4/4/25, 5:54 NR509 physical assessment |
PM
NR509 PHYSICAL ASSESSMENT EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (130)
The nurse practitioner (NP) is completing occasionally running out of food, being discriminated against in the workplace,
a comprehensive assessment of Anita, has a great amount of smog in their community, having difficulty making the rent
a new client in a primary care facility. payment
Which assessment finding(s) reported
by Anita
are related to social determinants of
health? Select all that apply.
- addresses focused concerns or symptoms
-used for established clients during routine or urgent care visits
Focused assessment: - health history and physical exams are focused on the problem
-Includes: brief history of present illness, only the system related to the problem
in the ROS
- used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
comprehensive assessment: -provides a baseline for future assessments
-provides an opportunity for health promotion education and counseling
includes: extended history of the present illness, at least two area of PMhx,
family hx, social hx, at least 10 ROS
Subjective data includes symptoms that the client describes such as a sore
subjective data
throat, headache, or pain. It also includes the client's feelings, perceptions, and
concerns
Objective data includes the physical examination findings or signs observed.
Information obtained from the client during any part of the health history is
objective data
considered subjective data. All physical examinations, laboratory information,
and test data are considered objective data
-review the clinical record
-ensure the client is comfortable
-clarify the goals/agenda for the encounter
-establish rapport
-identify client's preferred title, name, and gender pronouns
-use "people first" language (i.e. hearing loss, wheelchair)
initial encounter
-identify the c/o
-open-ended approach for client's story
-gather information about the client's perspective of the illness using the FIFE
(feelings, ideas, function, expectations)
-conduct health history interview
-gather information about PMHx, meds, allergies, family, personal and social, ROS
"How would you describe your sexual
identity?"
"How would you describe your
gender identity?"
"What is the sex on your original birth
certificate?"
1/13
, 4/4/25, 5:54 NR509 physical assessment |
PM
-active listening-closely attending to what the pt is communicating, connect to
pt's emotional state, use verbal and nonverbal skills
-empathy- the capacity to identify with the pt and feel the pt's pain as your own
-guided questioning- allows for interviewer to facilitate full communications
-validating- affirm legitimacy of pt's emotional experience
-empowerment; encourage pt to ask questions
Basic Interviewing Skills -partnering; express your commitment to ongoing relationship
-transitioning; inform your pt when you are changing directions
-reassuring; help the pt feel that their problems have been heard
- summarizing; giving a summary of the pt's story to communicate that you have
been carefully listening
-nonverbal communication
-people first language --> ex. patient with diabetes instead of diabetic
The history of the present illness is a concise, clear, and chronological description
of the chief complaint which prompted the client's visit. A symptom analysis
guided by the mnemonic OLD CARTS will reveal information regarding the onset,
history of present illness location, duration, characteristics, aggravating factors, relieving factors,
treatments, and severity of the symptoms. There are other mnemonics and
variations of OLD CARTS that may also be used to guide in gathering information
about the chief complaint.
The Five P's:
-partners
-practices
-protection from STIs
personal and social history
-Past hx of STIs
-Pregnancy plans
-Plus-- assess for trauma, violence, sexual health concerns, provide support for
sexual orientation and gender identity
assessment questions with the related onset, location, duration, characteristics, aggravating factors, relieving factors,
symptom attribute treatments, severity of symptoms
A pack-year calculation is used to measure a person's exposure to tobacco
and assess their risk of developing lung cancer or other diseases related to
tobacco use. The pack year is calculated by multiplying the number of packs of
pack-year cig calculations cigarettes (1 pack=20 cigarettes) smoked per day by the number of years the
person has smoked. The U.S. Preventive Services Task Force Links to an external
site.(2021) recommends health care providers ask all adults about tobacco use,
advise them to stop, and provide interventions for smoking cessation
-Social determinants of health are the conditions in the environments where
people are born, live, and work that affects health, well-being, and quality of life
social determinants of health
- examples: economic stability, education access and quality, healthcare access
and quality, neighborhood and built environment, social and community context
If indicated and not done during the interview, assess the client's orientation,
mood, thought process, thought content, abnormal perceptions, insight and
mental status exam
judgment, memory and attention, information and vocabulary, calculating abilities,
abstract thinking, and constructional ability.
