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MIDTERM & FINAL EXAM: NR509 / NR-509 (LATEST
UPDATE STUDY BUNDLE WITH COMPLETE
SOLUTIONS) ADVANCED PHYSICAL ASSESSMENT |
QUESTIONS & VERIFIED ANSWERS | 100% CORRECT |
GRADE A - CHAMBERLAIN
Which is true of a third heart sound?
A) not heard in clients w/ acute or chronic AFib
B) marks the onset of atrial systole and contraction
C) caused by deceleration of blood against ventricular wall
D) Reflects normal compliance of the left ventrical
.....ANSWER.....C
A fellow student asks you how to distinguish jugular venous
pulsation (JVP) from a carotid pulse. Which characteristic is
typical of the carotid pulse?
A) soft, rapid, undulating quality
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B) level of pulsation changes by position
C) palpable and height unchanged by inspiration
D) light pressure eliminates pulsation
.....ANSWER.....C
Alarming findings in respiratory health history
.....ANSWER.....Dyspnea, orthopnea, bendopnea, paroxysmal
nocturnal dyspnea, pain details
Alarming findings of the heart .....ANSWER.....Diaphoresis,
nausea, anxiety, palpitations, chest pain, pain details
Alarming findings in history and activity .....ANSWER.....Heart
disease HTN MI obesity diabetes bleeding disorder prolonged
positioning diet, smoking, substance or alcohol use
Alarming findings in physical exam .....ANSWER.....Height, weight
BMI trends vital signs heart and lung sounds
Skilled Interview Techniques .....ANSWER.....1. Active listening
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2. Empathy
3. Guided questions
4. Open ended to focused questions
5. Questions that elicit graded response
6. Ask a series of questions at once with Yes or No answers
(ROS)
7. Multiple choice answers (character history questions)
8. Clarifying Questions
9. Encourage with continuers (mmhm, head nod, back and forth
eye contact)
10. Echoing to encourage more information
11. Nonverbal communication (open posture, mindful of face,
eye contact)
12. Validate emotional response
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13. Reassure that you will get through next steps together
14. Summarize appointment
Interviewing Process .....ANSWER.....generates paient's story and
respond to patient cues
Techniques of Guided Questions .....ANSWER.....Move from open
ended to focused questions
Ask questions for graded responses
Ask a series of questions one at a time
Offer multiple choices for an answer
Clarify what the patient means
Encourage patient with continuers
Use echoing
Setting the stage for the interview .....ANSWER.....
MIDTERM & FINAL EXAM: NR509 / NR-509 (LATEST
UPDATE STUDY BUNDLE WITH COMPLETE
SOLUTIONS) ADVANCED PHYSICAL ASSESSMENT |
QUESTIONS & VERIFIED ANSWERS | 100% CORRECT |
GRADE A - CHAMBERLAIN
Which is true of a third heart sound?
A) not heard in clients w/ acute or chronic AFib
B) marks the onset of atrial systole and contraction
C) caused by deceleration of blood against ventricular wall
D) Reflects normal compliance of the left ventrical
.....ANSWER.....C
A fellow student asks you how to distinguish jugular venous
pulsation (JVP) from a carotid pulse. Which characteristic is
typical of the carotid pulse?
A) soft, rapid, undulating quality
,Page 2 of 160
B) level of pulsation changes by position
C) palpable and height unchanged by inspiration
D) light pressure eliminates pulsation
.....ANSWER.....C
Alarming findings in respiratory health history
.....ANSWER.....Dyspnea, orthopnea, bendopnea, paroxysmal
nocturnal dyspnea, pain details
Alarming findings of the heart .....ANSWER.....Diaphoresis,
nausea, anxiety, palpitations, chest pain, pain details
Alarming findings in history and activity .....ANSWER.....Heart
disease HTN MI obesity diabetes bleeding disorder prolonged
positioning diet, smoking, substance or alcohol use
Alarming findings in physical exam .....ANSWER.....Height, weight
BMI trends vital signs heart and lung sounds
Skilled Interview Techniques .....ANSWER.....1. Active listening
,Page 3 of 160
2. Empathy
3. Guided questions
4. Open ended to focused questions
5. Questions that elicit graded response
6. Ask a series of questions at once with Yes or No answers
(ROS)
7. Multiple choice answers (character history questions)
8. Clarifying Questions
9. Encourage with continuers (mmhm, head nod, back and forth
eye contact)
10. Echoing to encourage more information
11. Nonverbal communication (open posture, mindful of face,
eye contact)
12. Validate emotional response
, Page 4 of 160
13. Reassure that you will get through next steps together
14. Summarize appointment
Interviewing Process .....ANSWER.....generates paient's story and
respond to patient cues
Techniques of Guided Questions .....ANSWER.....Move from open
ended to focused questions
Ask questions for graded responses
Ask a series of questions one at a time
Offer multiple choices for an answer
Clarify what the patient means
Encourage patient with continuers
Use echoing
Setting the stage for the interview .....ANSWER.....
