Assessment Final Flashcards

1
Q

Your patient states that he has an allergy to PCN, what should be your next question?

A

What is your reaction? How sever is it?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe how the Chief Complaint is recorded, and given an example.

A

Subjective statement client gives about why seeking healthcare. “My Head Hurts!”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When doing the general survey what are you assessing?

A

Appearance, breathing pattern, posture, cleanliness, skin pink or warm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What information is needed when collecting a medication history?

A

Dose, reason, time taking it, last time took it, route, and history, name

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Therapeutic communication –

A
  • active listening – listening then repeating it back
  • restatement – help pt to expand on what they are saying or use different words
  • reflection – summarizing main parts
  • encouraging elaboration – trying to get pt to talk more
  • silence – gives pt time to pick the words they want to use
  • focusing – narrow down concerns we have about health history
  • clarification – ask pt what do they mean
  • summarizing
  • open ended questions
  • eye contact
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Nontherapeutic communication –

A
  • false reassurance – can’t guarantee anything, every pt is different
  • sympathy – takes focus off of pt and put on self
  • unwanted advice – “my mother had this done and did this”
  • biased questions – “do you use drugs”
  • changing the subject – don’t run away from info we feel uncomfortable
  • distractions – ex trying to chart while in pts room
  • technical or overwhelming language – supposed to teach at a 4th grade level
  • interrupting - give pt time to explain
  • arms crossed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Open-ended questions; when collecting information about weight what would be an appropriate open-ended question to ask your patient?

A

Have you had any changes in your weight?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe the difference between subjective and objective data. What are some examples?

A

Subjective: pain
Objective: anything measurable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the steps for completing a symptom analysis

A

OLD CARTS (onset, location, duration, character, associated or aggravating factors, relieving factors, timing, severity)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how would you assess severity?

A

use pain scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. How would you document your findings for a general survey? For example, you have a patient that appears depressed and does not make direct eye contact during the history Assessment.
A

Document what you see

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the normal age related changes for our older adult patients?

A

Decrease perception, decreased mobility (everything goes down except adipose tissue)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Name the stage of development according to Erikson.

A

Integrity vs. Despair. (sense of satisfaction of a life well lived)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the best position to take a history in the older adult with hearing loss?

A

If elderly sit in front of pt, slow speech down, make sure they can see your mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some psychosocial factors/ concerns in the older adult?

A

Life roles and attitudes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the technique for taking a rectal temperature?

A

1 ½ adult, 1 child, ½ infant (Approximately 1 degree higher than normal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What range is considered pre-hypertension? **

A

Pre-hypertension – 120-139 / 80-89
Stage l hypertension – 140-159 / 90-99
Stage 2 hyperstion - >160 / >100

18
Q

Grading of peripheral pulses, what is considered normal and abnormal?

A

2+ normal

0 absent, 1 diminished, 3 full, 4 strong

19
Q

What is pulse pressure?

A

The difference between the SBP and the DBP and reflects the stroke volume (normal is 40 mm Hg

20
Q
  1. How long should you palpate the radial pulse when assessing rate, how long for the apical pulse
A

Radial – 30 seconds x 2

Apical – 1 minute

21
Q

When assessing blood pressure what does systolic pressure represent, and what does diastolic pressure indicate?

A

Systolic – contraction of the left ventricle at the beginning of systole
Diastolic – left ventricle relaxes between beats

22
Q

What are some risk factors for atelectasis?

A

collapsed section of alveoli from immobility, obstruction, compression, or decreased surfacant) risk factor – immobility

23
Q

Bradypnea -

A

<12 breaths per minute

24
Q

Tachypnea –

A

abnormally rapid >20

25
Apnea –
respirations cease for several seconds
26
Hyperventilation –
rate and depth increase (hypocardia can occur) (paniac attack)
27
Hypoventilation –
rate and depth decrease, depth of ventilation = depressed (hypercardia)
28
Biots –
rapid pause rapid pause (brain stem injuries)
29
Kussmauls –
deep when blood sugar is hig
30
Cheyne-strokes -
normal in children and elderly, regular irregular rhythm that cycles from deep and fast to shallow and slow
31
When assessing a patient of darker skin color you note a gray dullness, what does this indicate?
Cyanosis
32
Vesicular sounds
soft airy breeze, inspiration greater then expiration, heard over most of the lung fields
33
Bronchovesicular sounds
– inspiration = expiration, between 2nd intercostal spaces, between scapula
34
Brochial sounds
harsch, coarse sound, over trachea, inspiration less than expiration
35
During percussion what should you hear over most lung fields and what could cause dullness. If you not dullness at T10 this usually indicates what?
The diaphragm
36
How do you assess for fremutis?
99 test
37
Rhochi –
(low pitch) sonorous
38
Wheezing –
musical, sibilant (high pitch)
39
Crackles –
popping
40
Friction rub –
high pitch grating
41
What are the physical symptoms of dyspnea?
SOB, increase rate, use of abdominal muscles, tripod position (definition: labored breathing and breathlessness)