PM S20
NUR2065C Physical Assessment
Exam 1 Study Guide
Summer 2020
Question types: multiple choice & select all that apply. Fill in the blank for the conversions.
Chapter 3: The Interview (4- 6 questions)
• Closed- ended vs. open-ended questions
o Start with open-ended questions
o Follow with closed or direct questions-ask for specific information with one- or two-
word answers
• Therapeutic communication techniques: active listening, back channeling, summarizing
o Foundational to the nurse-client relationship
• (Table 26.1, p 127 in ATI Fundamentals)
• Space/ Distance related to interviewing- Cross-Cultural Care
o Intimate zone: 0-1-1/2 feet: Best for assessing breath and body odors
o Personal Distance: 1-1/2 – 4 feet: Most of the physical assessment occurs at
this distance. The bubble or extension of one’s self
o Social Distance: 4-12 feet: much of the interview occurs at this distance
o Public distance: >12 feet: Interaction with others is impersonal
• Traps of interviewing
o Providing false assurance or reassurance
o Giving unwanted advice
o Using authority
o Using avoidance language
o Engaging in distancing
o Using leading or biased questions
o Talking too much
o Interrupting
o Using “why” questions
Chapter 4: The Complete Health History (4- 6 questions)
• Purpose of the health history
o Collect subjective data
o Well patients: recognize & affirm what the patient is doing right
o Ill patients: Detailed, chronological record of the health problem
o All patients: screening tool for abnormal symptoms, health problems and records
health promotion
• History of present illness/ Symptom analysis
o Detailed chronological description of why the client seeks care
o Symptom Analysis
▪ Location
▪ Character or quality
▪ Quantity or Severity
▪ Timing
▪ Setting
▪ Aggravating or relieving factors
▪ Associated factors
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