Reference no: EM133343668
1. Explain the difference between the history and physical exam that you perform as a Registered Nurse, and one that you perform as an advanced practice nurse. What are the similarities and differences in the techniques and goals of the H and P?
2. What is the best way for you to remember the different differential diagnoses for common chief complaints?
3. Accurate documentation has become increasingly important for reimbursement and quality care measures. What are the benefits and disadvantages of both electronic and paper-based documentation? What do you think are some of the best ways for you to document clearly, completely, and concisely. What are your thoughts about using speech recognition programs and templates for electronic health records?
4. What are some of the benefits and pitfalls of evaluating clinical evidence? How do you use this information in guiding your patient assessments and management?
5. How does the issue of cultural competency/humility play a role in how you conduct a clinical encounter? Does it play a role in how you recommend health promotion activities? If so, how?
6. Why is the health history important to obtain on all patients? How does the health history for a new patient or for an annual exam differ from that of a patient with an acute complaint? Why is this difference important?
7. Mental status exams are frequently overlooked in an H and P with the exception of orientation to person, place, time and situation. Why is it important to assess mental status on your patients? Is there an impact on your patient's mental status or psychiatric diagnoses when they have medical diagnoses? Is there an impact on the medical diagnoses when your patient has a psychiatric diagnosis or changes in mental status? Why are these important to consider?
8. How can you best obtain the most accurate vital signs? How does your technique play a role in measuring vital signs and your subsequent management of the patient? How do vital signs change with different medical health conditions?
9. What are the different types of pain based on etiology? Are there different ways of assessing pain for acute or chronic pain?
10. How does a genetic history guide your HPI, PMH and Family History?