1Jo2 Unit 10 Final Exam

Question 1

What is considered subjective data?

Answer 1

what ever the patient says

Question 2

What are the main categories for a health history review?

Answer 2

Biographical data
reason for seeking care
current health / history of present illness
past health
family history
ROS (review of systems)
ADL’s

Question 3

What types of questions should be asked for the past health portion of the health history review?

Answer 3

Childhood illnesses, accidents, injuries, serious or chronic illnesses, hospitalizations, operations, obstetrical history, immunizations, allergies, medications

Question 4

What is the purpose of a review of systems?

Answer 4

To determine health promotion practices and to get a more detailed subjective evaluation of each system.

Question 5

What are the general systems that should be covered in a general health assessment?

Answer 5

Skin, hair & nails
Head, eyes, ENT, neck
Breast, axilla
Respiratory system
Cardiovascular, peripheral vascular
Gastrointestinal system
Urinary system, genital system, sexual health
Musculoskeletal system
Neurological system
Hematological, Endocrine

Question 6

Roughly what is the order of a Review of Systems?

Answer 6

Head-to-toe

Question 7

What are some health promotion questions you can ask about skin hair and nails?

Answer 7

Sunscreen used?
Amount of sun exposure?
Skin care for diabetic feet

Question 8

What are some health promotion questions you can ask about eyes?

Answer 8

Use of glasses/contact lenses
Eye examinations?
Can you afford eye exams/glasses?

Question 8

What are some health promotion questions you can ask about the head?

Answer 8

Use of helmets?

Question 9

What are some health promotion questions you can ask about ears?

Answer 9

Hearing test ?
Protection from environmental noise?
Method of cleaning ears

Question 10

What are some health promotion questions you can ask about the mouth?

Answer 10

Dental care?
Can you afford dental care?

Question 11

What are some health promotion questions you can ask about the breasts?

Answer 11

Mammograms?
BSE?

Question 12

What are some health promotion questions you can ask about the respiratory system?

Answer 12

Ask about the date of last chest x-ray

Question 13

What are some health promotion questions you can ask about the cardiovascular system?

Answer 13

Has the patient ever had an electrocardiogram, or other tests of heart function

Question 14

What are some health promotion questions you can ask about the peripheral vascular system?

Answer 14

Does the patient’s work involve long term sitting or standing?
Patients with vascular systems issues should be advised to avoid crossing legs at the knees, and to wear support stockings

Question 15

What are some health promotion questions you can ask about the gastrointestinal system?

Answer 15

Enquire about the use of antacids, laxatives, diet

Question 16

What are some health promotion questions you can ask about the urinary system?

Answer 16

Measures to avoid UTI?

Question 17

What are some health promotion questions you can ask about genetailia?

Answer 17

Testicular self examination?
Pap smear

Question 18

What are some health promotion questions you can ask about sexual health?

Answer 18

Is person in relationship?
Sexually active?
Contraception/condom use?
Exposure to STI?

Question 19

What are some health promotion questions you can ask about the musculoskeletal system?

Answer 19

How does the patient manage with activities of daily living?
For older adults, ask about assessments for Fall prevention

Question 20

What are some health promotion questions you can ask about the endocrine system?

Answer 20

Foot care if diabetic?
Properly fitting shoes

Question 21

What does GTPAL stand for?

Answer 21

G-gravidity, number of pregnancies
T-term, number of deliveries where the fetus reached full term (38-40 weeks)
P-preterm, number of preterm deliveries
A-abortions, number of incomplete pregnancies (spontaneous and induced abortions)
L-living, number of living children

Question 22

How would twins be expressed in the GTPAL method?

Answer 22

G=1, T=2,P=0, A=0, L=2

Question 23

What is considered the postpartum duration?

Answer 23

6 weeks after the delivery

Question 24

What does APGAR stand for and what does it test?

Answer 24

It tests for the general wellbeing of a newborn after 1 - 5 minutes of birth Appearance (Skin Color): Pulse (Heart Rate): Grimace (Reflex Irritability): Activity (Muscle Tone): Respiration (Breathing Effort):

Question 25

How does the APGAR assessment work?

Answer 25

each of the characteristics gets ranked on a scale of 0-2, then then the higher the Apgar score out of 10 the better.

Question 26

What are some important questions to ask about the past health of children?

Answer 26

postnatal status childhood illness serious accidents or injury's chronic illness operations/hospitalizations immunization's allergies medications

Question 27

What are some categories that you need to touch on when doing a functional assessment on children ?

Answer 27

interpersonal relationships activity and rest home and environment hazards coping and stress management health promotion activities

Question 28

What is an important thing to touch on when doing a functional assessment for an adolecent?

Answer 28

HEEADSSS

Question 29

What does HEEADSSS stand for?

Answer 29

Home, Education & employment, Eating, Activities, Drug use, Sexuality, Suicide & depression, Safety

Question 30

What should an 18 month old be able to do at their 18month old well baby visit?

Answer 30

Identify pictures in a book follow directions using "on" and "under" point to 3 different body parts walk alone say 20 different words (don't need to be clear) hold a cup to drink make at least 4 different consonant sounds pick up and eat finger food

Question 31

What is considered and infant (age)?

Answer 31

birth to 1yr old

Question 32

What is a toddler?(age)

Answer 32

12months to 3 yrs

Question 33

what age are pre-school children?

Answer 33

4yrs old

Question 34

what is a school age child?(age wise)

Answer 34

5yrs old- 10 yrs old

Question 35

What are IADL's?

Answer 35

Instrumental ADL's which include things like housekeeping, shopping, laundry, managing finances

Question 36

What are the ADL's?

Answer 36

Activity's of daily living, which include things like bathing, dressing, toileting, eating, walking.

Question 37

What are some categories that you need to touch on when doing a functional assessment on older adults?

Answer 37

ADL's and IADL's

Question 38

What is the purpose of a functional assessment for older adults?

Answer 38

to determine their self care ability in the general areas of the ADL's and the IADL's.