NR509 PHYSICAL ASSESSMENT REVIEW
QUESTIONS AND ANSWERS 100%
CORRECT!!
,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
-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 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
, -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
-partnering; express your commitment to ongoing relationship
-transitioning; inform your pt when you are changing directions
-reassuring; help the pt feel that their problems have been heard
- summarizing; giving a summary of the pt's story to communicate that you have been
carefully listening
-nonverbal communication
-people first language --> ex. patient with diabetes instead of diabetic
history of present illness - ANSWER The history of the present illness is a concise,
clear, and chronological description of the chief complaint which prompted the client's
visit. A symptom analysis guided by the mnemonic OLD CARTS will reveal information
regarding the onset, location, duration, characteristics, aggravating factors, relieving
factors, treatments, and severity of the symptoms. There are other mnemonics and
variations of OLD CARTS that may also be used to guide in gathering information about
the chief complaint.
personal and social history - ANSWER The Five P's:
-partners
-practices
-protection from STIs
-Past hx of STIs
-Pregnancy plans
-Plus-- assess for trauma, violence, sexual health concerns, provide support for sexual
orientation and gender identity
assessment questions with the related symptom attribute - ANSWER onset, location,
duration, characteristics, aggravating factors, relieving factors, treatments, severity of
symptoms
QUESTIONS AND ANSWERS 100%
CORRECT!!
,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
-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 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
, -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
-partnering; express your commitment to ongoing relationship
-transitioning; inform your pt when you are changing directions
-reassuring; help the pt feel that their problems have been heard
- summarizing; giving a summary of the pt's story to communicate that you have been
carefully listening
-nonverbal communication
-people first language --> ex. patient with diabetes instead of diabetic
history of present illness - ANSWER The history of the present illness is a concise,
clear, and chronological description of the chief complaint which prompted the client's
visit. A symptom analysis guided by the mnemonic OLD CARTS will reveal information
regarding the onset, location, duration, characteristics, aggravating factors, relieving
factors, treatments, and severity of the symptoms. There are other mnemonics and
variations of OLD CARTS that may also be used to guide in gathering information about
the chief complaint.
personal and social history - ANSWER The Five P's:
-partners
-practices
-protection from STIs
-Past hx of STIs
-Pregnancy plans
-Plus-- assess for trauma, violence, sexual health concerns, provide support for sexual
orientation and gender identity
assessment questions with the related symptom attribute - ANSWER onset, location,
duration, characteristics, aggravating factors, relieving factors, treatments, severity of
symptoms
