Subjective Data: ANSWER the information that the patient tells you, including
the absence or existence of patient symptoms.
Objective data are your firsthand observations based on what you see, hear,
smell, and touch and diagnostic test results.
What is ROS? ANSWER System Review
What do you record in each body system included in the ROS? - ANSWER
inventory of certain body systems aimed to document any current or previous
symptoms the patient may be experiencing.
How many systems should be examined in ROS? - Answer: 14
What additional information must be included in the pregnancy health history
and physical exam? - ANSWER Hx: gravidity/parity, menstrual, gynecologic,
and obstetric, pregnancy adjustment
Physical examination includes fundal height, foetal heart tones, pelvic
measures, and uterine size.
What should be included to the elderly's health history and physical
examination? - ANSWER HX: community and family support, functional
assessment
Physical examination: skin lesions, baldness and hair loss, changes in chest
shape, muscular mass or postural alterations, walking and balance.
What age does a child become a reliable historian? - Answer: 7
HITS- ANSWER Hurt, insult, threaten, and scream (domestic violence).
, PVS - Answer Have you been hit, kicked, punched, or otherwise injured by
someone in the last year? (Partner Violence Screen).
FICA - Answer Faith, Influence, Community, Address/Action in care.
FICA Questions - Answer What is your spiritual or religious background? Do
these beliefs help you deal with stress?
How have these beliefs changed how you deal with stress?
Are you a member of a formal spiritual or religious community? Does this
community support you?
How do your religious views influence your medical decisions? How do you
want me to support you when it comes to your health?
The 5 Ps of sexual history are: 1. Partners 2. Practices
3. STI prevention 4. STI history
5. Prevention of Pregnancy
Question to Ask for Partners in 5 Ps - Answer Are you having sex with anyone
right now, whether oral, vaginal, or anal?
Question to Ask for Practice in 5 Ps - ANSWER What kind of sexual
encounters do you have, or have you had? What areas of your body are involved
during sex?
Question to ask for protection from STIs in 5 Ps: ANSWER. What approaches
do you employ when using preventative tools?
Question to Ask for Pregnancy Prevention in Five Points - Answer Do you
believe you'd like to have (more) children someday? How vital is it for you to
avoid pregnancy (till then)?
Compare and contrast cultural and physical traits. - ANSWER It is
inappropriate to distinguish a cultural group or subgroup based on physical
traits (such as skin colour).
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