NR509 physical assessment 2026 Latest Updated
Questions With Answers Success Guide.
1. The nurse practitioner (NP) is com- occasionally running out of food, being discriminat-
pleting a comprehensive assess- ed against in the workplace, has a great amount of
ment of Anita, a new client in a smog in their community, having diflculty making
primary care facility. Which assess- the rent payment
ment finding(s) reported by Anita
are related to social determinants of
health? Select all that apply.
2. Focused assessment: - 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
3. comprehensive assessment: - 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 edu-
cation and counseling
includes: extended history of the present illness, at
least two area of PMhx, family hx, social hx, at least
10 ROS
4. subjective data 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
,5. objective data
, 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 examina-
tions, laboratory information, and test data are con-
sidered objective data
6. initial encounter -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
7. "How would you describe your sexu-
al identity?"
"How would you describe your gen-
der identity?"
"What is the sex on your original
birth certificate?"
8. Basic Interviewing Skills
, -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 facili-
tate full communications
-validating- aflrm legitimacy of pt's emotional expe-
rience
-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
9. history of present illness 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 analy-
sis 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.
Questions With Answers Success Guide.
1. The nurse practitioner (NP) is com- occasionally running out of food, being discriminat-
pleting a comprehensive assess- ed against in the workplace, has a great amount of
ment of Anita, a new client in a smog in their community, having diflculty making
primary care facility. Which assess- the rent payment
ment finding(s) reported by Anita
are related to social determinants of
health? Select all that apply.
2. Focused assessment: - 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
3. comprehensive assessment: - 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 edu-
cation and counseling
includes: extended history of the present illness, at
least two area of PMhx, family hx, social hx, at least
10 ROS
4. subjective data 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
,5. objective data
, 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 examina-
tions, laboratory information, and test data are con-
sidered objective data
6. initial encounter -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
7. "How would you describe your sexu-
al identity?"
"How would you describe your gen-
der identity?"
"What is the sex on your original
birth certificate?"
8. Basic Interviewing Skills
, -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 facili-
tate full communications
-validating- aflrm legitimacy of pt's emotional expe-
rience
-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
9. history of present illness 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 analy-
sis 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.
