NUR509 midterm Exam Questions and Answers
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Interviewing techniques - ANSWER ✔✔-ADAPTIVE QUESTIONING(GUIDED), FOCUS QUESTIONS,
ECHOING, summarization, transitions, partnering and validation
Setting the stage for the examination - ANSWER ✔✔-intiate the session, gather info, physical examin,
explan and plan, close the session
Patient-centered medical care - ANSWER ✔✔-patient experssions, emotions, perceptions, feelings,
attitudes towards disease focus
The FIFE model - ANSWER ✔✔-FEELINGS, IDEAS, FUNCTIONAL EFFECT AND
EXPECTATIONS(PATIENTS PERSPECTIVE)
• silent patient - ANSWER ✔✔-allow for reflection
Talkative - ANSWER ✔✔-allow to talk 5-10 min then redirect, don't show impatience
Comp health history - ANSWER ✔✔-CC,HPI,PMI,Family history, ROS and personal/social history
Focused - ANSWER ✔✔-established patients with specific concerns, ER visits, CC,HPI, pertinent PMH,
and ROS
Determining the scope of the patient assessment - ANSWER ✔✔-FOCUSED OR COMPREHENSIVE
The seven attributes of a patient's principal symptoms - ANSWER ✔✔-OLDCARTS
Subjective versus objective data - ANSWER ✔✔-Subjective what the patient reports/says
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Determining the scope of the physical examination if it needs to be - ANSWER ✔✔-comprehensive or
focused
The clinical reasoning process - ANSWER ✔✔-gather initial patient info, health history and physical
exam, organize them to represent a problem, genertate a hypothesis with the differential diagnosis, test
hypotheses until diagnosis is selected, plan the diagnostic and treatment strategy
The problem list - ANSWER ✔✔-summarizes all related problems that support a differential diagnosis
with the most serious/active firsts
The differential diagnosis (DDx) list - ANSWER ✔✔-list of possible diagnoses supported by the problem
list
The summary statement - ANSWER ✔✔-includes chief compliant, pertinent parts of hx, physical exam
and lab data, no more than 2-3 sentences, demonstrates clinical reasoning skills,
Assessment (medical diagnoses) - ANSWER ✔✔-includes all abnormal and unexpected findings, known
diagnoses and new/undiagnosed symptoms and signs, chief compliant at top and includes significant
social factors that impact health such as food and housing insecurity
Planning (treatment and interventions) - ANSWER ✔✔-what you want the patient to take or do with
education
Using elements of the physical examination as diagnostic tests - ANSWER ✔✔-key elements of HPI,
• Evaluating diagnostic tests - ANSWER ✔✔-validity and sensitivity and specificity
Sensitivity - ANSWER ✔✔-probability that a person with disease has a positive test
Specificity - ANSWER ✔✔-probability that a nondisease person has a negative test
Critically appraising clinical evidence are the - ANSWER ✔✔-results valid what are the results can you
apply them to your patient
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