months
later, PPSV23. Adults should receive PPSV23 should receive a dose of PCV13 no earlier than 1
year following the most recent PPSV23 vaccine. Adults who should receive thee vaccine are:
- Adults 65 and older
- Smokers
- Those with increase risk for pneumococcal pneumonia between the 19-64 years old
When should an adult receive the varicella vaccine?
Recommended to adults born in 1980 or later who has not received 2 vaccine doses, or never
had chickenpox
When should adults receive the RZV (herpes zoster) vaccine?
- 2 doses 2-6 months apart to adults 50 and over,
- Included adults who have had shingles or received the previous shingles vaccine
Periods of silence during the interview can serve important purposes, such as:
A. Increasing the length of the visit.
B. Allowing the patient to reveal more profound feelings.
C. Allowing the clinician to catch up on documentation.
