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Goal of screening tools during health history interview
Determine if patient has problem related to the issue
Sexual history includes
Sexual partners, sexual practices, methods to prevent STIs and pregnancy, history of STIs
Family history that increases risk of T2DM and cardiovascular disease
Obesity, dyslipedemia
Patient is curt, avoiding eye contact, and states that he doesn't know why he bothered to seek
help. How do you respond?
Tell patient they seem upset and ask to discuss concerns
How do you convey courtesy during an appointment?
Knock before entering
Patient has to wait 45 minutes because the office is running late
Thank patient for their patience
What is a communication technique to use while interviewing a patient?
Active listening with clarification and reflection
Patient gains secondary gain from illness. What does that mean?
Attention and caring from others due to illness
Patient says they use illicit drugs. What technique is appropriate when asking more about the
drug use?
Reassure patient that all information will be kept confidential
A patient's wife, who is also their caregiver, becomes irritable when they need more help. How
should a nurse respond to the patient?
Ask how they feel when their wife becomes irritated
, What does "shotty" mean when describing the lymph nodes?
Feel like BBs or buckshots
Quality of lymph nodes associated with malignant conditions
Hard, immovable, grows rapidly
Mumps differs from cervical lymphadenopathy how?
Obscure jaw angle due to swelling
Which lymph nodes are not accessible during physical assessment?
Mediastinal (located between the lungs)
Which lymph nodes enlarge with frequent ear infections?
Preauricular, retropharyngeal
Where are the supraclavicular lymph nodes located?
Above the clavicle
Where do you palpate epitrochlear nodes?
Groove between tricep and bicep near the elbow
Characteristic regarding severe swelling of lymphedema
gradual onset
Common finding to patient with Non-Hodgkins lymphoma besides lymphadenopathy
fever
Enlargement of these lymph nodes requires further follow-
Supraclavicular
Child has a history of positional plagiocephaly. What causes this?
Child sleeping in supine position
What condition can lead to tracheal deviation?
Tension pneumothorax
Pulsation of the thyroid cartilage could be a sign of
Aortic arch aneurysm