ADVANCED HEALTH ASSESSMENT MIDTERM STUDY GUIDE- 2025-2026
EXAM WITH ANSWERS GRADED A+100% CORRECT ANSWERS, 2025
LAT, EXAMS OF NURSING
S O A P note
a method of documentation employed by health care providers to write
out notes in a patient's chart
Subjective, Objective, Assessment and Plan
A B C D skin lesion assessment
Asymmetry
Border irregularity
Color isn't uniform
Diameter >6cm (pencil eraser)
Evolving size, shape and color
Preferred qualities of a first impression
honesty, candor, openness, flexibility, eager, explanatory, open to
questions
patient centered care
providing care that is respectful of and responsive to individual patient
preferences, needs, and values and ensuring that patient values guide
all clinical decisions
4 C's of effective communication
courtesy
comfort
connection
confirmation
,Open ended questions goal
patient's description of answer
direct question goal
seeking specific information
Leading question goal
Limiting information to one focus / subject
Reasons patients avoid the full story of the illness
dementia, alcoholism, illness, sexual uncertainties, domestic violence,
child abuse
Potential Barriers to Communication
- Curiosity about you
- Anxiety
- Silence
- Depression
- Crying and Compassionate Moments
- Seduction
- Anger
- Financial Considerations
2 goals of a patient history
1. identify what the patient's problem is
2. establish reliability of the patient
Why is it important to complete a review of systems after a history?
to identify complementary or symptoms that may seem unrelated
, Tips when discussing a sensitive topic
provide privacy, direct & firm, no apologies, no judgement, avoid
confrontation, no jargon, document carefully
4 steps in approaching the examination of sensitive areas
1. introduction & why
2. open ended questions to explore pt's feelings
3. repeat what's been said & give feedback
4. take questions from pt
TACE questions
Does it Take more than two drinks to get you drunk?
Have people Annoyed you by criticizing your drinking?
Have you ever felt you ought to Cut down on your drinking?
Have you ever had a drink first thing in the morning to steady your
nerves (Eye opener)?
Partner Violence Screen
Have you been hit, kicked, punched or otherwise hurt by someone
within the past year?
Do you feel safe in your current relationship?
Is there a partner from a previous relationship who is making you feel
unsafe now?
HITS tool
Hurt
Insult
Threaten
EXAM WITH ANSWERS GRADED A+100% CORRECT ANSWERS, 2025
LAT, EXAMS OF NURSING
S O A P note
a method of documentation employed by health care providers to write
out notes in a patient's chart
Subjective, Objective, Assessment and Plan
A B C D skin lesion assessment
Asymmetry
Border irregularity
Color isn't uniform
Diameter >6cm (pencil eraser)
Evolving size, shape and color
Preferred qualities of a first impression
honesty, candor, openness, flexibility, eager, explanatory, open to
questions
patient centered care
providing care that is respectful of and responsive to individual patient
preferences, needs, and values and ensuring that patient values guide
all clinical decisions
4 C's of effective communication
courtesy
comfort
connection
confirmation
,Open ended questions goal
patient's description of answer
direct question goal
seeking specific information
Leading question goal
Limiting information to one focus / subject
Reasons patients avoid the full story of the illness
dementia, alcoholism, illness, sexual uncertainties, domestic violence,
child abuse
Potential Barriers to Communication
- Curiosity about you
- Anxiety
- Silence
- Depression
- Crying and Compassionate Moments
- Seduction
- Anger
- Financial Considerations
2 goals of a patient history
1. identify what the patient's problem is
2. establish reliability of the patient
Why is it important to complete a review of systems after a history?
to identify complementary or symptoms that may seem unrelated
, Tips when discussing a sensitive topic
provide privacy, direct & firm, no apologies, no judgement, avoid
confrontation, no jargon, document carefully
4 steps in approaching the examination of sensitive areas
1. introduction & why
2. open ended questions to explore pt's feelings
3. repeat what's been said & give feedback
4. take questions from pt
TACE questions
Does it Take more than two drinks to get you drunk?
Have people Annoyed you by criticizing your drinking?
Have you ever felt you ought to Cut down on your drinking?
Have you ever had a drink first thing in the morning to steady your
nerves (Eye opener)?
Partner Violence Screen
Have you been hit, kicked, punched or otherwise hurt by someone
within the past year?
Do you feel safe in your current relationship?
Is there a partner from a previous relationship who is making you feel
unsafe now?
HITS tool
Hurt
Insult
Threaten
