- Elicit and document a patient history, including: Chief Complaint, History of Present Illness, Past Medical and
Surgical History, Family History and Personal Social History. - Accurately document Subjective Abnormal Data.
- Elicit a complete Review of Systems (ROS).
- Demonstrate understanding the meaning of Pertinent Positives and Negatives.
- Demonstrate the components of symptom analysis using the “Seven Attributes of a Symptom.”
- Begin the practice of sequencing and coordinating the Comprehensive Physical Exam of the Adult Patient.
- Identify anatomical landmarks of the human body pertaining to the systems listed below.
- Correlate examination techniques of the following body systems using the correct sequence and anatomical
landmarks in an adult patient:
a. General Survey, Vital Signs, Pain g. Female Genitalia*
b. Behavior and Mental Status h. Anus Rectum and Prostate
c. Skin, Hair, and Nails i. Musculoskeletal System
d. Lymphatic System j. Nervous
e. Head and Neck
f. Thorax and Lungs
b. Cardiovascular
c. Breasts and Axilla
d. Abdomen
e. Peripheral Vascular
f. Male Genitalia - Use correct terminology to record objective components of the physical examination findings.
Hogan-Quigley, Palm, and Bickley: Bates’ Nursing Guide to Physical Examination and History Taking, Second
Edition
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