NR509 PHYSICAL ASSESSMENT QUESTIONS AND ANSWERS

https://browsegrades.net/singlePaper/416695/test-bank-for-marketing-management-16th-editi



NR509 PHYSICAL ASSESSMENT
QUESTIONS AND ANSWERS

Thecxnursecxpractitionercx(NP)cxiscxcompletingcxacxcomprehensivecxassessmentcxofcxAnita,cxa
cxnewcxclientcxincxacxprimarycxcarecxfacility.cxWhichcxassessmentcxfinding(s)cxreportedcxbycxAni

tacxarecxrelatedcxtocxsocialcxdeterminantscxofcxhealth?cxSelectcxallcxthatcxapply.cx-cxanswer--
occasionallycxrunningcxoutcxofcxfood,cxbeingcxdiscriminatedcxagainstcxincxthecxworkplace,cxhas
cxacxgreatcxamountcxofcxsmogcxincxtheircxcommunity,cxhavingcxdifficultycxmakingcxthecxrentcxpay

ment

Focusedcxassessment:cx-cxanswer---cxaddressescxfocusedcxconcernscxorcxsymptoms
-usedcxforcxestablishedcxclientscxduringcxroutinecxorcxurgentcxcarecxvisits
-cxhealthcxhistorycxandcxphysicalcxexamscxarecxfocusedcxoncxthecxproblem
-
Includes:cxbriefcxhistorycxofcxpresentcxillness,cxonlycxthecxsystemcxrelatedcxtocxthecxproblemcxinc
xthecxROS



comprehensivecxassessment:cx-cxanswer---cxusedcxforcxnewcxclients
-providescxpersonalizedcxinformationcxaboutcxthecxclient
-strengthenscxthecxclinician-clientcxrelationship
-providescxacxbaselinecxforcxfuturecxassessments
-providescxancxopportunitycxforcxhealthcxpromotioncxeducationcxandcxcounseling
includes:cxextendedcxhistorycxofcxthecxpresentcxillness,cxatcxleastcxtwocxareacxofcxPMhx,cxfamily
cxhx,cxsocialcxhx,cxatcxleastcx10cxROS



subjectivecxdatacx-cxanswer--
Subjectivecxdatacxincludescxsymptomscxthatcxthecxclientcxdescribescxsuchcxascxacxsorecxthroat,
cxheadache,cxorcxpain.cxItcxalsocxincludescxthecxclient'scxfeelings,cxperceptions,cxandcxconcern

s

objectivecxdatacx-cxanswer--
Objectivecxdatacxincludescxthecxphysicalcxexaminationcxfindingscxorcxsignscxobserved.cxInfor
mationcxobtainedcxfromcxthecxclientcxduringcxanycxpartcxofcxthecxhealthcxhistorycxiscxconsideredc
xsubjectivecxdata.cxAllcxphysicalcxexaminations,cxlaboratorycxinformation,cxandcxtestcxdatacxar

ecxconsideredcxobjectivecxdata

initialcxencountercx-cxanswer---reviewcxthecxclinicalcxrecord
-ensurecxthecxclientcxiscxcomfortable
-clarifycxthecxgoals/agendacxforcxthecxencounter
-establishcxrapport
-identifycxclient'scxpreferredcxtitle,cxname,cxandcxgendercxpronouns
-usecx"peoplecxfirst"cxlanguagecx(i.e.cxhearingcxloss,cxwheelchair)
-identifycxthecxc/o
-open-endedcxapproachcxforcxclient'scxstory
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-
gathercxinformationcxaboutcxthecxclient'scxperspectivecxofcxthecxillnesscxusingcxthecxFIFEcx(feeli
ngs,cxideas,cxfunction,cxexpectations)
-conductcxhealthcxhistorycxinterview
-gathercxinformationcxaboutcxPMHx,cxmeds,cxallergies,cxfamily,cxpersonalcxandcxsocial,cxROS

"Howcxwouldcxyoucxdescribecxyourcxsexualcxidentity?"
"Howcxwouldcxyoucxdescribecxyourcxgendercxidentity?"
"Whatcxiscxthecxsexcxoncxyourcxoriginalcxbirthcxcertificate?"cx-cxanswer--

BasiccxInterviewingcxSkillscx-cxanswer---activecxlistening-
closelycxattendingcxtocxwhatcxthecxptcxiscxcommunicating,cxconnectcxtocxpt'scxemotionalcxstate,c
xusecxverbalcxandcxnonverbalcxskills

-empathy-cxthecxcapacitycxtocxidentifycxwithcxthecxptcxandcxfeelcxthecxpt'scxpaincxascxyourcxown
-guidedcxquestioning-cxallowscxforcxinterviewercxtocxfacilitatecxfullcxcommunications
-validating-cxaffirmcxlegitimacycxofcxpt'scxemotionalcxexperience
-empowerment;cxencouragecxptcxtocxaskcxquestions
-partnering;cxexpresscxyourcxcommitmentcxtocxongoingcxrelationship
-transitioning;cxinformcxyourcxptcxwhencxyoucxarecxchangingcxdirections
-reassuring;cxhelpcxthecxptcxfeelcxthatcxtheircxproblemscxhavecxbeencxheardcx
-
cxsummarizing;cxgivingcxacxsummarycxofcxthecxpt'scxstorycxtocxcommunicatecxthatcxyoucxhavecxb

eencxcarefullycxlistening
-nonverbalcxcommunication
-peoplecxfirstcxlanguagecx-->cxex.cxpatientcxwithcxdiabetescxinsteadcxofcxdiabetic

historycxofcxpresentcxillnesscx-cxanswer--
Thecxhistorycxofcxthecxpresentcxillnesscxiscxacxconcise,cxclear,cxandcxchronologicalcxdescription
cxofcxthecxchiefcxcomplaintcxwhichcxpromptedcxthecxclient'scxvisit.cxAcxsymptomcxanalysiscxguid

edcxbycxthecxmnemoniccxOLDcxCARTScxwillcxrevealcxinformationcxregardingcxthecxonset,cxloca
tion,cxduration,cxcharacteristics,cxaggravatingcxfactors,cxrelievingcxfactors,cxtreatments,cxandc
xseveritycxofcxthecxsymptoms.cxTherecxarecxothercxmnemonicscxandcxvariationscxofcxOLDcxCA

