Author Question: When a patient presents with a skin-related complaint, it is important to first: A. Fully inspect ... (Read 43 times)

ghost! · **on:** Jun 25, 2018

When a patient presents with a skin-related complaint, it is important to first:

A. Fully inspect all skin lesions before asking the patient how the lesion in question developed
B. Obtain a full history about the development of the skin lesion prior to the physical examination
C. Complete a full physical examination of the body prior to inspecting the skin lesion
D. Examine the skin lesion without hearing a health history in order to not prejudice the diagnosis

Question 2

In order to provide a comprehensive genetic history of a patient, the NP should:

A. Ask patients to complete a family history worksheet
B. Seek out pathology reports related to the patient's disorder
C. Interview family members regarding genetic disorders
D. All of the above

aliotak · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
When a patient presents with a skin-related complaint, there is an inclination to immediately examine the skin, as the lesion or change is often readily observable. However, it is crucial to obtain a history before proceeding to the examination in order to understand the background of the problem. A thorough symptom analysis is essential.

Answer to Question 2

ANS: D
Asking the patient to complete a family history worksheet prior to the appointment saves time in the visit while offering the patient an opportunity to contribute to the collection of an accurate family history. Reviewing the family information can also help establish family rapport while verifying medical conditions in individual family members. If a hereditary condition is being considered but family medical information is unclear or unknown, requesting medical records and pathology or autopsy reports may be warranted.