NURS 502 – Exam 1, Advanced Pathophysiology Nursing Course, Study Guide and
Foundational Concepts Review
Patient's Rights Under the Privacy Rule - ANS ✔✔-to receive a copy of their medical record
-to ask for changes to their medical record
-to discover and limit how their PHI is used
-to know who has received their PHI
-to request that communications are sent to an alternative location or sent via alternative
means
-to file complaints
Special Exceptions to HIPPA - ANS ✔✔Mental Health & Substance abuse
-must have given prior authorization for their information to be shared
Minors
-Do not have same protections for PHI, staff may discuss with the custodial parent (except for
pregnancy, STI, substance abuse, mental health, family planning) if minor has given treatment
consent
Cultural Competency - ANS ✔✔How health provides consider and understand how social and
cultural factors affect individual's health and attitudes toward illness and disability
HIPPA stands for - ANS ✔✔Health Insurance Portable Accountability Act
5 Domains Social Determinants of Health - ANS ✔✔economic stability, education access and
quality, health care access and quality, neighborhood and built environment, social and
community context
, Motivational Interviewing - ANS ✔✔patient-centered, directive method for enhancing intrinsic
motivation to change a behavior by exploring and resolving ambivalence. centered on patient's
perspective, interests, values and concerns. promotes confidence to adopt new behavior
OLDCARTS - ANS ✔✔Onset
Location
Duration
Characteristics
Aggravating Factors
Relieving factors
Treatment
Severity
Chief Concern/chief complaint - ANS ✔✔brief statement why pt is seeking care
History of Present Illness - ANS ✔✔evaluates the circumstances surrounding primary reason for
the pt's visit, story of what prompted the pt to seek care, determines overall health before the
chief concern, complete, clear and chronological, includes pt's responses to symptoms they
have and effect on pt's life
HITS - ANS ✔✔DV screening tool, greater than 10 is a positive score. Score ranges from 4-10, 4
questions:
1. physically hurt you
2. insult or talk down to you
3. threaten you with harm
4. scream or curse at you
FICA - ANS ✔✔Faith and belief
Foundational Concepts Review
Patient's Rights Under the Privacy Rule - ANS ✔✔-to receive a copy of their medical record
-to ask for changes to their medical record
-to discover and limit how their PHI is used
-to know who has received their PHI
-to request that communications are sent to an alternative location or sent via alternative
means
-to file complaints
Special Exceptions to HIPPA - ANS ✔✔Mental Health & Substance abuse
-must have given prior authorization for their information to be shared
Minors
-Do not have same protections for PHI, staff may discuss with the custodial parent (except for
pregnancy, STI, substance abuse, mental health, family planning) if minor has given treatment
consent
Cultural Competency - ANS ✔✔How health provides consider and understand how social and
cultural factors affect individual's health and attitudes toward illness and disability
HIPPA stands for - ANS ✔✔Health Insurance Portable Accountability Act
5 Domains Social Determinants of Health - ANS ✔✔economic stability, education access and
quality, health care access and quality, neighborhood and built environment, social and
community context
, Motivational Interviewing - ANS ✔✔patient-centered, directive method for enhancing intrinsic
motivation to change a behavior by exploring and resolving ambivalence. centered on patient's
perspective, interests, values and concerns. promotes confidence to adopt new behavior
OLDCARTS - ANS ✔✔Onset
Location
Duration
Characteristics
Aggravating Factors
Relieving factors
Treatment
Severity
Chief Concern/chief complaint - ANS ✔✔brief statement why pt is seeking care
History of Present Illness - ANS ✔✔evaluates the circumstances surrounding primary reason for
the pt's visit, story of what prompted the pt to seek care, determines overall health before the
chief concern, complete, clear and chronological, includes pt's responses to symptoms they
have and effect on pt's life
HITS - ANS ✔✔DV screening tool, greater than 10 is a positive score. Score ranges from 4-10, 4
questions:
1. physically hurt you
2. insult or talk down to you
3. threaten you with harm
4. scream or curse at you
FICA - ANS ✔✔Faith and belief
