Additional NURS 550 midterm
Questions and 100% Correct
Answers | Grade A+
Subjective
Ans: The subjective section is what the patient tells you about their current condition and
past conditions.
Chief Complaint
Ans: • What brought the patient to the office
• Example: Sore throat for 2 days
- The chief complaint is not your interpretation of why a patient is seeking help, but the
patient's
History of Present Illness/Injury
Ans: - Onset - When did the symptoms and/or signs begin, what was the mechanism of
injury
,- Chronology - episodic, variable, constant, etc
- Quality - sharp, dull, ache, sudden, insidious
- Severity - pain rating, 0-10 pain scale, interferes with daily activities
- Modifying factors - aggravating and alleviating factors
- Additional symptoms - unrelated or significant symptoms
- Treatment - medications, herbs, "home remedies", rest, activity, splint, etc
- Use "OLDCART" to assist you (Onset, Location, Duration, Character , Aggravating factors,
Relieving factors, Treatments"
Determine the actual reason for coming in at this particular time. Why Today???
Objective
Ans: In this section you document what YOU observe during the examination and visit.
How to Interview a Patient
Ans: Stay calm!! • Prepare before you go into the room - Read the chart, familiarize yourself
with the patient • Set an agenda - Time, needs, issues • Look and be professional - If you look
the part you have already conquered the first hurdle
Set the Stage
, Ans: • Welcome the patient using their name • Introduce yourself and your role • Remove
communication barriers - Family or professional translator • Ensure patient privacy and
comfort • Set the agenda for the visit - What are you going to do
Why is the Patient Here?
Ans: • Begin with open-ended questions - Requires patients to actually describe their
complaints - Obtain accurate, patient-specific information • Avoid closed-ended questions -
Similar to a long health history survey - Actually takes longer than open-ended questions
• Be attentive while the patient is speaking - Of yourself • Silence, non-verbal encouragement
, body language -The Patient • Look for non-verbal signs and cues
• Ask question(s) and then ask again, using the patients own words • What is the patient's
personal story • Ask emotion-seeking questions
Comprehensive or Focused
Ans: Comprehensive • New patients • Identifies and rules out physical causes related to
patient concerns • Baseline • Health promotion
Focused • Established patients • Focused concerns • Symptoms of specific system(s)
Review of systems and Physical exam findings
Ans: Review of systems- Subjective
Questions and 100% Correct
Answers | Grade A+
Subjective
Ans: The subjective section is what the patient tells you about their current condition and
past conditions.
Chief Complaint
Ans: • What brought the patient to the office
• Example: Sore throat for 2 days
- The chief complaint is not your interpretation of why a patient is seeking help, but the
patient's
History of Present Illness/Injury
Ans: - Onset - When did the symptoms and/or signs begin, what was the mechanism of
injury
,- Chronology - episodic, variable, constant, etc
- Quality - sharp, dull, ache, sudden, insidious
- Severity - pain rating, 0-10 pain scale, interferes with daily activities
- Modifying factors - aggravating and alleviating factors
- Additional symptoms - unrelated or significant symptoms
- Treatment - medications, herbs, "home remedies", rest, activity, splint, etc
- Use "OLDCART" to assist you (Onset, Location, Duration, Character , Aggravating factors,
Relieving factors, Treatments"
Determine the actual reason for coming in at this particular time. Why Today???
Objective
Ans: In this section you document what YOU observe during the examination and visit.
How to Interview a Patient
Ans: Stay calm!! • Prepare before you go into the room - Read the chart, familiarize yourself
with the patient • Set an agenda - Time, needs, issues • Look and be professional - If you look
the part you have already conquered the first hurdle
Set the Stage
, Ans: • Welcome the patient using their name • Introduce yourself and your role • Remove
communication barriers - Family or professional translator • Ensure patient privacy and
comfort • Set the agenda for the visit - What are you going to do
Why is the Patient Here?
Ans: • Begin with open-ended questions - Requires patients to actually describe their
complaints - Obtain accurate, patient-specific information • Avoid closed-ended questions -
Similar to a long health history survey - Actually takes longer than open-ended questions
• Be attentive while the patient is speaking - Of yourself • Silence, non-verbal encouragement
, body language -The Patient • Look for non-verbal signs and cues
• Ask question(s) and then ask again, using the patients own words • What is the patient's
personal story • Ask emotion-seeking questions
Comprehensive or Focused
Ans: Comprehensive • New patients • Identifies and rules out physical causes related to
patient concerns • Baseline • Health promotion
Focused • Established patients • Focused concerns • Symptoms of specific system(s)
Review of systems and Physical exam findings
Ans: Review of systems- Subjective
