Exam (elaborations)
NR 509 MIDTERM EXAM REVIEW QUESTIONS AND ANSWERS
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NR 509 MIDTERM EXAM REVIEW QUESTIONS AND ANSWERS
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NR 509 MIDTERM EXAM REVIEWQUESTIONS AND ANSWERS
Active listening - Answer--closely attending to what the patient is communicating
-connecting to the patient's emotional state
-verbal and nonverbal skills
Empathic responses - Answer-capacity to identify with the patient and feel the patient's
pain as your own, then respond in a supportive manner
Guided questioning - Answer-Helps to continue the patients story
-moving from open ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing
also known as adaptive questioning
Reassurance - Answer-appropriate way to help the patient feel that problems have been
fully understood and are being addressed
Partnering - Answer-When building rapport with patients, express your commitment to
an ongoing relationship
Transitions - Answer-Inform your patient when you are changing directions during the
interview.
Empowering the patient - Answer--to ask questions
-express their concerns
-probe your recommendations
in order to encourage them to adopt your advice, make lifestyle changes, or take
medications as prescribed.
Comprehensive exam used for?
Includes?
Focused exam used for? - Answer--new patients
-health history
, -complete physical examination.
-routine care, urgent care, specific problem
Articular structures - Answer-articular cartilage
intra-articular ligaments
juxta-articular bone
joint capsule
synovium
synovial fluid
Articular disease signs and symptoms - Answer-crepitus
deformity
instability locking of the joints
Limits active & passive ROM d/t stiffness/pain
Swelling
Tenderness of the joint
Extra-articular structures - Answer-bursae
bone
fascia
muscle
nerve
overlying skin
periarticular ligaments
tendons
Extra-articular disease involves - Answer-point of focal tenderness in regions adjacent
to articular structures
-Limits active ROM
RARELY causes swelling, instability, joint deformity
Nonarticular conditions - Answer-trauma/fracture, fibromyalgia, polymyalgia rheumatica,
bursitis, tendinitis
Intra-articular (acute, < 6 weeks): acute arthritis - Answer-gout
infectious arthritis
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