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Advanced Health Assessment > Quiz 1 > Flashcards

Quiz 1 Flashcards

1
Q

Subjective data

A

aka review of systems

info pt says

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2
Q

Health history

A

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

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3
Q

Focused interview

A

starts with open ended Qs and ends with focused Qs

helps determine differential dx

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4
Q

Differential diagnosis

A

correct dx out of all possible dx

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5
Q

Objective data

A

what you observe by examination

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6
Q

How should subjective and objective data be kept?

A

separate in documentation

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7
Q

What are the methods for validating data?

A

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

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8
Q

What is the order of assessment?

A

inspect
palpation
percussion
auscultation

depends on system

abdomen:
inspection
auscultation
palpation
percussion

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9
Q

What is important to do with assessment findings?

A

label

be cautious with abbreviations

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10
Q

What are different types of pain rating scales?

A

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

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11
Q

POLDCART

A

Previous hx
Onset
Location
Duration
Characteristic
Aggravating factors
Relieving factors
Time

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12
Q

PQRST

A

Provoking factors
Quality
Radiates to (or Region)
Severity
Time

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13
Q

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

A

color
size
shape
contour
symmetry
movement
drainage
color

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14
Q

When palpating, what should be assessed?

A

size
mobility
position
temperature
texture
tenderness

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15
Q

How is light palpation done?

A

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

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16
Q

How is deep palpation done?

A

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

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17
Q

Why is percussion done?

A

to check if it is hollow or dense

18
Q

What are the 3 types of percussion?

A

direct
blunt
indirect

19
Q

How is direct percussion done?

A

tapping the boyd with fingertips of dominant hand

not used often

20
Q

How is blunt percussion done?

A

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

assesses pain and tenderness

screens kidney issues

21
Q

How is indirect percussion done?

A

tapping middle finger of nondominant hand over area being examined

most used

22
Q

The less dense the tissue…

A

the louder and longer the tone

23
Q

Tympany

A

loud high pitched
drum like tone
medium duration

ex: gastric bubble in stomach or air filled intestines

24
Q

Resonance

A

loud low pitched
hollow tone
long duration

ex: air moving in thorax

25
Q

Hyperresonance

A

abnormally loud low tone
longer duration
air trapped in lungs

ex: COPD pts (barrel chest)

26
Q

Dullness

A

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

27
Q

Flatness

A

high pitched tone
very soft sound
very short duration

ex: bone, muscle

28
Q

What is the diaphragm on the stethoscope used for?

A

high pitched sounds

29
Q

What is the bell on the stethoscope used for?

A

low pitched sounds

30
Q

What precaution should be used for every patient?

A

standard precautions

31
Q

What order should vital signs be taken?

A

Temp
Pulse
Respiratory rate
Blood pressure
Pain rating
Oxygen saturation

32
Q

What does culture have a direct impact on?

A

an individual’s worldview

33
Q

What are examples of ethnic identities?

A

black people
jewish people
mexicans
asian people

34
Q

What are examples of race?

A

asian
african american
american indian
white

35
Q

What can lead to stereotyping?

A

failing to recognize variations in cultural practices

36
Q

Ethocentrism

A

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

37
Q

How does cultural competence ensure high quality care?

A

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

38
Q

When are interpreter services needed?

A

medication
consent
teaching

39
Q

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

A

not okay - hearing impaired

okay - deaf, hard of hearing, person w/hearing loss

40
Q

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

A

no

Advanced Health Assessment (5 decks)

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