100%correct
NR 509 Bates / midterm
Preauricular nodes - ANSWER- in front of the ear
Posterior auricular node - ANSWER- superficial to the mastoid process (behind the ear)
Occipital node - ANSWER- at the base of the skull posteriorly
Tonsillar node - ANSWER- at the angle of the mandible
Submandibular node - ANSWER- midway between the angle and the tip of the mandible. These nodes
are usually smaller and smoother than the lobulated subman-dibular gland against which they lie
Submental nodes - ANSWER- in the midline a few centi-meters behind the tip of the mandible
Superficial cervical nodes - ANSWER- superficial to the sternocleidomastoid.
Posterior cervical nodes - ANSWER- along the anterior edge of the trapezius.
Deep cervical chain lymph nodes - ANSWER- deep to the ster-nocleidomastoid and often inaccessible to
examination. Hook your thumb and fingers around either side of the sterno-cleidomastoid muscle to
find them.
Supraclavicular nodes - ANSWER- deep in the angle formed by the clavicle and the sterno-cleidomastoid.
shotty - ANSWER- Small, mobile, discrete, nontender nodes, are frequently found in normal people
physical assessment techniques - ANSWER- Inspection - visual examination; Palpation - tactile
examination; Percussion - tactile and auditory examination; Auscultation - auditory examination
head and neck - ANSWER- Begin the physical assessment by inspecting
general appearance of head/neck - ANSWER- facial expression, contours, asymmetry
comprehensive assessment - ANSWER- Seeing patient for first time; Includes all the elements of the
health history and the complete physical examination; fundamental and personalized knowledge about
the patient that strengthens the clinician-patient relationship; provides a complete basis for assessing
these concerns and answering patient questions
focused assessment - ANSWER- chief complaint such as cough, abdominal pain, sore throat, etc. or a
follow-up for a chronic illness; Your history and physical will be much more focused on the chief
complaint as you begin diagnosis and management
basic - ANSWER- maximize patient's comfort, avoid unnecessary changes in position, enhance clinical
efficiency, move head to toe, examine the patient from their right side
, 100%correct
active listening - ANSWER- closely attending to what the patient is communicating, connecting to the
patient's emotional state, and using verbal and nonverbal skills to encourage the patient to expand on
his or her feelings and concerns
Empathic responses - ANSWER- the capacity to identify with the patient and feel the patient's pain as
your own, then respond in a supportive manner
Guided questioning - ANSWER- show your sustained interest in the patient's feelings and deepest
disclosures and allows the interviewer to facilitate full communication, in the patient's own words,
without interruption.
Nonverbal communication - ANSWER- eye contact, facial expression, posture, head position and
movement such as shaking or nodding, interpersonal distance, and placement of the arms or legs—
crossed, neutral, or open
validation - ANSWER- helps to affirm the legitimacy of the patient's emotional experience.
Partnering - ANSWER- When building rapport with patients, express your commitment to an ongoing
relationship
Summarization - ANSWER- Giving a capsule summary of the patient's story during the course of the
interview to communicate that you have been listening carefully.
Transitions - ANSWER- Inform your patient when you are changing directions during the interview
empowering the patient - ANSWER- encourage patients to ask questions, express their concerns, and
probe your recommendations in order to encourage them to adopt your advice, make lifestyle changes,
or take medications as prescribed.
subjective - ANSWER- apparent only to the person affected' perceptions, feelings, thoughts,
expectations. Cannot be observed and can be discovered only by asking questions
objective - ANSWER- detectable by an observer or can be tested against an acceptable standard;
tangible, observable facts; includes observation of the clients behavior, medical records, lab and
diagnostic tests, data collected by physical exam
chief complaint - ANSWER- Make every attempt to quote the patient's own words
7 attributes of a symptom - ANSWER- Location, quality, quantity or severity, timing - including onset
duration and frequency, setting in which it occurs, alleviating/aggravating factors, associated
manifestations
Past medical history - ANSWER- Medications (prescription, OTC and herbs), allergies to drugs foods
seasonal environment (document reaction to each), childhood; illness/hospitalizations, adult illnesses
(diabetes, HTN, HIV, hispitalizations, gender of sexual partners, sexual practices), surgical history (dates,
indications, types), OBGYN (menstrual hx, methods of contraception, sexual function) , psychiatric
, 100%correct
(illness and time frame, diagnosis, hospitalizations, treatments), health maintenance (immunizations,
wellness exams, pap smears, colonoscopy, etc), family history, personal and social history (intersts,
stress, spiritual beliefs, lifestyle habits)
review of symptoms - ANSWER- (1) to obtain additional information about the patient's chief complaint
and history of present illness; and (2) to elicit symptoms of potential problems in uninvolved systems;
ask yes or no questions and then follow up when there is a response that indicates an abnormality with
open-ended questions; head-to-toe approach - remember that the ROS is subjective data ONLY
Problem list - ANSWER- defined as a list of current and active diagnoses as well as past diagnoses
relevant to the current care of the patient; includes all the medical, social, and psychologic problems the
patient has or may have; List the most active and serious problems first and record their date of onset.
