Quiz 1

Question 1

Subjective data

Answer 1

aka review of systems

info pt says

Question 2

Health history

Answer 2

info based on client’s perception
demographics
hx of illness
family hx
review of systems
social hx

Question 3

Focused interview

Answer 3

starts with open ended Qs and ends with focused Qs

helps determine differential dx

Question 4

Differential diagnosis

Answer 4

correct dx out of all possible dx

Question 5

Objective data

Answer 5

what you observe by examination

Question 6

How should subjective and objective data be kept?

Answer 6

separate in documentation

Question 7

What are the methods for validating data?

Answer 7

repeat an assessment
consult w/ another clinician to review data
talk to family
ask clarifying Qs
compara objective vs subjective

Question 8

What is the order of assessment?

Answer 8

inspect
palpation
percussion
auscultation

depends on system

abdomen:
inspection
auscultation
palpation
percussion

Question 9

What is important to do with assessment findings?

Answer 9

label

be cautious with abbreviations

Question 10

What are different types of pain rating scales?

Answer 10

numeric rating scale 0-10
Wong-Baker FACES
PAINAD (pain assessment in advanced dementia)
FLACC (face, legs, activity, cry, consolability)

Question 11

POLDCART

Answer 11

Previous hx
Onset
Location
Duration
Characteristic
Aggravating factors
Relieving factors
Time

Question 12

PQRST

Answer 12

Provoking factors
Quality
Radiates to (or Region)
Severity
Time

Question 13

When inspecting, what should be assessed for each body system?

Answer 13

color
size
shape
contour
symmetry
movement
drainage
color

Question 14

When palpating, what should be assessed?

Answer 14

size
mobility
position
temperature
texture
tenderness

Question 15

How is light palpation done?

Answer 15

one handed
with finger pads of dominant hand circular motion
1 cm depth

Question 16

How is deep palpation done?

Answer 16

extended fingers of non dominant hand
downward
2-4 cm depth

Question 17

Why is percussion done?

Answer 17

to check if it is hollow or dense

Question 18

What are the 3 types of percussion?

Answer 18

direct
blunt
indirect

Question 19

How is direct percussion done?

Answer 19

tapping the boyd with fingertips of dominant hand

not used often

Question 20

How is blunt percussion done?

Answer 20

placing palm of non dominant hand flat against the body surface and striking the non dominant hand

assesses pain and tenderness

screens kidney issues

Question 21

How is indirect percussion done?

Answer 21

tapping middle finger of nondominant hand over area being examined

most used

Question 22

The less dense the tissue…

Answer 22

the louder and longer the tone

Question 23

Tympany

Answer 23

loud high pitched
drum like tone
medium duration

ex: gastric bubble in stomach or air filled intestines

Question 24

Resonance

Answer 24

loud low pitched
hollow tone
long duration

ex: air moving in thorax

Question 25

Hyperresonance

Answer 25

abnormally loud low tone longer duration air trapped in lungs ex: COPD pts (barrel chest)

Question 26

Dullness

Answer 26

high pitched tone soft sound short duration heard over solid body organs

Question 27

Flatness

Answer 27

high pitched tone very soft sound very short duration ex: bone, muscle

Question 28

What is the diaphragm on the stethoscope used for?

Answer 28

high pitched sounds

Question 29

What is the bell on the stethoscope used for?

Answer 29

low pitched sounds

Question 30

What precaution should be used for every patient?

Answer 30

standard precautions

Question 31

What order should vital signs be taken?

Answer 31

Temp Pulse Respiratory rate Blood pressure Pain rating Oxygen saturation

Question 32

What does culture have a direct impact on?

Answer 32

an individual's worldview

Question 33

What are examples of ethnic identities?

Answer 33

black people jewish people mexicans asian people

Question 34

What are examples of race?

Answer 34

asian african american american indian white

Question 35

What can lead to stereotyping?

Answer 35

failing to recognize variations in cultural practices

Question 36

Ethocentrism

Answer 36

tendency for people to think that their ways of thinking, acting, and believing is the only right way

Question 37

How does cultural competence ensure high quality care?

Answer 37

allows us to further differentiate an expected finding/outcome from an abnormal finding/outcome

Question 38

When are interpreter services needed?

Answer 38

medication consent teaching

Question 39

What is an appropriate way to refer to a deaf person?

Answer 39

not okay - hearing impaired okay - deaf, hard of hearing, person w/hearing loss

Question 40

Is it appropriate to ask a deaf person if they can read lips?

Answer 40

no