DETAILED ANSWERS\ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% CORRECT
VERIFIED SOLUTIONS) A NEW UPDATED VERSION
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Purpose of Health History Interview
Structured conversation to obtain subjective data, establish a
baseline of the client's health status, and guide an individualized
plan of care.
Mnemonic: STRUCTURED = Subjective + Baseline
PQRST Pain Assessment
P: Pattern/precipitating factors; Q: Quality (sharp, dull, burning); R:
Radiation; S: Severity (0-10); T: Time of onset & treatment. Mnemonic:
Please Quit Raging Severe Torture
Cultural Considerations
Respect cultural and spiritual beliefs; ask about practices that affect
care; never assume based on ethnicity. Differences within cultures are
common. Mnemonic: ASK, DON'T ASSUME
, Transgender Client Assessment
~1.4 million U.S. adults identify as transgender. Individualize
assessment to assigned sex at birth, current anatomy, and any
gender-affirming
treatments/surgeries. Mnemonic: ASSIGNED + ANATOMY + AFFIRMING
Disability Considerations
Assume client is competent to manage their own care. Speak directly
to the client (not the assistant/interpreter). Ask how you can help
before providing assistance. Mnemonic: COMPETENT FIRST
Respectful Gender Assessment
Three questions: (1) What sex was on your birth certificate? (2)
What gender do you identify as? (3) What pronouns do you use?
Allow form-based response if preferred. Mnemonic: ASK —
Assigned, Self-identify, Known
pronouns
, Assigned Sex vs Gender Identity
Assigned sex = biologic sex assigned at birth based on genitals;
Gender identity = personal internal sense of gender (male,
female, transgender). Mnemonic: BODY ≠ IDENTITY
Directive Interview
Highly structured, nurse-controlled, mostly closed-ended
questions. Used in urgent/emergent situations (e.g., trauma pre-
op). Mnemonic: DIRECT = Control & Closed
Nondirective Interview
Client-led, open-ended, builds rapport, used for education/lifestyle
dialogue (e.g., new diabetes diagnosis). Mnemonic: NON-DIR =
Narrative