N522 Mid Term Exam Questions With Complete Solutions
diagnostic reasoning Correct Answers a scientific process in
...... ......
which the practitioner suspects the cause of a patient's symptoms
and signs based on previous knowledge
Character-how does it look/feel/smell/sound
Onset-when did it start
Location
Duration-how long does it last, recurrent
Severity- scale 0-10
Pattern- what makes it worse/better
Associated factors-other symptoms, interfere w/ ADLs Correct ......
Answers What is symptom analysis using COLDSPA
.... ..
clinical reasoning Correct Answers situation, practice-based form
...... ......
of reasoning that acknowledges the many variables that are
present in an actual clinical situation, such as social
relationships/situations involving family, community and team
of healthcare providers
evidence-based practice Correct Answers integration of clinical
...... .... ..
expertise with the most current, relevant, and sound research
evidence to guide clinical practice decisions
comprehensive assessment Correct Answers all the elements of
...... ......
the health history and complete physical examination
focused/problem oriented assessment Correct Answers addresses ...... ......
focused concerns/symptoms, restricted to body system, applies
examination methods relevant to assessing the concern
,subjective data Correct Answers what the patient tells you;
...... ......
symptoms and history from chief complaint through review of
systems
objective data Correct Answers what you detect during
...... ......
examination, lab findings, and test data. all physical exam
findings.
identifying data/source of history and reliability, chief
complaint, present illness, past history, family history, personal
and social history, review of systems Correct Answers ......
components of the comprehensive health history
......
location, quality, quantity/severity, timing, setting, relieving and
aggravating factors, associated manifestations Correct Answers 7 ...... ......
attributes of a symptom
inspection Correct Answers close observation of the details of
...... ......
the patient's appearance, behavior, and movement
palpation Correct Answers tactile pressure from the palmar
...... ......
fingers or fingerpads to assess areas of skin elevation,
depression, warmth, tenderness, lymph nodes, pulses, contours,
sizes of organs, masses, crepitus
percussion Correct Answers use of striking usually the third digit
...... ......
to deliver a rapid to tap to other 3rd digit against the chest or
abdomen to evoke a sound
,auscultation Correct Answers use of diaphragm and bell of
...... ......
stethoscope to detect characteristics of heart, lung, bowel sounds
general survey Correct Answers observe the patient's general
...... ......
state of health, ht, wt, build, and sexual development. note
posture, motor activity, gait, personal hygiene, facial
expressions, tone
differential diagnosis Correct Answers a list of potential causes
...... ......
for the patient's problems
primary prevention Correct Answers interventions designed to
...... ......
prevent disease
secondary prevention Correct Answers screening tests designed
...... ......
to find disease or disease processes at an early, asymptomatic
age
patient-centered interviewing Correct Answers following the ...... ......
patient's lead to understand their thoughts, ideas, concerns, and
request, without adding additional information from the
clinician's perspective
symptom focused, clinician centered Correct Answers clinician ...... ......
takes charge of the interaction to meet their own needs to
acquire the symptoms, details, and other data to identify the
disease
moving from open-ended to focused questions, using questions
to elicit a graded response, asking a series of questions one at a
time, offering multiple choices for answers, clarifying what the
, patient means, encouraging with continuers, using echoing
Correct Answers techniques of guided questioning
...... ......
evoke the patient's perspective, convey interest in the person not
just the problem, follow the patient's leads, elicit and validate
emotional content, share information w/ the pt, make clinical
reasoning transparent to the patient, reveal the limits of your
knowledge Correct Answers techniques for empowering the
...... ......
patient
cultural competence Correct Answers a set of attitudes, skills,
...... ......
behaviors, and policies that enable organizations and staff to
work effectively in cross-cultural situations. it reflects the ability
to acquire and use knowledge of the health related beliefs,
attitudes, practices, and communication patterns of
clients/families to improve services, strengthen programs,
increase community involvement, and close gaps in health status
among diverse population groups
capacity Correct Answers clinical designation and can only be
...... .... ..
assessed by clinicians
competence Correct Answers legal designation and can only be
...... ......
decided by court
-understand the relevant information about proposed diagnostic
tests or treatment
-appreciate their situation including their underlying values and
current clinical situation
-use reason to make a decision