Midterm Study Guide Question & Answer Guide (With Explanation)

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NR 509 Midterm Study Guide Chapter 1 Approach to the Clinical Encounter The interviewing process Interviewing techniques Setting the stage for the examination Establishing rapport Gender pronouns Patient-centered medical care The FIFE model Chapter 2 Interviewing, Communication, and Interpersonal Skills Fundamentals of skilled interviewing Verbal and nonverbal communication Challenging patient situations and behaviors Chapter 3 Health History Focused and comprehensive health histories Determining the scope of the patient assessment The seven attributes of a patient’s principal symptoms Subjective versus objective data Modifying of the clinical interview for various clinical settings Chapter 4 Physical Examination Determining the scope of the physical examination Techniques of examination (Note: Be familiar with specific techniques in body system chapters) The head-to-toe physical assessment Chapter 5 Clinical Reasoning, Assessment, and Plan The clinical reasoning process The problem list The differential diagnosis (DDx) list The summary statement Assessment (medical diagnoses) Planning (treatment and interventions) Chapter 7 Evaluating Clinical Evidence Using elements of the physical examination as diagnostic tests Evaluating diagnostic tests Critically appraising clinical evidence Communicating clinical evidence to patients Chapter 8 General Survey, Vital Signs, and Pain General survey Vital signs Classifying normal and abnormal blood pressures Acute and chronic pain Exploring weight loss (including anorexia nervosa and bulimia nervosa) Chapter 9 Cognition, Behavior, and Mental Status Techniques of examination Speech patterns (including aphasia) Assessing abstract thinking Mental status examination Screening for depression Screening for substance abuse Hallucinations and illusions Chapter 10 Skin, Hair, and Nails Techniques of examination Anatomy Skin lesion morphology Melanoma risk factors Health promotion and skin cancer screening Herpes zoster Chapter 11 Head and Neck Techniques of examination Anatomy Lymph node assessment Thyroid assessment Screening for thyroid cancer Chapter 12 Eyes Techniques of examination Anatomy Visual acuity assessment Visual fields assessment Extraocular muscle assessment (and associated cranial nerves) Ophthalmoscopic (funduscopic) examination and common findings Nystagmus Glaucoma Macular degeneration Chapter 13 Ears and Nose Techniques of examination Anatomy Screening for hearing loss Nasal cavity and mucosa Sinus assessment Vertigo Tinnitus Rhinorrhea Otitis externa and otitis media Chapter 14 Throat and Oral Cavity Techniques of examination Anatomy Oral cavity assessment Pharynx Carcinoma Grading tonsils (NOTE: Not in the textbook; see corresponding course lesson) Chapter 15 Thorax and Lungs Techniques of examination (including percussion) Anatomy Respiratory distress Lung sounds Asthma Pneumonia Chronic obstructive pulmonary disease (COPD) Atelectasis Chapter 16 Cardiovascular System Techniques of examination Anatomy Screening for cardiovascular (CV) risk factors Cardiovascular disease Lipid screening Heart rhythms and sounds Jugular venous pressure (JVP) Carotid arteries Murmurs Congestive heart failure (CHF) Heart valve pathology Chapter 17 Peripheral Vascular System Techniques of examination Anatomy Lymph nodes Peripheral edema Peripheral pulses Chronic venous insufficiency Claudications Aneurysms Acute arterial occlusion Deep vein thrombosis (DVT)

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