PC & CR Exam 1 with perfect answers 2024
5 major steps of clinical encounter correct answers1. Initiate session: 2. Gather information 3. Physical Examination 4. Explanation and planning 5. Close the session Initiate session, Gather information, Physical Examination, Explanation and planning, Close the session correct answers5 major steps of clinical encounter initiate session correct answersEnsure pt is comfortable, room is as private as possible, eye contact, be aware of how close you are to pt and not blocking view with computer screen, etc. Review pt's chart, but be aware that there can be discrepancies such as with preferred name/gender Introduce yourself with first and last name Ask how pt would like to be addressed: title, preferred name/pronouns gather information correct answersHave a system Maintain eye contact and take notes as needed, explain why you are writing things down Open ended questions: "What brought you in today?" Do not interrupt patient while they explain their story Active listening, do not start thinking of next steps Respond to emotional cues Gather background information physical examination correct answersHEAD TO TOE: keeps you organized and avoids missing anything Regional exams: I: Inspect area (what you see) P: Palpate (what you feel) P: Percuss (what you hear) A: Auscultate (what you hear, again) S: Special tests Exception is the abdominal exam: Auscultate before you palpate inspect area, palpate, percuss, auscultate, special tests correct answersIPPAS explanation & planning correct answersDiscuss concerns Shared decision making Introduce choices (risk versus benefit) Explore what patient wants
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