NR 509 MIDTERM EXAM /NR509 ADVANCED PHYSICAL ASSESSMENT
MIDTERM EXAM NEWEST ACTUAL EXAM COMPLETE ALL 218 QUES-
TIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
Study online at https://quizlet.com/_fqbial
-Addresses focused concerns or symp-
toms
-Used for established clients during rou-
tine or urgent care visits
-Health history and physical exams are
Focused Assessment
focused on the problem
-Includes:
• brief history of the present illness
• only the system related to the problem
in the review of systems
-Used for new clients
-Provides personalized information
about the client
-Strengthens the clinician-client relation-
ship
-Provides a baseline for future assess-
ments
Comprehensive Assessment -Provides an opportunity for health pro-
motion education and counseling
-Includes:
• extended history of the present illness
• at least two areas of past medical his-
tory, family history, and social history
• at least 10 systems in the review of
systems
includes symptoms that the client de-
scribes such as a sore throat, headache,
or pain. It also includes the client's feel-
ings, perceptions, and concerns
Information obtained from the client dur-
Subjective data ing any part of the health history
Examples of Subjective Data:
-Lower back pain
-Fatigue
-Stomach cramps
-Immunization history
, NR 509 MIDTERM EXAM /NR509 ADVANCED PHYSICAL ASSESSMENT
MIDTERM EXAM NEWEST ACTUAL EXAM COMPLETE ALL 218 QUES-
TIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
Study online at https://quizlet.com/_fqbial
includes the physical examination find-
ings or signs observed
All physical examinations, laboratory in-
formation, and test data
Examples of Objective Data:
Objective data -Heart rate
-Blood pressure
-Lung sounds
-Wound appearance
-Ambulation description
-Weight
Initiate Encounter
-Review the clinical record
-Ensure the client is comfortable
-Clarify the goals/agenda for the en-
counter; balance provider and client
goals
-Establish rapport
-Identify the client's preferred title, name,
and gender pronouns
-Use "people first" language (i.e., a per-
son with hearing loss, a person who uses
a wheelchair)
Clinical Encounter Sequence (detailed)
Gather Information
-ID the client's chief complaint or reason
for seeking care
-Invite the client's story using an
open-ended approach
-Gather information about the client's
perspective of the illness using the
mnemonic FIFE
-Conduct the health history interview
-Gather information about past medical
history, medications and allergies, family
history, personal and social history, and
ROS
, NR 509 MIDTERM EXAM /NR509 ADVANCED PHYSICAL ASSESSMENT
MIDTERM EXAM NEWEST ACTUAL EXAM COMPLETE ALL 218 QUES-
TIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
Study online at https://quizlet.com/_fqbial
Perform the Physical Exam
-Conduct the exam based on the infor-
mation obtained from the health history
-Maintain client's comfort and privacy
throughout the exam
Explain and Plan
-Assess and respond to the client's
needs for information
-Negotiate and make decisions together
-Utilize teach-back to ensure the client
understands the plan
Close the Encounter
-Leave time for the client to ask questions
-Summarize the plans for future evalua-
tion, treatments, and follow up
-initiate the encounter
-gather information
The general sequence of a clinical en-
-perform a physical exam
counter is to:
-develop a shared plan
-close the encounter
Feelings
Ideas
Function
Expectations
-A mnemonic for the patient's perspec-
tive on the illness
FIFE mnemonic
• The patient's Feelings, including fears
or concerns, about the problem
• The patient's Ideas about the nature
and the cause of the problem
• The effect of the problem on the pa-
tient's life and Function
• The patient's Expectations of the dis-
, NR 509 MIDTERM EXAM /NR509 ADVANCED PHYSICAL ASSESSMENT
MIDTERM EXAM NEWEST ACTUAL EXAM COMPLETE ALL 218 QUES-
TIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
Study online at https://quizlet.com/_fqbial
ease, of the clinician, or of health care,
often based on prior personal or family
experiences
-active listening
-empathy
-guided questioning
-validating
-empowerment
Basic interviewing techniques
-partnering
-transitioning
-reassuring
-summarizing
-nonverbal communication
closely attending to what the client
is communicating, connecting to the
client's emotional state, and using verbal
active listening
and nonverbal skills to encourage the
client to expand on their feelings and
concerns.
identifying with the client and feeling their
empathy pain as one's own, then responding to
them in a supportive manner.
-Guided questions help to elicit more in-
formation, while still showing a continued
interest in the client's feelings and story.
-Some techniques of guided question-
ing include moving from open-ended to
more focused questions; clarifying what
guided questioning
the client means; encouraging with con-
tinuers such as "go on"; using a series of
questions one at a time; and using ques-
tions that require a graded response (i.e.,
how many stairs can you climb before
feeling short of breath?).
affirming the legitimacy of the client's
emotional experience.
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