Exam 3

Question 1

Which stage of Erikson’s Stages of development would a child be in if they wonder,”What is it ok for me to do, move and act?”

Answer 1

Early Childhood, preschool stage. Erikson’s stage of Initiative vs. Guilt (4-5 yrs.)

Question 2

What does HEEADSSS stand for?

Answer 2

Home environment
Education and employment
Eating
Peer related activities
Drugs
Sexuality
Suicide/depression
Safety from injury and violence

Question 3

Erikson’s first stage of psychosocial development

Answer 3

Trust vs. Mistrust; child asks,”who can I trust?” (0-1 yr.)

Question 4

At what stage in Erikson’s development would a child be in if they question,”is it ok to be me?”

Answer 4

Early childhood stage (1-3 yrs) Autonomy vs. Shame and Doubt

Question 5

This is a psychosocial review tool to use with adolescence

Answer 5

HEEADSSS

Question 6

Upon finding of lump in the breast it is important to note what characteristics?

Answer 6

Location
Size/Shape
Consistency
Mobility
Distinctness
Nipple retraction
Overlying skin
Tenderness
Lymphadenopathy

Question 7

7 characteristics to note during inspection of abdomen

Answer 7

Contour
Symmetry
Umbillicus
Skin
Pulsation or movement
Hair distribution
Demeanor

Question 8

When assessing the abdomen it is important to assess in which order?

Answer 8

Inspection
Auscultation
Percussion
Palpation

Question 9

In what quadrant order should one follow when auscultation or percussing the abdomen?

Answer 9

(start) RLQ, RUQ, LUQ, LLQ (finish)

Question 10

In what order would one assess when inspecting the musculoskeletal system?

Answer 10

Inspect (size, contour of joint; skin over tissues)
Palpation (skin temp, bony articulations)
ROM
Muscle testing

Question 11

How would one assess the Temporomandibular joint?

Answer 11

Inspect join area
Palpate as person opens mouth
Motion and expected range (stick out lower jaw, move jaw side to side)
Palpate muscles of mastication

Question 12

Musculoskeletal test where the patient is asked to place the front of hands and wrists together

Answer 12

Phalen’s test

Question 13

If a patient reacts to this test it may indicate gallbladder issues

Answer 13

Inspiratory arrest

Question 14

Defined as bowel sounds occuring 4-10 times per minute

Answer 14

Normoactive bowel sounds

Question 15

Described as bowel sounds occuring greater than 10 times per minute

Answer 15

Hyperactive bowel sounds

Question 16

Test where client is asked to close their eyes, place hands at their side and maintain balance for 15-20 seconds

Answer 16

Romberg test (tests for motor impairment)

Question 17

This can be described as the fanning of toes upon stimulation. Considered abnormal after 1 yr. of age

Answer 17

Positive Babinski

Question 18

Neurological test where patient is asked to identify common object such as a key or coin

Answer 18

Stereognosis

Question 19

Neurological test where client is asked to close eyes while practitioner writes out a number (one stroke like 6, 3, 1) on the palm of their hand.

Answer 19

Graphesthesia

Question 20

Neurological test where client is asked to close eyes while practitioner places fingers on both sides of the body in the same place. Client asked to identify where they are being touched.

Answer 20

Extinction

Question 21

Cranial I

Answer 21

Olfactory - Sensory - test by asking to smell certain substance (cinnamon)

Question 22

Cranial II

Answer 22

Optic - Sensory - tested with Confrontation test

Question 23

Cranial III, IV, VI

Answer 23

Oculomotor (III) - Motor - check pupil dilation/constriction
Trochlear (IV) - Motor
Abducens (VI) - Motor - PERRLA, 6 cardinal gazes

Question 24

Cranial V

Answer 24

Trigeminal - Sensory/Motor - palpate temporal and masseter muscle, facial touch

Question 25

Cranial VII

Answer 25

Facial - Sensory/Motor - look for facial symmetry; taste test (salt, sugar)

Question 26

Cranial VIII

Answer 26

Auditory - Sensory - Whisper test

Question 27

Cranial IX, X

Answer 27

Glossopharyngeal (IX) - Sensory/Motor - testing gag reflex with tongue blade
Vagus (X) - Sensory/Motor

Question 28

Cranial XI

Answer 28

Spinal Accessory - Motor - examine sternomastoid, trapezius for equal size

Question 29

Cranial XII

Answer 29

Hypoglossal - Motor - note clarity of speech and tone