NURS 618 Test 1 questions with correct answers
SNAPPS Correct Answer--Summarize (history and physical).
-Narrow-(narrow the differentials to 2 or 3).
-Analyze-(compare the DDX).
-Probe-Probe the preceptor (ask questions).
-P-Plan(come up with a specific plan).
-S-Self-directed learning (research topics that you are unaware of)
Histories Correct Answer-Comprehensive health history - complete
Focused history - evaluation of specific problem (SOAP Note)
Follow up visit - established patients
Emergency history
Holistic Health Correct Answer-Lifestyle behaviors
Culture
Family/social roles
Self care behaviors
Job related stress
Failures/frustrations in life
Spirituality
History taking Correct Answer-Number of people in the room
Appear calm and unhurried
,Use neutral open ended questions if needed
Directed questions when dealing with multiple chief concerns
Priority assessment: High - life threatening/emergent, moderate priority -
require prompt intervention to prevent further deterioration, low priority-
often require teaching, not immediate
Gender
Natal Sex
Sexual orientation
Hx taking in older children and adolescents Correct Answer-
Developmental data generally more important than birth data
Behavioral issues and interaction with family or other children
Motor/Language milestones
Safety issues
Adolescents:
Privacy, confidentiality
Parent needs to leave room for honest responses
HEAEADSSS assessment
Discuss things of interest
, Hx taking in pregnancy Correct Answer-Reproductive health hisotry
Number of pregnancies, live births, abortions
Perinatal complications
Pap history
HIV, STD, sexuality concerns
All medications
Specialty care
Illicit drug use
Social support issues
Hx of elderly Correct Answer-Long and complicated
Physical limitations
Health history
Medication - polypharmacy (bring all meds)
Recent life changes/psychiatric issues
Daily activities
Cognitive patterns
Support System
Advanced directives
Possibility of elder abuse
Common concerns: SPICES - Sleep, problems, incontinence, confusion,
falls, skin breakdown
SNAPPS Correct Answer--Summarize (history and physical).
-Narrow-(narrow the differentials to 2 or 3).
-Analyze-(compare the DDX).
-Probe-Probe the preceptor (ask questions).
-P-Plan(come up with a specific plan).
-S-Self-directed learning (research topics that you are unaware of)
Histories Correct Answer-Comprehensive health history - complete
Focused history - evaluation of specific problem (SOAP Note)
Follow up visit - established patients
Emergency history
Holistic Health Correct Answer-Lifestyle behaviors
Culture
Family/social roles
Self care behaviors
Job related stress
Failures/frustrations in life
Spirituality
History taking Correct Answer-Number of people in the room
Appear calm and unhurried
,Use neutral open ended questions if needed
Directed questions when dealing with multiple chief concerns
Priority assessment: High - life threatening/emergent, moderate priority -
require prompt intervention to prevent further deterioration, low priority-
often require teaching, not immediate
Gender
Natal Sex
Sexual orientation
Hx taking in older children and adolescents Correct Answer-
Developmental data generally more important than birth data
Behavioral issues and interaction with family or other children
Motor/Language milestones
Safety issues
Adolescents:
Privacy, confidentiality
Parent needs to leave room for honest responses
HEAEADSSS assessment
Discuss things of interest
, Hx taking in pregnancy Correct Answer-Reproductive health hisotry
Number of pregnancies, live births, abortions
Perinatal complications
Pap history
HIV, STD, sexuality concerns
All medications
Specialty care
Illicit drug use
Social support issues
Hx of elderly Correct Answer-Long and complicated
Physical limitations
Health history
Medication - polypharmacy (bring all meds)
Recent life changes/psychiatric issues
Daily activities
Cognitive patterns
Support System
Advanced directives
Possibility of elder abuse
Common concerns: SPICES - Sleep, problems, incontinence, confusion,
falls, skin breakdown
