Communication And Patient History - Week 1

Question 1

What are some factors affecting communication?

Answer 1

-culture
-language
-distance from patient
-volume, external noises…

Question 2

What are the 5 “C’s” of effective communication?

Answer 2

Complete
Concise
Concrete
Clear
Courteous

Question 3

Bluish skin colour

Answer 3

Cyanotic

Question 4

What is bluish skin colour an indication of?

Answer 4

Lack of sufficient oxygen in the tissues
Immediate oxygen/medical attention is necessary

Question 5

What is pale skin colour an indicator of?

Answer 5

A sign that the patient is in shock

Make sure patient is stable and comfortable

Question 6

What is reddish skin colour an indicator of?

Answer 6

May indicate a fever or allergic reaction

Question 7

What does cold and clammy skin indicate?

Answer 7

Indicates an acutely ill patient in pain, or acute anxiety

Question 8

What does hot, dry skin indicate?

Answer 8

May indicate fever, fevers may spike randomly, so it is important to monitor closely

Question 9

What does warm, moist skin indicate?

Answer 9

This may just indicate that the patient is nervous and doesn’t necessarily indicate a change in condition

Question 10

What are the 4 levels of consciousness?

Answer 10

-alert and conscious
-drowsy but responsive
-unconscious but reactive to painful stimuli
-comatose - unconscious and non reactive

Question 11

How do you assess consciousness?

Answer 11

Eyes
Speech
Responsiveness

Question 12

What are signs of abnormal breathing?

Answer 12

-loud breathing
-wheezing
-gasping
-coughing
-shallow breathing
-abnormal rate of breathing

Question 13

-Chronic obstruction that limits amount of air inhaled and exhaled
-Patients will appear barrel chested and may exhale through pursed lips

Answer 13

Emphysema

Question 14

Inability to breath when lying down

Answer 14

Orthopnea

Question 15

-pulse
-temp
-respirations
-blood pressure
-O2

Answer 15

Vital signs

Question 16

Used when a patient is unable to clear their mouth or throat of secretions, blood, vomit

Answer 16

Suction

Question 17

What are the 4 communication skills?

Answer 17

-listening
-observing
-speaking
-writing

Question 18

What does AIDET stand for?

Answer 18

Acknowledge, introduce, duration, explanation, thank you

Question 19

Shortness of breath

Answer 19

Dyspnea

Question 20

Where should an MRT not suction beyond?

Answer 20

Pharynx

Question 21

What type of oxygen administration gives a low flow oxygen rate with lower concentration of oxygen over a long period of time
*can give 1-5LPM

Answer 21

Nasal cannula (nasal prongs)

Question 22

What type of oxygen administration gives mid concentration of oxygen. Between 1-10LPM

Answer 22

Face mask

Question 23

How much oxygen is required to flush Carbon dioxide from the mask?

Answer 23

5LPM

Question 24

What type of oxygen administration has a reservoir bag attached and potentially gives 100% oxygen

Answer 24

Non rebreathing mask

Question 25

What type of oxygen administration is mainly used for pediatrics, when high humidity and high concentration of oxygen is needed

Answer 25

Oxygen tent *increases fire hazard

Question 26

What type of oxygen administration is a reliable method to protect the patients airway for acute respiratory failure

Answer 26

Intubation, transtracheal or ET tube

Question 27

Placed on a finger, toe or earlobe where it continuously monitors both pulse rate and blood oxygen levels

Answer 27

Pulse oximeter

Question 28

One comprehensive way to monitor cardiac activity; provides continuous measurement of heart rate and blood pressure

Answer 28

Arterial catheter

Question 29

Device that measures the electrical activity of the heart; displays the information graphically in the form of waves on a paper tracing or on a monitor

Answer 29

Electrocardiograph monitor

Question 30

Device that records or monitors the electrical activity of the brain

Answer 30

Electroencephalography

Question 31

A defect or loss of language function in which comprehension or expression of words is impaired as a result of injury to language centers in the brain

Answer 31

Aphasia

Question 32

What are the 5 types of developmental disabilities?

Answer 32

-ASD - autism spectrum disorder -CP - cerebral palsy -ID - intellectual disability -ADHD - attention deficit hyperactivity disorder -Learning disabilities

Question 33

ALOC

Answer 33

Altered or abnormal levels of consciousness

Question 34

What are the 3 aspects of communication?

Answer 34

Sender, message, and receiver

Question 35

What information can be gathered when taking a history of a patient?

Answer 35

-onset -duration -specific location -Quality of symptoms -severity of pain -what aggravates/alleviates -associated manifestation

Question 36

What is a normal temperature?

Answer 36

97.8-99F

Question 37

What is a normal adult pulse?

Answer 37

60-100 60-90 bpm

Question 38

What is the normal adult respiration?

Answer 38

12-20 15-20 bpm

Question 39

What is the normal adult blood pressure?

Answer 39

90-120 systolic 50-70 diastolic

Question 40

What is the normal adult blood pressure?

Answer 40

90-120 systolic 50-70 diastolic

Question 41

Over the apex of the heart

Answer 41

Apical pulse

Question 42

Over the radial artery at the wrist at the base of the thumb

Answer 42

Radial pulse

Question 43

Over the carotid artery at the front of the neck

Answer 43

Carotid pulse

Question 44

Over the femoral artery in the groin

Answer 44

Femoral pulse

Question 45

Over the temporal artery in front of the ear

Answer 45

Temporal pulse

Question 46

On the inner side of the ankles

Answer 46

Posterior tibial pulse

Question 47

In the groove between the biceps and triceps muscles above the elbow at the antecubial fossa

Answer 47

Brachial pulse

Question 48

At the top of the feet line with the groove between the extensor tendons of the great and the second toe

Answer 48

Dorsalis pedis pulse

Question 49

What blood tests are done for renal?

Answer 49

BUN creatinine Glomerular filtration rate

Question 50

What blood tests are done for blood disorders?

Answer 50

RBC hemoglobin

Question 51

What blood tests are done for blood clotting?

Answer 51

Platelets Prothrombin time Partial thromboplasm