,NR509 Advanced Physical Assessment
Midterm Week 1-4 Exam || All Questions
& Correct Answers (Rated A+)
5 R's off cultural humility - ANSWER - Reflection— what did I learn?
Respect—did I treat everyone involved w respect?
Regard—did unconscious bias drive this encounter?
Relevance—how was cultural humility relevant?
Resiliency—how did my personal resilience affect this interaction?
Core Values of Medical Ethics - ANSWER - nonmaleficence,
beneficence,
respect for autonomy,
decisional capacity,
confidentiality,
informed consent,
truth telling,
justice
Focused Health History - ANSWER - ALL components of the Complete Health
History with the focus on the specific reason the client is seeking care.
Comprehensive Health History - ANSWER - includes biographic data, reason for
seeking care, present health status, past medical history, family history, personal
and psychosocial history, and a review of all body systems
Psych
Obstetrics
Surgery c-section goes here
Hospital stays
Components of Health History - ANSWER - 1) Demographic information
2) Source of history
3) Chief concern
4) History of present illness
——OLDCARTS
5) Past health history and current health status
6) Family history
7) Social history
8) Health promotion behaviors
9) ROS
——all subjective
Determining the Scope of patient assessment - ANSWER - The patient's symptoms,
age, and health history help determine the scope of the focused examination, as
does your knowledge of disease patterns.
seven attributes of a symptom - ANSWER - 1. Location
, 2. Quality
3. Quantity or severity
4. Timing (including onset, duration, and frequency)
5. The setting in which it occurs
6. factors that have aggravated or relieved the symptom
7. associated manifestations
subjective data - ANSWER - what the person says about himself or herself during
history taking
objective data - ANSWER - information that is seen, heard, felt, or smelled by an
observer; signs
Modifying of the clinical interview for various settings - ANSWER - Interviews may
vary based on where the interview is taking place. Ideal situations are a quiet,
uninterrupted environment however the ER setting, home setting, urgent care,
nursing home, and inpatient setting will differ greatly from information obtained to
what can be visualized by the clinician in the setting. Interruptions are likely during
lengthy interview processes. Watch interviewing during the examination.
Determining the scope of examination - ANSWER - Is the exam going to be focused
or comprehensive? Review chart for information to make the decision on what to
focus on or be prepared to do a comprehensive assessment.
Head to toe assessment - ANSWER - an assessment that organizes the collection of
comprehensive physical data by proceeding through the entire body from head to toe
General survey
Vital signs
-skin
- head, EENT
-neck
-back
-posterior thorax and lungs
-breasts and axillae (ask to lay down)
-anterior chest and lungs
-cardiac
——elevate the HOB for JVD assessment
——- slight left side for mitral stenosis
Then sit and lean forward, aortic regurg
—abdomen. (Supine)
—-Lower extremity's (supine) nervous/skeletal
Then stand up
——-sit down for mental/cranial/motor/reflexes
If needed genital and rectal exams
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