RTScxthatcxmaycxalsocxbecxusedcxtocxguidecxincxgatheringcxinformationcxaboutcxthecxchiefcxcom
plaint.

personalcxandcxsocialcxhistorycx-cxanswer--ThecxFivecxP's:
-partners
-practices
-protectioncxfromcxSTIs
-PastcxhxcxofcxSTIs
-Pregnancycxplans
-Plus--
cxassesscxforcxtrauma,cxviolence,cxsexualcxhealthcxconcerns,cxprovidecxsupportcxforcxsexualcxo

rientationcxandcxgendercxidentity

assessmentcxquestionscxwithcxthecxrelatedcxsymptomcxattributecx-cxanswer--
onset,cxlocation,cxduration,cxcharacteristics,cxaggravatingcxfactors,cxrelievingcxfactors,cxtreat
ments,cxseveritycxofcxsymptoms
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pack-yearcxcigcxcalculationscx-cxanswer--Acxpack-
yearcxcalculationcxiscxusedcxtocxmeasurecxacxperson'scxexposurecxtocxtobaccocxandcxassesscxt
heircxriskcxofcxdevelopingcxlungcxcancercxorcxothercxdiseasescxrelatedcxtocxtobaccocxuse.cxThecx
packcxyearcxiscxcalculatedcxbycxmultiplyingcxthecxnumbercxofcxpackscxofcxcigarettescx(1cxpack=
20cxcigarettes)cxsmokedcxpercxdaycxbycxthecxnumbercxofcxyearscxthecxpersoncxhascxsmoked.cxT
hecxU.S.cxPreventivecxServicescxTaskcxForcecxLinkscxtocxancxexternalcxsite.
(2021)cxrecommendscxhealthcxcarecxproviderscxaskcxallcxadultscxaboutcxtobaccocxuse,cxadvise
cxthemcxtocxstop,cxandcxprovidecxinterventionscxforcxsmokingcxcessation



socialcxdeterminantscxofcxhealthcx-cxanswer---
Socialcxdeterminantscxofcxhealthcxarecxthecxconditionscxincxthecxenvironmentscxwherecxpeople
cxarecxborn,cxlive,cxandcxworkcxthatcxaffectscxhealth,cxwell-being,cxandcxqualitycxofcxlife

-
cxexamples:cxeconomiccxstability,cxeducationcxaccesscxandcxquality,cxhealthcarecxaccesscxan

dcxquality,cxneighborhoodcxandcxbuiltcxenvironment,cxsocialcxandcxcommunitycxcontext

mentalcxstatuscxexamcx-cxanswer--
Ifcxindicatedcxandcxnotcxdonecxduringcxthecxinterview,cxassesscxthecxclient'scxorientation,cxmoo
d,cxthoughtcxprocess,cxthoughtcxcontent,cxabnormalcxperceptions,cxinsightcxandcxjudgment,cx
memorycxandcxattention,cxinformationcxandcxvocabulary,cxcalculatingcxabilities,cxabstractcxthi
nking,cxandcxconstructionalcxability.

ThecxNPcxperformscxacxmentalcxstatuscxexamination.cxWhichcxofcxthecxfollowingcxarecxpositivec
xfindings?cxSelectcxallcxthatcxapplycx-cxanswer--flightcxofcxideas,cxmismatched/

unseasonalcxclothing,cxrecallscx1/3cxitemscxincxthecxexam,cxerraticcxspeech

skin,cxhair,cxnailscx-cxanswer--
Docxyoucxhavecxanycxcurrentcxproblemscxorcxhistorycxofcxdiseasescxorcxissuescxwithcxyourcxskin,
cxhair,cxorcxnails?

Docxyoucxhavecxanycxallergiescxtocxdrugs,cxplants,cxorcxanimals?
Docxyoucxhavecxanycxbirthmarkscxorcxtattoos?
Tellcxmecxaboutcxanycxchangescxincxskincxcolorcxorcxmoisture.
Tellcxmecxaboutcxanycxchangescxincxmolescxsuchcxascxcolor,cxsize,cxshape,cxsuddencxappearan
cecxofcxtenderness,cxbleeding,cxorcxitching.
Docxyoucxhavecxanycxbruises,cxsores,cxrashes,cxorcxitching?
Tellcxmecxaboutcxanycxchangescxincxhaircxcolor,cxamount,cxorcxtexture.
Tellcxmecxaboutcxanycxchangescxincxnailcxcolor,cxshape,cxorcxdensity.
Tellcxmecxaboutcxyourcxcurrentcxlifestylecxincludingcxtypicalcxdiet,cxsmoking,cxsuncxexposure,cx
occupation,cxandcxhobbies

Dario,cxacx23-year-
old,cxpresentscxforcxevaluationcxofcxacxnewcxrashcxoncxthecxinnercxthighscxwithcxonsetcxthreecxda
yscxago.cxWhatcxadditionalcxassessmentcxdatacxshouldcxthecxFNPcxcollect?
cxSelectcxallcxthatcxapply.cx-cxanswer--

temperature,cxpain,cxchangecxincxsoap,cxsexualcxhx,cxitching

BasalcxCellcxCarcinomacx-cxanswer--Epidermalcxskincxcancer
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Inc.