The NP performs a mental status flight of ideas, mismatched/unseasonal clothing, recalls 1/3 items in the exam,
examination. Which of the following are erratic speech
positive findings? Select all that apply
2/13
PM
NR509 PHYSICAL ASSESSMENT EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (130)
The nurse practitioner (NP) is completing occasionally running out of food, being discriminated against in the workplace,
a comprehensive assessment of Anita, has a great amount of smog in their community, having difficulty making the rent
a new client in a primary care facility. payment
Which assessment finding(s) reported
by Anita
are related to social determinants of
health? Select all that apply.
- addresses focused concerns or symptoms
-used for established clients during routine or urgent care visits
Focused assessment: - health history and physical exams are focused on the problem
-Includes: brief history of present illness, only the system related to the problem
in the ROS
- used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
comprehensive assessment: -provides a baseline for future assessments
-provides an opportunity for health promotion education and counseling
includes: extended history of the present illness, at least two area of PMhx,
family hx, social hx, at least 10 ROS
Subjective data includes symptoms that the client describes such as a sore
subjective data
throat, headache, or pain. It also includes the client's feelings, perceptions, and
concerns
Objective data includes the physical examination findings or signs observed.
Information obtained from the client during any part of the health history is
objective data
considered subjective data. All physical examinations, laboratory information,
and test data are considered objective data
-review the clinical record
-ensure the client is comfortable
-clarify the goals/agenda for the encounter
-establish rapport
-identify client's preferred title, name, and gender pronouns
-use "people first" language (i.e. hearing loss, wheelchair)
initial encounter
-identify the c/o
-open-ended approach for client's story
-gather information about the client's perspective of the illness using the FIFE
(feelings, ideas, function, expectations)
-conduct health history interview
-gather information about PMHx, meds, allergies, family, personal and social, ROS
"How would you describe your sexual
identity?"
"How would you describe your
gender identity?"
"What is the sex on your original birth
certificate?"
1/13
, 4/4/25, 5:54 NR509 physical assessment |
PM
-active listening-closely attending to what the pt is communicating, connect to
pt's emotional state, use verbal and nonverbal skills
-empathy- the capacity to identify with the pt and feel the pt's pain as your own
-guided questioning- allows for interviewer to facilitate full communications
-validating- affirm legitimacy of pt's emotional experience
-empowerment; encourage pt to ask questions
Basic Interviewing Skills -partnering; express your commitment to ongoing relationship
-transitioning; inform your pt when you are changing directions
-reassuring; help the pt feel that their problems have been heard
- summarizing; giving a summary of the pt's story to communicate that you have
been carefully listening
-nonverbal communication
-people first language --> ex. patient with diabetes instead of diabetic
The history of the present illness is a concise, clear, and chronological description
of the chief complaint which prompted the client's visit. A symptom analysis
guided by the mnemonic OLD CARTS will reveal information regarding the onset,
history of present illness location, duration, characteristics, aggravating factors, relieving factors,
treatments, and severity of the symptoms. There are other mnemonics and
variations of OLD CARTS that may also be used to guide in gathering information
about the chief complaint.
The Five P's:
-partners
-practices
-protection from STIs
personal and social history
-Past hx of STIs
-Pregnancy plans
-Plus-- assess for trauma, violence, sexual health concerns, provide support for
sexual orientation and gender identity
assessment questions with the related onset, location, duration, characteristics, aggravating factors, relieving factors,
symptom attribute treatments, severity of symptoms
A pack-year calculation is used to measure a person's exposure to tobacco
and assess their risk of developing lung cancer or other diseases related to
tobacco use. The pack year is calculated by multiplying the number of packs of
pack-year cig calculations cigarettes (1 pack=20 cigarettes) smoked per day by the number of years the
person has smoked. The U.S. Preventive Services Task Force Links to an external
site.(2021) recommends health care providers ask all adults about tobacco use,
advise them to stop, and provide interventions for smoking cessation
-Social determinants of health are the conditions in the environments where
people are born, live, and work that affects health, well-being, and quality of life
social determinants of health
- examples: economic stability, education access and quality, healthcare access
and quality, neighborhood and built environment, social and community context
If indicated and not done during the interview, assess the client's orientation,
mood, thought process, thought content, abnormal perceptions, insight and
mental status exam
judgment, memory and attention, information and vocabulary, calculating abilities,
abstract thinking, and constructional ability.
The NP performs a mental status flight of ideas, mismatched/unseasonal clothing, recalls 1/3 items in the exam,
examination. Which of the following are erratic speech
positive findings? Select all that apply
2/13
