NR 509 Midterm Study Guide
I I I I
Chapter I1 I- IFoundations Ifor IClinical IProficiency
-Know Iwhat Ishould Ibe Ilisted Iunder Iadult Iillnesses Iin Ihealth Ihistory
I(p.10)IMedical, ISurgical, IOBGYN, IPsychiatric
-Know Iwhat Iis Ilisted Iunder Ipresent Iillness I(p.9)
Problems Iprompting Ithe Ipatients Ivisit, Iincluding Ithe Ionset Iof Ithe Iproblem, Ithe Isetting IinIwhich
Iit Ideveloped, Iits Imanifestations, Iand Iany Itreatments Ito Idate
-Know Iwhat Imakes Iup Ithe Ihealth Ihistory I(subjective)
I(p.7)IIdentifying I data I and I source I of I the I history; I reliability
IChief Icomplaint(s)
Present
IIllnessIPast
Ihistory
IFamily Ihistory
Personal Iand Isocial
IhistoryIReview Iof ISystems
-Know Ihow Ito Iprioritize Ipatient Icomplaints I(p.37)
List Imost Iactive I& Iserious Iproblems Ifirst Iand Itheir Idate Iof Ionset
Problems Ican Ibe Isymptoms, Isigns, Ipast Ihealth Ievents Isuch Ias Ia Ihospital Iadmission Ior
IsurgeryIor Idiagnoses
-Be Iable Ito Ifigure Iout Iwhat Iis Imissing Iin Ian IHPI
I(p.9)IO.L.D.C.A.R.T
-Know Iwhat Isubjective Iinformation Iis
I(p.6)IWhat Ipatient Itells Iyou
-Know Iwhat Iobjective Iinformation Iis I(p.6)
IExamination Ifindings, Ivital Isigns, Ilaboratory Idata
-Know Ithe Ic-sections Ishould Ibe Ilisted Iin Isurgeries
I(p.10)ISurgical Ihistory
-Subjective Iinfo I(ROS) I(p.12)
IGoes Iunder Ithe Ireview Iof Isystems
-Know Ithe Isequence Iof Ithe Iabdomen
I(p.22)IInspect, Iauscultate, Ipercuss
Chapter I2 I- IEvaluating IClinical IEvidence
• Evaluating IClinical IEvidence
• Critical IThinking Iand IClinical IReasoning
• Differential IDiagnoses
• Pathological Iand IPhysiological IProcesses
• Problem IList
• Problem IPrioritization
, Chapter I3 I- IInterviewing Iand Ithe IHealth IHistory
-Know Ihow Ito Iget Ia Ipatient Ito Iopen Iup Iwhen Ithey Iseem Iupset I(p.72)
IEffective Ireassurance-identifying Iand Iacknowledging Ipatients
IfeelingsIMeaningful Ireassurance-deal Iopenly Iwith Iconcerns
Validate Ithe Ilegitimacy Iof Ihis Ior Iher Iemotional
IexperienceIMoving Icloser Ior Imaking Iphysical Icontact
-Know Ithe Iorder Iof Imeeting Ia Ipatient Iand Iconducting Ian Iinterview I(p.73)
-Know Ithat Iyou Ineed Ipermission Iof Ithe Ipatient Ito Icarry Iout Ithe Ivisit Iif Isomeone Iis Iin Ithe
IroomI(p.75)
Whenever Ivisitors Iare Ipresent, Iyou Iare Iobligated Ito Imaintain Ithe Ipatients Iconfidentiality
-Know Ihow Ito Imake Ia Ipelvic Iexam Iless Iintimidating I(p.76)
Avoid Iinterviewing Ipatient Iwhen Ishe Iis Ialready Ipositioned Ifor Ia Ipelvic Iexam
-Know Ithat Iif Ia Ipatient Ireturns Ifrom Ia Icountry Iwith Imalaria Iyou Istill Ineed Ito Ibe Iselective
IofIwhich Ipatients Iyou Iscreen Ifor Imalaria I(p.66) IReview Ipage
-Where Ito Isit Iwhen Iinterpreter Iin Ithe Iroom I(p.90)
Chapter I4 I- IBeginning Ithe IPhysical IExamination: I General ISurvey, IVital ISigns, Iand IPain
-Know Iwhat Ican Icause Ifalsely Ihigh IBP I(p.127)
Cuff Itoo Ismall IBP Iwill Iread Ihigh; Icuff Itoo Ilarge IBP Iwill Iread Ilow Ion Ismall Iarm Iand Ihigh
IonIlarge Iarm
Brachial Iartery Ibelow Iheart, IBP Iwill Ibe Ihigher, Iif Ibrachial Iartery Iis Iabove Iheart, Ireading
IwillIbe Ilower
-Know Iwhat Iis Iincluded Iin Iconstitutional Isymptoms I(p.112)
Fatigue, Iweakness, Ifever/chills, Inight Isweats, Iweight Ichanges Ior Ipain
-BMI Iinterpretation I(p.122)
The IBMI Iincorporates Iestimated Ibut Imore Iaccurate Imeasures Iof Ibody Ifat Ithan Iweight Ialone
