NURS 5220: MODULE 1 EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
SOAP note - ANS SOAP note is both a process and a documentation format
The Partnership with the Patient - ANS Getting to know your client:
Culture
Physical characteristics Influence on health and illness
Beliefs and behaviors Family relationships Preparing to be an effective health care provider
The History and Interviewing process - ANS The history and physical exam begin the
diagnostic and treatment process
The techniques you will learn are orderly but not rigid
To prevent misinterpretations and misperceptions, you must make every effort to view the
patient's perspective.
GOALS - ANS Discover information leading to diagnosis and management
Provide information about diagnosis
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Negotiate and share health care management
Counsel about disease prevention
Autonomy - ANS Patient's self-determination
Beneficence - ANS Do good for the patient
Nonmaleficence - ANS Do no harm to the patient
Utilitarianism - ANS Appropriate use of resources for the greater good
Fairness and Justice - ANS Equitable treatment of all
Deontological imperatives - ANS Care delivered according to traditions and in cultural
contexts
Factors that Enhance Communication - ANS Establishing a positive patient relationship
depends on communication built on: Courtesy Comfort Connection Confirmation Confidentiality
Be Professional:
Attire & Response
Enhancing Patient Responses - ANS Establish rapport and trust-Seek connection
Open-Ended Question-Allows patient discretion about the extent of an answer
Direct Question-Seeks specific information
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Leading Question
-May limit the information provided to what the patient thinks you want to know
If the patient does not understand what you are asking, remember to: - ANS Facilitate:
Encourage your patient to say more
Reflect: Repeat what you have heard.
Clarify: Ask "What do you mean?"
Empathize: Show understanding and acceptance.
Confront: Address disturbing patient behavior.
Interpret: Repeat what you have heard to confirm the patient's meaning.
Communication TensionsLimit barriers - ANS curiosity about you
anxiety
silence
depression
crying
physical intimacy
emotional intimacy
anger
avoidance
financial considerations
Setting for the Interview - ANS comfort
removal of physical barriers
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, good lighting
privacy
quiet
unobtrusive access to clock
Taking the history usually begins... - ANS your relationship with the patient
Structure of the History - ANS Identifiers: name, date, time, age, gender, race, occupation,
and referral source
• Chief concern/complaint (CC)
• History of present illness (HPI)
• Past medical history (PMH)
• Family history (FH)
• Personal and social history (PH/ SH)
• Review of systems (ROS)
Basic Rules for Building the History - ANS • Introduce yourself
• Address patient properly
• Be courteous
• Make eye contact
• Do not overtire patient
• Do not be judgmental
• Be flexible
Avoid medical jargon
• Take notes sparingly
• Avoid leading questions
• Start with general concerns, then move to specific descriptions.
• Clarify responses with where, when, what, how, and why questions.
• Verify and summarize what you have heard
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
SOAP note - ANS SOAP note is both a process and a documentation format
The Partnership with the Patient - ANS Getting to know your client:
Culture
Physical characteristics Influence on health and illness
Beliefs and behaviors Family relationships Preparing to be an effective health care provider
The History and Interviewing process - ANS The history and physical exam begin the
diagnostic and treatment process
The techniques you will learn are orderly but not rigid
To prevent misinterpretations and misperceptions, you must make every effort to view the
patient's perspective.
GOALS - ANS Discover information leading to diagnosis and management
Provide information about diagnosis
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Negotiate and share health care management
Counsel about disease prevention
Autonomy - ANS Patient's self-determination
Beneficence - ANS Do good for the patient
Nonmaleficence - ANS Do no harm to the patient
Utilitarianism - ANS Appropriate use of resources for the greater good
Fairness and Justice - ANS Equitable treatment of all
Deontological imperatives - ANS Care delivered according to traditions and in cultural
contexts
Factors that Enhance Communication - ANS Establishing a positive patient relationship
depends on communication built on: Courtesy Comfort Connection Confirmation Confidentiality
Be Professional:
Attire & Response
Enhancing Patient Responses - ANS Establish rapport and trust-Seek connection
Open-Ended Question-Allows patient discretion about the extent of an answer
Direct Question-Seeks specific information
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Leading Question
-May limit the information provided to what the patient thinks you want to know
If the patient does not understand what you are asking, remember to: - ANS Facilitate:
Encourage your patient to say more
Reflect: Repeat what you have heard.
Clarify: Ask "What do you mean?"
Empathize: Show understanding and acceptance.
Confront: Address disturbing patient behavior.
Interpret: Repeat what you have heard to confirm the patient's meaning.
Communication TensionsLimit barriers - ANS curiosity about you
anxiety
silence
depression
crying
physical intimacy
emotional intimacy
anger
avoidance
financial considerations
Setting for the Interview - ANS comfort
removal of physical barriers
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, good lighting
privacy
quiet
unobtrusive access to clock
Taking the history usually begins... - ANS your relationship with the patient
Structure of the History - ANS Identifiers: name, date, time, age, gender, race, occupation,
and referral source
• Chief concern/complaint (CC)
• History of present illness (HPI)
• Past medical history (PMH)
• Family history (FH)
• Personal and social history (PH/ SH)
• Review of systems (ROS)
Basic Rules for Building the History - ANS • Introduce yourself
• Address patient properly
• Be courteous
• Make eye contact
• Do not overtire patient
• Do not be judgmental
• Be flexible
Avoid medical jargon
• Take notes sparingly
• Avoid leading questions
• Start with general concerns, then move to specific descriptions.
• Clarify responses with where, when, what, how, and why questions.
• Verify and summarize what you have heard
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
