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NR548 Week 4 - Questions With Detailed Solutions
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NR548 Week 4 - Questions With Detailed Solutions
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NR548 Week 4 - Questions With Detailed Solutions.Chief Complaint: the primary problem that prompted the client to schedule a visit.
Use the client's own words.
2.History of Present Illness: is a concise, clear, and chronological description of the chief complaint which prompted the client's visit. A symptom analysis guided by the mnemonic "OLDCARTS" will reveal information regarding the onset, loca- tion, duration, characteristics, aggravating factors, relieving factors, treatments, and severity of the symptoms.
3.Pertinent positives: symptoms that are expected with a potential diagnosis related to the chief complaint.
4.Pertinent negatives: symptoms the client does not have that are expected with a potential diagnosis related to the chief complaint.
5.OLDCARTS: onset, location, duration, characteristics, aggravating factors, reliev- ing factors, treatments, and severity of the symptoms.
6.Onset: "When did this start?"
7.Location: "Where did the problem start; does it move anywhere?"
8.Duration: "How long does the problem last or is it constant?"
9.Characteristics: "Can you describe what the problem feels like?"
10.Aggravating Factors: "Does anything make it worse?"
11.Relieving Factors: "Does anything make it better?"
12.Treatments: "Have you taken any medications or nonpharmaceutical treat- ments for this problem?"
13.Severity of the Symptoms: "How bothersome is this problem?"
14.Childhood Illnesses: Inquire about childhood illnesses such as measles, chick- enpox, or scarlet fever and chronic childhood illnesses such as diabetes or asthma.
15.Adult Illnesses: Inquire about illnesses such as diabetes, hypertension, or asthma and hospitalizations.
16.Surgical: Document dates, indications, and types of surgical procedures.
17.Obstetric/Gynecologic: Document number of pregnancies (gravida),
number of deliveries (para-term, preterm, abortions, and living
children), menstrual history, methods of contraception, and sexual
function.
18.Psychiatric: Document diagnoses, hospitalizations, treatments, and
the time frame.
19.Health Maintenance: Document immunizations and screening tests such as pap smears, mammograms, or colonoscopies. Include the NR548 Week 4 - Questions With Detailed Solutions
2 / results and dates of screening tests.
20.The Psychiatric History: Have you ever been hospitalized for any mental health issues?
Have you ever had counseling or psychotherapy?
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