NR 509 PHYSICAL ASSESSMENT QUESTIONS
WITH CORRECT ANSWERS
The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a new client in a
primary care facility. Which assessment finding(s) reported by Anita are related to social
determinants of health? Select all that apply. correct answers occasionally running out of food,
being discriminated against in the workplace, has a great amount of smog in their community,
having difficulty making the rent payment
Focused assessment: correct answers - addresses focused concerns or symptoms
-used for established clients during routine or urgent care visits
- health history and physical exams are focused on the problem
-Includes: brief history of present illness, only the system related to the problem in the ROS
comprehensive assessment: correct answers - used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
-provides a baseline for future assessments
-provides an opportunity for health promotion education and counseling
includes: extended history of the present illness, at least two areas of PMhx, family hx, social hx,
at least 10 ROS
subjective data correct answers Subjective data includes symptoms that the client describes such
as a sore throat, headache, or pain. It also includes the client's feelings, perceptions, and concerns
objective data correct answers Objective data includes the physical examination findings or signs
observed. Information obtained from the client during any part of the health history is considered
subjective data. All physical examinations, laboratory information, and test data are considered
objective data
initial encounter correct answers -review the clinical record
-ensure the client is comfortable
,NR 509 PHYSICAL ASSESSMENT QUESTIONS
WITH CORRECT ANSWERS
-clarify the goals/agenda for the encounter
-establish rapport
-identify client's preferred title, name, and gender pronouns
-use "people first" language (i.e. hearing loss, wheelchair)
-identify the c/o
-open-ended approach for client's story
-gather information about the client's perspective of the illness using the FIFE (feelings, ideas,
function, expectations)
-conduct health history interview
-gather information about PMHx, meds, allergies, family, personal and social, ROS
"How would you describe your sexual identity?"
"How would you describe your gender identity?"
"What is the sex on your original birth certificate?" correct answers
Basic Interviewing Skills correct answers -active listening-closely attending to what the pt is
communicating, connect to pit’s emotional state, use verbal and nonverbal skills
-empathy- the capacity to identify with the pt and feel the pt's pain as your own
-guided questioning- allows for interviewer to facilitate full communications
-validating- affirm legitimacy of pt's emotional experience
-empowerment; encourage pt to ask questions
-partnering; express your commitment to ongoing relationship
-transitioning; inform your pt when you are changing directions
-reassuring; help the pt feel that their problems have been heard
- summarizing; giving a summary of the pt's story to communicate that you have been carefully
listening
-nonverbal communication
-people first language --> ex. patient with diabetes instead of diabetic
, NR 509 PHYSICAL ASSESSMENT QUESTIONS
WITH CORRECT ANSWERS
history of present illness correct answers The history of the present illness is a concise, clear, and
chronological description of the chief complaint which prompted the client's visit. A symptom
analysis guided by the mnemonic OLD CARTS will reveal information regarding the onset,
location, duration, characteristics, aggravating factors, relieving factors, treatments, and severity
of the symptoms. There are other mnemonics and variations of OLD CARTS that may also be
used to guide in gathering information about the chief complaint.
personal and social history correct answers The Five P's:
-partners
-practices
-protection from STIs
-Past hx of STIs
-Pregnancy plans
-Plus-- assess for trauma, violence, sexual health concerns, provide support for sexual orientation
and gender identity
assessment questions with the related symptom attribute correct answers onset, location,
duration, characteristics, aggravating factors, relieving factors, treatments, severity of symptoms
pack-year cig calculations correct answers A pack-year calculation is used to measure a person's
exposure to tobacco and assess their risk of developing lung cancer or other diseases related to
tobacco use. The pack year is calculated by multiplying the number of packs of cigarettes (1
pack=20 cigarettes) smoked per day by the number of years the person has smoked. The U.S.
