UNIT 1 STUDY GUIDE: NU-518, Advanced Nursing
Assessment
Bates’ Guide to Physical Examination, 12th edition
Chapters 1 – 5, 18 – 20 (selected readings)
Edited by: Jessica L. Santos
,SECTION I: INDEX
Page Number,
Question Reference
Information
1. History and physical exam: comprehensive vs focused. (pp. 5-7; key search
4
term: “focused for patients”)
2. Subjective vs. objective data. (pp. 6-7; key search term: “data as you”) 4–5
3. Components of health history. (pp. 7-13; key search term: “systems as you”) 5–7
4. Cardinal techniques of examination. (pp. 18-19; key search term: “techniques
7–8
inspection”)
5. Clinical reasoning, assessment, and plan. (pp. 25-28; key search term: “follows
8–9
think about”)
6. Generating the problem list. (p. 37; key search term: “complete the clinical”) 9
7. Sensitivity and specificity. (p. 48; key search term: “sensitivity is the”) 9 – 10
8. Different types of health histories: comprehensive vs focused. (p. 67; key
10
search term: “concerns your goals”)
9. Skilled interviewing techniques; sequence and context of the interview. (pp. 68-
10 – 13
77; key search terms: “progress over time” and “paradigm now”)
10. Seven attributes of a symptom. (p. 79; key search term: “quality what”) 13
11. Cultural humility. (pp. 82-86; key search term: “paradigm communicating”) 13
12. Advanced interviewing. (pp. 86-98; key search term: “patient as you spend”) 13 – 16
13. Ethics and professionalism – building blocks. (p. 100; key search term:
16
“building blocks of professional”)
14. The health history – common and concerning symptoms. (p. 112; key search
17 – 18
term: “weakness fatigue is”)
15. Eating disorders and excessively low BMI. (p. 140; key search term: “disorders
18
the lifetime”)
16. Health promotion and counseling. (pp. 114-119; key search term: “diet fewer”) 18 – 19
17. BMI (underweight, normal, overweight, obese). (p. 116; key search term:
19
“pursue weight”)
18. Safe goal for weight loss. (p. 117; key search term: “goals experts”) 19
19. The general survey. (pp. 120-122; key search term: “survey the general”) 19 – 21
20. Proper technique for accurate blood pressure measurement. (p. 127; key
21
search term: “measurements take the”)
21. Heart rate and rhythm, respiratory rate and rhythm, temperature. (pp. 132-
21 – 22
134; key search term: “rhythm examine”)
2
,22. Types of pain. (p. 137; key search term: “pain is linked”) 23
23. Personality disorders. (p. 152-153; key search term: “with personality
23 – 24
disorders”)
24. Components of the mental status examination (MSE). (pp. 154-156, 158-168;
24 – 27
key search term: “complex changes in”)
25. Variations and abnormalities in thought processes. (pp. 161-163; key search
27
term: “processes assess”)
26. Abnormalities of perception. (p. 163; key search term: “perceptions pursue”) 27
27. Mood. (p. 156; key search term: “suicide mood”) 27
28. Assessing the infant – development. (p. 809; key search term: “development
28
physical growth”)
29. Examination tips – infants. (p. 810; key search term: “noise tips”) 28
30. Techniques of examination - infant, school-age children. (pp. 813-853; key
29 – 41
search term: “signs measure the infant’s”)
31. Assessing young and school-aged children – development. (p. 854; key search
41 – 42
term: “development after infancy”)
32. Developmental milestones during early childhood. (p. 853; key search term:
42
“development after infancy”)
33. Examination tips – young children. (p. 855; key search term: “avoiding a
43
physical”)
34. Assessing adolescents - health history. (p. 891; key search term: “environment
43 – 44
this makes”)
35. Anatomic changes. (pp. 928-930; key search term: “changes changes”) 44 – 45
36. Gestational age versus expected date of delivery. (p. 934; key search term:
46
“effectively triaging”)
37. Substance abuse. (p. 938; key search term: “abuse abstinence”) 46
38. Immunizations. (p. 937; key search term: “immunizations given”) 46
39. Examination techniques – height, weight, and vital signs. (p. 942; key search
47
term: “weight calculate”)
40. Vital signs. (pp. 957-958; key search term: “frailty vital”) 47
