FINALS - Ch. 36/37 HW (Pt Interview/Hx & Vitals/Measurements)

Question 1

When entering information on a patient’s chart, what information must be included?

Answer 1

Your signed name and credentials

Question 2

What is a normal BP for a 10yr old child?

Answer 2

100/65

Question 3

What should you do if you suspect physical and psychological abuse with a child?

Answer 3

Report your suspicions to the physician

Question 4

What percentage of the arm or leg should a BP cuff encircle to obtain an accurate reading?

Answer 4

80-100%

Question 5

What might make it more difficult to interview an elderly patient?

Answer 5

Elder abuse & neglect
Physical disabilities
Mental disabilities

Question 6

What is NOT the role of the medical assistant in communicating with patients?

Answer 6

Advising

Question 7

What is a normal RR for a child 1-3 years old?

Answer 7

22-30 per minute

Question 8

What is the term used to describe difficult and painful breathing?

Answer 8

Dyspnea

Question 9

What is a primary symptom of depression?

Answer 9

Persistent sadness

Question 10

If a pt weighs 134 lbs, what would he weigh in kg?

Answer 10

60.8

Question 11

Which manometer consists of a cuff containing a bladder with an attached dial for reading blood pressures?

Answer 11

Aneroid manometer

Question 12

How much is 40lbs in kilos?

Answer 12

18.2

Question 13

Which site is most commonly used to measure pulse in an adult patient?

Answer 13

Radial artery

Question 14

Tachypnea would be characterized by what RR in an adult?

Answer 14

30

Question 15

Why should you use open-ended questions when interviewing patients?

Answer 15

It allows the patient to explain the situation in his or her own words

Question 16

What should you do if a patient refused to answer your questions?

Answer 16

State that you respect his wishes and the physician will be with him soon

Question 17

A patients blood pressure drops from 144/90 to 100/60 when orthostatics are taken. What does this indicate?

Answer 17

A positive tilt test

Question 18

What is the abbreviation for proper form of documentation for the standard unit used to measure BP?

Answer 18

mm HG

Question 19

What is a sign of substance abuse in adolescent?

Answer 19

The patient has pinpoint pupils

Question 20

When caring for a patient with hearing impairment, which guideline should the MA observes with regard to the Patient’s Bill of Rights?

Answer 20

The patient should receive every consideration of his or her privacy

Question 21

What is primary symptom of anxiety?

Answer 21

Irrational fear

Question 22

What are the symptoms of psychological abuse?

Answer 22

Severe dehydration or underweight

Question 23

What is the best description of pulse oximetry?

Answer 23

A noninvasive test that measures the saturation of oxygen in a patient’s arterial blood

Question 24

What is an example of an open ended question?

Answer 24

Can you describe your pain?

Question 25

What is the abbreviation for cubic centimeter?

Answer 25

mL

Question 26

An adult patient had his temperature taken rectally and the result was 100.1. What would this be considered?

Answer 26

Afebrile

Question 27

What would NOT require a waiting period of relaxation for the patient before measuring BP?

Answer 27

The patient has been chatting with the staff since arriving

Question 28

What takes place during the introduction of a patient interview?

Answer 28

The identities of the MA and patient are shared

Question 29

What is NOT a good location for a sensor for pulse oximetry?

Answer 29

Wrist

Question 30

What forms of communication, other than verbal, can the MA and the hearing impaired patient utilize?

Answer 30

Nonverbal clues and body language

Question 31

What method is NOT appropriate for obtaining respiration rates on patients?

Answer 31

Asking the pt to sit up straight so you can observe the breathing pattern

Question 32

What is charted as subjective date?

Answer 32

Patient's chief complaint

Question 33

The practitioners diagnosis or impression of the pt's condition is called what?

Answer 33

Assessment

Question 34

What information would be documented under the plan of action?

Answer 34

Medications prescribed and tests to be done

Question 35

What does mirroring include when it comes to methods of collecting patient data?

Answer 35

Restating what the patient says almost exactly as the patient says it

Question 36

Which method for maintaining notes on a pt chart that is arranged according to who provided the information?

Answer 36

Source-oriented medical record

Question 37

The section of the health history form that contains information about when the problem started and what the patient has done to treat it is called what?

Answer 37

History of present illness section

Question 38

Which section of the health history form includes questions about and examination (by the practitioner) of all body functions?

Answer 38

Review of systems

Question 39

Where on the health history form do you find the reason the pt came to visit the practioner?

Answer 39

Chief complaint

Question 40

What section of the health history form gives the practitioner information about exposure to hazardous substances, sexual practices, and chemical use habits?

Answer 40

Social and occupational history

Question 41

Adult height should be measured to the nearest what of an inch?

Answer 41

Quarter of an inch

Question 42

What is 98.6 F in Celsius?

Answer 42

37 C

Question 43

When taking an infants pulse, if the brachial artery cannot be felt, which pulse site would be checked?

Answer 43

Over the apex of the heart

Question 44

What is the definition of tachypnea?

Answer 44

Rapid breathing

Question 45

What is hyperpnea?

Answer 45

Rapid and deep breathing

Question 46

What are the 5 phases heard after the cuff is deflated called?

Answer 46

Korotkoff sounds

Question 47

What is a correct procedure for taking an auscultated BP?

Answer 47

Inflate the cuff to 30 mm Hg above the level determined by palpation

Question 48

What is the first tapping sound heart when taking a BP is the what?

Answer 48

Systolic pressure

Question 49

The absence of breathing

Answer 49

Apnea

Question 50

The last tapping sound heard when taking the BP is the what?

Answer 50

Diastolic pressure

Question 51

What is the medical term for deep snoring or rattling sounds that are associated with asthma?

Answer 51

Rhonchi

Question 52

The normal adult oral temperature range is:

Answer 52

97-99

Question 53

What is important in the palpatory method of obtaining blood pressure?

Answer 53

Note the level of pressure at which the pulse disappears

Question 54

Stating what you think has been suggested

Answer 54

Verbalizing

Question 55

Formed as a deeper thought

Answer 55

Reflection

Question 56

Asking question that provide an increase in understanding of a problem

Answer 56

Clarification

Question 57

Information that is apparent and measurable; come from the practitioners' own observations or tests, examinations, and test results

Answer 57

Objective

Question 58

Information obtained from a conversation with a patient; includes thoughts, feelings, and perceptions

Answer 58

Subjective

Question 59

Repeating something back to a patient in your own words

Answer 59

Restatement

Question 60

What are the 6 C's of charting?

Answer 60

Clients words Clarity Completeness Cohesiveness Courtesy Conciseness

Question 61

What does SOAP stand for?

Answer 61

Subjective, Objective, Assessment, Plan

Question 62

An exceptionally high fever over 106 F

Answer 62

Hyperpyrexia

Question 63

Crackling sounds indicating fluid in the lung

Answer 63

Rales

Question 64

Pulse at the apex of the heart

Answer 64

Apical

Question 65

Blood pressure becomes low and the pulse increases when a patient is moved from a lying to standing position

Answer 65

Orthostatic Hypotension

Question 66

The bend of the elbow

Answer 66

Antecubital Fossa