Exam (elaborations)
nr 509 midterm (1).
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Exam of 15 pages for the course NR 509 Final Exam at NR 509 Final Exam (nr 509 midterm (1).)
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nr 509 midtermActive listening - ANS--closely attending to what the patient is communicating
-connecting to the patient's emotional state
-verbal and nonverbal skills
Empathic responses - ANS-capacity to identify with the patient and feel the patient's
pain as your own, then respond in a supportive manner
Guided questioning - ANS-Helps to continue the patients story
-moving from open ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing
also known as adaptive questioning
Reassurance - ANS-appropriate way to help the patient feel that problems have been
fully understood and are being addressed
Partnering - ANS-When building rapport with patients, express your commitment to an
ongoing relationship
Transitions - ANS-Inform your patient when you are changing directions during the
interview.
Empowering the patient - ANS--to ask questions
-express their concerns
-probe your recommendations
in order to encourage them to adopt your advice, make lifestyle changes, or take
medications as prescribed.
, Comprehensive exam used for?
Includes?
Focused exam used for? - ANS--new patients
-health history
-complete physical examination.
-routine care, urgent care, specific problem
Articular structures - ANS-articular cartilage
intra-articular ligaments
juxta-articular bone
joint capsule
synovium
synovial fluid
Articular disease signs and symptoms - ANS-crepitus
deformity
instability locking of the joints
Limits active & passive ROM d/t stiffness/pain
Swelling
Tenderness of the joint
Extra-articular structures - ANS-bursae
bone
fascia
muscle
nerve
overlying skin
periarticular ligaments
tendons
Extra-articular disease involves - ANS-point of focal tenderness in regions adjacent to
articular structures
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