2011 Exam Short Answer Questions Flashcards Preview

168.123 Assessment and clinical decision making > 2011 Exam Short Answer Questions > Flashcards

Flashcards in 2011 Exam Short Answer Questions Deck (21):
1

1. Before commencing a physical health assessment, examiners conduct a ‘general survey’. List the four (4) main areas of a general survey. Total 4 points

Physical Appearance
Body structure
Mobility
Behavior

In class lecture notes

2

2. How do you assess mood and affect and what questions can you ask?Total 3 points

Mood and affect assessed by:
AFFECT: clinical observation of range and appropriateness of patients emotions.
Range = flat/blunt/ normal/restricted/labile
Appropriateness = with regards to speech or ideation
MOOD: describe how patient perceives their own mood; use pt words; descriptors include, depressed, euphoric, anxious, irritable, angry,normal

Questions to ask: can you describe how you feel today? What are your plans for the future? Explain more please about what you just said?

3

3. List four areas that you would pay attention to when assessing the mental health status.Total 4 points

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4

4. How would you introduce your intention to use the Abuse Assessment Screen on your female client, what would you say? Total 2 points

Is partner present? Perform an initial interview with questions such as; has anyone been hurt in your home?
has anyone made you do anything you don't want to?
ever been touched when you don't want to be?
threatened?

Would advise patient is routine to screen for intimate partner violence as it affects so many people. Pg 126
Then ask patient to fill out form or help her do so.

Be supportive, acknowledge the abuse, and acknowledge patients rights to autonomy.

Screening test is on pae 127 of Weber and Kelly

5

5. To encourage patients to describe their symptoms several frameworks have been developed, one of which is PQRSTU. What does this mnemonic stand for and provide a sample question related to each concept Total 6 points

Provokes
Quality/Quantity
Region/Radiation
Severity
Timing
Understanding patients perception of problem

6

6. What is a nosocomial infection and how can it be prevented? Total 1 point

Hospital acquired infection.
Prevented through breaking the chain of infection by:
- immunisation
- hand hygiene
- transmission based precautions(Sterilisation/disposable)
- dry dressings
- cover nose/mouth if sneezing
- gloves, masks

7

7.List a minimum of 5 interventions that are part of Standard Precautions. Total 5 points

Hand hygiene
PPE
Gloves
Gowns/plastic aprons
Mouth, nose, eye protection
Patient placement
Textiles/Laundry
Equipment care
Cough/respiration care

8

8. Percussion is the tapping of a client’s skin with short sharp strokes. Please list the uses for percussion. Total 5 points

Elicit pain - detect inflamed underlying structures
Determine location, size and shape
Determine density
Detect abnormal masses
Elicit reflexes

9

9. The pulse is assessed on the following qualities: Total 2 points

Rate
Rhythm
Strength
Elasticity

10

10. List four (4) factors that determine the level of the blood pressure Total 2 points ½ point each answer

Cardiac output
Distensibility of the arteries - stiff or elastic
Blood volume
Blood viscosity
Blood velocity

11

11. What questions do you ask in the initial pain assessment? Total 4 points

Are you experiencing any pain? and then OPQRST
When did it come on?
What makes it better/worse?
Describe the pain? sharp/dull/heavy/knifelike
Does it radiate anywhere?
Whats is on a scale of 1 - 10
Timing - come on etc?

12

12. What is the pupillary light reflex? Total 2 points

The pupillary light reflex causes the pupils to immediately constrict when exposed to bright light.
Direct reflex is constriction in the eye exposed to light
Consensual reflex is constriction in the opposite eye.
Protective reflexes mediated by oculomotor nerve to prevent damage to photoreceptors

Pg 272 Weber and Kelly

13

13. What is the ‘Hirschberg Test’? Total 2 points

Hirschberg corneal reflex test, is a screening test that can be used to assess whether a person has strabismus (ocular misalignment).

Shine a light in persons eye and see where reflects off corneas.
Normal - light reflex lies slightly nasal from cornea centre - simetrical results in both eyes
Abnormal - depends where light falls to decide if there is:
Exotropia (abnormal eye is turned out)
Esotropia (abnormal eye is turned in)
Hypertropia (abnormal eye higher than the normal one) Hypotropia (abnormal eye is lower than the normal one).

14

14. List six (6) areas of questioning to address during the health history of the auditory system. Total 3 points ½ point each answer

1. Earaches/Ear pain
2. Infections
3. Discharge
4. Hearing loss
5. Environmental noise
6. Tinnitus
7. Vertigo
8. Surgeries/implants
9. Self care
?????? From lecture notes getting subjective info

15

15. List six (6) areas of questioning to address during the health history of the respiratory system. Total 3 point ½ point each answer

1. SOB
2. Hx of cough/ infections
3. Chest Pain
4. Environmental factors
5. Self care
6. Smoking
?????? From lecture notes getting subjective info

16

16. What do you note when inspecting the anterior chest? Total 5 points

Landmarks
Facial expressions
Deformities
Asymmetry
Accessory muscle use
Impairment
Skin (ABCDE)
- Asymmetry (round/oval/diff shape)
- Border (clear/poorly defined)
- Colour (variations)
- Diameter (>6mm)
- Elevation/Enlargement (changes/itching/burning/bleed)

17

17. What information can be gained from checking (measuring) the R. jugular vein pressure/volume? Total 3 points

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18

18. List eight (8) areas of questioning to obtain subjective data concerning the abdomen. Total 4 points

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19

19. List the measures you can take to enhance abdominal wall relaxation Total 5 points

1. Place pillow under knees as patient lying supine
2. breathe through mouth and take slow deep breaths
3. Explain each aspect of the examination, answer questions and cover private parts
4. Use a controlled hands technique - patients hand under your own before beginning palpation
5. Warm hands
Pg 457 Weber and Kelly

20

20. Describe 2 tests, which can assess cerebellar function. Total 2 points

Romberg Test - for balance
Pt stand erect with arms at side and feet together. Ask pt close eyes and stand for 20 seconds. Note imbalance or swaying

Rapid Alternating Movements (RAM) test - Have patient sit down, touch fingers to thumbs rapidly increasing
Can also sit with palms of both hands on both legs, then turn the palms up, then turn the palms down again rapidly increasing. look for uncoordinated movements

Stand on one foot, bend knee of leg standing on and hop

Finger to Nose test - for coordination

21

21. List 6 areas of questioning to obtain subjective data on a client’s neurological status. Total 3 points ½ point each answer

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