NURS 5220: Modules 1 & 2 Exam
Questions And Well Elaborated
Solutions
Achieving cultural competence is a learning process that requires: - ANSWER
1. Self-awareness
2. Reflective practice
3. Knowledge of core cultural issues
Problem-Oriented Medical Record Format - ANSWER -1. Identifying information
2. Problems, Allergies, Medications, Immunizations (PAMI)
3. General patient information
4. Source and reliability of information
5. Chief concern
6. History of present illness
7. Past medical history
8. Family history
9. Personal and social history
History of Present Illness - ANSWER -O nset
L ocation
D uration
C haracter
A ggravating/associated factors
R elieving factors
T emporal factors
S everity of symptoms
Past Medical History - ANSWER -1. General health over patient's lifetime as well
as disabilities and functional limitations, as perceived by the patient
2. Family history with Pedigree of at least 3 generations
,Personal and social history - ANSWER -Concerns of the patient and influence of
health problem on patients life
Review of Systems (ROS) - ANSWER -General constitutional systems Skin,
hair, nails
Head, neck
EENT
Lymphatic
Chest and Lungs
Breasts
Heart and Blood Vessels
Peripheral vasculature
Hematologic
Gastrointestinal
Diet
Endocrine
Genitourinary
Musculoskeletal
Neurologic
Mental Health
Physical Exam Findings - ANSWER -General statement
Mental status
Skin
Head
EENT
Neck
Chest
Lungs
Breasts
Heart
Blood Vessels
Abdomen
Genitalia
Anus/Rectum
Lymphatics
, Musculoskeletal
Neurologic
Assessment for each problem on the list - ANSWER -1. Diagnosis with rationale
2. If no diagnosis - prioritized differential diagnoses
3. Anticipated potential problems
- Complications
- Progression of disease
- Sequelae
Plan for Each Problem - ANSWER -1. Diagnostic tests performed or ordered
2. Therapeutic treatment plan
3. Patient Education
4. Referrals initiated
5. Target dates for reevaluating results of plan
Infants: Additions to history - ANSWER -1. Focus on transition to extrauterine
life and detection of congenital anomalies
2. Present problem include details of mother's pregnancy and any untoward events
occurring since birth
3. Details of pregnancy should include
- mother's health during pregnancy
- prenatal care
- labor and delivery
Infants: Addition to history, cont - ANSWER -4. Infant's status at birth
- birth weight
- respiratory status
- color
- Apgar scores if known
- nutrition
- congenital anomalies
- meconium staining
- bilirubin/phototherapy
- bleeding
Questions And Well Elaborated
Solutions
Achieving cultural competence is a learning process that requires: - ANSWER
1. Self-awareness
2. Reflective practice
3. Knowledge of core cultural issues
Problem-Oriented Medical Record Format - ANSWER -1. Identifying information
2. Problems, Allergies, Medications, Immunizations (PAMI)
3. General patient information
4. Source and reliability of information
5. Chief concern
6. History of present illness
7. Past medical history
8. Family history
9. Personal and social history
History of Present Illness - ANSWER -O nset
L ocation
D uration
C haracter
A ggravating/associated factors
R elieving factors
T emporal factors
S everity of symptoms
Past Medical History - ANSWER -1. General health over patient's lifetime as well
as disabilities and functional limitations, as perceived by the patient
2. Family history with Pedigree of at least 3 generations
,Personal and social history - ANSWER -Concerns of the patient and influence of
health problem on patients life
Review of Systems (ROS) - ANSWER -General constitutional systems Skin,
hair, nails
Head, neck
EENT
Lymphatic
Chest and Lungs
Breasts
Heart and Blood Vessels
Peripheral vasculature
Hematologic
Gastrointestinal
Diet
Endocrine
Genitourinary
Musculoskeletal
Neurologic
Mental Health
Physical Exam Findings - ANSWER -General statement
Mental status
Skin
Head
EENT
Neck
Chest
Lungs
Breasts
Heart
Blood Vessels
Abdomen
Genitalia
Anus/Rectum
Lymphatics
, Musculoskeletal
Neurologic
Assessment for each problem on the list - ANSWER -1. Diagnosis with rationale
2. If no diagnosis - prioritized differential diagnoses
3. Anticipated potential problems
- Complications
- Progression of disease
- Sequelae
Plan for Each Problem - ANSWER -1. Diagnostic tests performed or ordered
2. Therapeutic treatment plan
3. Patient Education
4. Referrals initiated
5. Target dates for reevaluating results of plan
Infants: Additions to history - ANSWER -1. Focus on transition to extrauterine
life and detection of congenital anomalies
2. Present problem include details of mother's pregnancy and any untoward events
occurring since birth
3. Details of pregnancy should include
- mother's health during pregnancy
- prenatal care
- labor and delivery
Infants: Addition to history, cont - ANSWER -4. Infant's status at birth
- birth weight
- respiratory status
- color
- Apgar scores if known
- nutrition
- congenital anomalies
- meconium staining
- bilirubin/phototherapy
- bleeding