41. Activities of daily living versus instrumental activities of daily living. (pp. 970-
47 – 48
971; key search term: “living the daily”)
42. Clinical clues to alcohol-related problems. (p. 974; key search term: “watch for
48
clues”)
43. Household safety and fall prevention. (p. 979; key search term: “prevention in
48 – 49
2013”)
44. Immunizations. (pp. 979-980; key search term: “immunizations recommend”) 49 – 50
45. Examination techniques – assessing functional status. (pp. 985-997; key search
50
term: “sixth vital sign is”)
46. Assessment for preventing falls – algorithm. (pp. 987-988; key search term:
51
“assessment STEADI”)
3
, SECTION II: STUDY GUIDE
Chapter 1 (Foundations for Clinical Proficiency)
1. History and physical exam: comprehensive vs focused. (pp. 5-7; key search term: “focused for
patients”)
For patients you are seeing for the first time in the office or hospital, you will usually choose to conduct
a comprehensive assessment, which includes all the elements of the health history and the complete
physical exam. Provides a complete basis for assessing patient concerns and answering patient questions.
Comprehensive examinations are:
Sources of fundamental and personalized knowledge about the patient that strengthens the
clinician-patient relationship
Provides a more complete basis for assessing patient concerns and answering patient questions
A more flexible focused or problem-oriented assessment is appropriate for patients you know well who
are returning for routine office care, or for patients with specific “urgent care” concerns, like sore throat or
knee pain. For the focused examination, you will:
Select methods relevant to thorough assessment of the targeted problem
Use the patient’s symptoms, age, and health history to determine the scope of the examination
You will adjust the scope of your history and physical examination to the situation at hand, keeping
several factors in mind: the magnitude and severity of the patient’s problems; the need for thoroughness; and
the clinical setting – inpatient or outpatient, primary or subspecialty care, and the time available.
4
Assessment
Bates’ Guide to Physical Examination, 12th edition
Chapters 1 – 5, 18 – 20 (selected readings)
Edited by: Jessica L. Santos
,SECTION I: INDEX
Page Number,
Question Reference
Information
1. History and physical exam: comprehensive vs focused. (pp. 5-7; key search
4
term: “focused for patients”)
2. Subjective vs. objective data. (pp. 6-7; key search term: “data as you”) 4–5
3. Components of health history. (pp. 7-13; key search term: “systems as you”) 5–7
4. Cardinal techniques of examination. (pp. 18-19; key search term: “techniques
7–8
inspection”)
5. Clinical reasoning, assessment, and plan. (pp. 25-28; key search term: “follows
8–9
think about”)
6. Generating the problem list. (p. 37; key search term: “complete the clinical”) 9
7. Sensitivity and specificity. (p. 48; key search term: “sensitivity is the”) 9 – 10
8. Different types of health histories: comprehensive vs focused. (p. 67; key
10
search term: “concerns your goals”)
9. Skilled interviewing techniques; sequence and context of the interview. (pp. 68-
10 – 13
77; key search terms: “progress over time” and “paradigm now”)
10. Seven attributes of a symptom. (p. 79; key search term: “quality what”) 13
11. Cultural humility. (pp. 82-86; key search term: “paradigm communicating”) 13
12. Advanced interviewing. (pp. 86-98; key search term: “patient as you spend”) 13 – 16
13. Ethics and professionalism – building blocks. (p. 100; key search term:
16
“building blocks of professional”)
14. The health history – common and concerning symptoms. (p. 112; key search
17 – 18
term: “weakness fatigue is”)
15. Eating disorders and excessively low BMI. (p. 140; key search term: “disorders
18
the lifetime”)
16. Health promotion and counseling. (pp. 114-119; key search term: “diet fewer”) 18 – 19
17. BMI (underweight, normal, overweight, obese). (p. 116; key search term:
19
“pursue weight”)
18. Safe goal for weight loss. (p. 117; key search term: “goals experts”) 19
19. The general survey. (pp. 120-122; key search term: “survey the general”) 19 – 21
