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For which of the following patients would a comprehensive health history be appropriate? A new patient with the chief complaint of "I sprained my ankle" An established patient with the chief complaint of "I have an upper respiratory infection" A new patient with the chief complaint of "I am here to establish care" A new patient with the chief complaint of "I cut my hand" - A new patient with the chief complaint of "I am here to establish care" This patient is here to e...

When examining the abdomen, what is the first examination technique used? - Inspection Heel jar causes abdominal pain which indicated peritoneal irritation - Markle's Sign Palpation near gallbladder halts inspiration and indicates possible cholecystitis - Murphey's Sign Palpation in LLQ causes RLQ pain which could indicate appendicitis - Roving's Sign Ecchymosis in flank which could indicate hemoperitoneum - Grey Turner Sign Abdominal pain radiating to left shoulder which could...

Unless a life-threatening situation exists, the best guide to determining the priority for the patient's condition should be based on: A. intuition. B. probability and utility. C. the use of algorithms. D. the examiner's initial favorite hypothesis. - B Probability and utility should always be your guides to sequencing your actions, unless a life-threatening situation exists. Which of the following should be considered when determining a need for additional examination, testing, or p...

Eczematous dermatitis Most common inflammatory skin disorder: Irritant contact dermatitis Allergic contact dermatitis Atopic dermatitis Folliculitis Inflammation and infection of the hair follicle and surrounding dermis Acute onset of applied and pustules Furuncle deep-seated infection of the pilosebaceous unit Cellulitis diffuse (widespread), acute infection of the skin and subcutaneous tissue Tinea (dermatophytosis) Group of noncandidal fungal infections that involve t...

In which age group are milia an expected finding? A. Newborns B. Young children C. Adolescents D. Older adults - A On palpation of an older individual's skin, you observe "tenting." Which of the following would be most appropriate for you to do in regard to this condition? A. Have the individual further evaluated for dehydration. B. Refer the client for punch biopsy of the skin. C. Inform the individual to be especially vigilant in self-screening for skin cancer. D.Obse...

COMPONENTS OF MENTAL STATUS EXAM INCLUDE: - A-B-C-T APPEARANCE; posture, body movements, dress, grooming and hygiene BEHAVIOR; LOC, Facial expression, speech, mood and affect COGNITION; address, phone#, etc. date?, attention span, recent and remote memory, new learning THOUGHT PROCESS; perceptions, should be logical and consistent this person make sense? how do people treat you?, do you feel you are being watched, followed or controlled? have you heard your name when alone? _____________...

What is suggested when touch and position sense are normal or only slightly impaired, and there is a disproportionate decrease in, or loss of, discriminative sensations? - suggests disease of the sensory cortex. Stereognosis, number identification, and two-point discrimination are impaired in? - posterior column disease. What does primary headaches include? - migraine, tension, cluster, and chronic daily headaches Where does secondary headaches arise? - secondary headaches arise from un...

A patient presents for a pre-operative physical. He has been previously diagnosed with Macular Degeneration. The practitioner knows what to be the most consistent visual problem associated with this condition? Answers: A. Difficulty with Peripheral vision B. Blurring of near vision C. Difficulty with distant vision D. Loss of the central vision field - D. Loss of the central vision field Mrs. Smith's medical chart documents that her visual acuity is 20/40 in both eyes. This means that...

Your middle-aged patient has a BMI of 29. You would tell him that... Hyperlipidemia & weight gain are a problem - He is at risk for CAD & DM You realize that as an Advanced Practice Nurse you must ask questions regarding sensitive topics. To be most effective you employ the basic principles that guide responses to sensitive topics. All of these are important which is the most... - Be nonjudgmental Susie Lee presents for a checkup to your office. You have not seen her before but she was la...

What does the "O" in Oldcart stand for? Give an example question. - Onset How long have you had this pain? What does the "L" in Oldcart stand for? Give an example question. - Location Can you take 1 finger and point to the area that hurts? What does the "D" in Oldcart stand for? Give an example question. - Duration How long does the pain last when it occurs? A few seconds, mins? What does the "C" in Oldcart stand for? Give an example question. - Character How would you descr...

Select the correct sequence of techniques used during an examination of a child's abdomen: a. Percussion, inspection, palpation, auscultation b. Inspection, palpation, percussion, auscultation c. Inspection, auscultation, percussion, palpation d. Auscultation, inspection, palpation, percussion - c. Inspection, auscultation, percussion, palpation When percussing a child's abdomen, you note tympany. This is indicative of the presence of: a. Fluid b. Air c. Feces d. Hepatomegaly - b. A...

Health Assessment refers to - A systematic method of collecting data for the purpose of planning patient centered care. Identify strengths, weaknesses, health problems and deficits. American nurses associations standards of care. The first 6 steps are based on the nursing process. - Assessment, diagnosis, expected outcomes ( goals), planning, Implementation, evaluation. 3 primary components of health assessment. - History ( subjective data) what the pt says. Physical examination ( objecti...

A circumscribed, elevated lesion, >1 cm I diameter and containing clear serous fluid is best described as - Bulla The history and physical of a client indicates paste occurrences of lichenification. The NP identifies this as: - Rough, thickened epidermis, accentuated skin markings On examination of a client's skin, the nurse practitioner finds a lesion that is about 0.75 cm in diameter, brown, and circumscribed. Correct term for this lesion is: - Macule In performing a skin assessme...

When writing a SOAP note, the nurse practitioner is aware that "A" represents - The diagnosis When reading a healthcare record you see the following notation: Patient states "I have had a runny nose and a cough for 1 week now" This is an example of: - Chief complaint Which of the following is an appropriate recording of the subjective information provided by a patient? - "grabbing" chest pain for 2 hours You receive results from the laboratory, a metabolic panel and a CBC. Where s...

profession - an expression of a role and its relationship to the world, representing a social contract and reflecting high expectations for its exercise from those who will depend on it evidence based practices - practice based on facts and truth; the integration of the best research evidence with clinical expertise and clinical values evidentiary dynamics - nursing practices based on research that is conducted so that evidence may be presented decision making - a complex cognitive proc...

A 59 year old patients tells the nurse practitioner that he thinks he must have ulcerative colitis. He has been having "black stools" for the last 24 hours. How would the nurse practitioner best document THE FACTS for his reason for seeking care? A) JM is a 59 year old male here for having "black stools" for the past 24 hours. B) JM came into the clinic complaining of black stools for the past 24 hours. C) JM is a 59 year old male here for "ulcerative colitis." D) JM, a 59 year old mal...

1. For which of the following patients would a comprehensive health history be appropriate? A) A new patient with the chief complaint of "I sprained my ankle" B) An established patient with the chief complaint of "I have an upper respiratory infection" C) A new patient with the chief complaint of "I am here to establish care" D) A new patient with the chief complaint of "I cut my hand" - c) a new patient with the CC of "I am here to establish care" the patient is new to the p...

Quantum theory and change - change is not a thing/event, its a dynamic process and cannot be avoided. With change comes two realities: actual & potential. Leadership arises from potential. All things INTERDEPENDENT, leaders must ADAPT Power - integral in organization behavior; it is the influence over beliefs, emotions and behaviors. only exists when there is an unequal relationship between two people where one depends on the other 5 sources of power - 1. Legitimate Power 2. Reward Power ...