GCU NUR-634 Advanced Physical Assessment Midterm Study
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Questions And Correct Answers (Verified Answers) Already
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VERSION 2026-2027
Angry Challenging Patient Intervention
-acknowledge any involvement you may have in their anger and make amends
-avoid reinforcing criticism of other clinicians
-validate their feelings without agreeing with their reasons
-ensure a safe environment, alert staff/security
-stay calm and avoid being confrontational
-keep a relaxed and nonthreatening posture
Silent Challenging Patient Intervention
-be attentive and respectful and encourage patient to continue when they are
ready
-watch for nonverbal cues such as difficulty controlling emotions
-watch for signs of depression
-ask why they are quiet
,Confusing Challenging Patient Intervention
-guide questions, ask for clarification, and summarize
-watch for underlying issue if there is interference with communication
-when there are multiple symptoms focus on context of the symptoms
emphasizing the patients perspective
-consider delirium or intoxication
-conduct a mental status examination focusing on LOC. orientation, memory,
and capacity to understand
-ask for permission to speak with family members to obtain their perspectives
Hearing Impaired Challenging Patient Intervention
-determine patients preferred method of communication
-do they belong to the deaf/hearing culture
-when did the hearing loss occur relative to the development of speech and
language
-kinds of schools patient attended
-use an interpreter
-hand written questions (timely)
-do they use hearing devices
-unilateral hearing loss sit on good side
-remove background noise
-face lip readers
-speak normal volume and rate
-ask for teach back and give written instructions to take home
ABCDE-EFG
-method used to screen moles for melanomas
-if >2 present risk of melanoma increases and biopsy should be considered
-Assymetry, Border irregularity, Color Variations, Diameter >6mm, Evolving
-EFG added to help detect aggressive nodular melanomas (Elevated, Firm to
palpation, growing progressively)
, New Patient Documentation
-should consist of a comprehensive health history consisting of identifying
data and source of hx, chief complaint, HPI, PMH, Family history,
personal/social hx, ROS
Established Patient Documentation
-should consist of a focused assessment consisting of chief complaint,
assessment of symptoms restricted to a specific body system, examination
relevant to thorough assessment of problem area
Stages of Skin (Pressure) Ulcers
-Stage 1: presence of a reddened area that fails to blanch with pressure and
changes in temperature, consistency, sensation, or color
-Stage 2: Skin forms a blister/sore, partial thickness skin loss or ulceration
involving the epidermis, dermis, or both
-Stage 3: a crater appears in the skin with full thickness skin loss and damage to
or necrosis of subcutaneous tissue that may extend to but not through underlying
muscle
-Stage 4: the pressure ulcer deepens, there is full thickness skin loss with
destruction, tissue necrosis, or damage to underlying muscle, bone, and
sometimes tendons/joints
Pityriasis Rosea
-oval lesion on trunk often in a Christmas tree pattern and sometimes a herald
patch (a lg patch that appears first)
Guide EXAM || Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers) Already
Graded A+ | Guaranteed Success!! Newest Exam || NEWEST
VERSION 2026-2027
Angry Challenging Patient Intervention
-acknowledge any involvement you may have in their anger and make amends
-avoid reinforcing criticism of other clinicians
-validate their feelings without agreeing with their reasons
-ensure a safe environment, alert staff/security
-stay calm and avoid being confrontational
-keep a relaxed and nonthreatening posture
Silent Challenging Patient Intervention
-be attentive and respectful and encourage patient to continue when they are
ready
-watch for nonverbal cues such as difficulty controlling emotions
-watch for signs of depression
-ask why they are quiet
,Confusing Challenging Patient Intervention
-guide questions, ask for clarification, and summarize
-watch for underlying issue if there is interference with communication
-when there are multiple symptoms focus on context of the symptoms
emphasizing the patients perspective
-consider delirium or intoxication
-conduct a mental status examination focusing on LOC. orientation, memory,
and capacity to understand
-ask for permission to speak with family members to obtain their perspectives
Hearing Impaired Challenging Patient Intervention
-determine patients preferred method of communication
-do they belong to the deaf/hearing culture
-when did the hearing loss occur relative to the development of speech and
language
-kinds of schools patient attended
-use an interpreter
-hand written questions (timely)
-do they use hearing devices
-unilateral hearing loss sit on good side
-remove background noise
-face lip readers
-speak normal volume and rate
-ask for teach back and give written instructions to take home
ABCDE-EFG
-method used to screen moles for melanomas
-if >2 present risk of melanoma increases and biopsy should be considered
-Assymetry, Border irregularity, Color Variations, Diameter >6mm, Evolving
-EFG added to help detect aggressive nodular melanomas (Elevated, Firm to
palpation, growing progressively)
, New Patient Documentation
-should consist of a comprehensive health history consisting of identifying
data and source of hx, chief complaint, HPI, PMH, Family history,
personal/social hx, ROS
Established Patient Documentation
-should consist of a focused assessment consisting of chief complaint,
assessment of symptoms restricted to a specific body system, examination
relevant to thorough assessment of problem area
Stages of Skin (Pressure) Ulcers
-Stage 1: presence of a reddened area that fails to blanch with pressure and
changes in temperature, consistency, sensation, or color
-Stage 2: Skin forms a blister/sore, partial thickness skin loss or ulceration
involving the epidermis, dermis, or both
-Stage 3: a crater appears in the skin with full thickness skin loss and damage to
or necrosis of subcutaneous tissue that may extend to but not through underlying
muscle
-Stage 4: the pressure ulcer deepens, there is full thickness skin loss with
destruction, tissue necrosis, or damage to underlying muscle, bone, and
sometimes tendons/joints
Pityriasis Rosea
-oval lesion on trunk often in a Christmas tree pattern and sometimes a herald
patch (a lg patch that appears first)
