Study guides, Class notes & Summaries

What is suggested when touch and position sense are normal or only slightly impaired, and there is a disproportionate decrease in, or loss of, discriminative sensations? - correct answer suggests disease of the sensory cortex. Stereognosis, number identification, and two-point discrimination are impaired in? - correct answer posterior column disease. What does primary headaches include? - correct answer migraine, tension, cluster, and chronic daily headaches Where does secondary headach...

Which is not a skills requisite? A: Inspection B: Palpation C: Vital signs D: Percussion - correct answer C: Vital Signs What are some things you are looking for during palpation? - correct answer Temperature, Moisture, Texture, Lumps Over what tissue would you expect to hear resonance? A: Stomach B: Lungs C: Brain D: Bones - correct answer B: Lungs Over what tissue would you expect to hear tympany? A: Lungs B: Bone C: Brain D: Stomach - correct answer D: Stomach Over wha...

In which age group are milia an expected finding? A. Newborns B. Young children C. Adolescents D. Older adults - correct answer A On palpation of an older individual's skin, you observe "tenting." Which of the following would be most appropriate for you to do in regard to this condition? A. Have the individual further evaluated for dehydration. B. Refer the client for punch biopsy of the skin. C. Inform the individual to be especially vigilant in self-screening for skin c...

Identify essential components of the health history - correct answer a. Identifying data and source of the history b. Chief complaint - use "quotes" from patient c. Present illness - chronological order! • Medications, allergies, tobacco use, alcohol and drug use • 7 attributes (OLD CARTS) d. Past illness • Medical, surgical, Obstetric/gynecological, psychiatric • Health maintenance e. Family history f. Personal and social history g. Review of systems - Go through each o...

Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. - correct answer Mitral Regurgitation Symptoms of Mitral regurgitation - correct answer may be asymptomatic for decades, then SOB, Fatigue, HF What increases the murmur of Mitral regurgitation, what decreases the murmur? - correct answer Decrease murmur = stand up Increase murmur = clench fist Common causes of mitral regurgitation - correct answer Congenital abnormality, Rheumatic Heart disease, acute endocardi...

Select the correct sequence of techniques used during an examination of a child's abdomen: a. Percussion, inspection, palpation, auscultation b. Inspection, palpation, percussion, auscultation c. Inspection, auscultation, percussion, palpation d. Auscultation, inspection, palpation, percussion - correct answer c. Inspection, auscultation, percussion, palpation When percussing a child's abdomen, you note tympany. This is indicative of the presence of: a. Fluid b. Air c. Feces d. Hepa...

The following information belongs in which section of the Comprehensive Heath History (H&P)? "3 day history of rash and swelling" A. History of Present Illness B. Review of Systems C. Allergies D. Chief Complaint - correct answer D. Chief Complaint A patient with abdominal pain describes "what" the pain feels like and "how long" it lasts. In which part of the H&P would you place this information? A. History of Present Illness B. Past Medical History C. Sexual Histor...

patient tells you they are taking ASA everyday. What do you ask next? - correct answer Why are you taking ASA daily? what is the most important rule as an APN regarding sensitive topics - correct answer be nonjudgmental still have to be succinct, focused, and direct too cultural competence is best enhanced when the HCP? - correct answer uses self-awareness and reflection you assess a patients broken arm and you suspect she may be a victim of violence. which statement triggers your con...

COMPONENTS OF MENTAL STATUS EXAM INCLUDE: - correct answer A-B-C-T APPEARANCE; posture, body movements, dress, grooming and hygiene BEHAVIOR; LOC, Facial expression, speech, mood and affect COGNITION; address, phone#, etc. date?, attention span, recent and remote memory, new learning THOUGHT PROCESS; perceptions, should be logical and consistent this person make sense? how do people treat you?, do you feel you are being watched, followed or controlled? have you heard your name when alone? ...

When writing a SOAP note, the nurse practitioner is aware that "A" represents - correct answer The diagnosis When reading a healthcare record you see the following notation: Patient states "I have had a runny nose and a cough for 1 week now" This is an example of: - correct answer Chief complaint Which of the following is an appropriate recording of the subjective information provided by a patient? - correct answer "grabbing" chest pain for 2 hours You receive results from the lab...