NR509 Midterm Exam Questions & Answers
Verified 100% Correct
Comprehensive Health History- when to do - ANSWER -new patient
establishment-first encounter
Comprehensive Health History - ANSWER -includes all components of a health
history and complete physical examination
focused health history- when to use - ANSWER -returning patients for routine
care
patients with specific "urgent care" concerns
key factors to adjusting scope of health history - ANSWER -magnitude and
severity of pt problem
need for thoroughness
clinical setting
time available
which occurs most often comprehensive or focused assessment - ANSWER -
focused
Is health history subjective or objective? - ANSWER -subjective
subjective information during patient encounter - ANSWER -chief complaint
health history
review of systems
Is physical exam subjective or objective? - ANSWER -objective
objective information during patient encounter - ANSWER -physical exam
lab information
test data
health history- initial information - ANSWER -age
gender
source of information
,health history- chief complaint - ANSWER -Tells you what is wrong with them
Main reason they are there
Should be in quotation marks because it is what the pt is telling you
Ex: "chest pain"
Health history-HPI - ANSWER -Hostory of present illness
think OLDCARTS
7 attributes of a symptom - ANSWER -OLD CARTS
OLDCARTS - ANSWER -Onset
Location
Duration
Characteristics
Aggravating and Alleviating Factors
Related Symptoms/Radiation
Treatment(and response)
Severity
health history-past medical history - ANSWER -childhood illnesses
adult illnesses (and its 4 areas)
4 sub categories of adult illnesses - ANSWER -medical hx
surgical hx
psychiatric hx
OB/GYN
medical hx - ANSWER -illnesses (DM, HTN, HIV, ETC.)
hospitalizations
# and gender of sexual partners
risk-taking sexual practices
surgical hx - ANSWER -date and type of operation and reason why it was
performed
include c-section in this portion
Psychiatric hx - ANSWER -illnesses such as anxiety/depression
, suicidal ideations/attempts
include timeframe, diagnoses, hospitalizations, and treatments
OB/GYN hx - ANSWER -past pregnancies
outcomes and complications
known utertine abnormalities
-bicornuate uterus, surg hx
hx of STIs, including herpes (antivirals last 5-6wks of pregnancy)
treatment for abnormal paps
contraceptive use
sexual function
social hx - ANSWER -1. Alcohol/tobacco/drug use
2. Travel history
3. Work Environment
4. Home environment
5. Hobbies/leisure activities
6. Stressors
7. Education
8. Economic status
9. Military service
10. Religion
11. Culture
12. Roles/Relationships
13. Sexual hX
14. Patterns of daily living
review of systems - ANSWER -description of individual body systems in order to
discover any symptoms not directly related to the main problem
try asking questions systematically from head to toe
steps in beginning the physical exam - ANSWER -reflect on approach to the
patient (appear calm and organized)
adjust lighting and environment
Verified 100% Correct
Comprehensive Health History- when to do - ANSWER -new patient
establishment-first encounter
Comprehensive Health History - ANSWER -includes all components of a health
history and complete physical examination
focused health history- when to use - ANSWER -returning patients for routine
care
patients with specific "urgent care" concerns
key factors to adjusting scope of health history - ANSWER -magnitude and
severity of pt problem
need for thoroughness
clinical setting
time available
which occurs most often comprehensive or focused assessment - ANSWER -
focused
Is health history subjective or objective? - ANSWER -subjective
subjective information during patient encounter - ANSWER -chief complaint
health history
review of systems
Is physical exam subjective or objective? - ANSWER -objective
objective information during patient encounter - ANSWER -physical exam
lab information
test data
health history- initial information - ANSWER -age
gender
source of information
,health history- chief complaint - ANSWER -Tells you what is wrong with them
Main reason they are there
Should be in quotation marks because it is what the pt is telling you
Ex: "chest pain"
Health history-HPI - ANSWER -Hostory of present illness
think OLDCARTS
7 attributes of a symptom - ANSWER -OLD CARTS
OLDCARTS - ANSWER -Onset
Location
Duration
Characteristics
Aggravating and Alleviating Factors
Related Symptoms/Radiation
Treatment(and response)
Severity
health history-past medical history - ANSWER -childhood illnesses
adult illnesses (and its 4 areas)
4 sub categories of adult illnesses - ANSWER -medical hx
surgical hx
psychiatric hx
OB/GYN
medical hx - ANSWER -illnesses (DM, HTN, HIV, ETC.)
hospitalizations
# and gender of sexual partners
risk-taking sexual practices
surgical hx - ANSWER -date and type of operation and reason why it was
performed
include c-section in this portion
Psychiatric hx - ANSWER -illnesses such as anxiety/depression
, suicidal ideations/attempts
include timeframe, diagnoses, hospitalizations, and treatments
OB/GYN hx - ANSWER -past pregnancies
outcomes and complications
known utertine abnormalities
-bicornuate uterus, surg hx
hx of STIs, including herpes (antivirals last 5-6wks of pregnancy)
treatment for abnormal paps
contraceptive use
sexual function
social hx - ANSWER -1. Alcohol/tobacco/drug use
2. Travel history
3. Work Environment
4. Home environment
5. Hobbies/leisure activities
6. Stressors
7. Education
8. Economic status
9. Military service
10. Religion
11. Culture
12. Roles/Relationships
13. Sexual hX
14. Patterns of daily living
review of systems - ANSWER -description of individual body systems in order to
discover any symptoms not directly related to the main problem
try asking questions systematically from head to toe
steps in beginning the physical exam - ANSWER -reflect on approach to the
patient (appear calm and organized)
adjust lighting and environment
