Bates: Chapter 6

Question 1

________ is the process to collect objective data about the patient.

Answer 1

physical examination

Question 2

The purpose of a physical examination is to determine changes in a patient’s _________.

Answer 2

health status

Question 3

During a physical examination determine how to respond to a problem and promote a healthy lifestyles and ____.

Answer 3

well being

Question 4

A ______ includes a general survey, assessment of vital signs, body measurements, head to toe system examination, and establishes a baseline.

Answer 4

complete assessment

Question 5

A _____ assessment concentrates on specific system related to problem.

Answer 5

focused

Question 6

Preparing for the physical examination begin by reflecting on your approach to the patient. (6)

Answer 6

Be straightforward.
Have a professional demeanor.
Make the patient feel comfortable.
Spend extra time as needed.
Explain to the patient what is happening.
Avoid interpreting your findings.
Adjust the lighting and the environment.
Adjust the bed to convenient height.
Good lighting
*Tangential lighting: casts light across body surfaces
*Perpendicular lighting
Make the patient comfortable.
*Show concern for privacy an modesty.
*Provide proper draping.
*Visualize one area of the body at a time.
*Tell the patient what you will be doing.
*Be sensitive to patient’s nonverbal cues.
*Tell the patient your general impression.
Check your equipment
Choose the sequence of the examination
*Develop a systematic sequence.
*Maximize the patient’s comfort.
*Avoid unnecessary changes in position.
*Enhance clinical efficiency.

Question 7

During the examination of a patient, it is very important to:
A. Control your nonverbal communication.
B. Share everything you see.
C. Have a chaperone in the room.

Answer 7

A. Control your nonverbal communication.
A -
As a beginner, avoid interpreting your findings. You are not the patient’s primary caregiver, and your views may be wrong or conflicting. Always avoid showing distaste, alarm, or other negative reactions, especially if you discover an abnormality such as an ominous mass or deep oozing ulcer.

Question 8

Cardinal Techniques of Examination

Answer 8

Inspection
 *Close observation of details
Palpation
 *Tactile pressure
Percussion
 *Evoke sound wave or dullness
Auscultation 
 *Listening with stethoscope
Standard and universal precautions
 *Standard and MRSA precautions
 *Wash your hands before and after examining a patient.
 *Change white coat frequently.
Universal precautions
 *Prevent transmission of HIV, HPV, and  other blood-borne pathogens.
 *Observe precautions to avoid needlestick injuries.

Question 9

The technique of tapping on the body to elicit a sound is known as:
A.  Inspection
B.  Palpation
C.  Percussion
D.  Auscultation

Answer 9

The technique of tapping on the body to elicit a sound is known as:
C. Percussion
Percussion is striking the chest or another part of the body to elicit a sound from a hollow organ. Inspection refers to the visual observation. Palpation is feeling with ones hands. Auscultation is listening to body sounds with the aid of a stethoscope.