Quiz 1 Module 1 (Lessons 1 - 4) Flashcards

(50 cards)

1
Q

What is cultural competence?

A

A process requiring self-awareness, reflective practice, and knowledge of cultural issues.

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2
Q

Why is identifying the type of visit important?

A

It determines the health examination process and influences the information collected.

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3
Q

What is the purpose of formal note documentation?

A

To accurately and appropriately document patient findings.

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4
Q

Why is understanding nutrition important in care?

A

To recognize its influence on health and maintain electrolyte and mineral balance.

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5
Q

Why avoid racial or ethnic stereotypes?

A

To interact respectfully and effectively with patients and families.

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6
Q

What must providers understand to practice competently?

A

A patient’s behaviors, practices, and cultural background.

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7
Q

What are some aspects of culture affecting care?

A

Dietary habits, communication styles, and family boundaries.

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8
Q

What influences health perceptions and practices?

A

Ethnicity, language, and cultural beliefs.

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9
Q

What does the RESPECT model stand for?

A

Rapport, Empathy, Support, Partnership, Explanations, Cultural Competence, Trust.

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10
Q

Why is a subjective medical history important?

A

It guides the physical exam and helps interpret findings.

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11
Q

What are the 4 main objectives in history taking?

A

Identify components, adapt techniques, observe examples, replicate process.

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12
Q

What does an accurate history help detect?

A

It is the foundation for detecting patient risk.

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13
Q

Name the four types of medical histories.

A

Complete, Problem-Oriented (Focused), Interim, Inventory.

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14
Q

What are the core components of a medical history?

A

Identifiers, CC, HPI, PMH, FH, PSH, ROS.

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15
Q

What is the Chief Concern (CC)?

A

The patient’s reason for seeking care, in their own words.

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16
Q

What is included in Personal and Social History?

A

Habits, lifestyle, occupation, home life, stressors.

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17
Q

What is Review of Systems (ROS)?

A

A head-to-toe symptom inventory by body system.

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18
Q

Name a few communication strategies to build rapport.

A

Courtesy, comfort, connection, confirmation, confidentiality.

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19
Q

How should questions be structured during history taking?

A

Start open-ended, then use direct questions for specifics.

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20
Q

What is the HEEADSSS tool used for?

A

Adolescent psychosocial assessment (Home, Education, Eating, etc.).

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21
Q

How should interviewing be adapted for older adults?

A

Account for sensory/cognitive impairments and chronic symptoms.

22
Q

What are key barriers to communication?

A

Anxiety, silence, emotional distress, environmental discomfort.

23
Q

What does the FICA model assess?

A

Spirituality – Faith, Importance, Community, Actions in care.

24
Q

What are the CAGE, TACE, and CRAFFT tools used for?

A

Screening for alcohol and substance use.

25
What is the HITS questionnaire?
Tool to assess for intimate partner violence.
26
What is the primary focus of nutrition as a science?
To promote optimal health and prevent chronic disease.
27
What is the significance of water in the body?
It comprises over 55–65% of adult body weight and is vital for tissue function, transport, and temperature regulation.
28
What daily factors lead to water loss from the body?
Urine, perspiration, expired air, and feces.
29
What methods help assess nutritional status?
History, physical exam, anthropometric measurements, and lab values.
30
Name some key anthropometric measurements.
BMI, waist circumference, triceps skinfold, mid-arm circumference.
31
What lab tests are used to assess nutrition?
Hemoglobin, hematocrit, serum albumin, cholesterol, glucose, A1c, folate.
32
What are some causes of unintentional weight loss?
Illness, medications, eating disorders, increased metabolic needs.
33
What are potential causes of unintentional weight gain?
Medications, pregnancy, lifestyle changes, endocrine disorders.
34
What factors should be considered in older adults?
Appetite, access to food, chronic illness, medication interactions.
35
What nutrients are assessed in children and adolescents?
Protein, calories, vitamins, and minerals.
36
What risks are associated with poor nutrition in pregnancy?
Pica, poor weight gain, nutrient deficiencies affecting mother and fetus.
37
What tools are used to calculate BMI?
Weight and height using formulas with metric or imperial units.
38
What are the four components of a SOAP note?
Subjective, Objective, Assessment, Plan.
39
What does the 'Subjective' part of SOAP include?
Patient-reported symptoms, concerns, lifestyle context.
40
What does the 'Objective' part of SOAP include?
Vital signs, physical exam findings, lab results.
41
What is the 'Assessment' in a SOAP note?
Diagnosis or differential diagnosis with rationale.
42
What is included in the 'Plan' of a SOAP note?
Diagnostics, treatments, patient education, follow-up.
43
Why is distinguishing subjective and objective data important?
To ensure accuracy in SOAP documentation.
44
What is the first step of a physical exam?
Observation.
45
What is the mnemonic OLD CARTS used for?
To gather details about symptoms: Onset, Location, Duration, Characteristics, Aggravating, Relieving, Treatment, Severity.
46
What does the SAMPLE mnemonic stand for?
Signs/Symptoms, Allergies, Medications, Past history, Last oral intake, Events leading to illness.
47
What improves SOAP note accuracy?
Memorization of SOAP components and consistent format.
48
How does SOAP documentation help with clinical decision-making?
It organizes findings clearly, supports diagnosis, and guides care planning.
49
What role does pathophysiology play in SOAP documentation?
Links findings to diagnosis and plan, showing clinical reasoning.
50
What should you avoid when documenting?
Unapproved abbreviations, vague language like 'WNL' without details.