I I I I
Chapter I1 I- IFoundations Ifor IClinical IProficiency
-Know Iwhat Ishould Ibe Ilisted Iunder Iadult Iillnesses Iin Ihealth Ihistory
I(p.10)IMedical, ISurgical, IOBGYN, IPsychiatric
-Know Iwhat Iis Ilisted Iunder Ipresent Iillness I(p.9)
Problems Iprompting Ithe Ipatients Ivisit, Iincluding Ithe Ionset Iof Ithe Iproblem, Ithe Isetting IinIwhich
Iit Ideveloped, Iits Imanifestations, Iand Iany Itreatments Ito Idate
-Know Iwhat Imakes Iup Ithe Ihealth Ihistory I(subjective)
I(p.7)IIdentifying I data I and I source I of I the I history; I reliability
IChief Icomplaint(s)
Present
IIllnessIPast
Ihistory
IFamily Ihistory
Personal Iand Isocial
IhistoryIReview Iof ISystems
-Know Ihow Ito Iprioritize Ipatient Icomplaints I(p.37)
List Imost Iactive I& Iserious Iproblems Ifirst Iand Itheir Idate Iof Ionset
Problems Ican Ibe Isymptoms, Isigns, Ipast Ihealth Ievents Isuch Ias Ia Ihospital Iadmission Ior
IsurgeryIor Idiagnoses
-Be Iable Ito Ifigure Iout Iwhat Iis Imissing Iin Ian IHPI
I(p.9)IO.L.D.C.A.R.T
-Know Iwhat Isubjective Iinformation Iis
I(p.6)IWhat Ipatient Itells Iyou
-Know Iwhat Iobjective Iinformation Iis I(p.6)
IExamination Ifindings, Ivital Isigns, Ilaboratory Idata
-Know Ithe Ic-sections Ishould Ibe Ilisted Iin Isurgeries
I(p.10)ISurgical Ihistory
-Subjective Iinfo I(ROS) I(p.12)
IGoes Iunder Ithe Ireview Iof Isystems
-Know Ithe Isequence Iof Ithe Iabdomen
I(p.22)IInspect, Iauscultate, Ipercuss
Chapter I2 I- IEvaluating IClinical IEvidence
• Evaluating IClinical IEvidence
• Critical IThinking Iand IClinical IReasoning
• Differential IDiagnoses
• Pathological Iand IPhysiological IProcesses
• Problem IList
• Problem IPrioritization
, Chapter I3 I- IInterviewing Iand Ithe IHealth IHistory
-Know Ihow Ito Iget Ia Ipatient Ito Iopen Iup Iwhen Ithey Iseem Iupset I(p.72)
IEffective Ireassurance-identifying Iand Iacknowledging Ipatients
IfeelingsIMeaningful Ireassurance-deal Iopenly Iwith Iconcerns
Validate Ithe Ilegitimacy Iof Ihis Ior Iher Iemotional
IexperienceIMoving Icloser Ior Imaking Iphysical Icontact
-Know Ithe Iorder Iof Imeeting Ia Ipatient Iand Iconducting Ian Iinterview I(p.73)
-Know Ithat Iyou Ineed Ipermission Iof Ithe Ipatient Ito Icarry Iout Ithe Ivisit Iif Isomeone Iis Iin Ithe
IroomI(p.75)
Whenever Ivisitors Iare Ipresent, Iyou Iare Iobligated Ito Imaintain Ithe Ipatients Iconfidentiality
-Know Ihow Ito Imake Ia Ipelvic Iexam Iless Iintimidating I(p.76)
Avoid Iinterviewing Ipatient Iwhen Ishe Iis Ialready Ipositioned Ifor Ia Ipelvic Iexam
-Know Ithat Iif Ia Ipatient Ireturns Ifrom Ia Icountry Iwith Imalaria Iyou Istill Ineed Ito Ibe Iselective
IofIwhich Ipatients Iyou Iscreen Ifor Imalaria I(p.66) IReview Ipage
-Where Ito Isit Iwhen Iinterpreter Iin Ithe Iroom I(p.90)
Chapter I4 I- IBeginning Ithe IPhysical IExamination: I General ISurvey, IVital ISigns, Iand IPain
-Know Iwhat Ican Icause Ifalsely Ihigh IBP I(p.127)
Cuff Itoo Ismall IBP Iwill Iread Ihigh; Icuff Itoo Ilarge IBP Iwill Iread Ilow Ion Ismall Iarm Iand Ihigh
IonIlarge Iarm
Brachial Iartery Ibelow Iheart, IBP Iwill Ibe Ihigher, Iif Ibrachial Iartery Iis Iabove Iheart, Ireading
IwillIbe Ilower
-Know Iwhat Iis Iincluded Iin Iconstitutional Isymptoms I(p.112)
Fatigue, Iweakness, Ifever/chills, Inight Isweats, Iweight Ichanges Ior Ipain
-BMI Iinterpretation I(p.122)
The IBMI Iincorporates Iestimated Ibut Imore Iaccurate Imeasures Iof Ibody Ifat Ithan Iweight Ialone