20. Proper technique for accurate blood pressure measurement. (p. 127; key
21
search term: “measurements take the”)
21. Heart rate and rhythm, respiratory rate and rhythm, temperature. (pp. 132-
21 – 22
134; key search term: “rhythm examine”)
2
,22. Types of pain. (p. 137; key search term: “pain is linked”) 23
23. Personality disorders. (p. 152-153; key search term: “with personality
23 – 24
disorders”)
24. Components of the mental status examination (MSE). (pp. 154-156, 158-168;
24 – 27
key search term: “complex changes in”)
25. Variations and abnormalities in thought processes. (pp. 161-163; key search
27
term: “processes assess”)
26. Abnormalities of perception. (p. 163; key search term: “perceptions pursue”) 27
27. Mood. (p. 156; key search term: “suicide mood”) 27
28. Assessing the infant – development. (p. 809; key search term: “development
28
physical growth”)
29. Examination tips – infants. (p. 810; key search term: “noise tips”) 28
30. Techniques of examination - infant, school-age children. (pp. 813-853; key
29 – 41
search term: “signs measure the infant’s”)
31. Assessing young and school-aged children – development. (p. 854; key search
41 – 42
term: “development after infancy”)
32. Developmental milestones during early childhood. (p. 853; key search term:
42
“development after infancy”)
33. Examination tips – young children. (p. 855; key search term: “avoiding a
43
physical”)
34. Assessing adolescents - health history. (p. 891; key search term: “environment
43 – 44
this makes”)
35. Anatomic changes. (pp. 928-930; key search term: “changes changes”) 44 – 45
36. Gestational age versus expected date of delivery. (p. 934; key search term:
46
“effectively triaging”)
37. Substance abuse. (p. 938; key search term: “abuse abstinence”) 46
38. Immunizations. (p. 937; key search term: “immunizations given”) 46
39. Examination techniques – height, weight, and vital signs. (p. 942; key search
47
term: “weight calculate”)
40. Vital signs. (pp. 957-958; key search term: “frailty vital”) 47
41. Activities of daily living versus instrumental activities of daily living. (pp. 970-
47 – 48
971; key search term: “living the daily”)
42. Clinical clues to alcohol-related problems. (p. 974; key search term: “watch for
48
clues”)
43. Household safety and fall prevention. (p. 979; key search term: “prevention in
48 – 49
2013”)
44. Immunizations. (pp. 979-980; key search term: “immunizations recommend”) 49 – 50
45. Examination techniques – assessing functional status. (pp. 985-997; key search
50
term: “sixth vital sign is”)
46. Assessment for preventing falls – algorithm. (pp. 987-988; key search term:
51
“assessment STEADI”)
3
, SECTION II: STUDY GUIDE
Chapter 1 (Foundations for Clinical Proficiency)
1. History and physical exam: comprehensive vs focused. (pp. 5-7; key search term: “focused for
patients”)
For patients you are seeing for the first time in the office or hospital, you will usually choose to conduct
a comprehensive assessment, which includes all the elements of the health history and the complete
physical exam. Provides a complete basis for assessing patient concerns and answering patient questions.
Comprehensive examinations are:
Sources of fundamental and personalized knowledge about the patient that strengthens the
clinician-patient relationship
Provides a more complete basis for assessing patient concerns and answering patient questions
A more flexible focused or problem-oriented assessment is appropriate for patients you know well who
are returning for routine office care, or for patients with specific “urgent care” concerns, like sore throat or
knee pain. For the focused examination, you will:
Select methods relevant to thorough assessment of the targeted problem
Use the patient’s symptoms, age, and health history to determine the scope of the examination
You will adjust the scope of your history and physical examination to the situation at hand, keeping
several factors in mind: the magnitude and severity of the patient’s problems; the need for thoroughness; and
the clinical setting – inpatient or outpatient, primary or subspecialty care, and the time available.
4
