NR 509 Mid-Term Exam Study Guide, Chapter 1 to Chapter 8 ● Chapter 1 Basic and Advanced Interviewing Techniques Advanced: Determine scope of assessment: Focused vs. Comprehensive: pg5 Comprehensive Flexible Focused or pr
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NR 509 Mid-Term Exam Study Guide, Chapter 1 to Chapter 8 ● Chapter 1 Basic and Advanced Interviewing Techniques Advanced: Determine scope of assessment: Focused vs. Comprehensive: pg5 Comprehensive Flexible Focused or problem-oriented assessment: Components of the Health History Jenna/Ashley Initial information Identifying data and source of the history; reliability Chief Complaint Chief Complaint- any treatments Should include 7 attributes of a symptom: - Past history Family history Personal or social history Review of systems pg 11-13 Subjective vs Objective Data Documentation- Chapter 2 Clinical Decision Making ashley Clinical decision making should be evidence based. The FNP should draw on a full range of knowledge and experience, and read widely. Clinical decision making is when the reading about diseases and abnormalities is most useful. By consulting the clinical literature, you are embarking on evidence-based decision making and clinical practice. There are five steps to generating a clinical hypotheses Critical Thinking and Reasoning Differential Diagnoses (obtained from book and week 1 review) - A list with potential causes of Pathological and Physiological Processes Problem List - For example, in a patient who is vomiting blood and is known to have migraines and to be diabetic, the problem list might read: 1. Hematemesis 2. Diabetes Mellitus 3. Migraine 4. Recent divorce 5. Poverty Prioritization Logical Sequence pg 73 Adaptive Questioning Challenging Patients - Chapter 4 General Approach to the Physical Examination o **Interview Facilitation Vital Signs Blood Pressure pg 124 Gold Standard factor). Expensive and may not be covered by insurance. Types of hypertension: . Definitions of Hypertension Chapter 6 Integumentary Assessment and Modification for Age Dermoscopy Normal VS. Abnormal Findings and Interpretation Melanoma pg 176 Primary and Secondary Skin Lesion Nomenclature Chapter 7 Lymph Nodes · Lymph Nodes Cranial Nerves HEENT Assessment and Modification for Age/Normal vs Abnormal Findings and Interpretation HEENT Assessment and Modifications for Age. Normal and Abnormal Findings HEAD EAR ASSESSMENT 1 NOSE THROAT Pharynx Neck Visual Acuity=Snellen distance of patient from chart/distance a normal eye can read the line of letters - Glaucoma=Optic disc Changes Epistaxis Retinal Issues Cottonwood Patches & Drussen Chapter 8 - Lung/thorax assessment and modification for age o EXAMINE POSTERIOR CHEST o EXAMINE ANTERIOR CHEST - Normal VS abnormal findings and interpretation - LUNG SOUNDS (breath sounds) - Asthma: Chapter 16 Musculoskeletal Assessment and Modification for Age- - Steps for Examining the Joints . Epicondylitis: resistance increases the pain. Rheumatoid Arthritis Lyme Disease Neurological Assessment and Modification for Age Cranial Nerves
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