Preventive Services Task Force Links to an external site.(2021) recommends health care
providers ask all adults about tobacco use, advise them to stop, and provide interventions for
smoking cessation
social determinants of health correct answers -Social determinants of health are the conditions in
the environments where people are born, live, and work that affects health, well-being, and
quality of life
- examples: economic stability, education access and quality, healthcare access and quality,
neighborhood and built environment, social and community context
WITH CORRECT ANSWERS
The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a new client in a
primary care facility. Which assessment finding(s) reported by Anita are related to social
determinants of health? Select all that apply. correct answers occasionally running out of food,
being discriminated against in the workplace, has a great amount of smog in their community,
having difficulty making the rent payment
Focused assessment: correct answers - addresses focused concerns or symptoms
-used for established clients during routine or urgent care visits
- health history and physical exams are focused on the problem
-Includes: brief history of present illness, only the system related to the problem in the ROS
comprehensive assessment: correct answers - used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
-provides a baseline for future assessments
-provides an opportunity for health promotion education and counseling
includes: extended history of the present illness, at least two areas of PMhx, family hx, social hx,
at least 10 ROS
subjective data correct answers Subjective data includes symptoms that the client describes such
as a sore throat, headache, or pain. It also includes the client's feelings, perceptions, and concerns
objective data correct answers Objective data includes the physical examination findings or signs
observed. Information obtained from the client during any part of the health history is considered
subjective data. All physical examinations, laboratory information, and test data are considered
objective data
initial encounter correct answers -review the clinical record
-ensure the client is comfortable
,NR 509 PHYSICAL ASSESSMENT QUESTIONS
WITH CORRECT ANSWERS
-clarify the goals/agenda for the encounter
-establish rapport
-identify client's preferred title, name, and gender pronouns
-use "people first" language (i.e. hearing loss, wheelchair)
-identify the c/o
-open-ended approach for client's story
-gather information about the client's perspective of the illness using the FIFE (feelings, ideas,
function, expectations)
-conduct health history interview
-gather information about PMHx, meds, allergies, family, personal and social, ROS
"How would you describe your sexual identity?"
"How would you describe your gender identity?"
"What is the sex on your original birth certificate?" correct answers
Basic Interviewing Skills correct answers -active listening-closely attending to what the pt is
communicating, connect to pit’s emotional state, use verbal and nonverbal skills
-empathy- the capacity to identify with the pt and feel the pt's pain as your own
-guided questioning- allows for interviewer to facilitate full communications
-validating- affirm legitimacy of pt's emotional experience
-empowerment; encourage pt to ask questions
-partnering; express your commitment to ongoing relationship
-transitioning; inform your pt when you are changing directions
-reassuring; help the pt feel that their problems have been heard
- summarizing; giving a summary of the pt's story to communicate that you have been carefully
listening
-nonverbal communication
-people first language --> ex. patient with diabetes instead of diabetic
, NR 509 PHYSICAL ASSESSMENT QUESTIONS
WITH CORRECT ANSWERS
history of present illness correct answers The history of the present illness is a concise, clear, and
chronological description of the chief complaint which prompted the client's visit. A symptom
analysis guided by the mnemonic OLD CARTS will reveal information regarding the onset,
location, duration, characteristics, aggravating factors, relieving factors, treatments, and severity
of the symptoms. There are other mnemonics and variations of OLD CARTS that may also be
used to guide in gathering information about the chief complaint.
personal and social history correct answers The Five P's:
-partners
-practices
-protection from STIs
-Past hx of STIs
-Pregnancy plans
-Plus-- assess for trauma, violence, sexual health concerns, provide support for sexual orientation
and gender identity
assessment questions with the related symptom attribute correct answers onset, location,
duration, characteristics, aggravating factors, relieving factors, treatments, severity of symptoms
pack-year cig calculations correct answers A pack-year calculation is used to measure a person's
exposure to tobacco and assess their risk of developing lung cancer or other diseases related to
tobacco use. The pack year is calculated by multiplying the number of packs of cigarettes (1
pack=20 cigarettes) smoked per day by the number of years the person has smoked. The U.S.
Preventive Services Task Force Links to an external site.(2021) recommends health care
providers ask all adults about tobacco use, advise them to stop, and provide interventions for
smoking cessation
social determinants of health correct answers -Social determinants of health are the conditions in
the environments where people are born, live, and work that affects health, well-being, and
quality of life
- examples: economic stability, education access and quality, healthcare access and quality,
neighborhood and built environment, social and community context
