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Exam (elaborations)

nr 509 midterm (1).

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Exam of 15 pages for the course NR 509 Advanced Assessment at NR 509 Advanced Assessment (nr 509 midterm (1).)

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nr 509 midterm
Active listening - ANS--closely attending to what the patient is communicating

-connecting to the patient's emotional state

-verbal and nonverbal skills

Empathic responses - ANS-capacity to identify with the patient and feel the patient's
pain as your own, then respond in a supportive manner

Guided questioning - ANS-Helps to continue the patients story
-moving from open ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing

also known as adaptive questioning

Reassurance - ANS-appropriate way to help the patient feel that problems have been
fully understood and are being addressed

Partnering - ANS-When building rapport with patients, express your commitment to an
ongoing relationship

Transitions - ANS-Inform your patient when you are changing directions during the
interview.

Empowering the patient - ANS--to ask questions

-express their concerns

-probe your recommendations

in order to encourage them to adopt your advice, make lifestyle changes, or take
medications as prescribed.

, Comprehensive exam used for?
Includes?

Focused exam used for? - ANS--new patients
-health history
-complete physical examination.

-routine care, urgent care, specific problem

Articular structures - ANS-articular cartilage
intra-articular ligaments

juxta-articular bone
joint capsule

synovium
synovial fluid

Articular disease signs and symptoms - ANS-crepitus
deformity
instability locking of the joints

Limits active & passive ROM d/t stiffness/pain

Swelling
Tenderness of the joint

Extra-articular structures - ANS-bursae
bone
fascia

muscle
nerve
overlying skin

periarticular ligaments
tendons

Extra-articular disease involves - ANS-point of focal tenderness in regions adjacent to
articular structures

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Written in
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