NR509 advanced physical assessment
midterm week 1-4 Questions With
Complete Solutions A+GRADED
The interview process - correct answer...✔✔Initiating the session
Gathering information
Physical examination
Explanation and planning
Closing the session
These steps are proving structure and building the relationship
interviewing techniques - correct answer...✔✔Nonverbal communication
Empathy
Active listening
Validation
reassurance
partnering
summarize
Guided questioning
Empowerment
Setting the stage for examination - correct answer...✔✔Explaining point for point what
the examination will entail, preparing, privacy, awareness of the setting in which the
exam is taking place, do not assume it is ok to have others in the room, being aware of
disabilities.
Establishing Rapport - correct answer...✔✔Earning trust, following through, showing
empathy and compassion, being knowledgeable of the information provided
Gender Pronouns - correct answer...✔✔How a person would like to be referred to. Ex:
"She/Her" "He/Him" "They/Them" etc.
How would you describe your sexual identity
How would you describe your gender identity
What is the sex on your original birth certificate
FIFE model - correct answer...✔✔Feelings
Ideas
Functioning
Expectations
Helps explore the patient's perspective about their health and illness
Patient-centered medical care - correct answer...✔✔Involving the patient in their care
and coming up with a plan with the provider. Provider must acknowledge their own
,personal biases while being aware of what is the safest Sam's most effective plan for
the patient
Fundamentals of skilled interviewing - correct answer...✔✔Active listening, empathetic
responses, guided questioning, nonverbal communication, validation, reassurance,
partnering, summarization, transitions, empowering the patient
verbal communication - correct answer...✔✔expressing ideas to others by using
spoken words
nonverbal communication - correct answer...✔✔communication using body
movements, gestures, and facial expressions rather than speech
Challenging Patient Situations and behaviors - correct answer...✔✔Silent
Talkative
With confusing narrative
With altered state or cognition
With emotional lability
Angry or aggressive
Flirtatious
Discriminatory
With hearing loss
With low or impaired vision
With limited intelligence
Burdened by personal problems
Nonadherent
With low literacy
With low health literacy
With limited language proficiency
With terminal illness or dying
5 R's off cultural humility - correct 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 - correct answer...✔✔nonmaleficence,
beneficence,
respect for autonomy,
decisional capacity,
confidentiality,
informed consent,
truth telling,
justice
, Focused Health History - correct answer...✔✔ALL components of the Complete Health
History with the focus on the specific reason the client is seeking care.
Comprehensive Health History - correct 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 - correct 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 - correct 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 - correct 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 - correct answer...✔✔what the person says about himself or herself
during history taking
objective data - correct answer...✔✔information that is seen, heard, felt, or smelled by
an observer; signs
Modifying of the clinical interview for various settings - correct 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
