NR509 PHYSICAL ASSESSMENT | TOP SCORES MADE
SIMPLE | TRUSTED TEST SOLUTIONS!
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. Answer:
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: Answer: - 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: Answer: - 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 area of PMhx, family
hx, social hx, at least 10 ROS
subjective data Answer: 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
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,objective data Answer: 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 Answer: -review the clinical record
-ensure the client is comfortable
-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
Basic Interviewing Skills Answer: -active listening-closely attending to what the pt is
communicating, connect to pt'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
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, -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
history of present illness Answer: 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 Answer: 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
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
SIMPLE | TRUSTED TEST SOLUTIONS!
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. Answer:
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: Answer: - 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: Answer: - 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 area of PMhx, family
hx, social hx, at least 10 ROS
subjective data Answer: 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
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,objective data Answer: 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 Answer: -review the clinical record
-ensure the client is comfortable
-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
Basic Interviewing Skills Answer: -active listening-closely attending to what the pt is
communicating, connect to pt'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
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, -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
history of present illness Answer: 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 Answer: 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
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