Helps to individualize the patient's care. On follow-up visits, provides a quick summary of the patient's
clinical history and a reminder to review the status of problems the patient may not mention
differential diagnosis - ANSWER- all the medical diseases that may possibly explain the patient's chief
complaint or principal problem; A chief complaint must be identified first. Includes all medical diseases
that may possibly explain problem/ CC
head - ANSWER- Areas are associated with the bone that they are in front of
salivary glands - ANSWER- glands near mandible
parotid - ANSWER- glands that lie superficial and behind mandible - visible and palpable when enlarged
submandibular gland - ANSWER- glands beneath the tongue
parotid and submandibular - ANSWER- openings of these are visible in oral cavity
superficial temporal artery - ANSWER- artery that is in front of the ear and runs upward - readily
palpable
common issues with the head - ANSWER- Headache; Change in vision - Hyperopia, Presbyopia, Myopia,
Scotomas, Diplopia; Hearing loss, earache, tinnitus; Vertigo
Hyperopia - ANSWER- farsightedness; This makes close-up objects appear blurry
presbyopia - ANSWER- gradual loss of your eyes' ability to focus on nearby objects
myopia - ANSWER- nearsightedness
Scotoma - ANSWER- A spot in your vision that can be dark, very light, blurred, or flickering · Trouble
seeing certain colors
Diplopia - ANSWER- double vision
NR 509 Bates / midterm
Preauricular nodes - ANSWER- in front of the ear
Posterior auricular node - ANSWER- superficial to the mastoid process (behind the ear)
Occipital node - ANSWER- at the base of the skull posteriorly
Tonsillar node - ANSWER- at the angle of the mandible
Submandibular node - ANSWER- midway between the angle and the tip of the mandible. These nodes
are usually smaller and smoother than the lobulated subman-dibular gland against which they lie
Submental nodes - ANSWER- in the midline a few centi-meters behind the tip of the mandible
Superficial cervical nodes - ANSWER- superficial to the sternocleidomastoid.
Posterior cervical nodes - ANSWER- along the anterior edge of the trapezius.
Deep cervical chain lymph nodes - ANSWER- deep to the ster-nocleidomastoid and often inaccessible to
examination. Hook your thumb and fingers around either side of the sterno-cleidomastoid muscle to
find them.
Supraclavicular nodes - ANSWER- deep in the angle formed by the clavicle and the sterno-cleidomastoid.
shotty - ANSWER- Small, mobile, discrete, nontender nodes, are frequently found in normal people
physical assessment techniques - ANSWER- Inspection - visual examination; Palpation - tactile
examination; Percussion - tactile and auditory examination; Auscultation - auditory examination
head and neck - ANSWER- Begin the physical assessment by inspecting
general appearance of head/neck - ANSWER- facial expression, contours, asymmetry
comprehensive assessment - ANSWER- Seeing patient for first time; Includes all the elements of the
health history and the complete physical examination; fundamental and personalized knowledge about
the patient that strengthens the clinician-patient relationship; provides a complete basis for assessing
these concerns and answering patient questions
focused assessment - ANSWER- chief complaint such as cough, abdominal pain, sore throat, etc. or a
follow-up for a chronic illness; Your history and physical will be much more focused on the chief
complaint as you begin diagnosis and management
basic - ANSWER- maximize patient's comfort, avoid unnecessary changes in position, enhance clinical
efficiency, move head to toe, examine the patient from their right side
, 100%correct
active listening - ANSWER- closely attending to what the patient is communicating, connecting to the
patient's emotional state, and using verbal and nonverbal skills to encourage the patient to expand on
his or her feelings and concerns
Empathic responses - ANSWER- the capacity to identify with the patient and feel the patient's pain as
your own, then respond in a supportive manner
Guided questioning - ANSWER- show your sustained interest in the patient's feelings and deepest
disclosures and allows the interviewer to facilitate full communication, in the patient's own words,
without interruption.
