Using what you have learned about Diagnostic Reasoning, please answer the following
1.How will you integrate this concept into your practice both now as a nurse practitioner student,
and as a certified nurse practitioner?
Diagnostic reasoning i
What additional questions would you ask Mrs. M. and why?
Have you ever had these symptoms before? Knowing if the patient had any history of
these symptoms may assist in early diagnosis and treatment plan.
Do you have any rashes, blisters, sores, lumps o
What portions of the PE would you perform and why?
In my physical examination of this patient, I would conduct a thorough health history, obtain
vital signs, perform a skin, breasts, and lymph nodes assessment. I would first begin my
obtaining a focused h
1. How would you begin your communication with R.H. to enhance your history taking?
I would start by first developing a relationship with R.H. by introducing myself and creating a
tone that encourages openness, flexibility and sincerity. Demonstrating gen
1.What portions of the physicial examination will you perform and why?
Considering the patient's complaint, I would conduct a focus physical assessment of his skin,
head, and neck. I would begin by observing the patient's general appearance and comfort le
1. What additional questions would you ask Ms. L. and why?
How would you describe your typical diet and activity patterns? Healthier eating habits such as
increased fruits and vegetable intake can promote natural weight loss that may not be intentional.
1.What additional questions would you ask Kevin and why?
How you rate the pain or discomfort on a pain scale?
When did you first notice the symptoms? This would assist in determining days between
exposure and onset of symptoms. Having this information can
What additional subjective information would you solicit from Mary and why?
Are you hurting in other areas other than your hands? Determine if there are any other joints
involved and symmetry of joint involvement can assist in determining if the joint pai
What additional information would you want to collect from Mr. S. and why?
Where exacted is the pain located? The location of the pain can assist in discovering the origin of
the pain. For example, Irritation of the intercostal nerves can result in sudden
What parts of the physical exam would you like to perform and why?
I would perform a focused history and physical assessment of the skin, HEENT, neck and
pulmonary and cardiovascular system. I would also obtain current vital signs and a pulse
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