Advanced Assessment ( Bickley)
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Comprehensive Health History - (correct Answer) - Identifying Data
Reliability
Chief Compliant
Present illness
Past History
Family History
Personal and Social History
Review of Systems
Identifying Data - (correct Answer) - Age Gender occupation race
Source of information if not the patient
Reliability - (correct Answer) - Varies according to the pts. memory, trust, and mood
Chief Compliant - (correct Answer) - One or more symptoms or concerns that made pt came in the office
(Should be in pts own words very brief statement)
Hisory of Present illness - (correct Answer) - Amplifies the Chief Complaint describes how each symptom
develops
Good HIP and having differential DX
HPI OLdcart - (correct Answer) - Onset
Location
Duration
Characteristics
Associated Symptoms
,Relieving/ aggravating factors
Treatment
In the present illness = 7 Attributes of every symptom - (correct Answer) - Location, Quality, Quantity or
severity,
Timing =onset, duration, and frequency,
Setting in which it occurs, Aggravating and relieving factors, Associated manifestations
Past Medical history - (correct Answer) - Childhood illness, health maintenance, immunizations,
screening test, life style issues, home safety
Past Surgical History - (correct Answer) - Any surgical in the pts lifetime
Family History - (correct Answer) - Blood relatives, siblings, parents, grandparents, ecx HTN grad-mom
pt parent sibling
Genetic i disease you can identify them
Personal and Social History - (correct Answer) - Educational level, family of origin, current house hold,
personal interests, and lifestyle, diet and Health Promotions
Alcohol use Drug use and abuse
Children house hold and lead
Health Promoting and Maintenance - (correct Answer) - Immunizations and screening
Flu, PN, Hep, Cervical and STI, Mammogram, Colo-rectal, Tetanus, Cholesterol
Sleeping, exercise, diet, dentist
based on age and screenings
Review of Systems (ROS) - (correct Answer) - documents, presence or absence of common symptoms r/t
each body system (use Denies)
Focused Soap Note - (correct Answer) - Established patients
Focused concerns
Symptoms of Specific systems
PMH/SH/Family History Pertinent to the complaint
Treatment Plan and F/u
Interviewing - (correct Answer) - Listen and observe for what they are doing
non judgmental
, Not impose you believes on them
Allow silence
Cultural Values ( time management
Teenagers confidentiality
Time management
Clinical Judgement and Dx. Reasoning - (correct Answer) - take everything together and create and
accurately and efficient DX Goal of NP
Dynamic Process - (correct Answer) - Analytic process that involves Inductive reasoning and deductive
reasoning and pattern recognition
Knowledge and education will help with Clinical decision making
Through h and P
Patterns
Genetic
Deductive Reasoning - (correct Answer) - Deductive reasoning, or deduction, starts out with a general
statement, or hypothesis, and examines the possibilities to reach a specific, logical conclusion,
(based on theory)
Inductive Reasoning - (correct Answer) - Inductive reasoning makes broad generalizations from specific
observations. "In inductive inference, we go from the specific to the general. We make many
observations, discern a pattern, make a generalization, and infer an explanation or a theory
(Based on observations)
Treatment threshold - (correct Answer) - The probability above which the DX is so likely you would treat
the pt without further testing (excudate at back of the mouth reddened , and swollen tonsils give ATB)
Test Threshold - (correct Answer) - Probability below which the DX is so unlikely that it is excluded
without further testing
Sensitivity - (correct Answer) - The proportion of true positives that are correctly identified % of the
people with the disease who are identified as having the disease (true positive)
High sensibility low false negative or higher % of people who have the disease
If the person has the disease how often will the test be positive 100% of pts have the disease True
positive
Rules something in
Sensitive DX true positive rate 70-95%
Save
Comprehensive Health History - (correct Answer) - Identifying Data
Reliability
Chief Compliant
Present illness
Past History
Family History
Personal and Social History
Review of Systems
Identifying Data - (correct Answer) - Age Gender occupation race
Source of information if not the patient
Reliability - (correct Answer) - Varies according to the pts. memory, trust, and mood
Chief Compliant - (correct Answer) - One or more symptoms or concerns that made pt came in the office
(Should be in pts own words very brief statement)
Hisory of Present illness - (correct Answer) - Amplifies the Chief Complaint describes how each symptom
develops
Good HIP and having differential DX
HPI OLdcart - (correct Answer) - Onset
Location
Duration
Characteristics
Associated Symptoms
,Relieving/ aggravating factors
Treatment
In the present illness = 7 Attributes of every symptom - (correct Answer) - Location, Quality, Quantity or
severity,
Timing =onset, duration, and frequency,
Setting in which it occurs, Aggravating and relieving factors, Associated manifestations
Past Medical history - (correct Answer) - Childhood illness, health maintenance, immunizations,
screening test, life style issues, home safety
Past Surgical History - (correct Answer) - Any surgical in the pts lifetime
Family History - (correct Answer) - Blood relatives, siblings, parents, grandparents, ecx HTN grad-mom
pt parent sibling
Genetic i disease you can identify them
Personal and Social History - (correct Answer) - Educational level, family of origin, current house hold,
personal interests, and lifestyle, diet and Health Promotions
Alcohol use Drug use and abuse
Children house hold and lead
Health Promoting and Maintenance - (correct Answer) - Immunizations and screening
Flu, PN, Hep, Cervical and STI, Mammogram, Colo-rectal, Tetanus, Cholesterol
Sleeping, exercise, diet, dentist
based on age and screenings
Review of Systems (ROS) - (correct Answer) - documents, presence or absence of common symptoms r/t
each body system (use Denies)
Focused Soap Note - (correct Answer) - Established patients
Focused concerns
Symptoms of Specific systems
PMH/SH/Family History Pertinent to the complaint
Treatment Plan and F/u
Interviewing - (correct Answer) - Listen and observe for what they are doing
non judgmental
, Not impose you believes on them
Allow silence
Cultural Values ( time management
Teenagers confidentiality
Time management
Clinical Judgement and Dx. Reasoning - (correct Answer) - take everything together and create and
accurately and efficient DX Goal of NP
Dynamic Process - (correct Answer) - Analytic process that involves Inductive reasoning and deductive
reasoning and pattern recognition
Knowledge and education will help with Clinical decision making
Through h and P
Patterns
Genetic
Deductive Reasoning - (correct Answer) - Deductive reasoning, or deduction, starts out with a general
statement, or hypothesis, and examines the possibilities to reach a specific, logical conclusion,
(based on theory)
Inductive Reasoning - (correct Answer) - Inductive reasoning makes broad generalizations from specific
observations. "In inductive inference, we go from the specific to the general. We make many
observations, discern a pattern, make a generalization, and infer an explanation or a theory
(Based on observations)
Treatment threshold - (correct Answer) - The probability above which the DX is so likely you would treat
the pt without further testing (excudate at back of the mouth reddened , and swollen tonsils give ATB)
Test Threshold - (correct Answer) - Probability below which the DX is so unlikely that it is excluded
without further testing
Sensitivity - (correct Answer) - The proportion of true positives that are correctly identified % of the
people with the disease who are identified as having the disease (true positive)
High sensibility low false negative or higher % of people who have the disease
If the person has the disease how often will the test be positive 100% of pts have the disease True
positive
Rules something in
Sensitive DX true positive rate 70-95%