Nonverbal communication - ANSWER- eye contact, facial expression, posture, head position and
movement such as shaking or nodding, interpersonal distance, and placement of the arms or legs—
crossed, neutral, or open
validation - ANSWER- helps to affirm the legitimacy of the patient's emotional experience.
Partnering - ANSWER- When building rapport with patients, express your commitment to an ongoing
relationship
Summarization - ANSWER- Giving a capsule summary of the patient's story during the course of the
interview to communicate that you have been listening carefully.
Transitions - ANSWER- Inform your patient when you are changing directions during the interview
empowering the patient - ANSWER- encourage patients to ask questions, express their concerns, and
probe your recommendations in order to encourage them to adopt your advice, make lifestyle changes,
or take medications as prescribed.
subjective - ANSWER- apparent only to the person affected' perceptions, feelings, thoughts,
expectations. Cannot be observed and can be discovered only by asking questions
objective - ANSWER- detectable by an observer or can be tested against an acceptable standard;
tangible, observable facts; includes observation of the clients behavior, medical records, lab and
diagnostic tests, data collected by physical exam
chief complaint - ANSWER- Make every attempt to quote the patient's own words
7 attributes of a symptom - ANSWER- Location, quality, quantity or severity, timing - including onset
duration and frequency, setting in which it occurs, alleviating/aggravating factors, associated
manifestations
Past medical history - ANSWER- Medications (prescription, OTC and herbs), allergies to drugs foods
seasonal environment (document reaction to each), childhood; illness/hospitalizations, adult illnesses
(diabetes, HTN, HIV, hispitalizations, gender of sexual partners, sexual practices), surgical history (dates,
indications, types), OBGYN (menstrual hx, methods of contraception, sexual function) , psychiatric
, 100%correct
(illness and time frame, diagnosis, hospitalizations, treatments), health maintenance (immunizations,
wellness exams, pap smears, colonoscopy, etc), family history, personal and social history (intersts,
stress, spiritual beliefs, lifestyle habits)
review of symptoms - ANSWER- (1) to obtain additional information about the patient's chief complaint
and history of present illness; and (2) to elicit symptoms of potential problems in uninvolved systems;
ask yes or no questions and then follow up when there is a response that indicates an abnormality with
open-ended questions; head-to-toe approach - remember that the ROS is subjective data ONLY
Problem list - ANSWER- defined as a list of current and active diagnoses as well as past diagnoses
relevant to the current care of the patient; includes all the medical, social, and psychologic problems the
patient has or may have; List the most active and serious problems first and record their date of onset.
Helps to individualize the patient's care. On follow-up visits, provides a quick summary of the patient's
clinical history and a reminder to review the status of problems the patient may not mention
differential diagnosis - ANSWER- all the medical diseases that may possibly explain the patient's chief
complaint or principal problem; A chief complaint must be identified first. Includes all medical diseases
that may possibly explain problem/ CC
head - ANSWER- Areas are associated with the bone that they are in front of
salivary glands - ANSWER- glands near mandible
parotid - ANSWER- glands that lie superficial and behind mandible - visible and palpable when enlarged
submandibular gland - ANSWER- glands beneath the tongue
parotid and submandibular - ANSWER- openings of these are visible in oral cavity
superficial temporal artery - ANSWER- artery that is in front of the ear and runs upward - readily
palpable
common issues with the head - ANSWER- Headache; Change in vision - Hyperopia, Presbyopia, Myopia,
Scotomas, Diplopia; Hearing loss, earache, tinnitus; Vertigo
Hyperopia - ANSWER- farsightedness; This makes close-up objects appear blurry
presbyopia - ANSWER- gradual loss of your eyes' ability to focus on nearby objects
myopia - ANSWER- nearsightedness
Scotoma - ANSWER- A spot in your vision that can be dark, very light, blurred, or flickering · Trouble
seeing certain colors
Diplopia - ANSWER- double vision
