NR509 - NR 509 Midterm Exam 2024/2025 (Latest update):
Advanced Active Listening Assessment - Chamberlain
Active listening - ANSWER>>>-closely attending to what the patient is communicating
-connecting to the patient's emotional state
-verbal and nonverbal skills
Empathic responses - ANSWER>>>capacity to identify with the patient and feel the patient's pain as your
own, then respond in a supportive manner
Guided questioning - ANSWER>>>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 - ANSWER>>>appropriate way to help the patient feel that problems have been fully
understood and are being addressed
Partnering - ANSWER>>>When building rapport with patients, express your commitment to an ongoing
relationship
Transitions - ANSWER>>>Inform your patient when you are changing directions during the interview.
Empowering the patient - ANSWER>>>-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? - ANSWER>>>-new patients
-health history
-complete physical examination.
-routine care, urgent care, specific problem
Articular structures - ANSWER>>>articular cartilage
intra-articular ligaments
juxta-articular bone
joint capsule
synovium
synovial fluid
Articular disease signs and symptoms - ANSWER>>>crepitus
deformity
instability locking of the joints
Limits active & passive ROM d/t stiffness/pain
Swelling
Tenderness of the joint
Extra-articular structures - ANSWER>>>bursae
bone
, fascia
muscle
nerve
overlying skin
periarticular ligaments
tendons
Extra-articular disease involves - ANSWER>>>point of focal tenderness in regions adjacent to articular
structures
-Limits active ROM
RARELY causes swelling, instability, joint deformity
Nonarticular conditions - ANSWER>>>trauma/fracture, fibromyalgia, polymyalgia rheumatica, bursitis,
tendinitis
Intra-articular (acute, < 6 weeks): acute arthritis - ANSWER>>>gout
infectious arthritis
pseudogout
Reiter syndrome
Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with 1-3 joints involved -
ANSWER>>>Indolent infection
Psoriatic arthritis
Reiter syndrome
Periarticular JA
Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with >3 joints involved:
if not RA then - ANSWER>>>Psoriatic arthritis
Reiter syndrome (no symmetry)
Advanced Active Listening Assessment - Chamberlain
Active listening - ANSWER>>>-closely attending to what the patient is communicating
-connecting to the patient's emotional state
-verbal and nonverbal skills
Empathic responses - ANSWER>>>capacity to identify with the patient and feel the patient's pain as your
own, then respond in a supportive manner
Guided questioning - ANSWER>>>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 - ANSWER>>>appropriate way to help the patient feel that problems have been fully
understood and are being addressed
Partnering - ANSWER>>>When building rapport with patients, express your commitment to an ongoing
relationship
Transitions - ANSWER>>>Inform your patient when you are changing directions during the interview.
Empowering the patient - ANSWER>>>-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? - ANSWER>>>-new patients
-health history
-complete physical examination.
-routine care, urgent care, specific problem
Articular structures - ANSWER>>>articular cartilage
intra-articular ligaments
juxta-articular bone
joint capsule
synovium
synovial fluid
Articular disease signs and symptoms - ANSWER>>>crepitus
deformity
instability locking of the joints
Limits active & passive ROM d/t stiffness/pain
Swelling
Tenderness of the joint
Extra-articular structures - ANSWER>>>bursae
bone
, fascia
muscle
nerve
overlying skin
periarticular ligaments
tendons
Extra-articular disease involves - ANSWER>>>point of focal tenderness in regions adjacent to articular
structures
-Limits active ROM
RARELY causes swelling, instability, joint deformity
Nonarticular conditions - ANSWER>>>trauma/fracture, fibromyalgia, polymyalgia rheumatica, bursitis,
tendinitis
Intra-articular (acute, < 6 weeks): acute arthritis - ANSWER>>>gout
infectious arthritis
pseudogout
Reiter syndrome
Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with 1-3 joints involved -
ANSWER>>>Indolent infection
Psoriatic arthritis
Reiter syndrome
Periarticular JA
Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with >3 joints involved:
if not RA then - ANSWER>>>Psoriatic arthritis
Reiter syndrome (no symmetry)
