NUR2204 MIDTERM STUDY GUIDE EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Demographic data
pt reason for seeking healthcare/chief complaint
history of present illness
COLDSPA, allergies, medication list,
personal/past history / past medical and surgical history
chronic illnesses, dates of hospitalizations, reasons
family health history
think genogram
psychosocial history
typical day of patient, lifestyle, sleep and rest, use of alcohol, tobacco/ecigs, marijuana,
caffeine, drugs. etc.
complete health history
history about everything that has happened to them since they were a child, goes
together with a complete physical examination; not common
interval health history
health check every few months; come in every few months if they have diabetes to be
checked or hypertension/high cholesterol; more common; done in visits after database
collected, may update any or all parts of complete history
problem/chief complaint-focused health history
,go to primary care physician for when you are ill; problem-focused health history, what
is happening now; collects data about a specific problem system or region, usually
written as patient quotations for chief complaint "patient reports headache for 3 days
non-verbal and verbal behavior (how are they dressed? are they disheveled? are
they well-groomed? do they remember events? can they give a coherent
explanation of their health status? can they recall past events?) if not, note that
they are unreliable historian
how can you assess the reliability of the patient as a historian?
character/description of symptoms
what does C in coldspa stand for
onset (when did it begin)
what does O in coldspa stand for
location of symptom, radiation, or changes?
what does L in coldspa stand for
duration (how long does it last? how long has it been happening?)
what does D in coldspa stand for
severity (pain scale 1-10)
what does S in coldspa stand for
pattern of symptom and alleviating/aggravating factors
what does P in coldspa stand for
associated factors and accompanying symptoms
what does A in coldspa stand for
IPPA (inspection, percussion, palpation, auscultation)
, What are the techniques of a physical exam?
inspection
what does the I in IPPA mean
palpation
what does the first P in IPPA mean
percussion
what does the second P in IPPA mean
auscultation
what does the A in IPPA mean
non-judgmental, open-ended questioning
how do you elicit the most information from a patient?
demo with a stuffed animal or doll; EXAMINE PAINFUL AREA LAST
what is helpful to use when examining a child and doing a demo for them?
pull the auricle down and back
how do you examine a child's ears?
pull the auricle up and back
how do you examine an adult's ears?
to hear soft, low sounds such as BRUITS
when do you listen using the bell of the stethoscope?
over aneurysms such as abdominal aortic aneurysm, over narrowing of an artery
such as carotid stenosis or renal artery stenosis, any time there is turbulent
blood flow in a vessel, and over the artery of the thyroid in hyperthyroidism
where are bruits commonly heard?
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Demographic data
pt reason for seeking healthcare/chief complaint
history of present illness
COLDSPA, allergies, medication list,
personal/past history / past medical and surgical history
chronic illnesses, dates of hospitalizations, reasons
family health history
think genogram
psychosocial history
typical day of patient, lifestyle, sleep and rest, use of alcohol, tobacco/ecigs, marijuana,
caffeine, drugs. etc.
complete health history
history about everything that has happened to them since they were a child, goes
together with a complete physical examination; not common
interval health history
health check every few months; come in every few months if they have diabetes to be
checked or hypertension/high cholesterol; more common; done in visits after database
collected, may update any or all parts of complete history
problem/chief complaint-focused health history
,go to primary care physician for when you are ill; problem-focused health history, what
is happening now; collects data about a specific problem system or region, usually
written as patient quotations for chief complaint "patient reports headache for 3 days
non-verbal and verbal behavior (how are they dressed? are they disheveled? are
they well-groomed? do they remember events? can they give a coherent
explanation of their health status? can they recall past events?) if not, note that
they are unreliable historian
how can you assess the reliability of the patient as a historian?
character/description of symptoms
what does C in coldspa stand for
onset (when did it begin)
what does O in coldspa stand for
location of symptom, radiation, or changes?
what does L in coldspa stand for
duration (how long does it last? how long has it been happening?)
what does D in coldspa stand for
severity (pain scale 1-10)
what does S in coldspa stand for
pattern of symptom and alleviating/aggravating factors
what does P in coldspa stand for
associated factors and accompanying symptoms
what does A in coldspa stand for
IPPA (inspection, percussion, palpation, auscultation)
, What are the techniques of a physical exam?
inspection
what does the I in IPPA mean
palpation
what does the first P in IPPA mean
percussion
what does the second P in IPPA mean
auscultation
what does the A in IPPA mean
non-judgmental, open-ended questioning
how do you elicit the most information from a patient?
demo with a stuffed animal or doll; EXAMINE PAINFUL AREA LAST
what is helpful to use when examining a child and doing a demo for them?
pull the auricle down and back
how do you examine a child's ears?
pull the auricle up and back
how do you examine an adult's ears?
to hear soft, low sounds such as BRUITS
when do you listen using the bell of the stethoscope?
over aneurysms such as abdominal aortic aneurysm, over narrowing of an artery
such as carotid stenosis or renal artery stenosis, any time there is turbulent
blood flow in a vessel, and over the artery of the thyroid in hyperthyroidism
where are bruits commonly heard?
