Detailed Answers
Breast palpitation that is most suggestive of cancer - answers-Firm, nontender lump that is fixed
to underlying tissue
To prepare female patient for a pelvic exam and pap smear - answers-Assure the woman that
she can stop the exam at anytime she feels discomfort
Associated with increased breast cancer risk - answers-Heavy alcohol use
first degree relative with breast cancer
advancing age
Assessment of normal prostate - answers-It is heart shaped with a palpable groove
It surface is smooth
It has a elasticity, rubbery consistency
To determine the patient's gender identity the NP should - answers-Incorporate open-ended,
neutral questions into the sexual history
Normal testicular exam - answers-Testes that feel ovoid and mobile, and slight sensation is felt
by the patient upon compression
Rectal examination = firm, irregularly shaped mass - answers-Report the finding and refer the
patient to GI for further examination.
Pelvic Inflammatory Disease - answers-Cervical Motion Tenderness (CMT)
, what the health professional observes by inspecting, palpating, percussing, and auscultating
during the physical examination - answers-objective data
things a person tells you about that you cannot observe through your senses; symptoms -
answers-subjective data
The most effective way to elicit the ROSs is for the NP to - answers-Start with general questions
on each of the different body systems
The NP can determine higher cognitive fxn by asking the patient to perform which of the
following tasks? - answers-Explain the meaning of a proverb
The NP will ask the patient which of the following questions to assess for depression? - answers-
"Over the past two weeks, have you felt little interest or pleasure in doing things?"
The NP will document the reason for the visit in which of the following sections of the
encounter note? - answers-Cheif Complaint
The primary provider will anticipate what percent of outpatients have mental health disorders?
- answers-20%
Which of the following actions by the NP demonstrates patient-centered interviewing
techniques? - answers-Determine the personal context of the patient's symptoms
Which of the following strategies is most effective when dealing with an angry or disruptive
patient? - answers-Validate the patient's feelings without agreeing with their reasons